- Highmark Health (Albany, NY)
- …:** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel of ... and regulatory agency requirements and applicable standards of practice for case management . + Other duties as assigned or requested. **REQUIRED EDUCATION** +… more
- Highmark Health (Albany, NY)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management ** This job owns and conducts oversight over a specified ... operations and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training and experience in… more
- Acacia Network (Albany, NY)
- Albany (CCBHC) Case Manager Albany, NY : 9/17/2024 Job Description Job ID#: 4038 Job Category: Albany (CCBHC) Position Type: Full Time Details: Acacia Network, ... Albany, Buffalo, Syracuse, Orlando, Tennessee, Maryland and Puerto Rico. POSITION OVERVIEW: The Case Manager provides supports the wellness and recovery goals of… more
- Albany Medical Center (Albany, NY)
- …Inpatient Rehab - E8 Work Shift: Day (United States of America) The Case Manager is accountable to facilitate the interdisciplinary team to plan, ... assigned service line across the continuum of care. The Case Manager works proactively with the Quality...cases and selected patient care groups. + Collaborates with case management leadership to compile and report… more
- Ellis Medicine (Schenectady, NY)
- SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works ... quality care and achievement of desired treatment outcomes. The Case Manager confirms admission and continued stay... include, but are not limited to, utilization review, case management , care transition, collaboration with physicians… more
- Elevance Health (Latham, NY)
- …commute each way of a relevant Elevance Health location. The **Nurse Case Manager Sr.** is responsible for care management within the scope of licensure for ... members with complex and chronic care needs by assessing, developing, implementing,... management experience. + Certification as a Case Manager is preferred. + Certification as… more
- Elevance Health (Latham, NY)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope of ... **Telephonic Nurse Case Manager II** **Location: This is...acute care setting preferred. + Minimum 2 years "telephonic" Case Management experience with a Managed Care… more
- Elevance Health (Latham, NY)
- …**Behavioral Health Case Manager II** is responsible for performing case management telephonically within the scope of licensure for members with ... but are not limited to: + Responds to more complex cases and account specific requests. + Uses appropriate...of the United States required. + Previous experience in case management and telephonic and/or in person… more
- CVS Health (Albany, NY)
- …themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... in meeting goals and objectives, presents cases at interdisciplinary case conferences + Utilizes case management...RN license is part of the compact. + Certified Case Manager + Bilingual desired (English/Spanish or… more
- CVS Health (Albany, NY)
- …themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and...seeking a self-motivated, detail-oriented, tech-savvy RN to join our case management team. RN Case … more
- St. Catherine's Center for Children (Menands, NY)
- …the lives of the children, families and adults we serve. Position Overview: The Case Manager , Housing Specialist assists families and individuals with all facets ... service plan development and coordinating housing activities with families. The Case Manager , Housing Specialist will also coordinate service provisions… more
- Sedgwick (Albany, NY)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Cardinal Health (Albany, NY)
- …impact insurance processing and minimize rejections * Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate * Place ... Answer minimal inbound calls from doctors and/or patients checking on status of case * Maintain quality while providing an empathetic and supportive experience to… more
- CVS Health (Albany, NY)
- …Crisis intervention skills preferred Managed care/utilization review experience preferred + Case management and discharge planning experience preferred + Managed ... comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan… more
- Cardinal Health (Albany, NY)
- …+ Track any payer/plan issues and report any changes, updates, or trends to management + Search insurance options and explain various programs to the patient while ... knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works… more
- Cardinal Health (Albany, NY)
- …* Track any payer/plan issues and report any changes, updates, or trends to management * Search insurance options and explain various programs to the patient while ... knowledge in technical or specialty area * Applies advanced skills to resolve complex problems independently * May modify process to resolve situations * Works… more
- Elevance Health (Latham, NY)
- …is required if this individual is providing services in multiple states. + Certification as a Case Manager is preferred. + Certification as a Case Manager ... **2-4 times per month** . **Responsible for performing care management within the scope of licensure for members with... within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Cardinal Health (Albany, NY)
- …to Cardinal Health** Transformation enables the organization to drive complex and transformational programs through disciplined project/program management ... in related field, or equivalent work experience, preferred + Extensive project management experience leading cross-functional teams with complex projects and… more
- Elevance Health (Latham, NY)
- …states or territory of the United States required. + Previous experience in case management /utilization management with a broad range of experience ... in inter and intradepartmental teams projects and initiatives. + Previous experience in case management /utilization management with a broad range of… more
- Whitney Young Health Center (Albany, NY)
- …to intermediate proficiency with computer use; BLS Certification Preferred Qualifications: Case Manager (CM) certification. Flexibility to adjust to schedule ... issues, testing or specialty referrals that require the Care Manager to assist/follow patient in navigating complex ...chronic conditions or care coordination in a medical setting. Case Manager (CM) certification. Flexibility to adjust… more