td>PURPOSE OF THE POSITION: The Care Managers service those who are enrolled in Medicaid, have Two or more Chorionic Conditions, HIV/AIDS, Sickle Cell, Serious Emotional Disturbance (SED), Serious Mental Illness (SMI) or Complex Trauma; ages 0-21 (Childrens Program) & 18 to end of life (Adult Program). The Care Manager plays a critical role in achieving the overall goals for coordination, integration and partnership in the delivery of care to children, adults and families with complex needs. Dix Hills, New York30+ days ago |
PURPOSE OF THE POSITION: The Care Managers service those who are enrolled in Medicaid, have Two or more Chorionic Conditions, HIV/AIDS, Sickle Cell, Serious Emotional Disturbance (SED), Serious Mental Illness (SMI) or Complex Trauma; ages 0-21 (Childrens Program) & 18 to end of life (Adult Program). The Care Manager plays a critical role in achieving the overall goals for coordination, integration and partnership in the delivery of care to children, adults and families with complex needs. Patchogue, NY30+ days ago Implementation is accomplished through patient assessment, monitoring of the plan of care, review activities, coordination with the interdisciplinary team and any outside third-party payers, communicating with physicians, performing utilization management activities to avoid denials, reduce avoidable delays and control costs where possible, and by facilitating continuity of care across settings. The RN Care Manager collaborates with the interdisciplinary team to implement the plan of care and transition strategies ensuring the achievement of desirable patient outcomes, appropriate length of stay, efficient utilization of resources, increased patient and family involvement, and patient/staff/family education. The care manager will play a critical role in coordinating person-centered services for Medicaid-enrolled clients with chronic medical, behavioral health, or substance use needs. At Doral Health & Wellness, you’ll be part of a mission-driven team of care managers and healthcare professionals committed to improving access and outcomes for underserved communities. New York, New York26 days ago HH+ Case Managers will have the opportunity to work as part of outcome driven integrated team and participate in agency wide quality improvement activities aimed at improving the delivery of care to individuals living with chronic illness, behavioral health issues, and homelessness. Hauppauge, NY30+ days ago California Residents Only: In accordance with Article 2 of the California Health and Safety Code - California Community Care Facilities Act, TheKey requires timely and accurate positive fingerprint identification of California based applicants as a condition of employment. Founded in Silicon Valley, TheKey has grown from a single location to service coverage throughout North America enabling clients to live life on their own terms, in their own homes. At least three years' experience as a Registered Nurse caring for members with any of the following conditions: Type 2 diabetes, asthma, heart disease, heart failure or hypertension. Experience in Condition Management, Certificate in Case Management, Care Coordination, Certified Diabetes Educator (CDE) Certified Diabetes Care and Education Specialist (CDCES) a plus. Over the years, Sun River Health has grown into a comprehensive Federally Qualified Health Center (FQHC) system with over 45 locations, serving more than 250,000 patients across the Hudson Valley, New York City and Long Island. Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who see it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Job Type: Full Time Education: Bachelor''s Degree (Required) Pay: $23.00 - 26.37/hour Relation to Mission The mission of Sun River Health is to increase access to comprehensive primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable. Provides health education, risk reduction and adherence education to patients within the scope of discipline to assist patient in engagement and retention and reduce barriers to care to enhance health outcomes. The goal of the program is to help patients reduce their risk of getting a future cardiac event by empowering them to manage their risk factors including exercise, nutrition, smoking, blood pressure, weight, medication and stress. Our team endeavors to collaborate on and deliver intuitive, engaging, and delightful end-to-end patient experiences, so team-fit and attitude are just as important to us as your care management skills. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. Queens, New York30+ days ago li> Collaborate closely with medical and behavioral health providers through face-to-face meetings and coordinated care activities to develop, implement, and monitor care plans for clients with chronic conditions such as diabetes, asthma, congestive heart failure, hypertension, behavioral health conditions, HIV, and other complex health needs. Engage clients in person to review housing options based on program eligibility and provide hands-on assistance with housing-related applications, including the 2010E (application submission and psychosocial completion), NYC Housing Connect, Section 8, and other relevant housing programs. The Care Manager supports clients in the development and fulfillment of recovery and other life goals and accessing the necessary resources and supports, such as housing, medical, and mental health care, legal rights, and entitlements, vocational, and educational support, to live healthy and productive lives in their community. The selected candidate will provide coordinated care management services to persons with psychiatric disabilities and other chronic behavioral and physical health conditions in accordance with agency SBU NYS OMH NYS DOH Health Home Suffolk County DMH and Medicaid guidelines and regulations, policies, and procedures. Larchmont, New York9 days ago p style="text-align:left">In accordance with Article 2 of the California Health and Safety Code - California Community Care Facilities Act, TheKey requires timely and accurate positive fingerprint identification of California based applicants as a condition of employment. If an applicant has been convicted of a non-exemptible crime, and in compliance with all applicable state and local laws, their conditional offer will be rescinded. Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Telephonic Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Across NewYork-Presbyterian/Queens, Care Managers are the guardians of continuity of care; they are the skilled clinicians leading the full spectrum of patient care, from pre-admission to discharge while ensuring quality outcomes. As a Care Manager at NewYork-Presbyterian- Queens, you'll serve as a highly valued and respected leader from day one, empowered to make amazing things happen for our patients and their families. At NewYork-Presbyterian/Weill Cornell Medical Center, our Registered Nurse Care Managers are essential to delivering coordinated, high-quality care for complex patient populations. · Develop and implement safe, patient-centered discharge plans, including coordination of post-acute services such as skilled nursing, home infusion (IV therapy), and durable medical equipment (DME). p>At NewYork-Presbyterian/Weill Cornell Medical Center, our Registered Nurse Care Managers are essential to delivering coordinated, high-quality care for complex patient populations. · Develop and implement safe, patient-centered discharge plans, including coordination of post-acute services such as skilled nursing, home infusion (IV therapy), and durable medical equipment (DME). p>At NewYork-Presbyterian/Weill Cornell Medical Center, our Registered Nurse Care Managers are essential to delivering coordinated, high-quality care for complex patient populations. The RN Care Manager for the Bone Marrow Transplant (BMT) service supports a highly vulnerable population requiring intensive, multidisciplinary coordination across the inpatient and outpatient continuum. p>Summary: The Genesis Care Manager will work as part of a specialized team within the Primary Care setting of Sun River Health to provide medical case management services to persons living with HIV and/or Hep C. Over the years, Sun River Health has grown into a comprehensive Federally Qualified Health Center (FQHC) system with over 45 locations, serving more than 250,000 patients across the Hudson Valley, New York City, and Long Island. Care Manager St. Catherine of Siena Medical CenterCare ManagerNY3 days ago p>Assesses, plans, implements, monitors and evaluates options and services to effect an appropriate individualized plan of care for patients across the acute care continuum using independent judgment and discretion. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth. Roslyn, New York4 days ago p style="margin:0px">Assesses, plans, implements, monitors and evaluates options and services to effect an appropriate individualized plan of care for patients across the acute care continuum using independent judgment and discretion. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth. The Champions for Children's Health Department is a NYS initiative that serves children on Medicaid (up to age 21) with complex medical and/or behavioral conditions and provides coordinated care management services to improve their care and reduce costs. New Alternatives for Children, Inc. (NAC) is an award-winning not-for-profit agency in Midtown Manhattan, dedicated to serving children and families with medical complexity, chronic health conditions, significant disabilities and behavioral challenges. Stony Brook, NY30+ days ago p>'',''2601779'',''2601779'',''TH Staff Associate'',''TH Staff Associate'',''Administrative & Professional (non-Clinical)'',''Administrative & Professional (non-Clinical)'',''US-NY-Stony Brook'',''US-NY-Stony Brook'',''Care Management'',''Care Management'',''Full-time'',''Full-time'',''Day Shift'',''Day Shift'',''8:00am - 4:30pm'',''8:00am - 4:30pm'',''Sat, Sun'',''Sat, Sun'',''May 27, 2026'',''May 27, 2026'',''Aug 25, 2026, 11:59:00 PM'',''Aug 25, 2026, 11:59:00 PM'',''$89,760 - $127,975 Base'',''$89,760 - $127,975 Base'','''','''',''SL4'',''SL4'',''Stony Brook University Hospital'',''Stony Brook University Hospital'',''false'',''734514'',''734514'',''true'',''734514'',''false'',''Submission for the position: Utilization Review and Appeals Case Manager - (Job Number: 2601779)'',''false'',''734514'',''false'',''true''. __. Rockville Centre, NY22 days ago Mercy offers a NYS designated Stroke Center, Breast Imaging Center of Excellence, Level III Neonatal Intensive Care Unit, and has received Pathway to Excellence designation from the American Nurses Credentialing Center - the only hospital in the region and one of only two in NY State to receive this prestigious award. The Assistant Director of Care Management in collaboration with the Director is responsible for providing oversight for the Care Coordination department including oversight of Managers of Care Coordination (MCC), Social Workers (SW), and office staff. This role applies care management principles to assess member needs, develop and implement individualized care plans, coordinate services across the continuum of care, and maintain collaborative relationships with provider practices, community-based organizations, caregivers, and the Belong Health team. With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long. li>Triage presenting issues & provide basic nursing skills in every visit to patients/attend all visits Pre - visit planning on all charts, loading correct templates, updated consents and check for any open referrals (i.e. SATP, MH/BPS). Over the years, Sun