- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IDepartment: Home Care Location: Monroe County Hours Per Week: 40Schedule: Days Sign-On Bonus: $20,000 SUMMARY: The RN Case ... Manages larger and more complex caseloads with effective service utilization and independent decision-making. + Acts as a mentor...as a mentor and informal leader, providing guidance and support to peers and new staff. + Offers process… more
- Rochester Regional Health (Rochester, NY)
- …a holiday every other year. Sign-On Bonus: Yes SUMMARY:As a Registered Nurse - Care Manager, your excellent interpersonal, leadership and collaboration skills ensure ... + Three (3) years of acute hospital care, case management or utilization management experience preferred + Excellent oral and written communication and interpersonal… more
- WellLife Network (South Richmond Hill, NY)
- …13. Ensure all work is reviewed and cosigned by an agency Registered Nurse (to be scheduled by clinical supervisor) 14. Administer TB tests. **Other ... and schedules are subject to change. 5. Attend certification inspections, utilization review and independent professional reviews as needed. 6. Attend nurses… more
- Fresenius Medical Center (Mineola, NY)
- …believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement ... to support your education goals, granting scholarships to family members,...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Fresenius Medical Center (Rochester, NY)
- …in accordance with organization policies, procedures and training. Provides nursing support to patients and staff. Assist with staffing, staff training, equipment, ... Policies. + Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Fresenius Medical Center (Poughkeepsie, NY)
- …daily basis in accordance with policies, procedures and training. Provides nursing support to patients and staff. Assists with staffing, staff training, equipment, ... + Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Catholic Health (Buffalo, NY)
- …Cycle and interdisciplinary care team and works in conjunction with the Utilization Review Manager and Manager Clinical Documentation Integrity. The Middle Revenue ... Cycle - Clinical Supervisor is responsible for training and mentoring Utilization Review, Clinical Documentation Integrity and Clinical Denials and Appeals teams.… more
- Molina Healthcare (Rochester, NY)
- …directed by the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- Northwell Health (Staten Island, NY)
- …delays and resolves issues with appropriate departments. + Identifies appropriate utilization of Social Work Services and makes referrals when appropriate. + ... a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement issues. +... of resources and discharge status. + * Provides support to the in-patient health care team as well… more
- Rochester Regional Health (Rochester, NY)
- …optimal patient outcomes in the expected time frame and with most efficient utilization of resources. Carries out activities related to utilization management, ... of care and medical necessity in the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization , performing… more