- Molina Healthcare (Manhattan, NY)
- …be supporting our Senior Whole Health NY DSNP program. We are seeking a Registered Nurse with previous Case Management , DSNP, or LTSS experience. The ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… 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 ... new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve… more
- Northwell Health (Huntington, NY)
- **Req Number** 152919 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... evidence based medical necessity criteria + Submits data to management regarding case management and/or...+ Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications… more
- Northwell Health (Manhasset, NY)
- … management using evidence based medical necessity criteria. + Submits data to management regarding case management and/or quality initiatives. + Serves ... federal, and third party payer regulations. + Documents the case management process in the medical record;...+ Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This ... The NCM reports to and assists the Director of Case Management in providing ongoing education to...in monthly Nursing Department meetings. 5. Works with unit case managers, clinical nurse managers, physicians, and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... NYSNA-MSH NYSNA at Mount Sinai Hospital , 329 - Case Management - MSH, Mount Sinai Hospital...communication and monitoring of discharge planning process (The clinical nurse initiates the discharge planning process on admission). +… more
- Elevance Health (New York, NY)
- **Medical Management Nurse ** **Office Location** : Atlanta, GA; Indianapolis, IN; Latham, NY; Middletown, NY; New York, NY; Chicago, IL, St. Louis, MO; Durham, ... Health major office (PulsePoint) location listed above. The **Medical Management Nurse ** is responsible for review of...skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring… more
- Nuvance Health (Norwalk, CT)
- …*$30K SIGN ON BONUS - FOR ELIGIBLE EXTERNAL CANDIDATES* Director, Acute Care Hospital Case Management Opportunity! *Required: BSN or MSW with Acute Care Hospital ... and activities of the Care Coordination Department including discharge planning, utilization management and high-risk case management . Works collaboratively… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- Summary The Manhattan VA Health Care System is seeking a full-time Nurse Manager / Patient Care Team Coordinator. Responsibilities The Registered Nurse - MICU ... Patient Care Team Coordinator (PCTC) is accountable for the management , supervision and evaluation of patient care delivered by...client care. Functions or Scope of Assigned Duties: The Nurse III Nurse Manager (NM) is the… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- Summary The Facility Administrative Registered Nurse functions as an advanced clinician and executes position responsibilities that demonstrate leadership, ... experience, and creative approaches to management of complex patient care. Assesses, plans, implements, and...culture VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
- Northwell Health (New York, NY)
- …Description Coordinates, integrates, and implements activities related to Quality Management / Performance Improvement to achieve clinical goals and strategic ... survey readiness. Job Responsibility + Coordinates and implements the Quality Management /Performance Improvement Program at the facility. * + Conducts education on… more
- Goddard Riverside (New York, NY)
- …Duties Role, Responsibilities, and Essential Duties Client Services: + Provide Individualized case management services to NORC members, ensuring that the needs ... by Director Qualifications/Educational Requirements: + Minimum of Bachelor's degree with case management experience with older adults + Experience working… more
- Molina Healthcare (New York, NY)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration ... **REQUIRED EDUCATION:** + Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN)...Long Term Services & Supports. + 1-3 years in case management , disease management , managed… more
- Outreach Development Corporation (Brentwood, NY)
- …services and training. For more information, please visit www.opiny.org. Position: Residential Nurse (RN) The RN assesses health related needs of; monitors ongoing ... for adolescents being assessed for, participating in or completing treatment at Outreach House. The nurse provides on call nursing for times when we do not have a … more
- City of New York (New York, NY)
- …ensuring that our youth receive comprehensive and consistent medical, mental health, case management , and social services throughout their involvement with the ... of programming and services. JJPS is seeking an Audit Nurse who will ensure that youth in ACS care...mandates and ACS approved health standards - Perform random case reviews to monitor and assess triage and referrals… more
- City of New York (New York, NY)
- …- Analyzing data collected in OSH management reports, ie walk ins, case management and special projects, - Participating in disciplinary activities as ... License and current registration to practice as a Register Nurse 2) At least one (1) year supervisor experience...in OSH management reports, ie walk ins, case management and special projects *Participating in… more
- Outreach Development Corporation (Brentwood, NY)
- …services and training. For more information, please visit www.opiny.org. Position: Nurse (RN)-ORC-IOTP The RN assesses health related needs of; monitors ongoing ... for adolescents being assessed for, participating in or completing treatment at Outreach House. The nurse provides on call nursing for times when we do not have a … more
- Mount Sinai Health System (New York, NY)
- …The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness ... Sinai St. Luke's and Mount Sinai West, BGG - Case Management - STL, Mount Sinai St....communication and monitoring of discharge planning process (The clinical nurse initiates the discharge planning process on admission). 2.… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …| New York, NY Exciting Opportunity at MSK:Are you passionate about using your Case Management experience to support Oncology Patients? The MSK Case ... responsible for evaluating and responding to clinical and administrative denials referred to Case Management Department for appeal. You will participate in the… more
- Molina Healthcare (New York, NY)
- …Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) ... contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM… more