Utilization Review & Appeals RN Case Manager
Stony Brook Medicine
Stony Brook Medicine is seeking a Utilization Management Registered Nurse responsible for ensuring appropriate care determinations for patients across various services. The role involves collaborating with healthcare teams and conducting reviews to promote high-quality patient care. Qualified candidates will demonstrate strong clinical judgment and communication skills, with a focus on compliance with regulatory standards. This position is key in coordinating patient care and optimizing resource utilization, requiring a Bachelor's degree and NY RN license. Preference for candidates with advanced degrees or certification in case management. #J-18808-Ljbffr Stony Brook Medicine
$89.76k - $127.98k
...responsible for performing utilization management and concurrent review activities to ensure... ...assist with verbal and written appeals related to denied services... ...Utilization Review and Appeals Case Manager may include the... .... Three to Five years RN experience in an Acute...SuggestedFull timeWork at officeFlexible hoursWeekend workDay shiftWeekday work- ...responsible for performing utilization management and concurrent review activities to ensure... ...assist with verbal and written appeals related to denied services... ...Collaborate with physicians, case managers, social workers,... .... Three to Five years RN experience in an Acute Care...SuggestedWork at officeFlexible hoursWeekend workWeekday work
$88k - $125.47k
...RN Case Manager Position Summary At Stony Brook Medicine, a TH Staff Associate/Case Manager is a valuable member of our team... ...include the following but are not limited to: Completes Utilization review screen for inpatient and observation cases. Activity...SuggestedFull timeWork at officeShift workDay shift$107.1k - $138.16k
...Staff Associate/Supervising Case Manager is a valuable member of our... ...Input into department budget, utilization review, staffing and department... ...including Case Managers and Appeal Managers. Input in performance... ...Required Qualifications: NY State RN License and Bachelor Degree....SuggestedFull timeWork at officeNight shiftWeekend workDay shiftAfternoon shiftWeekday work$89.76k - $127.98k
...Stony Brook Medicine, a TH Staff Associate/Case Manager is a valuable member of our team, who... ...Staff Associate/Case Manager Completes utilization review screens for inpatient and observation... ...Bachelor’s degree or nursing degree with an RN license and five years of hospital‑...SuggestedWork at office$89.76k - $127.98k
...leading educational institution in Stony Brook seeks a TH Staff Associate/Case Manager. The role requires a Bachelor's degree or an RN in progress and involves clinical services including utilization review and discharge planning. Candidates should have strong communication...$115k
...experience, with one or more in home health, rehabilitation or case management strongly preferred Strong skills in clinical assessment,... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-...Full timeMonday to Friday$76.5 per hour
...Medicine is looking for a TH Staff Associate/Case Manager to provide clinical services and ensure... ...of patient care. The role involves reviewing cases, coordinating discharge planning,... ...of hospital experience, ideally with an RN license. The position offers a starting...$50k
...and responded to in ways that fully develop and utilize each person's talent and strengths. Position Case Manager, CR Full-Time/Part-Time Full-Time... ...plan. Meetings with clients to develop skills and review progress. Responsible for all documentation required...Full timePart timeInternshipLive inMonday to FridayFlexible hours- ...procedures to patient/significant others, reviews patient's chart and answers questions... ...appropriate; Assesses level of pain and pain management; Communicates/documents patient's... ...appropriate agencies; Recognizes and utilizes health teaching opportunities and...Hourly payDaily paidFull timeContract workLocal area
$135k
...provide compassionate care and utilize evidence based practice to... ...Clinical Reimbursement and Quality Management plays a vital role in... ...Reimbursement: Documentation: Review and analyze resident documentation... ...areas for improvement or appeal. Regulatory Compliance: Stay...Work at office$57.5k
...differences are recognized, appreciated, respected and responded to in ways that fully develop and utilize each person's talent and strengths. Position Overview Case Manager, CTAP – Middle Island Full‑Time Salary: $57,500 Days/Hours: Monday - Friday; 9am - 5pm...Full timeInternshipLive inMonday to FridayFlexible hours- ...Position: Case Manager | Full-time | Benefits Eligible | 35 hours per week FLSA status: Non-Exempt Hours: M-F, Days Department/Location:... ...health programs, etc. Convene weekly with case management team to review caseload, client progress, identify any barriers that could...Full timeTemporary workImmediate startTrial periodWeekend workAfternoon shift
$55k
...individual differences are recognized, appreciated, respected and responded to in ways that fully develop and utilize each person's talent and strengths. Case Manager, Supported Housing Location: Medford, NY Days/Hours: Monday - Friday; 9am - 5pm Concern Housing is seeking...Live inMonday to Friday$42.9k
