- Northwell Health (Staten Island, NY)
- **Req Number** 167724 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... evidence based medical necessity criteria + Submits data to management regarding case management and/or...experience, required. + Current License to practice as a Registered Professional Nurse in New York State… more
- CVS Health (Albany, NY)
- …companies, and healthcare personnel as appropriate. - Implements and coordinates all case management activities relating to catastrophic cases and chronically ... and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company… more
- Living Resources (Albany, NY)
- Registered Nurse - Case Manager...Mandating + NO Weekends + NO Holidays Responsibilities The RN Case Manager provides direct and supportive health ... Treatment Team and individuals we support. + The overall case management duties include professional advice/direction on...and individuals we support. Requirements + Possess a valid RN license and remain currently registered by… more
- Northwell Health (Sleepy Hollow, NY)
- … management using evidence based medical necessity criteria. + Submits data to management regarding case management and/or quality initiatives. + Serves ... federal, and third party payer regulations. + Documents the case management process in the medical record;...entry date. + Current License to practice as a Registered Professional Nurse in New York State… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …right for you, we encourage you to apply! Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS ... health member clinical management programs. + Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case… more
- Rochester Presbyterian Home (Rochester, NY)
- RN Case Manager - Assisted Living Creekstone Memory Care - Fairport, NY Full Time/Part time Salary Range: $30 - $45/hour based on experience Rochester ... please apply to join our team at RPH. The RN Case Manager ensures care is delivered...individually. Key responsibilities include developing wellness plans and providing case management for elders and managing Shahbaz/care… more
- Mohawk Valley Health System (Utica, NY)
- RN - Case Manager - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case Management ... and cost effectiveness through the integrating and functions of case management . Core Job Responsibilities + Coordinates...filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree… more
- Bassett Healthcare (Oneonta, NY)
- …Current NYS licensure as a Registered Professional Nurse , if applying as a nurse , required + Case Management certification, preferred + Case ... best quality of life possible. What you'll do The Case Manager RN supports the physician and...drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal,… 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 ... regulatory agency requirements and applicable standards of practice for case management including those published by CMSA...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- … Management experience to support Oncology Patients? The MSK Case Management Department is made up of Registered Nurses (RNs), Licensed Practical Nurses ... responsible for evaluating and responding to clinical and administrative denials referred to Case Management Department for appeal. You will participate in the… more
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