- Guthrie (Binghamton, NY)
- … Manager monitors clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs Utilization Management ... with the patient and members of the interdisciplinary health care team. The Acute Case Manager...positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary… more
- Mount Sinai Health System (New York, NY)
- …as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a minimum of 3-5 years experience ... **Job Description** **RN/ Case Manager MSH Case ...and maintains effective working relationships with interdisciplinary team and Case Managers within the managed care… more
- Mount Sinai Health System (New York, NY)
- …1. Develops and maintains effective working relationships with interdisciplinary team and 8. Case Managers within managed care organizations. Participates in ... **Job Description** **RN/ Case Manager (Inpatient) Mount Sinai Morningside...population; 12. Provides the clinical information requested by the managed care companies as part of the… more
- CDPHP (Latham, NY)
- …via the telephone line, fax machine and mail. The Medicaid Special Programs Case Manager typically works in the telephonic managed care setting but may ... advocating for the necessary medical services across the health care continuum. The RN Case Manager...patients with social needs preferred. + Experience in home care , medical office setting, or managed health… more
- Arnot Health (Elmira, NY)
- … participates in quality improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for ... average caseload will be: 15-25. The Case Manager will work cooperatively with in the care...to reduce length of stay and resource consumption within case managed populations , implements these strategies… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Must demonstrate proficiency with the Microsoft Office Suite. + Experience in interpreting managed care benefit plans and strong knowledge of government program ... Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for… more
- CDPHP (Latham, NY)
- …Must demonstrate proficiency with the Microsoft Office Suite. + Experience in interpreting managed care benefit plans and strong knowledge of government program ... 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …in the health care industry. + Strong working knowledge of Managed Care Industry, Corporate Medical Policies, NCQA standards, HEDIS, CMS requirements, ... This position serves as the expert and leader for case management activities and overall coordination within the ...Association (BCBSA) for the Federal Employee Program (FEP). The Manager serves as a resource to management, internal staff,… more
- Elevance Health (Latham, NY)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for ... **Telephonic Nurse Case Manager II** **Location: This role...**Telephonic Nurse Case Manager II** **Location: This role enables associates to...Manager . + Minimum 2 years' experience in acute care setting. + Managed Care … more
- Elevance Health (Middletown, NY)
- …specialty programs for autism and depression, and insightful analytics to improve the delivery of care . **Behavioral Health Case Manager II - New York** Must ... Hours: Monday through Friday, 8:00 am to 5:00 pm (EST)** The **Behavioral Health Case Manager II** is responsible for performing case management… more