- Guthrie (Cortland, NY)
- …with less than one year of experience) Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other ... Business Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of prior authorization/certification for reimbursement… more
- OLV Human Services (Amherst, NY)
- …with developmental disabilities? Join our team at OLV Human Services as an RN Case Manager and play a critical role in supporting the health and well-being of ... - Monday through Friday FULL JOB DESCRIPTION Responsible to: Director of Nursing Job Summary: The Clinical RN- OPWDD...Job Summary: The Clinical RN- OPWDD acts as a case manager and is an integral part of the… more
- Guthrie (Binghamton, NY)
- …care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management ... in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to... reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... NYSNA-MSH NYSNA at Mount Sinai Hospital , 329 - Case Management - MSH, Mount Sinai Hospital...needed, coordinating direct communication between physician and payor Medical Director as required. f. In psychiatry, the CM will… more
- Elevance Health (New York, NY)
- **Clinical Operations Medical Director ** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical management staff… more
- Elderwood (Williamsville, NY)
- …of our residents by being responsible for the admission of residents; providing case management services for residents; and serving as the designated Discharge ... + Receive and store lost/found articles and notify the Director of Nursing and/or Case Manager +...at all times + Coordinate the work of other case management and service providers within the… more
- Outreach Development Corporation (Brentwood, NY)
- …documentation and reports in a timely manner. + Communicate with program management ( Director , Clinical Coordinator, and/or House Manager and advisor) all ... and training. For more information, please visit www.opiny.org. Position: Residential Nurse (RN)-PT : Saturday/Sunday 10-6 The RN assesses health related needs… more
- Rochester Regional Health (Rochester, NY)
- …practitioners and the department managers for Revenue Integrity, Coding and Data Quality, Case Management and Health Information Management . + Develops the ... as establishing and attaining system targets for performance metrics related to improved case -mix and quality measures. The Director provides daily oversight of… more
- Immigration and Customs Enforcement (Batavia, NY)
- …Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services (DAD-CSU). The Nurse Manager (NM) will report ... Summary The Clinical Nurse Manager oversees nursing services at ICE facilities,...and assessing clinical health outcomes quality measures; evaluating clinical case reviews for adequacy of care, compliance with clinical… more
- Outreach Development Corporation (Brentwood, NY)
- …documentation and reports in a timely manner. + Communicate with program management ( Director , Clinical Coordinator, and/or House Manager and advisor) all ... by Medical Director (medically) in collaboration with program director (administratively) and Outreach nurse Supervisor (medically). Qualifications RN… more