• 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 ... Description MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services...of care meetings related to the appropriate case managed population. d. Manages the appropriate… more
    Upward (07/03/25)
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  • NewYork-Presbyterian Hospital (Brooklyn, NY)
    …3-5 yrs Acute Care RN nursing experience Previous experience in inpatient acute care case manager /discharge planning, certified home health care ... (United States of America) Description: Discover Where Amazing Works Case Manager - RN - Inpatient Units-...(CHHA), Case Management experience, utilization experience, or managed care organization experience required PRI certification… more
    Upward (06/29/25)
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  • Conifer Park (Schenectady, NY)
    …mental health and chemical dependency services including assessment, discharge planning, managed care , and relevant communication, formulation and implementation ... of treatment plans, and performing specified duties. Requirements Case Manager I Requirements: High School Diploma or GED with a minimum of 1 year of Case more
    Upward (07/23/25)
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  • Mohawk Valley Health Systems (Utica, NY)
    Job Summary The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity ... seeking and obtaining sufficient information/education necessary to function effectively in the managed long term care setting. Participates in departmental and… more
    Upward (07/01/25)
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  • Northwell Health (New York, NY)
    …Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. Experience in working independently without significant oversight and ... FlexStaff is seeking a qualified Clinical Manager - Integrated Care Perm position...review, quality assurance, or discharge planning (preferably within a managed care , home care , or… more
    Upward (06/21/25)
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  • Northwell Health (New York, NY)
    FlexStaff is looking for a Care Delivery Manager . JOB PURPOSE: Responsible for supporting the nursing standards of excellence with advance professional education ... with the Virtual IDT as needed. Serve as a manager on call during non-operational hours of the physical...& treatment clinic preferred. Customer Service experience is required. Managed long-term care insurance experience beneficial. Minimum… more
    Upward (07/13/25)
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  • SCO Family of Services (Huntington Station, NY)
    …basis to the directors. 7. Develop a professional relationship and work closely with Managed Care Organizations, HCBS and CFTSS providers, OMH, OPWDD and any ... to Key Performance Indicators (KPI) data, data regarding unit case records, number of visits completed minimally on a...and units are within DOH guidelines. Training: 1. Schedule Care Manager Supervisors and Care more
    Upward (07/02/25)
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  • EmblemHealth (New York, NY)
    …required Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, ... or highly impactful reporting development experience for a health provider, plan or managed care organization required Working knowledge of health care more
    Upward (06/27/25)
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  • Mount Sinai Hospital (New York, NY)
    …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty...assistance. 13.Interacts with medical and professional staff on a case by case basis to obtain appropriate… more
    Upward (07/10/25)
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  • Maximus - Bronx (Bronx, NY)
    …with consumers. Initiate communication with eligible consumers for enrollment into managed care health plans. Enhance communication and collaborative ... in-home evaluations of patients. Evaluations include assessing health status, strengths, care needs, and preferences. Candidates will guide the development of… more
    Upward (07/20/25)
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