- Molina Healthcare (NY)
- **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must Compact RN Licensure._ _Case Manager RN will work in remote setting ... Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from inpatient… more
- BrightSpring Health Services (New Hyde Park, NY)
- …infusion order + Communicates assignment of new patients and primary nursing from Nurse Manager to field staff + Confirm authorizations and reauthorizations for ... Secures Home Health agency for patient visits when Amerita nurse is unable to provide nursing + Communicates patient...internal partners regarding scheduled nursing visits + Assign patient risk codes for all new patients + Assist branch… more
- University of Rochester (Rochester, NY)
- …Provides leadership in areas of strategic planning, regulatory compliance, performance improvement, risk management , staff and trainee education, and quality of ... Administrative * Works collaboratively with other discipline leadership and the office manager to address patient care issues and quality of care * Leads… more
- Trinity Health (Syracuse, NY)
- …cost effectiveness. + Abides by the Established Personnel Policies Related to: + Risk Management + Infection Control + Fire/Safety + Hazardous Materials + ... New York to provide transcatheter aortic valve replacement for higher- risk patients with aortic stenosis! **Two of our surgeons...Medical staff, patients and employees. SUPERVISED BY: + Registered Nurse + Coordinator + Manager SUPERVISES: None… more
- Sharecare (Albany, NY)
- …new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and ... durable medical equipment (DME) + Community resource search + Member preferences management + Coordinate issue resolution with providers, payers or 3rd parties for:… more
- Travelers Insurance Company (Melville, NY)
- …for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- Travelers Insurance Company (Melville, NY)
- …for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- YAI (Milford, NY)
- …to senior leadership. + Fosters an open-door policy and utilizes participatory management ; maintains direct relationships with staff and bolsters staff morale. + ... with regulations and best practices. + Assesses areas of risk for people we support and/or staff, rectifies these...include, but is not limited to, medical and medication management records and auditing, treatment records, progress reports, data… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and coordinating services ... and guidelines that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical thinking skills to… more
- Fedcap (Rochester, NY)
- …Will Include: + Overseeing screening of new clients for nutritional risk /need for nutritional assessment primarily in the residential programs. + Making ... intake (with a strong collaboration with nursing and PCP on bowel management ), diagnosis of current nutrition problems, recommendations and follow up for nutrition… more