- Guthrie (Binghamton, NY)
- …care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management ... case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b)… more
- Arnot Health (Elmira, NY)
- …The Case Manager that is BSN prepared will be a leader in the Case Management practice. The Case Manager will work cooperatively with the Physician ... the guidelines. ** 3. Identifies the appropriate patients for Case Management services. ** 4. Maintains a...17. Acts as a resource to the team regarding insurance benefits, managed care processes, and utilization issues. **… more
- Mohawk Valley Health System (Utica, NY)
- RN Supervisor Case Management - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Supervisor Case Management - SNH is responsible ... for the oversight of the case management staff's authorization/coordination/utilization and provision of...documented per the managed long term care program (MLTC) insurance regulations. Core Job Responsibilities + Coordinates the daily… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …in Specialty Clinics is a member of the facility Care Coordination and Integrated Case Management (CCICM) team. The incumbent reports to the Specialty Clinics ... framework. The incumbent will follow the VHA-adopted framework for evidence-based case management (CM) practices, with responsibilities including identification,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... NYSNA-MSH NYSNA at Mount Sinai Hospital , 329 - Case Management - MSH, Mount Sinai Hospital...Facility placement. d. Liaison with financial department for current insurance coverage. 5. Collaborates and participates in the appeals… 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). ... of the hospital computer system as it relates to case management . Essential Functions: 1. Assists to...best interests to the providers and payers. e) Procures insurance authorization where indicated to ensure appropriate, cost effective… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... more years of relevant experience. Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital...relevant info available to PFS for billing purposes. Contact insurance companies and set up peer to peer telephone… more
- EAC Network (Hempstead, NY)
- Case Manager - Nassau County Problem Solving Court Case Management & Recovery Support Services Job Details Level Experienced Job Location 99 Main Street, ... Manager to join the Nassau County Problem Solving Court Case Management & Recovery Support Services program....Offer: + Comprehensive Benefits Package: Medical, Dental, and Vision Insurance , 401K with a 3% match after one year,… more
- City of New York (New York, NY)
- …core values. The Fire Department, City of New York (FDNY), seeks a full-time Case Management Nurse in the Bureau of Health Services. Reporting directly to ... the BHS SUPERVISOR OF NURSES the successful candidate will maintain a comprehensive case management system for the BHS for Medical Qualification of Firefighter… more
- Arnot Health (Elmira, NY)
- …$10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for ... untimely filing, coordination of benefits, services type issues, and insurance or service verification. Identify patterns of common denial...inclusive of all duties that may be assigned. MEETINGS: Case management staff meetings. Case … more