- Excellus BlueCross BlueShield (Rochester, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... Job Description: Summary: Conducts case management program activities in accordance with departmental,...Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist… more
- Rochester Regional Health (Rochester, NY)
- …shifts/year and work a holiday every other year. Sign-On Bonus: Yes SUMMARY:As a Registered Nurse - Care Manager , your excellent interpersonal, leadership ... Job Title: Care Manager - Registered NurseDepartment: Rochester Regional...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- Northwell Health (Bay Shore, NY)
- …up and action. + * Acts as a liaison with patients insurance carrier ( case manager , utilization reviewer) to coordinate post hospital services and referrals. + ... in the maintenance of Utilization Management, Discharge Planning and Case Management statistics as required. + * Keeps abreast...field, preferred. + Current license to practice as a Registered Professional Nurse in New York State.… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - Care manager - Full Time - Days Department: CARE MGMT SVCS Job Summary The Care Manager is responsible for completing a comprehensive ... effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal...and currently registered to practice as a Registered Professional Nurse or BSN in New… more
- WMCHealth (Suffern, NY)
- Case Manager ( RN ) Company: Good...licensure in the State of New York as a Registered Nurse . Understanding of Medicare /Medicaid criteria ... Now External Applicant link Internal Applicant link Job Details: Summary: The Case Manager ( RN ) is responsible for implementing and supervising the… more
- Claxton-Hepburn Medical Center (Ogdensburg, NY)
- CHMC- Case Management- RN Case Manager - Per Diem- Various Shift - Req 9133 Pay Range: $36.54-$48.41* Job Summary: An RN Case Manager ... related to the management of patient care across the continuum. Qualifications: + Registered Nurse with valid NYS licensure and current registration. + Two… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary**...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN ... At Stony Brook Medicine, a ** RN Case Manager ** is a valuable member of...Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on… more
- Calvary Hospital (Bronx, NY)
- The RN Case Manager (RNCM) will be responsible for all aspects of case management for an assigned group of patients to determine the appropriateness of ... and the unique requirements of all reimbursement systems. Requirements + Registered professional nurse , currently unencumbered NYS licensure. + Bachelors… more
- Northwell Health (Staten Island, NY)
- …Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State. + Case Management Certification, preferred. + Minimum ... companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to… more
- Arnot Health (Elmira, NY)
- Job Description CASE MANAGER - Up to $10,000 Sign on Bonus...registered nursing program with a current license as a registered nurse . BSN or Case ... Managers! **This is an onsite position. MAIN FUNCTION: The Case Manager coordinates, negotiates , procures services...admission and stay in accordance with InterQual. . Prepares Medicare /Non Medicare hospital notices of no coverage… more
- CDPHP (Latham, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... values and invites you to be a part of that experience. Conducts case management program activities in accordance with departmental, corporate, NYS Department of… more
- CenterWell (Westbury, NY)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... sit on-site at our Westbury, NY branch location.** The ** RN Clinical Manager ** coordinates and oversees all...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Humana (Albany, NY)
- …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare ,… more
- MVP Health Care (Tarrytown, NY)
- …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to join #TeamMVP. If… more
- Guthrie (NY)
- …Earn Up to $25,000 in Bonuses! Guthrie Home Health - New York is seeking a Full-Time Registered Nurse Case Manager to join our dedicated team serving ... Waverly, NY Guthrie Home Health is a 4-star CMS-rated Medicare -certified agency delivering skilled nursing, therapy, social work, and...Southern Tier of New York and Northern Pennsylvania. Our RN Case Managers are the heart of… more
- Ellis Medicine (Schenectady, NY)
- SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works ... quality care and achievement of desired treatment outcomes. The Case Manager confirms admission and continued stay...transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or… more
- HCR Home Care (Rochester, NY)
- Salary Range: $89,000.00 - $99,000.00 Annually Role and Responsibilities The Clinical Manager is an RN who supervises a potentially interdisciplinary team of RNs ... to Agency standards as well as legal/regulatory standards . + Conduct case conferences (informal, supervisory or interdisciplinary) to discuss client issues, plan of… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...by their supervisor and Administrator MDS Coordinator Qualifications: + Registered Nurse with current, active license in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical ... to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case load as appropriate. Maintains case logs, prepares records and… more
- Elevance Health (Middletown, NY)
- … case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable ... **LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the...chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of… more