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
- Optum NY is seeking an RN Case Manager to join our team anywhere within the U.S. The role coordinates referrals, educates members, and supports quality programs, bridging care between members, providers, and health plans. Required BSN or 5+ years case management, NY RN...SuggestedRemote jobWork at office
- Optum NY, part of UnitedHealth Group, seeks an RN Case Manager to coordinate referrals, educate members, and support quality improvement programs.... ...expertise and collaboration with physicians, health plans, and care teams. Ideal candidates hold an RN license in New York (or...SuggestedRemote job
$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,...Monday to FridayShift 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- 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...Local area
$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
$25 per hour
Registered Nurse (RN) Opportunity at Cypress Grove... .... Each day, our nurses utilize their nursing skills to... ...teamwork within the care team to exceed the needs... ...facility teams to ensure coordinated and comprehensive... ...Proficient medication management skills. Ability to conduct...Full timePart timeNight shiftWeekend work- ...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...
- 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...
- 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...
$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$50.88k
...SUNY Orange is seeking two full-time Case Manager II professionals for Middletown and Newburgh in a hybrid role. You will plan, coordinate, and supervise Welfare to Work participants, manage records, and support job readiness and development activities. The role serves...Full time- Sun River Health in Beacon, NY is seeking a full-time Care Manager to join our team. The role involves coordinating care with PCPs, behavioral health and other providers, ensuring seamless communication and patient-centered planning in a federally qualified health center...Full time
$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$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- ...to join our Newburgh, NY team. The role offers direct patient care, coordination with the care team, and opportunities to contribute to new practice... ...leading clinician-led organization. Requirements include NYS RN license, 1+ year of acute care experience, and BSN preferred....
- ...is seeking a Registered Nurse to collaborate with the Clinical Nurse Manager to provide quality patient care. The RN will apply the nursing process with attention to diverse patient needs and coordinate with care teams to improve performance and outcomes. The role...Night shift
$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- Willcare, a part of LHC Group within the Optum family, seeks a Patient Care Manager to supervise and coordinate clinical services for home health patients in the assigned area. You will lead an interdisciplinary team to ensure continuity and high-quality care in accordance...
$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- ...promoting excellence in the delivery of care for residents and staff, by anticipating... ...community we serve. Registered Nurse, RN utilizes the nursing process in the care of... ...Charge Nurse, Nursing Supervisor, &/or Unit Manager Registered Nurse, RN demonstrates...Full timeTemporary workPart timeNight shift
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