- Mount Sinai Health System (New York, NY)
- **Job Description** The Assistant Director of Case Management supports the Director of Case Management with the overall operation of the Case ... efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization ... processes and throughput. In the absence of the Director of Case Management , the… more
- Albany Medical Center (Albany, NY)
- …of three years clinical experience in an assigned service.* Recent experience in case management , utilization management and/or discharge planning/home ... Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management , Quality Screening and Delay Management for… more
- Mount Sinai Health System (New York, NY)
- …admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve ... **Job Description** **RN/ Case Manager MSH Case Management...Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case… more
- Humana (Albany, NY)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I + Reviews and makes recommendations and/or decisions on Utilization or Case Management activities. Utilization review ... assigned meetings including, but not limited to, weekly Medical Director staff meetings, weekly case consistency meetings,...case review determinations. + Provides input into the utilization management program policies and procedures. +… more
- Guthrie (Binghamton, NY)
- …with strong care management , utilization review, and payer knowledge. A Case Management certification or obtain a Case Management certification ... case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b)… more
- Mount Sinai Health System (Long Island City, NY)
- …direct and manage departmental activities involved in utilization review, appeals management and discharge planning to facilitate the case management ... Master?s degree in nursing or healthcare-related field **Experience Requirements** 5 years of Case Management and 6 years of clinical nurse experience. Previous… more
- Catholic Health Services (Smithtown, NY)
- …Administrative Staff. Ensure compliance with Hospital Conditions of Participation. Implement case management programs, including utilization review, intake ... are at the heart of health. Job Details The Director of Care Management and Nursing operations... management leadership role is required Experience in utilization management , working with managed care organizations,… more
- Guthrie (Corning, NY)
- …assigned. Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs). ... Has a working knowledge of the hospital computer system as it relates to case management . Essential Functions: 1. Assists to ensure that the right care is… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Case Manager is responsible for all aspects of case management / utilization review for an assigned group of inpatients, ED ... admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve… more