- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- Summary The Collaborative Care Case Manager(CCCM) Registered Nurse (RN) delivers fundamental knowledge-based care to assigned clients while developing technical ... throughout the continuum of care. Responsibilities The Collaborative Care Case Manager(CCCM) Registered Nurse (RN) executes position responsibilities… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …* Adheres to regulatory regulations (eg, ERISA, HIPAA) for Case Management and self-insured clients. * Uses clinical tools for patient assessment, ... services to its clients. Cases are maintained by the Nurse Case manager. The Nurse ...Management Certification. * 2 years' Case Management experience required, preferably with 4 years' clinical… more
- CVS Health (Albany, NY)
- …**Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse ... Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and...clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices,… 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
- Northwell Health (Riverhead, NY)
- …(PRI) is completed and reflects clinical profile of the patient. + Ensures case management sheet is current and accurate. + Performs related duties, as ... Professional Nurse in New York State. + Case Management Certification, preferred. + Minimum of...of one (1) year related experience, required. Experience in case management and clinical pathways,… 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
- MVP Health Care (Rochester, NY)
- …Nurse required with at least 4 years of recent clinical and Care Management experience. + Certification in Case Manager (CCM) is required within 2 years ... improvement. To achieve this, we're looking for a Hospital Case Manager to join #TeamMVP. If you have a...clinical knowledge including an understanding of population health management and the care management process. +… 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
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for...in acute care setting. + Minimum 2 years "telephonic" Case Management experience with a Managed Care… more
- Elevance Health (Latham, NY)
- ** Nurse Case Manager II** **Location:** This...Case Manager II** will be responsible for care management within the scope of licensure for members with ... individual and family needs, and develops a specific care management plan to address the objectives and goals identified...health related field and minimum of 5 years of clinical experience; or any combination of education and experience,… more