Case Manager - Behavioral Health (Intensive Care Mgr.) - Bridgeport, CT Advanced Behavioral HealthCase Manager - Behavioral Health (Intensive Care Mgr.) - Bridgeport, CTBridgeport, ConnecticutAssumes responsibility for a designated client case load; Travels statewide to assess and evaluate potential clients; Completes all MHW/DSS paperwork as required; Works as part of a team providing clinical expertise and knowledge to the other members of the team; Conducts all recovery plan reviews, service authorizations and care coordination (or oversight and supervision) for all assigned clients; Maintains an understanding of behavioral health benefits and remains current on covered benefits, limitations, exclusions, and policies and procedures, in regards to services; Supervises collection of information regarding the delivery and outcomes of services to clients, and uses that information to recommend modifications to plan policies and procedures which improve the delivery of services to clients; Provides clients, providers, and other stakeholders with accurate and timely information concerning waiver benefits and coverage; Works with clients and providers to customize services to best meet client’s needs within the scope of the program; Works to assure that systematic revisions to improve services are developed and implemented; Facilitates linkages for clients and families between primary care, behavioral health providers and other social service or provider agencies as needed to develop and coordinate service plans; Collaborates with providers and others in order to conduct diagnostic screenings for substance abuse, mental health, co-occurring disorders and triage the referrals to appropriate waiver and/or treatment services, initial assessment, treatment planning and aftercare planning for clients; Assists assigned clients with smooth transitions when moving into or out of the community; Monitors and evaluates the effectiveness and outcome of treatment and service plans, and recommends modifications as necessary to provide optimal clinically appropriate services with a goal of maintenance in the community at the least restrictive level of care; Attends case conferences, interagency and provider treatment planning meetings for assigned clients; Utilizes supervision with the MHW Care Manager Supervisor regularly; Participates in professional development activities; Attends annual Conflict of Interest training; Attends training specific to job duties; Maintains confidentiality of all client protected health information and adheres to all HIPAA related policies and procedures; Demonstrates ethical behavior and cultural sensitivity in all activities involving individuals of diverse backgrounds; Performs other tasks/responsibilities as required to support the business operations. Comfortable with independent problem solving based on advanced-level knowledge of the service delivery system, the provider network, client services policies, clients rights and responsibilities, and the operating practices of the organization; Exercises strong clinical skills with a sophisticated understanding of the holistic needs of individual clients from a strengths based perspective; Ability to propose and implement creative solutions to client problems and to achieve a high level of client satisfaction with services; Excellent written and verbal communication skills; Demonstrated knowledge of clinical treatment and case management; Knowledge of community resources; Strong attention to detail; ability to work on multiple tasks and meet deadlines; Excellent PC skills with demonstrated experience using Microsoft Office Package (MS Word, Excel, Power Point, Access, Outlook); internet; smart phone usage.
Children''s Care Manager of Health Home Care Management Sun River Health IncChildren''s Care Manager of Health Home Care ManagementAmityville, NY$29–$33.03 / hourSun River Health started in 1975 when four African American mothers spearheaded efforts to open our first health center in Peekskill, New York to deliver accessible, high-quality, affordable services to patients in need no matter their race, religion, income, or insurance status. Works effectively with interdisciplinary team of providers including PCP, substance abuse treatment, residential, hospital discharge planners, etc., to coordinate care delivery between all linked providers and client.
NewCare Manager of Health Home Care Management Sun River Health IncCare Manager of Health Home Care ManagementShirley, NY$23–$26.37 / hourIn conjunction with the patient, identifies potential barriers to care and helps patient identify ways to overcome those barriers; reaches out to patients who have not met treatment goals to resolve barriers/adjust goals when possible. Essential Duties and Responsibilities: Works closely with the interdisciplinary care team including the PCP, mental health provider, residential services, substance abuse provider, etc. in the development and ongoing coordination of the care plan.
Care Manager (RN) **Hospital Care Management Experience Highly Preferred** (Sunday-Thursday, 8:00AM-4:00PM) New York University School of MedicineCare Manager (RN) **Hospital Care Management Experience Highly Preferred** (Sunday-Thursday, 8:00AM-4:00PM)Mineola, NY$147,153.96–$180,190.08 / yearPerforms continued stay and extended stay reviews when there is a change to a higher level of acuity, authorized days expire, required by the insurance payer contractual agreement, stay is denied or reduced to a lower level of care. Issue Important Message (IM), Discharge Notice, Advanced Beneficiary Notice (ABN), Detailed Notice of non-coverage, Preadmission/Admission Notice of non-coverage and Hospital Issuance of non-coverage (HINN) as appropriate and in accordance with hospital policy and procedure.
Registered Nurse (RN) - Care Manager - St. Charles Hospital Bon Secours Mercy Health IncRegistered Nurse (RN) - Care Manager - St. Charles HospitalPort Jefferson, NYThis role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred).
CHILDREN'S CARE MANAGER SCO Family of ServicesCHILDREN'S CARE MANAGERDix Hills, New YorkPURPOSE 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.
Home Health Plus Care Manager SCO Family of ServicesHome Health Plus Care ManagerDix Hills, New YorkPURPOSE 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.
Care Manager - Registered Nurse - Part Time Nights New York University School of MedicineCare Manager - Registered Nurse - Part Time NightsPatchogue, NY$59.14–$75.93 / hourImplementation 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. In this role, the successful candidate 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.
Care Manager - Registered Nurse - Full Time Nights New York University School of MedicineCare Manager - Registered Nurse - Full Time NightsPatchogue, NY$115,318.97–$148,068.97 / yearImplementation 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. In this role, the successful candidate 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.
