- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management PT Days** The Case Manager (CM) will be responsible for all aspects of case management for an ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management … more
- Guthrie (Corning, NY)
- …and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates ... Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the patient's hospitalization… more
- Bassett Healthcare (Oneonta, NY)
- …timely and accurate information to payors. The role integrates and coordinates utilization management , care facilitation, and discharge planning functions. The ... quality of life possible. What you'll do The Case Manager RN supports the physician and interdisciplinary team in...efficient delivery of care in appropriate setting. + Completes utilization management and quality screening for assigned… more
- City National Bank (New York, NY)
- …the Bank such as Investment Department, Trust Department, or to a Relationship Manager . Maintains complete knowledge of all banking products and services ... clients. Participates in customer call program either independently or with Relationship Manager . Prepares call reports for management . * Provides assistance and… more
- Molina Healthcare (Buffalo, NY)
- …of illness and the site of service. ** KNOWLEDGE /SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight of ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- American Express (New York, NY)
- …+ Leads Program Increment (PI) planning meetings with senior leadership, product management , and delivery teams to ensure strategic alignment and readiness + Mentors ... of features for future PI planning sessions + Develops risk management plans, conducts regular risk assessments, and implements mitigation strategies to… more
- Ellis Medicine (Schenectady, NY)
- …provided by the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration with physicians and social ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management ...discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR… more
- Arnot Health (Elmira, NY)
- …insurance companies with requested patient information as needed. 10. Maintains a working knowledge of programs necessary for denial management (ie: excel, word, ... Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate...assist with appeal of denials 2. Maintains a working knowledge of the requirements of 3rd party payers 3.… more
- Guthrie (Binghamton, NY)
- …staff, exhibiting the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within the ... issues, and risk management concerns. + Acts on behalf of Clinical Manager / Director in his/her absence, attending meetings and making decisions as appropriate… more
- Nuvance Health (Poughkeepsie, NY)
- …case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within ... Planning primarily Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the delivery of… more
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