- Stony Brook University (Stony Brook, NY)
- …telephonically post-discharge and assist with barriers to care * Prior experience with Care Management or Utilization Management * Understand levels of care ... may be at a high risk for readmission. The RN following these patients must have good clinical and...is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization… more
- Stony Brook University (Stony Brook, NY)
- …use of resources. + Oversee staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex cases. ... as needed. **Preferred Qualifications:** + Master's Degree, + Certified RN , + CM Five years Case management ...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- CVS Health (Albany, NY)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... or changes in condition to be transitioned back to RN . - Complete post discharge call and required assessments...Complete inpatient confinement calls and monitoring for discharge - Management of warm transfers form concierge and engagement hub… more
- Arms Acres (Carmel, NY)
- …enhance the services we provide. The UR Coordinator assists in the overall utilization management process to ensure that services and programs meet accepted ... and carries out program of admission and continued stay review . Performs external concurrent review as requested...and/or have at least three years' experience in case management , utilization management or chemical… more
- Access: Supports For Living (Middletown, NY)
- …leads and supports a Quality Team which is responsible for: Incident Management , Internal Regulatory Audits, Utilization Reviews and Quality Improvement ... all regulations, policies, protocols and procedures. + Assisting the Annual Program Review Meetings and updating and managing Billing Grids. + Developing and… more
- Catholic Health Services (Melville, NY)
- …members + Strong problem solving and investigative skills Essential Responsibilities (Project Management , Chart Review , Education) + Coordination with ProFee CDI ... The ProFee CDS will focus on pre-visit provider support, post-visit provider review , and collaboration and education with providers. Pre-visit provider support -… more
- Elevance Health (Latham, NY)
- …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Bassett Healthcare (Cooperstown, NY)
- …and enjoy the best quality of life possible. What you'll do The Assistant Nurse Manager provides management assistance on an assigned shift and is accountable ... + Participates or leads committees as directed by the Nurse Manager, as noted in portfolio review ....or be suspended at any time. Bonus Amount: + RN (excluding management ) sign-on bonuses are awarded… more
- US Tech Solutions (Tarrytown, NY)
- …initiatives. - Lead material resource selection, standardization, price optimization and utilization initiatives while promoting and utilizing Value Analysis in the ... processes as it pertains to new product initiatives, category management strategies etc. . Lead the development and focus...in the development and ongoing improvement of new product review and approval process, and assist in identifying and… more
- Elevance Health (New Hyde Park, NY)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs… more
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