• RN Case Manager

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    …to learn more. Please note, this link is only accessible for MSK employees. Job Description RN Case Manager , Inpatient | New York, NY Exciting ... appeals and acquire authorizations for treatment Key Qualifications: + Current NYS Registered Nurse License/Registration and BSN preferred + At least 2-3… more
    Memorial Sloan-Kettering Cancer Center (12/30/24)
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  • Case Manager Emergency Department…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Case Manager (CM) will be responsible for...or a minimum of 3-5 years? experience as a RN in an acute care setting. + Current NYS ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...RN nursing license. + CCM certification preferred. Re-credentialing of… more
    Mount Sinai Health System (11/26/24)
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  • Clinical Documentation Specialist, RN

    Hackensack Meridian Health (Neptune, NJ)
    …Uses Milliman and Medicare and other appropriate resources. + Maintains liaison with the inpatient case manager and communicates necessary follow up. + ... and serve as a leader of positive change. The **Clinical Documentation Specialist Registered Nurse ( RN )** facilitates improvement in the overall quality,… more
    Hackensack Meridian Health (12/31/24)
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  • RN / Case Manager -MSH-…

    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 ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...or a minimum of 3-5 years? experience as a RN in an acute care setting. **Licensing and Certification… more
    Mount Sinai Health System (01/01/25)
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  • Manager , RN - In-Patient Hospital…

    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 includes, ... staffing, employee performance evaluation, performance improvement, and staff education. The NCM Manager serves as a resource/mentor for Case Managers, Social… more
    Mount Sinai Health System (11/19/24)
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  • RN Transition of Care Coach - OH Licensure

    Molina Healthcare (New York, NY)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of OH ... (Compact Licensure)_ _Case Manager RN will work in remote setting...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/21/25)
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  • Clinical Evalution Manager , RN

    VNS Health (Manhattan, NY)
    …or an Occupational Therapist in New York State requiredCertified Case Manager preferredFor SelectHealth ETE Only: Nurse Practitioner (NP) certification with ... nursing preferredWork Experience:Minimum two years of experience with strong cost containment / case management background or two years acute inpatient hospital… more
    VNS Health (01/03/25)
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  • PD Case Manager

    RWJBarnabas Health (Lakewood, NJ)
    … LIcense + At least 2-3 years current acute care and at least 1 year case manager or home care experience + BLS (American Heart Association) Preferred: + BSN ... 08701 Job Overview: RWJBarnabas Health is seeking an experienced RN for Case Management at Monmouth Medical...weekday & weekend Per Diem Essential Functions: + The Case Manager collaborates with physicians and the… more
    RWJBarnabas Health (01/25/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (New York, NY)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/25/25)
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  • Transition of Care, Discharge Planning Liaison…

    VNS Health (Manhattan, NY)
    …as a Social Worker in New York State for SWs + required + Certified Case Manager preferred Education: + Associate's Degree In Nursing required or + Master's ... as assigned. Qualifications Licenses and Certifications: + Current license to practice as a Registered Professional Nurse in New York State for RNs required +… more
    VNS Health (01/11/25)
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  • Performance Monitor Specialist, Clinic

    Centene Corporation (New York, NY)
    …Health Plan Only:** A license in one of the following is required: Licensed Registered Nurse ( RN ), Licensed Clinical Social Worker (LCSW), Licensed Mental ... Clinical Social Work/Counseling required OR Associate's degree and an RN with 3+ years of clinical experience. 3+ years... (LPN), or Licensed Master Social Worker (LMSW). Certified Case Manager (CCM) preferred. Pay Range: $55,100.00… more
    Centene Corporation (01/26/25)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Neptune, NJ)
    …and utilization management **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support ... HCP Certification. **Licenses and Certifications Preferred:** + Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case more
    Hackensack Meridian Health (01/17/25)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Holmdel, NJ)
    …and utilization management. **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support ... HCP Certification. **Licenses and Certifications Preferred:** + Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case more
    Hackensack Meridian Health (11/14/24)
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  • Patient Access Analyst, Oncology

    Hackensack Meridian Health (Neptune, NJ)
    …provided by insurance payers to convey and communicate to clinical care givers (Physicians, Nurse Practitioners and RN case managers. + Ability to deal ... of clinical staff, document in the appropriate Epic field and scan into media manager . + Input proper documentation into Beacon referral shell as to what Drugs are… more
    Hackensack Meridian Health (01/24/25)
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