RN Case Manager: Utilization & Care Coordination InterQual
Montefiore-St.-Luke
Montefiore St. Luke's Cornwall is seeking an RN Utilization Management/Nurse Case Manager to support physicians and the care team in ensuring appropriate level of care. You will oversee medical necessity reviews and certify admissions using InterQual criteria, coordinating care across the hospital. The role requires NYS RN licensure, CM certification within 18 months, and familiarity with EPIC EMR and payer processes. Excellent collaboration and analytical skills are essential. #J-18808-Ljbffr Montefiore-St.-Luke
- ..., New YorkDepartment:Case ManagementBargaining... ...Sign-On Bonus:N/AThe RN Case Manager Utilization Management is responsible... ...facilitating patient care, at the appropriate... ...role integrates and coordinates utilization management... ...criteria (i.e., InterQual).Position Qualifications...SuggestedHourly payLocal areaShift work
$29 - $52 per hour
...RN Case ManagerOptum NY, is seeking an RN Case Manager to join our team anywhere within the U.S. Optum is a clinician-led care organization that is changing the way... ...primarily responsible for coordinating referrals from... ...in utilization review, concurrent...SuggestedHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workWork from home$41.15k - $49.25k
...Case Manager: $1,500 Sign on Bonus Newburgh, NY Job Type Full... ...Description Providing Care Management in the Hudson Valley... ...the overall provision and coordination of services to an assigned caseload... ...manner by effectively utilizing designated Care Management Portal...SuggestedFull timeRelocation package$80k - $90k
The RN (Registered Nurse) Case Manager provides case management and nursing services to Hudson Valley Hospice... ...settings: Nursing Homes, Home Care and In-Patient (throughout various hospitals... ...spiritual assessments to ensure and coordinate the delivery of comprehensive,...SuggestedMonday to FridayShift work$37.08 - $92.84 per hour
...difference in people’s lives. The RN Case Manager working in the Triad Model of Care Transitions partners with the... ...position ensures the appropriate utilization of clinical resources with a goal... ...staff satisfaction. Creates and coordinates the overall transition plan of...SuggestedHourly payShift workWeekday work$87.36k - $91.52k
...Job Description Job Description Pulmonary Program Coordinator (RN) Salary: $87,360- $91,520 annually (depending on experience) Hourly... ...'ll provide clinical leadership, coordinate pulmonary-focused care, and collaborate with the interdisciplinary team to support...Hourly payWeekly payDaily paidFull timePart timeShift work$20 per hour
...Job Description Job Description Case Manager/ Administrative Assistant Rate: $20/hour... ...clerical support to facility leadership, coordinate office activities, prepare reports and correspondence... ...nursing, rehabilitation, and long-term care services throughout New York State. Our...Weekly payDaily paidFull timePart timeWork at officeShift work- ...JOB SUMMARY: The Case Manager provides individualized support and advocacy to individuals... ...immediate support, following trauma-informed care principles. Advocate for clients to... .... Collaboration & Communication Coordinate referrals and service delivery with internal...Part timeWork at officeImmediate start
- ...are provided within a warm, caring environment, using person-centered... ...and have a vision for how to coordinate effective nursing services... ...Coordinate with the Medical Case Manager Counselors (MCMC) to ensure medical... ...to recertify annually. The RN is responsible for completing...Full timeWork at officeMonday to FridayFlexible hours
- ...Job Description Job Description Description: I. Title: Senior Care Manager- Position located in Newburgh II. Reports to: Care Coordination Program Manager III. Job Objectives: Provide care management to individuals enrolled in the Health Home...Work at office
- ...Description Job Title: RN Patient Access Coordinator Schedule: Monday -... ...the Intake Department, managing the clinical and... ...transitions into hospice care. Responsibilities... ...Responsibilities Collaborates with case managers and... ...terminal condition. Utilize all elements of the...Temporary workMonday to FridayShift work
- ...Interviews, hires and orients new field staff 2. Coordinates applicants’ hiring process 3. Works directly with Supervisory RN in scheduling all branch in-service training... ...prioritize tasks. Previous home care experience Bilingual (Spanish/English) a plus...
- Abbott House in New Windsor, NY is seeking a Care Manager to oversee and coordinate care for an assigned caseload. You will guide enrollees and their guardians through the health care system, assisting access to services and tracking interventions. Responsibilities include...
- A community-focused health service provider in Newburgh, NY, is hiring a Care Manager. This role involves comprehensive care coordination for children in need, advocating for clients, conducting needs assessments, and managing individualized care plans. Candidates should...
