- Elevance Health (Latham, NY)
- …therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope ... **Telephonic Nurse Case Manager II** **Location: This...claims or service issues. + Assists with development of utilization / care management policies and procedures. **Minimum Requirements:**… more
- Healthfirst (NY)
- …of assigned projects; generate solutions to complex problems through utilization of problem-solving tools and methodologies + Maintain up-to-date knowledge ... physician or other professional services (ie, ancillary, behavioral health, Long Term Care , etc.) + Knowledge of Medicare and Medicaid programs and reimbursement… more
- Nuvance Health (Poughkeepsie, NY)
- …position. * Performs patient care within the scope of practice as a Nurse ( RN or LPN), Respiratory Therapist, EMT, Paramedic. * Keeps complete and accurate ... in quality assurance programs as requested by the Clinical Nurse Manager or Program Medical Director. *...certification in the respective field of qualifying credential (eg, Registered Nurse , LPN, Respiratory Therapist, EMT or… more
- STG International (Dunkirk, NY)
- …Assist in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's ... to ensure compliance and patient safety. + Participate in quality improvement, care management, risk management, peer review, utilization review, clinical… more
- Kaleida Health (Williamsville, NY)
- …Basic Life Support (BLS) required upon hire. Current NYS registration as a Registered Professional Nurse / RN Permit and American Heart Association-Basic Life ... of collaborating with members of the interdisciplinary team to coordinate care , facilitate utilization and resource management and discharge planning… more
- Healthfirst (NY)
- …identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & ... with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community...+ Functions as a clinical resource for the multi-disciplinary care team in order to maximize HF member … more
- Nuvance Health (Carmel, NY)
- …preferred. 2.Work Experience:3 years RN experience in an acute care setting; Leadership experience preferred; Utilization review, discharge planning or ... in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a...including The Heart Center, a leading provider of cardiology care . Non-acute care is offered through various… more
- Healthfirst (NY)
- …**Preferred Qualifications:** + BA or BSN + Relevant clinical experience such as previous care or utilization management, home care , or geriatrics + ... **Duties and Responsibilities:** + Leads and manages daily Reassessment Nurse operations such as overseeing scheduling and staffing, providing clinical… more
- St. James Hospital (Hornell, NY)
- …MIDAS/Interqual) are desirable. Licenses and/or Certifications + Current license as a Registered Nurse , BSN preferred + Basic Life Support (BLS) Certification ... + Provide immediate follow-up, documentation, and communication of incidents to the appropriate manager and Chief Nursing Officer (CNO). + Works in tandem with the… more
- Veterans Affairs, Veterans Health Administration (Canandaigua, NY)
- …to prevent injury to self or others in all settings such as utilization of lifting equipment. Embraces patient-family centered care principles. Practices ... duties under close supervision in a variety of health care settings such as outpatient, inpatient, home or community...while caring for patients. Reports patient observations to the RN and or other members of the treatment team.… more