- aptihealth (Clifton Park, NY)
- …and collaboration + Priding ourselves in being diverse and inclusive The Role The Registered Nurse Case Manager team at AptiHealth is pivotal to the success of ... our Case Management and Medication Management ...and local/state/federal rules and regulations as directed by the Clinical Director. The RN Case Manager will… more
- Nuvance Health (Poughkeepsie, NY)
- …of the Director, The Nurse Case Manager role provide clinically-based case management to support the delivery of effective and efficient patient care. ... Paces the case from physiological and economic perspectives. Has overall accountability...and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
- Crouse Hospital (Syracuse, NY)
- … Nurse in New York State + Bachelor's degree + Five (5) years previous case management / discharge planning in an acute care setting or other care continuum ... Manager who is responsible for providing day to day management of the RN Care Managers in the department....experience in a clinical setting + Knowledge of regulatory requirements related to… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' Compensation and ... other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care...disability services for timely return to work. + Provides case management , utilization review, continued stay reviews,… more
- Highmark Health (Albany, NY)
- …Degree in Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management ...of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to… more
- CVS Health (Albany, NY)
- …themselves. In this role, you will assess, plan, implement, and coordinate comprehensive case management activities. Your focus will be to evaluate members' ... CVS Health Aetna has an opportunity for a full-time Case Manager, Registered Nurse (RN). Case...and quality improvement initiatives. + Travel locally for in-person case management activities, as directed by leadership… 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 ... evidence based medical necessity criteria + Submits data to management regarding case management and/or...and continued length of stay; Facilitates throughput + Conducts clinical reviews and interacts with third party payers to… more
- Northwell Health (Valley Stream, NY)
- … management using evidence based medical necessity criteria. + Submits data to management regarding case management and/or quality initiatives. + Serves ... and continued length of stay; Facilitates throughput. + Conducts clinical reviews and interacts with third party payers to...federal, and third party payer regulations. + Documents the case management process in the medical record;… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Palliative Care Case ManagerDepartment: Hospice Hours Per Week: 40 hoursSchedule: Days SUMMARY: The RN Case Manager is responsible for the delivery of ... making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services and… more
- Elevance Health (Latham, NY)
- ** Nurse Case Manager I** **Location** :...Case Manager I** is responsible for performing care management within the scope of licensure for members with ... assessments to identify individual needs and a specific care management plan to address objectives and goals as identified...health related field and minimum of 3 years of clinical experience; or any combination of education and experience,… more
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