...over 2,000 adults and children annually and manages more than 160 residential properties... ...Community Living, Inc. is looking for a Case Manager to join our team! An ideal candidate... ...Write progress notes at least bi-weekly. Reviews case management plans and prepare...Permanent employmentFull timePart timeWork at officeImmediate startRelocation packageMonday to FridayFlexible hours- ...SUMMARY Family Service League is seeking a part-time Case Manager for a homeless shelter in Smithtown, NY. The Case Manager will... ...Where applicable, incorporate upcoming shelter obligation. Review, complete follow up and submit FSL Client Incident Report to the...Permanent employmentPart timeWork at officeRelocation packageWeekend work
$43.99 - $67.71 per hour
...collaboratively to provide compassionate care and utilize evidence-based practice to improve... ...process in the ambulatory setting. The RN provides clinical leadership and is a resource... ...with Electronic Health records, Practice Management and Scheduling system Minimum of 2...Work at office$42.64 - $53.25 per hour
...hiring process and may occur during job review and promotional opportunities. Salaries... ...quality individualized direct patient care utilizing the skills and knowledge of the... ...phone calls and troubleshoot medication management issues. Demonstrates competency in answering...Full timeWork at officeMonday to Friday$100k
...to in ways that fully develop and utilize each person's talent and strengths. Position RN – Resident Care Coordinator (Full... ...‑related assessments, including review of medical history, chronic conditions... ...with scheduling appointments, managing follow‑up care and resolving...Full timeInternshipLive inMonday to FridayFlexible hoursWeekend work$115k
...Job Description Job Description MDS Assessor (RN) Join Our Team at The Hamlet Rehabilitation and Healthcare Center at Nesconset... ...in Medicare meetings, care plan meetings, and clinical audits Review clinical documentation to ensure it supports coding and...$42.64 - $53.25 per hour
...process and may occur during job review and promotional opportunities... ...direct patient care utilizing the skills and knowledge of the... ...profession. Please note this is a RN phone triage position located... ...and troubleshoot medication management issues. Demonstrates...Full timeWork at officeMonday to Friday$37 - $61.74 per hour
...Exact rate is determined on a case-by-case basis commensurate... ...coverage for overnight shifts. We utilize a collaborative scheduling... ...level of an ICU. Nurses typically manage a lower patient ratio compared... ...New York State (NYS) RN License. · Certifications :...Hourly payRelocationRelocation packageShift workNight shift$28.62 - $35.74 per hour
...process and may occur during job review and promotional opportunities.... ...and troubleshoot medication management issues. Documents nursing... ...collaboration with the Registered Nurse (RN). Accurately performs and... ...Nurse (RN) on duty. Utilizes appropriate techniques when collecting...Full timeWork at officeMonday to Friday- ...RiseWell Community Services is seeking a full-time Case Manager to join our Residential Department. This is a hybrid position, and in the role, the Case Manager will be reporting directly to the program supervisor. Job Function Provide case management services, housing...Full timeTemporary workPart timeWork at officeLocal areaFlexible hours
- ...The Opportunity The Case Manager will deliver youth-focused gun violence prevention and community violence intervention programming for FCA's Empowerment Through Wellness to Prevent Gun Violence Initiative. Responsibilities Work as an onsite case manager and member of...Temporary workLocal areaFlexible hours
- ...physical and/or neurological impairments. Desired Experience Dependent on current Department of Health Qualifications Experience case management writing service plans Linkages to outside resources Working with individuals with TBI or related injuries/disabilities...Part timeWork at officeMonday to FridayFlexible hoursDay shift
$85k
...TonaLaw is seeking an experienced personal injury manager to own the full operational lifecycle of our caseload. This is a senior‑level management role responsible for case production from intake through disbursement. You will report directly to the Director of Operations...$1,985 - $2,138 per week
...Registered Nurse (RN) | Home Health Location: Medford, NY Agency: Host Healthcare Pay: $1,985 to $2,138 per week... ...support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the...Full timeContract workLocal areaImmediate startShift work$10 per hour
...Mental Health Case Manager TSLI/HHB requires applicants to have a clean, valid NYS Driver License and a vehicle. TSLI/HHB is a private, not-for-profit (501c3) corporation with programs serving adults with mental illness, homeless families, and persons with HIV/AIDS. TSLI...Hourly payPermanent employmentFull timeFlexible hours$74.12k - $123.19k
...enforcement candidates, including review of ancillary testing such as... ...function testsReviews appeals submitted by candidates who were... ...standardsPerforms evaluation and management of occupational injuries... ...in support of EHS operations;Utilizes Excel spreadsheets to analyze...Work at officeRelocation packageShift work
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