- Excellus BlueCross BlueShield (Rochester, NY)
- …conjunction with Provider Relations, explaining processes for accessing Health Plan to perform medical review , obtains case or disease management support, or ... appropriate cases to the Medical Director for review . Refer to and work closely with Case...in improving member and community health. + Manages more complex assignments; cross-trained to review various levels… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …conjunction with Provider Relations, explaining processes for accessing Health Plan to perform medical review , obtains case or disease management support, or ... appropriate cases to the Medical Director for review . Refer to and work closely with Case...in improving member and community health. + Manages more complex assignments; cross-trained to review various levels… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $86,650.99 - $134,309.04 The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, ... assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams,...in health care team care conference for patients with complex problems. + Facilitates patient and family education and… more
- Mount Sinai Health System (New York, NY)
- …Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or ... Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will...Supports the mission, vision, philosophy and goals of the Medical Center. 2. Case Management: The CM… more
- Mount Sinai Health System (New York, NY)
- …Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will...Supports the mission, vision, philosophy and goals of the Medical Center. 6. Case Management: The CM… more
- Ellis Medicine (Schenectady, NY)
- …guidance, support, and back-up to social workers on patients in need of transfer, medical review and care planning + Coordinates, plans, and participates in ... by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social workers… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …required to know multiple functional areas and supporting systems. + Expertise in Case Management area and able to handle complex assignments, challenging ... Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for… more
- CDPHP (Latham, NY)
- …required to know multiple functional areas and supporting systems. + Expertise in Case Management area and able to handle complex assignments, challenging ... values and invites you to be a part of that experience. Conducts case management program activities in accordance with departmental, corporate, NYS Department of… more
- Guthrie (Binghamton, NY)
- …years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtaining a ... $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and… more
- CDPHP (Latham, NY)
- …Special Programs RN Case Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with a current ... be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating the care of CDPHP members… more