- Excellus BlueCross BlueShield (Rochester, NY)
- …review + Non-care manager support staff duties may include: + Requesting medical records + Faxing materials + Mailing of educational materials + Answering and ... Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates and utilizes corporate...to the grievance and appeals process within the + Medical Services department Level III (in addition… more
- University of Rochester (Rochester, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Pharmacy Access Representative III (PAR) is responsible for the overall management of medication ... clinical employees at various levels including pharmacists, pharmacy technicians, medical /clinical staff, and central prior authorization staff. External interactions… more
- Northwell Health (Staten Island, NY)
- …plan and makes all necessary referrals. Completes Discharge Summary at time of release.*3. Case Management*Functions as a case manager with overall ... Provides basic information to program Physician or Physician's Assistant completing the medical sections of Integrated Assessment Form. Informs them of any potential… more
- University of Rochester (Rochester, NY)
- …to departments to reconcile any discrepancies and/or answer any questions. + Escalates case management when medical assessment is needed. + Prioritizes referral ... requests using medical protocols, responding immediately and expediting most urgent requests....improve patient compliance, including provider template oversight, reporting to manager any obstacles to timely scheduling. + Ensures ancillary… more
- University of Rochester (Rochester, NY)
- …to departments to reconcile any discrepancies and/or answer any questions. Escalates case management when medical assessment is needed. Prioritizes referral ... record. + Performs a needs assessment using information from the electronic medical record to assure the appropriate appointment/procedure is schedule with the… more
- University of Rochester (Rochester, NY)
- …manufacturer coupons, and social work. Collaborates with social services and case management on patient assistance. + Coordinates medication and supplies preparation ... to the pharmacist when appropriate. Coordinates medication ordering with inventory manager for special orders or low-volume medications. Tracks changes in… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …collaborating with members of the interdisciplinary team. Responsibilities The Pulmonary Case Management (CM) Registered Nurse (RN) is responsible and accountable ... experience, and creative approaches to management of complex client care. The Pulmonary Case Management (CM) Registered Nurse (RN) focus is on individual growth and… more
- University of Rochester (Rochester, NY)
- …appointments, treatment planning, financial arrangements, and approval phase until case completion. **ESSENTIAL FUNCTIONS** + Exercising tact, initiative, and ... Serves as primary contact to Billing personnel, care provider, and/or Practice Manager or Administrator to resolve patient concerns. Performs check-in and check-out… more
- Ellis Medicine (Schenectady, NY)
- SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works with ... quality care and achievement of desired treatment outcomes. The Case Manager confirms admission and continued stay...care, payer, or other experience will be considered. SECTION III PHYSICAL REQUIREMENTS: The position is located indoors and… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …Preferred experience: BSN Case Management certification Care Coordination experience Case Management experience RN experience in medical ambulatory care or ... Summary The Western New York VA Medical Center is currently seeking a Registered Nurse...a member of the facility Care Coordination and Integrated Case Management (CCICM) team. The incumbent reports to the… more