- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse IDepartment: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time)Schedule: Monday - ... class as needed. Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act as a resource on denial… more
- Northwell Health (Riverhead, NY)
- …Degree in Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State. + Case Management Certification, preferred. + ... delays and resolves issues with appropriate departments. + Identifies appropriate utilization of Social Work Services and makes referrals when appropriate. +… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager . The Nurse Case Manager ... Manager of Case Management. Responsible for developing and managing the case management program and providing case management services to members. This… more
- CVS Health (Albany, NY)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible… more
- Nuvance Health (Poughkeepsie, NY)
- …through various affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case ... physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within the...cases are a priority and at a minimum the case manager reviews observation cases daily. 3.… more
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 The Case Manager is accountable to facilitate the interdisciplinary team to plan, ... assigned service line across the continuum of care. The Case Manager works proactively with the Quality...Quality Improvement Teams, patient care standards, Social Work, and utilization management to coordinate the appropriate use of resources… more
- MVP Health Care (Rochester, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a Hospital Case Manager to join #TeamMVP. If you have a passion for patient ... + Current New York State Licensure as a Registered Nurse required with at least 4 years of recent...recent clinical and Care Management experience. + Certification in Case Manager (CCM) is required within 2… more
- Northwell Health (Staten Island, NY)
- **Req Number** 162425 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... + Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria + Submits… more
- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day management of the RN ... $95,000 plus based on education and experience Schedule: Full-Time, 8:00am-4:30pm Manager , Care Coordination Responsibilities: + Manager is responsible for… more
- Northwell Health (Manhasset, NY)
- …+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits ... data to management regarding case management and/or quality initiatives. + Serves as an...+ Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications… more