- 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
- Nuvance Health (Norwalk, CT)
- … activities. This position may also require dedicated time in addition to Clinical Nurse Manager role specifically involved in activities supporting the Patient ... an evaluation of staffing needs. Makes the determination of clinical unit that is impacted by assessing variations inpatient admissions, discharges, transfers… 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
- 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
- Nuvance Health (Norwalk, CT)
- …*Monday-Friday, 10 hour shifts between 1p-7a* Summary: Supports Patient Care Manager in implementation and monitoring of the patient care delivery system ... leadership, coordination of unit, including day to day management and evaluation of nursing staff. Accountable for ensuring quality, financials, employee engagement,… more
- Nuvance Health (Danbury, CT)
- …mental and social well being of the client within Agency policy. Supports utilization of medical resources through application of clinical expertise. Monitors ... care plan. Provides patient, caregiver, family counseling and education. 5. Regular evaluation of patient progress, prompt action when change in patient's condition… more
- Molina Healthcare (Yonkers, 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
- 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
- Nuvance Health (Danbury, CT)
- …patient care and provides leadership, planning, coordination, management, and evaluation of unit. Accountable for insuring quality, financials, employee engagement, ... for effective fiscal management of department/departments to ensure proper utilization of financial resources. Demonstrates ability to analyze and understand… more
- Elevance Health (Hackensack, NJ)
- …RN with telephonic or face-to-face assessments for the identification, evaluation , coordination and management of member's needs, including physical health, ... RN in identifying members for high risk complications. Obtains clinical data as directed by the responsible RN. +...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more