- Constructive Partnerships Unlimited (Manhattan, NY)
- …of medical doctors, consultants, and other healthcare professionals. 5. Conduct clinical care nursing audits to ensure regulatory compliance in areas including ... management and regulatory standards. 6. Participate with nursing management to review, update and develop...cooperates in all corporate compliance investigations and reviews. SUPERVISES: Nurse Educators Nurse Case Managers… more
- Elderwood (Monroe County, NY)
- … Certification (Preferred) + Minimum of three (3) years nursing experience in home care , case management , discharge planning or managed care + ... join our incredible growing team as either an Assessment Nurse or Case Manager in Rochester, NY!...services are covered Elderwood Health Plan. + Provide a care management process of assessment, planning, facilitation,… 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 ... patient care throughout hospitalization and oversees provisions for patient's discharge....evidence based medical necessity criteria + Submits data to management regarding case management and/or… 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 ... criteria with third party payers (including onsite and telephonic Case Managers) as well as Primary Care ...care , home with services and short term skilled nursing facility placement. Assembles necessary referrals, discharge summaries and… 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 ... with current state, federal, and third party payer regulations. + Documents the case management process in the medical record; completes and documents a… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …Compensation and other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care providers, employers, employees, and ... Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and...and the evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty… more
- Highmark Health (Albany, NY)
- …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... to appropriate resources for additional support. + For assigned case load, create care plans to address...regulatory agency requirements and applicable standards of practice for case management including those published by CMSA… more
- IAHD-Institute for Applied Human Dynamics (Bronx, NY)
- …be part of a supportive team, this is the role for you! What You'll Do:* Direct Care & Case Management :Provide direct and supportive health care to ... NY & Westchester County Are you a compassionate Registered Nurse with experience in providing health care ...and clinical standards of care .* Documentation & Care Plans:Establish and maintain nursing care… more
- Elevance Health (Latham, NY)
- …employment, unless an accommodation is granted as required by law. The ** Nurse Case Manager I** is responsible for performing care management within the ... ** Nurse Case Manager I** **Location** :...** Nurse Case Manager I** **Location** : **Latham, NY** **Virtual:**...Conducts assessments to identify individual needs and a specific care management plan to address objectives and… 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 ... through Friday FULL JOB DESCRIPTION Responsible to: Director of Nursing Job Summary: The Clinical RN- OPWDD acts as...Job Summary: The Clinical RN- OPWDD acts as a case manager and is an integral part of the… more