- Crouse Hospital (Syracuse, NY)
- …(3) - Five (5) years acute hospital experience. + Case Management or Utilization Management experience preferred. Benefits Overview: + Medical , Dental, Vision, ... Coordination Services team is hiring a Care Manager to review the services delivered to patients and compare it...it to evidence-based guidelines in an effort to ensure medical necessity and appropriate level of care. Pay Range:… more
- Evolent (Albany, NY)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company… 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 ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... a week 37.5 - 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse (RN) We are searching for a highly motivated, flexible, organized, skilled respiratory… more
- Northwell Health (Staten Island, NY)
- …+ Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria ... **Req Number** 162425 Registered Nurse Case Manager - FlexStaff Serves as liaison...collaboration with the health care team + Conducts chart review for appropriateness of admission and continued length of… more
- Catholic Charities Family Community Services (Newark, NY)
- …record keeping as necessary for program accountability + Participates in monthly Utilization Review , quality assurance and program evaluation activities as ... **Registered Nurse - OASAS** **Job Details** **Level** Experienced **Job...signs or symptoms of potential health concerns, basic emergency medical treatment or interventions. + Direct, coach, collaborate with… more
- Whitney Young Health Center (Albany, NY)
- Registered Nurse (RN) Care Manager - Women's Health/Pediatrics Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply Description Be a ... benefits and more! GENERAL RESPONSIBILITIES: Using principles of Patient Centered Medical Home (PCMH), the Care Manager (RN) will demonstrate professional nursing… more
- MVP Health Care (Rochester, NY)
- …**Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse required with at least 4 years of recent clinical and Care Management ... to confidentiality. + Ability to make independent decisions regarding resource utilization , and quality of care. + Must demonstrate understanding of clinical… more
- Northwell Health (Manhasset, NY)
- …+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. ... patient in collaboration with the health care team. + Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput.… more
- Glens Falls Hospital (Glens Falls, NY)
- …condition that may necessitate treatment change and will attend regular case review meetings. The Care Manager will work closely with the Interdisciplinary Team ... to ensure appropriate utilization and provision of resources for patients including referrals...provision of resources for patients including referrals to outpatient medical , mental health and substance abuse services. In addition… more