- City of New York (New York, NY)
- …lien re-payment. OLR/OLT is recruiting for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer , who will: - Conduct medical ... to calculate injury related Medicaid liens pursuant to SSL-104b on cases involving Medical malpractice, mass medical torts, lead paint poisoning, traumatic brain… more
- Prime Healthcare (Newark, NJ)
- …readiness for, and adherence to complex HIV/AIDS treatments. Medical case management also includes client-specific advocacy and review of use of ... clinical team with resources, information, and performs the various steps of medical case management including completion of intakes, psychosocial assessments,… more
- Mount Sinai Health System (New York, NY)
- …on units as warranted. + Meets with Case Managers, as warranted, to review medically complex and long-stay cases; refer to physician advisor as indicated. + ... + Attends interdisciplinary rounds as necessary. + Meets with Case Managers to review medically complex...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- …Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will...Supports the mission, vision, philosophy and goals of the Medical Center. + Promotes an environment that is sensitive… more
- Mount Sinai Health System (New York, NY)
- …on units as warranted. 2. Meets with Case Managers, as warranted, to review medically complex and long stay cases; refer to physician advisor as indicated. ... 10. Attends interdisciplinary rounds as necessary. 11. Meets with Case Managers to review medically complex...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED patients ... specified timeframes. * 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)
- …Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will...Supports the mission, vision, philosophy and goals of the Medical Center. 6. Promotes an environment that is sensitive… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Director of Case Management is responsible for the overall operation of the Case Management Department. This includes oversight of daily ... care to patients. This involves the delivery of comprehensive front-line Case Management services, including utilization management, care facilitation and discharge… more
- Acacia Network (Brooklyn, NY)
- Carlos Pagan (CCBHC) Case Manager (CCBHC) Brooklyn, NY : 9/17/2024 Job Description Job ID#: 4036 Job Category: Carlos Pagan (CCBHC) Position Type: Part-Time Details: ... Manager provides supports the wellness and recovery goals of individuals with complex and/or chronic behavioral health and substance abuse issues and needs by… more
- RWJBarnabas Health (Livingston, NJ)
- … ManagementReq #:0000166882 Category:Nursing Status:Full-Time Shift:Day Facility:Cooperman Barnabas Medical Center Department: Case Management Location: Cooperman ... stay and improve throughout. The CM arranges for durable medical equipment, home IV therapy as well as enteral...on other classifications of patients as designated by the Utilization/ Case Management Review Plan. Coordinates patient care,… more
- RWJBarnabas Health (Jersey City, NJ)
- …Coordinator (RN) Case Management Per Diem DayReq #:0000164913 Category:Nurse Case Manager Status:Per Diem Shift:Day Facility:Jersey City Medical Center ... Department: Case Management Location: Jersey City Medical Center, 355 Grand Street, Jersey CIty, NJ 07302...contracts, InterQual and other classifications as designated by the Utilization/ Case Management Review Plan. Identifies trends and… more
- Travelers Insurance Company (New York, NY)
- …investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim ... of policy information to facts or allegations of each case . + Work with Manager on use of Claim...as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent… more
- CVS Health (Passaic, NJ)
- …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. The ICM ... and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and...member's overall wellness. * Uses clinical tools and information/data review to conduct an evaluation of member's needs and… more
- Travelers Insurance Company (Morristown, NJ)
- …investigating, evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims. Provides quality claim handling throughout the ... with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. +… more
- CAMBA (Brooklyn, NY)
- …the health outcomes for individuals with severe mental illness & other complex chronic illnesses through coordinated networks of medical , psychiatric, behavioral ... to ensure all clients connect to & maintain primary medical care, prevent hospital stays, &/or reduce the length...Location: 2244 Church Ave, Brooklyn, NY 11226 What The Case Manager Does: + Review all documentation… more
- Mount Sinai Health System (New York, NY)
- …1-3 years related administrative or business experience Non-Bargaining Unit, BGG - Case Management - STL, Mount Sinai St. Luke's **Responsibilities** 1. Develop and ... quality and timeliness of data 9. Manages data through review , computerization, cleaning and auditing for compliance with standard...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- City of New York (New York, NY)
- …medical accommodations - Supervision of administrative physicians assigned to review medical accommodations - Completes Accommodation Reviews (Home ... Job Description City Medical Specialist II / Complex Care...needs at school - Reviews and assists with in-school case management - Manages complex clinical cases… more
- Mount Sinai Health System (New York, NY)
- … medical leadership when appropriate + Documents authorization review for medical and pharmacy claims. + Prepares case reports, summaries, or other ... in the area of nursing practice assigned; in this case , acute care utilization review . + Previous...to modify and/or add necessary services. + Performs continuing review of medical records; analyzing data trends… more
- Citigroup (New York, NY)
- **Job Description:** Enterprise Change Review and Business Engagement Director **Locations:** NY, Miami, Tampa, Jacksonville, or Irving The Enterprise Change ... drive management reporting and metrics, and define change management requirements. The Change Review and Business Engagement Lead is a new role that will provide… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Diem PA position with the Neonatalogy Department at Hackensack University Medical Center** **Hackensack Meridian Health is seeking exceptional candidates for ... nurses, dieticians, respiratory therapists, social workers, pediatric pharmacists, physical therapists, case managers, lactation consultants and speech language pathologists to… more