- A-Line Staffing Solutions (New York, NY)
- …work will in this role? . Clinical background - RN experience (1+ years) . Case Management , UAS, or MLTC Experience highly preferred . Experience working with ... . Clinical background - RN experience (1+ years) . Case Management , UAS, or MLTC Experience highly..., InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management , Registered Nurse , MCO, RN, Nurse… more
- VNS Health (Manhattan, NY)
- …to practice as a Registered Professional Nurse , in New York State requiredCare Management or Case Management certification within one year of job entry ... VNS Health is seeking a Registered Nurse (RN) Manager, Program Manager for a nursing...Experience:Minimum of three years of clinical experience requiredExperience in case management , administration or discharge planning experience… more
- City of New York (New York, NY)
- …Department's core values. The Fire Department, City of New York (FDNY), seeks a full-time Case Management Nurse in the Bureau of Health Services, World Trade ... Nursing Supervisor the successful candidate will: maintain a comprehensive case management system for the WTC Oncology...A valid New York State license as a Registered Nurse , plus a baccalaureate degree in nursing from an… more
- Prime Healthcare (Passaic, NJ)
- …Criteria preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/167181/supervisor- case - management registered- nurse ... Responsibilities $10,000 Retention Bonus available! The working Supervisor of Case Management is responsible for providing supervision to… more
- The Mount Sinai Health System (New York, NY)
- …field preferred. + 3-5 years of _applicable_ nursing utilization review, hospital case management , and charge nurse /supervisory experience. + Must ... **JOB DESCRIPTION** **The Nursing Clinical Manager (NCM) for Case Management - Mount Sinai Hospital**...in monthly Nursing Department meetings. + Works with unit case managers, clinical nurse managers, physicians, and… more
- RWJBarnabas Health (Livingston, NJ)
- …Category:Nursing Status:Full-Time Shift:Day Facility:Cooperman Barnabas Medical Center Department: Case Management Location: Cooperman Barnabas Medical ... Case Manager Registered Nurse (RN), ...hospital setting + Minimum of one year experience in Case Management /Utilization Management or Home… more
- RWJBarnabas Health (Rahway, NJ)
- … ManagementReq #:0000148300 Category:Nursing Status:Per Diem Shift:Day Facility:RWJ Rahway Department: Case Management Location: RWJUH Rahway Hospital, 865 Stone ... Manager will be responsible for all aspects of case management for an assigned group of...Orientation Program Certifications and Licenses Required: + Active Registered Nurse License in the state of New Jersey +… more
- Molina Healthcare (Bronx, NY)
- …Adult Case Management program . We are seeking a Registered Nurse with previous Case /Care Management and managed care experience. Candidates with ... 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
- RWJBarnabas Health (Newark, NJ)
- Case Manager (RN) Case Management Full Time DayReq #:0000167349 Category: Nurse Case Manager Status:Full-Time Shift:Day Facility:Newark Beth Israel ... Medical Center Department: Case Management Location: Newark Beth Israel Medical...weekend and holiday rotation Essential Functions: + The Registered Nurse provides nursing care in the health care system… more
- The Mount Sinai Health System (New York, NY)
- …BSN in Nursing or health related field, Masters preferred + 5 years case management and 6 years as clinical nurse . Previous supervisory experience in case ... **JOB DESCRIPTION** The Director of Case Management is responsible for the overall operation of the Case Management Department. This includes oversight… more
- RWJBarnabas Health (Jersey City, NJ)
- Clinical Care Coordinator (RN) Case Management Full Time DayReq #:0000162365 Category: Nurse Case Manager Status:Full-Time Shift:Day Facility:Jersey City ... Medical Center Department: Case Management Location: Jersey City Medical Center, 355 Grand Street,...hospital setting + Minimum of one year experience in Case Management , Utilization Management or… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' Compensation and ... other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care...to anticipate claimant's treatment or recovery milestones. + Provides Case Management services, including assessing barriers to… more
- The 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
- Fairleigh Dickinson University (Teaneck, NJ)
- …of Student Health Services ( SHS ) and provides on-site primary care and case management services including in-depth health assessment and treatment for common ... Practitioner. 4. Minimum of 3 years of previous case management experience required in a hospital,...overseeing clinical staff and supervising clinical tasks as a Nurse Practitioner including RN's, social workers and case… more
- Elevance Health (Jersey City, NJ)
- …hire will be required to be within 50 miles of a company office/Pulse Point. The Nurse Case Manager I is responsible for performing care management within ... a health or human services related field preferred. Preferred qualifications: + Case management experience is preferred. + State licensure in a compact state is… more
- Molina Healthcare (Bronx, NY)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration ... conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or behavioral health… more
- Prime Healthcare (Passaic, NJ)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/174071/ case -manager-registered- nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management , preferred.3.… more
- Northwell Health (Sleepy Hollow, 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
- Prime Healthcare (Passaic, NJ)
- …years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management , preferred.4. ... of hires and maintain current. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/173467/registered- nurse case -manager/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Mary's General Hospital… more
- Elevance Health (Woodbridge, NJ)
- …Monday-Thursday 10:00am-6:00pm EST , Friday 11:30am-8:00pm EST **Responsible for care management within the scope of licensure for members with complex and ... assessments to identify individual needs and a specific care management plan to address objectives and goals as identified...needs. + Monitors and evaluates effectiveness of the care management plan and modifies as necessary. + Interfaces with… more