- VNS Health (Manhattan, NY)
- …or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state ... and federal regulations. Delivers timely notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member… more
- Molina Healthcare (Yonkers, NY)
- …Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional ... **Job Description** Job Summary Creates and delivers clinical training programs for clinical staff...the development, implementation, and delivery of training curriculum for Utilization Management, Case Management, and LTSS staff. Leads and… more
- VNS Health (Manhattan, NY)
- …or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state ... and federal regulations. Delivers timely notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member… more
- VNS Health (Manhattan, NY)
- …or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state ... and federal regulations. Delivers timely notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member… more
- Mount Sinai Health System (New York, NY)
- …in the NY/NJ region. MSHS, World Trade Center Health Program (WTCHP) seeks a Clinical Pharmacy Manager that reports to Senior Manager , Pharmacy Benefits ... under the direction of the WTCH medical leadership. The Clinical Pharmacy Manager will have direct patient...support staff at the practices assigned to this role. Manager will lead the design, implementation and evaluation… more
- Fresenius Medical Center (New York, NY)
- …requirements and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of ... indicators. + Collaborates closely with, providing oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse manager ,… more
- Fresenius Medical Center (Orange, NJ)
- …the delivery of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Actalent (Flushing, NY)
- Join Our Team as a Clinical Assessment Manager - Care Delivery! Are you passionate about making a difference in the lives of others? We're looking for a ... dedicated Clinical Assessment Manager to join our dynamic...UAS-NY completion, comprehensive assessment, medication review, and post-hospital discharge evaluation . You'll ensure compliance with Department of Health policies… more
- FlexStaff (New York, NY)
- **Req Number** 147747 FlexStaff is seeking a Clinical Assessment Outreach Manager to work for one of our external clients, a non-profit organization that ... offered_ In this role you will be responsible for intake clinical assessment, reassessment, UAS-NY completion, comprehensive assessment, medication review, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …standards, and regulatory/payer requirements. The role integrates and coordinates utilization management, care coordination, and discharge planning functions. RN ... of the department. Shift and weekend rotation as needed. The RN Case Manager is accountable for a designated patient caseload and plans effectively in order… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …management, utilization review, continued stay reviews, and based on clinical judgment and state WCB Medical Treatment Guidelines. + Knowledgeable and compliant ... About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' Compensation and… more
- Fresenius Medical Center (New York, NY)
- …contracted facilities. Ensure efficient staff/ patient scheduling and efficient staffing utilization following company policy while maintaining a safe environment. + ... on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends.… more
- Molina Healthcare (New York, NY)
- …to completion. + Manages programs providing ongoing communication of goals, evaluation , and support to ensure compliance with standardized protocols and processes. ... 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum 2 years… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinic Nurse Manager is responsible for administering, directing, planning, and coordinating all staff and activities at the Medical Office. ... within a year. **Experience Requirements** + Minimum of 3-5 years of progressive clinical and nursing expertise on a clinical Med/surg, respiratory or ambulatory… more
- Sunrise Senior Living (New York, NY)
- …big breath of fresh air."_** **_- Sunrise Leader_** The Executive Director/General Manager is responsible for overall leadership, management, and success of their ... + Possesses functional knowledge of all operating programs including memory care, clinical , dining, and social programs. + Makes accurate forecasts. + Overcomes… more
- CenterLight Health System (Flushing, NY)
- …in the care planning meetings or as necessary. + The Care Manager will review all discipline-specific documentation for quality and addresses any deficiencies ... + Conduct coaching sessions with field staff as needed. + The Care Manager (CM) communicates with the discipline-specific field staff regularly to coordinate a… more
- City of New York (New York, NY)
- …and other DOHMH buildings, Occupational Health and Safety, Employee Health, Clinical Quality Management and Improvement, and Worksite Wellness programs. Position ... an opening for a Worksite Wellness Mental Health Program Manager who will report to the Worksite Wellness Director....- Implement solutions to increase staff's access to and utilization of mental health supports and resources. - Conduct… more
- VNS Health (Brooklyn, NY)
- …timely documentation in the electronic health record system.* Provides continuous evaluation of persons involved in treatment.* Assists staff, patients, families and ... other community agencies.* Participates in related department activities, eg, utilization review, staff meetings, education programs, etc.* For Assertive Community… more
- Atlantic Health System (Morristown, NJ)
- …in the field of specialization. Promotes evidence-based practice in the clinical and professional environment. Resource Utilization : Evaluates factors related ... designated care providers to optimize patient care environment. Collaborates with the manager to identify clinical activities to facilitate the professional… more
- VNS Health (Brooklyn, NY)
- …services of VNS Health. Assists in the overall administrative and clinical functioning of the program. Works under general direction. Compensation Range:$70,200.00 ... CEU credits, and advancement opportunities What You Will Do + Provides clinical supervision and direction to social work/ behavioral health team members and… more