Care Manager - Registered Nurse - Full Time Days New York University School of MedicineCare Manager - Registered Nurse - Full Time DaysPatchogue, NY$115,318.97–$148,068.97 / yearImplementation 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. In this role, the successful candidate 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.
Aging Care Manager Intent ClinicalAging Care ManagerFairfield, CTPart timeWe actively seek individuals with diverse backgrounds, whether from minority or majority groups, to join our team because we believe this enriches our company culture and enhances the services to our clients. As the Aging Care Manager, you are responsible for assessing, planning, coordinating, and monitoring the care and support services for elderly clients.
Care Manager for Health Homes Hope for YouthCare Manager for Health HomesAmityville, NYFull timeRunning administrative errands and/or meeting with clients in the community, when needed, using own vehicle (mileage reimbursement available).In addition the candidate must demonstrate the following Competencies:Excellent writing, communication, and organizational skillsA passion for serving children and families with special needsAbility to travel to participant's homes and communities within both Nassau and Suffolk Long Island using own vehicle (mileage reimbursement available).Ability to receive feedback to professionally grow and/or improve. Supportive like-minded, mission-driven co-workersDiverse Culture that promotes recognition and belongingAdvancement and supplemental pay opportunitiesFree Training programs, Free Tuition Credits, Scholarships and Tuition AssistanceEmployees may be eligible for Student Loan Forgiveness ProgramsSpecial Events and Recognition AwardsVolunteer and Internship opportunities available withinBenefit eligibility commences on the first of the month following the first 30 days of employment - Medical, Dental, Vision - HRA with HSA and Co-pay options available.91%
Care Manager ( Registered Nurse / RN ) - Per Diem Catholic HealthCare Manager ( Registered Nurse / RN ) - Per DiemBethpage, New YorkInterface with representatives of third party payors to assist with the certification process and the discharge planning process, responding to requests for reviews in a timely fashion to avoid denials. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience.
Care Manager ( Registered Nurse / RN ) - Per Diem St. Catherine of Siena Medical CenterCare Manager ( Registered Nurse / RN ) - Per DiemBethpage, NYInterface with representatives of third party payors to assist with the certification process and the discharge planning process, responding to requests for reviews in a timely fashion to avoid denials. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience.
Intensive Care Manager Advanced Behavioral Health, IncIntensive Care ManagerBridgeport, CTAssumes responsibility for a designated client case load; Travels statewide to assess and evaluate potential clients; Completes all MHW/DSS paperwork as required; Works as part of a team providing clinical expertise and knowledge to the other members of the team; Conducts all recovery plan reviews, service authorizations and care coordination (or oversight and supervision) for all assigned clients; Maintains an understanding of behavioral health benefits and remains current on covered benefits, limitations, exclusions, and policies and procedures, in regards to services; Supervises collection of information regarding the delivery and outcomes of services to clients, and uses that information to recommend modifications to plan policies and procedures which improve the delivery of services to clients; Provides clients, providers, and other stakeholders with accurate and timely information concerning waiver benefits and coverage; Works with clients and providers to customize services to best meet client’s needs within the scope of the program; Works to assure that systematic revisions to improve services are developed and implemented; Facilitates linkages for clients and families between primary care, behavioral health providers and other social service or provider agencies as needed to develop and coordinate service plans; Collaborates with providers and others in order to conduct diagnostic screenings for substance abuse, mental health, co-occurring disorders and triage the referrals to appropriate waiver and/or treatment services, initial assessment, treatment planning and aftercare planning for clients; Assists assigned clients with smooth transitions when moving into or out of the community; Monitors and evaluates the effectiveness and outcome of treatment and service plans, and recommends modifications as necessary to provide optimal clinically appropriate services with a goal of maintenance in the community at the least restrictive level of care; Attends case conferences, interagency and provider treatment planning meetings for assigned clients; Utilizes supervision with the MHW Care Manager Supervisor regularly; Participates in professional development activities; Attends annual Conflict of Interest training; Attends training specific to job duties; Maintains confidentiality of all client protected health information and adheres to all HIPAA related policies and procedures; Demonstrates ethical behavior and cultural sensitivity in all activities involving individuals of diverse backgrounds; Performs other tasks/responsibilities as required to support the business operations. Comfortable with independent problem solving based on advanced-level knowledge of the service delivery system, the provider network, client services policies, clients rights and responsibilities, and the operating practices of the organization; Exercises strong clinical skills with a sophisticated understanding of the holistic needs of individual clients from a strengths based perspective; Ability to propose and implement creative solutions to client problems and to achieve a high level of client satisfaction with services; Excellent written and verbal communication skills; Demonstrated knowledge of clinical treatment and case management; Knowledge of community resources; Strong attention to detail; ability to work on multiple tasks and meet deadlines; Excellent PC skills with demonstrated experience using Microsoft Office Package (MS Word, Excel, Power Point, Access, Outlook); internet; smart phone usage.
Care Manager Catholic HealthCare ManagerRoslyn, New YorkAssesses, 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.
Care Manager St. Catherine of Siena Medical CenterCare ManagerRoslyn, NYAssesses, 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.
Care Manager - Registered Nurse - Part Time Nights NYU Langone HealthCare Manager - Registered Nurse - Part Time NightsPatchogue, NY$59.14–$75.93Full timeImplementation 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. In this role, the successful candidate 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.
Care Manager - Registered Nurse - Full Time Days NYU Langone HealthCare Manager - Registered Nurse - Full Time DaysPatchogue, NY$115,318.97–$148,068.97Full timeImplementation 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. In this role, the successful candidate 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.
Care Manager - Registered Nurse - Full Time Nights NYU Langone HealthCare Manager - Registered Nurse - Full Time NightsPatchogue, NY$115,318.97–$148,068.97Full timeImplementation 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. In this role, the successful candidate 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.