- Constructive Partnerships Unlimited (Queens, NY)
- …Monday thru Friday. Is prepared to go onsite if an on call problem warrants a nurse 's visit. + Maintains all medical standards as set forth in agency policy and ... Nurse Case Manager Type of Position Full time...progress as indicated by acute illnesses and/or complex ongoing medical problems. + Evaluates the effectiveness of preventive/ongoing health… more
- Constructive Partnerships Unlimited (Staten Island, NY)
- Charge Nurse Type of Position Full time Search Location(s) Staten Island, NY Apply Now ... of the health care plan by the nursing staff. + In collaboration with Nurse Administrator and VP of Nursing establishes systems for day-to-day medical /nursing… more
- BronxCare Health System (Bronx, NY)
- Overview Licensed Practical Nurse : Under the direct supervision of a physician and/ or Registered Nurse , participates in the application of the nursing process ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… more
- Elevance Health (Latham, NY)
- ** Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... an accommodation is granted as required by law._ The ** Nurse Case Manager II** will be responsible for care...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- Centene Corporation (New York, NY)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all outpatient and… more
- FlexStaff (Poughkeepsie, NY)
- …on at least a semiannual basis or as indicated. 3. Coordinate with the Medical Case Manager Counselors (MCMC) to ensure medical , dental, and specialty ... and promptly update as indicated by acute illnesses and/or complex ongoing medical problems. 7. Evaluate the effectiveness of preventive/ongoing health care and make… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …and SCIP-R. 12. Reports all incidents to the Residence Manager, and reports all medical issues/ injuries to the registered nurse and follows protocols for ... individuals and arranges transportation as necessary. Upon instructions of the Nurse , accompanies individuals on medical appointments and/or visits hospital… more
- Travelers Insurance Company (Melville, NY)
- …internal and/or external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants nurse ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… more
- Molina Healthcare (Rochester, NY)
- …including hospital acute care/ medical experience (STRONGLY DESIRED)** + **Registered Nurse with Claims and CIC coding experience (STRONGLY DESIRED)** + ... **_For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of...scope of a Payment Integrity Clinician. This includes assessing medical documentation, itemized bills, and claims data… more