- Sharecare (Albany, NY)
- …and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in ... an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program… more
- Molina Healthcare (Albany, NY)
- …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal...Further details to be discussed during our interview process. Remote position with location preference in MI, IL or… more
- Molina Healthcare (Albany, NY)
- …+ Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more
- Hillside Family of Agencies (Rochester, NY)
- $5,000 SIGN ON BONUS! Job Summary The Assistant Nurse Manager supports the delivery of quality health services to youth at a site or in a particular service and ... assists the Nurse Manager with administrative management of the...youth are met. + Provide nursing services, such as case finding, health teaching, health counseling, and provision of… more
- Molina Healthcare (Yonkers, NY)
- …and ability to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina employees: If you are ... JOB DESCRIPTION **Job Summary** The Care Manager RN provides support for care management/care coordination...Case management and managed care experience is preferred. Remote position based in New York A New York… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or… more
- Project Renewal, Inc. (New York, NY)
- Title: Nurse Manager -Support and Connection Center Program: Healthcare Department Salary: $98,000 - $105,000 Position Overview: The Nurse Manager for ... team of nurses and clinical providers. + Participate in case conferences, in-services, and consult with nursing and clinical...and administrative duties of the SCC program. + Provide remote support (ie, "on call") for clinical staff on… more
- Sharecare (Albany, NY)
- …years' experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical ... everyone. To learn more, visit www.Sharecare.com. **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently… more
- Sharecare (Albany, NY)
- …to Clinical Advocates ( Nurse ) for conditions that require clinical care and case management assistance + Primary duties include but are not limited to: + ... during the training period will be evaluated on a case by case basis and must be...the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to… more