- Molina Healthcare (Manhattan, NY)
- …will be supporting our Senior Whole Health NY DSNP program. We are seeking a Registered Nurse with previous Case Management, DSNP, or LTSS experience. The ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- CVS Health (Fort Lee, NJ)
- …**_$10,000_** _for eligible external candidates who possess NJ Choice Certification._ This is a remote Case Manager opportunity with 50 to 75% field travel ... and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face...home health or ambulatory care + Active and Unrestricted RN license in NJ + 50 to 75% travel… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …who go on to pursue our mission at MSK and around the globe. Job Description RN Case Manager , Inpatient | New York, NY Exciting Opportunity at MSK:Are ... appeals and acquire authorizations for treatment Key Qualifications: + Current NYS Registered Nurse License/Registration and BSN preferred + At least 2-3… more
- Molina Healthcare (New York, NY)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Molina Healthcare (Bronx, NY)
- …provides care coordination and assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required * Case ... Further details to be discussed during our interview process. Remote position in New York A New York LMHC,...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …a full-time Nurse Manager / Patient Care Team Coordinator. Responsibilities The Registered Nurse - MICU PCTC Manager is accountable for a 12 bed ... RN experience and MSN and leadership/Supervisory as a Nurse Manager in a major medical Center...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Molina Healthcare (Yonkers, NY)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Molina Healthcare (Manhattan, NY)
- …* UAS experience * Experience conducting home visits Required Licensure or Certification: * Registered Nurse ( RN ) State Specific Requirements: * Must reside ... for Medicaid and Medicare. We are looking for a RN candidate with a Uniform System Assessor (USA) background....Qualifications:** * Bachelor's degree in Nursing * CCM- Certified Case Manager , CCP - Chronic Care Professional.… more
- Molina Healthcare (Yonkers, NY)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- VNS Health (Manhattan, NY)
- …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals ( RN )to lead the daily operations of our ... behalf. * Data-Driven Decisions: Maintain the integrity of our case files and data collection systems. Prepare insightful reports...+ License and current registration to practice as a registered professional nurse in New York State… more
- Molina Healthcare (Yonkers, NY)
- …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
- Elevance Health (New Hyde Park, NY)
- …Service Coordinator - RN Telehealth** _Location:_ While this position is fully remote , candidate must reside in the tri-state area (NY, NJ, or CT) and within ... the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more