- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case ...or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or ... are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more
- Mount Sinai Health System (New York, NY)
- **Job Description** RN/ Case Manager Mount Sinai West FT... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... Days 8a-4p EOW The Case Manager (CM) will be responsible for...1. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management… more
- Guthrie (Binghamton, NY)
- …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for...in an acute care setting with strong care management, utilization review, and payer knowledge. A Case … more
- Ellis Medicine (Schenectady, NY)
- …The Discharge Planner's primary function is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient ... beneficiaries per CMS Conditions of Participation at the direction of the Case Manager . + Utilization Management Activities: + Collaborates with Case… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required,… more
- Arnot Health (Elmira, NY)
- …processes related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge ... Job Description MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
- Northwell Health (Forest Hills, NY)
- …a case management intake assessment.Orients patient to the role of the case manager , the goals of care and expected length of stay.Discusses with ... Applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. Job Responsibility 1. Coordinates and facilitates… more
- Ellis Medicine (Schenectady, NY)
- …patient's required needs and covered services. Support services provided by the Case Manager include, but are not limited to, utilization review, case ... The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… more