- Excellus BlueCross BlueShield (Rochester, NY)
- …complex assignments, difficult members and highly visible issues. + Understanding of the basic Utilization Management and Case Management aspects of the ... and health care services for members. The SN CHA Nurse may also perform other technical and administrative tasks...and required. + Performs other functions as assigned by management . Minimum Qualifications: + RN with valid… more
- Guthrie (Binghamton, NY)
- Provides health care services regarding admissions, case management , discharge planning and utilization review. Responsibilites: Reviews admissions and ... retrospective medical necessity and/or compliance with reimburesement policy criteria. Provides case management and/or consultation for complex cases. Assists… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational… more
- Rochester Regional Health (Rochester, NY)
- Job Title: RN Case Mgr I - HC STATUS:...as level I, plus: Understands when to escalate to management . Required Qualifications: * Registered Nurse ... Monroe County Sign-On Bonus: Up to 20,000 SUMMARY: The RN Case Manager is responsible for the...minimum of 2 years of home care experience. + Registered Nurse license in New York State.… 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...accurate information to payors. The role integrates and coordinates utilization management , care facilitation, and discharge planning… more
- Catholic Health (West Seneca, NY)
- …experience as a registered nurse required + One (1) year previous case , disease, or utilization management experience preferred + One (1) year ... Science Degree in Nursing required + Current, unrestricted licensure by New York State as a Registered Nurse ( RN ) required EXPERIENCE + Minimum of (1) year… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At...high standard of excellence. **Duties of a TH Staff Associate/ Case Manager in the Care Management Department ... Stony Brook Medicine, a **TH Staff Associate/ Case Manager** is a valuable member of our team,...other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse … more
- Independent Health (Buffalo, NY)
- …Degree in Nursing required; Bachelor's degree preferred. Current, active, unrestricted, and licensed registered nurse ( RN ) required. + Two (2) years of ... Collaborative and Accountable. **Essential Accountabilities** Provide High Quality, Professional Utilization Management Services: (Medical necessity review for… more
- Highland Hospital (Rochester, NY)
- … RN Care Manager's central role integrates and coordinates access and utilization management , proactive patient management , care facilitation and ... **17006BR** **Title:** RN OB Case Manager **Department/Cost Center:**...nursing experience preferred. Progressive clinical experience; community health, care management , and/or disease management is preferred. Experience… more
- Amergis (Red Hook, NY)
- Salary: $2200 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization ... and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one...in state practicing + At least one year of Case Management experience preferred + Current CPR… more
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