River Health has grown into a comprehensive Federally Qualified Health Center (FQHC) system with over 45 locations, serving more than 250,000 patients across the Hudson Valley, New York City and Long Island. Glen Cove, NY30+ days ago The Lead Care Manager ensures quality care and services are being provided to residents in our care neighborhoods and documented in a consistent manner and in alignment with each resident's Individualized Service Plan (ISP). Ensure compliance with Sunrise's Timekeeping and Meal/Rest Period policies, monitor team member break schedule and duration, ensure care managers clock in/out using correct job codes, and coach team members as required. Glen Cove, New York30+ days ago li style="font-size:10pt">Ensure compliance with Sunrise’s Timekeeping and Meal/Rest Period policies, monitor team member break schedule and duration, ensure care managers clock in/out using correct job codes, and coach team members as required. Document care and services provided to residents accurately, review care manager documentation throughout shift, and identify and bridge gaps in documentation by coaching team members. The network also includes 12 community medicine sites providing care to disenfranchised New Yorkers, comprehensive HIV services, chemical dependency programs, and a family support center that offers educational, vocational, and other social support programs. It includes eight primary care sites, 40 school-based health centers and dental clinics, four day care centers, the nations largest dental residency program, and New York States largest behavioral health program. p>The Care Manager-Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services, and collaborates with the interdisciplinary care team to ensure optimal health outcomes. Union City, NJ11 days ago With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. p>About NYC Health Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products including but not limited to New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. Position Overview Under the direction of the Manager of Housing Taskforce, the Housing Taskforce Care Manager provides critical support to members experiencing homelessness to optimize their health care and delivery of care experience with expected cost savings due to improved quality of care. Education and Experience: Associates degree in Nursing from an accredited nursing program required Bachelors degree in Nursing preferred Three (3) years of experience as a registered nurse required Clinical experience in geriatrics and/or managed long-term care experience preferred Experience using multiple languages may be required based on operational needs. Compensation Range: $100,000 - $160,000 CareSource takes into consideration a combination of a candidates education, training, and experience as well as the positions scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. p>Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member''s health needs while promoting quality cost effective outcomes. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. p>Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member''s health needs while promoting quality cost effective outcomes. Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs. Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member''s health needs while promoting quality cost effective outcomes. Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs. p>Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member''s health needs while promoting quality cost effective outcomes. Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs. White Plains, NY13 days ago The Clinical Coordinator / RN Care Manager performs the initial comprehensive assessment on admission in accordance with the Care Management Department policy, screening all patients by utilizing established tools for high-risk indicators to ensure high-risk patient populations receive the appropriate supportive services for discharge to prevent readmission and assess all populations for potential discharge planning needs. The RN Care Manager collaborates with all health care professionals to evaluate the needs and the safe discharge of all geriatric patients including, but not limited to, inpatients, emergency department, and surgical outpatients. p>Bachelor of Science in Nursing (BSN) 5 years of experience in nursing 2 years of experience working in care management Must reside in a compact NLC state Active Compact RN license in good standing with the nursing board of their state Willingness to become and maintain licensure in multiple states Work until 9-6PM PST Be comfortable discussing several medical conditions and experience with populations across the age ranges Spanish speaking is desirable Experience working remotely and strong competence and ability to use multiple computer medical record systems Be empathetic. As a telephonic Nurse Care Manager, you will report to the Manager Care and Case Management and will guide members through complex medical and behavioral Health situations partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists to deliver integrated remote care in a creative way. White Plains, NY2 days ago Computer skills essentialThe RN Care Manager performs the initial comprehensive assessment on admission in accordance with the CareManagement Department policy, screening all patients by utilizing established tools for high risk indicators to ensure highrisk patient populations receive the appropriate supportive services for discharge to prevent readmission and assess allpopulations for potential discharge planning needs. The RN Care Manager collaborates with all Health Care professionals to evaluate the needs and the safedischarge of all geriatric patients including but not limited to inpatients, emergency department and surgicaloutpatients.11. |