- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Social Worker - WTC Program ( Case Management )** **_Social Work Services at the Mount Sinai Hospital_** The Mount Sinai Hospital ... to assess and evaluate psychosocial needs for discharge planning and/or care management and/or other services. Engage patients/care partners for adjustment to health… more
- Guthrie (Binghamton, NY)
- …care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management ... Arts (BA) degree in addition to a degree in Nursing . A registered nurse with five (5)... reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative… more
- Albany Medical Center (Albany, NY)
- …relevant to particular cases and selected patient care groups. + Collaborates with case management leadership to compile and report aggregate variances and data ... appropriate LOS and financial constraints. + Provides collaborative care management with the primary nurse in assessing...an assigned service - required + Recent experience in case management , utilization management and/or… more
- CDPHP (Latham, NY)
- … Case Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with a current New York State ... part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable...for coordinating the care of CDPHP members who meet case management criteria across the continuum of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... health member clinical management programs. + Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case… more
- CDPHP (Latham, NY)
- …values and invites you to be a part of that experience. Conducts case management program activities in accordance with departmental, corporate, NYS Department ... is a key element for the member's health.[JW1] + Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case … more
- Rochester Presbyterian Home (Rochester, NY)
- …maintained individually. Key responsibilities include developing wellness plans and providing case management for elders and managing Shahbaz/care partners to ... organize, develop, and direct the overall process of resident case management for elders in a Memory...outcome of that care, including care delivered by other nursing team members who must be directed and supervised… more
- Arnot Health (Elmira, NY)
- …an approved registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three ... to the guidelines. . Identifies the appropriate patients for Case Management services. . Maintains a working...nursing in acute care hospital setting preferred. . Case management experience preferred but not required.… 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
- WMCHealth (Suffern, NY)
- …Case Manager (RN) Company: Good Samaritan Hospital City/State: Suffern, NY Category: Nursing / Nursing Management Department: Care Management Union: YES ... for implementing and supervising the day-to-day operations of the Case Management programs at Bon Secours Charity...in the State of New York as a Registered Nurse . Understanding of Medicare/Medicaid criteria and insurance regulations and… more