- ...RN Supervisor Opportunity Sapphire Nursing at... ...clinical activities of health care personnel, such as LPNs... ...continuum of care. Utilize manual and automated... ...Act as a liaison in coordinating patient care activities... ...on an "as needed basis" case conferencing sessions with...Daily paidFull timePart timeLocal areaShift work
$21.64 - $24.04 per hour
...success. WHAT WILL I BE DOING? CHI is looking for a full-time Case Manager for our Newburgh location. You will be responsible for ensuring... ...AFLAC supplemental insurance ~ Voluntary plans ~ Dependent Care Spending Account ~ Working Advantage- Employee Perks ~401(k...Hourly payPermanent employmentFull timeTemporary workLive inLocal areaMonday to FridayFlexible hoursShift work$7.5k
...rely on and trust our Weekend Registered Nurse (RN) to provide quality healthcare and enrich the lives... ...: Assure that effective quality nursing care is delivered which is outcome focused through utilization of the nursing process. Identify needs and provide...Flexible hoursShift workWeekend work$7.5k
...We rely on and trust our Registered Nurse (RN) to provide quality healthcare and enrich the lives of... ...Responsibilities: Assure that effective quality nursing care is delivered which is outcome focused through utilization of the nursing process. Identify needs and...Flexible hours$151.39k - $180.59k
Director Case Management – Step into a high-impact leadership role where... ...a transformational Director Care Management guiding exceptional... ...impact, the Director Utilization Review will play a pivotal role... ..., and patient-centered care coordination. The Director Care Management...Full timeLocal area$46.92k
...reside in on-campus student homes and provide care, guidance, supervision, and support for a... ...daily supervision and mentorship Managing household routines and student schedules... ...including free housing, meals while on duty, utilities, and more) Comprehensive benefits:...Full timeWork from homeRelocationRelocation packageFlexible hoursWeekday work$41.57k - $50.82k
...experience - $50,818 per year Job Summary Care Management is a service model whereby all of an... ...for the overall provision and coordination of services to assigned caseload. The... ...timely and accurate manner by effectively utilizing designated Care Management Portal (Medicaid...Full timeWork at office$60 per hour
...Correctional RN The Correctional RN works in collaboration with other healthcare professionals... ...population. The Correctional RN utilizes their knowledge to address the specific challenges... ...correctional environment while providing care to their patient population. This care...Weekly payLocal area$2,380 per week
...Healthcare is seeking a travel nurse RN Med Surg for a travel nursing... ...meaningful one-on-one patient care, and the chance to support... ...assessments, and ongoing care coordination Document clinical findings... ...communication with the care team Manage assigned coverage areas and...Weekly payZero hours contractLocal areaImmediate startMonday to FridayShift workWeekend workWeekday work$23 - $26.37 per hour
...currently seeking a full-time Care Manager to join our team located in... ...Care Manager provides care coordination and support to clients with... ...Organizes and participates in case conferences as per patient... ...ensure services are approved.Utilizes the TREAT system to complete...Hourly payFull time$50 - $55 per hour
...years ago by a Dialysis RN who believes everyone... ...dependable partnerships and care that fits each patient'... ...the flexibility to coordinate your schedule to fit your... ...for staff. You will be utilizing your assessment skills,... ...with clients (site Managed Healthcare, DOC/BOP, etc...Hourly payReliefWork at officeImmediate startRemote workMonday to FridayShift work3 days per week$86.77k - $130.15k
...Group, a leading post-acute care partner for hospitals, physicians... ...policies. You will also coordinate total plan of care with... ...participates in the agency's utilization management model You'll be rewarded... ...~ Current and unrestricted RN licensure in state of practice...Hourly payMinimum wageFull timeWork experience placementLocal areaRelocation packageWeekend work- Pride Health is hiring a RN Home Health tosupport... ...Provide skilled nursing care to patients in their... ...regarding medications, disease management, safety, and self-care.... ...documentation. Coordinate care with physicians, therapists... .... Participate in case conferences and care...Contract workLocal areaMonday to FridayWeekend work
- ...and part of the Optum family, is hiring a Registered Nurse for Home Health. You will provide and direct nursing care to patients in their homes, coordinate the total plan of care, and collaborate with physicians and the care team to ensure continuity of patient care. Responsibilities...Relocation package
$28.27 - $50.48 per hour
...Group, a leading post-acute care partner for hospitals, physicians... ...policies. You will also coordinate total plan of care with... ...participates in the agency's utilization management model You’ll be rewarded and... ...Qualifications: Current and unrestricted RN licensure in state of...Hourly payMinimum wageFull timeWork experience placementLocal areaRelocation packageWeekend work$23 - $25 per hour
...Description Job Description Seeking a Full Time Pediatric Care Coordinator for BCHP's Pediatric Office in Washingtonville, NY.... ...instructed by supervisor and/or BCHP Quality Dept Run care management reports as instructed by supervisor and/or BCHP Quality Dept...Full timeWork at officeLocal areaMonday to Friday
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