Remote | Utilization Management & Case Management Clinical Review Consultant — $80–$120/hour 24-MagRemote | Utilization Management & Case Management Clinical Review Consultant — $80–$120/hourNew YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare professionals experienced in utilization management, case management, medical necessity review, care coordination, discharge planning, clinical review criteria, physician advisor workflows, and healthcare operations leadership. This role supports current and upcoming remote consulting opportunities focused on AI-assisted healthcare review, utilization management evaluation, case management workflow assessment, clinical documentation review, and high-quality project execution.
Case Management Supervisor The Salvation Army USACase Management SupervisorElmira, NYSCOPE AND PURPOSE OF POSITION: The case manager supervisor is responsible for the overall program supervision, management and growth of the children and adult health home care management program in Chemung and surrounding counties. Relevant experience in serving children and families in child welfare, crisis situations, behavioral health (Serious mental health/serious emotional disturbance), primary health care, or social services.
RN Acute Case Manager - System Care Management - FT Guthrie HealthRN Acute Case Manager - System Care Management - FTBinghamton, NY$37.50–$53.06 / houra) Utilize critical thinking skills to create and or develop a clinical program or position and b) Demonstrated leadership skills for a licensed degree exception, there must be a significant depth of clinical experience: five (5) years of experience in an acute care setting with strong care management, utilization review, and payer knowledge. a) Develops and promotes collaborative relationships with other members of the Guthrie Healthcare System Enterprise and community resources, including home health agencies, DME companies, nursing homes, etc., to explore alternate care options to meet identified patient care needs.
RN Acute Case Manager - System Care Management - FT Guthrie ClinicRN Acute Case Manager - System Care Management - FTBinghamton, NY$37.50–$53.06 / houra) Utilize critical thinking skills to create and or develop a clinical program or position and b) Demonstrated leadership skills for a licensed degree exception, there must be a significant depth of clinical experience: five (5) years of experience in an acute care setting with strong care management, utilization review, and payer knowledge. a) Develops and promotes collaborative relationships with other members of the Guthrie Healthcare System Enterprise and community resources, including home health agencies, DME companies, nursing homes, etc., to explore alternate care options to meet identified patient care needs.
RN-Director of Case Management Brookdale Senior Living IncRN-Director of Case ManagementIthaca, NYComplexity criteria include, but are not limited to, factors such as size, type of product lines, medication management regulations, 90-day assessment requirements, multiple licensure requirements, state regulatory complexity, and skilled services requiring an RN. As Director of Nursing at Brookdale, you will utilize your leadership qualities to inspire, lead and manage the overall operation of the clinical team to provide the highest quality of care and services for our residents.
Case Manager (ALF) ElderwoodCase Manager (ALF)Waverly, NY$20.50–$25.56 / hourIn order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level. Bachelor’s degree in social work or related field and one year full-time experience in provision of services to the older adult population; or an associate’s degree in social work or related field and three years full-time experience in provision of services to older adult population.
Associate Case Manager or Case Manager - 1151 Security Mutual Life Insurance Company of New YorkAssociate Case Manager or Case Manager - 1151Binghamton, NY$19.02–$21.03 / hourProcess complex term conversions including but not limited to partial term conversions, term conversions that require underwriting, custom term rider/primary insured rider term conversions and convert and combine term conversions. About SML: Security Mutual Life is a leading provider of life insurance, accumulation products and retirement-, business- and estate-planning services for individuals, families and businesses.
Legal Partnership Case Manager Research Foundation for Mental Hygiene, Inc.Legal Partnership Case ManagerNY$86,502–$100,904 / yearFull timeMinimum Qualifications:Bachelor's degree in social work, public health, human services, or a related field required3 years of experience in case management, care coordination, or social services, preferably within healthcare, public health, or legal services settings. The Medical/Public Health-Legal Partnership Case Manager serves as a liaison between program participants, healthcare/public health teams, and external legal partners.
YWCA Case Manager YWCA of BinghamtonYWCA Case ManagerBinghamton, NYThe Case Manager will provide services to approximately 20–30 households, assisting with housing search, placement, and access to supportive services that promote long-term housing stability. You’ll work one-on-one with approximately 20–30 households, guiding them through housing searches, connecting them with essential resources, and supporting their journeys toward long-term self-sufficiency.
Geriatric Case Manager Finger Lakes Community HealthGeriatric Case ManagerGeneva, NYAbout Finger Lakes Community Health: Finger Lakes Community Health (FLCH) was founded in 1989 with an original mission of serving the region's agricultural workers by linking individuals to area resources and providing essential health services. Coordinate or arrange transportation for patient appointments at Finger Lakes Community Health or external agencies, based on insurance eligibility, which may include direct patient transport when appropriate.
Case Manager, RN or Licensed Behavioral Health (Multiple Openings!) Capital District Physicians' Health Plan IncCase Manager, RN or Licensed Behavioral Health (Multiple Openings!)Binghamton, NYMinimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. The process includes case identification, case opening, member assessment, education and support intervention opportunities, developing care plans, conducting member-centric interventions, measuring member outcomes during re-assessment, case closure, and case reviews.
Financial Case Manager - Senior Rochester Regional Health SystemFinancial Case Manager - SeniorNY$24.50–$27.50 / hourMinimum Qualifications: Associates Degree in related field with four years of experience preferred or an equivalent combination of work experience in financial counseling, long term care setting, healthcare billing or customer/patient service is required. This entails interviewing and screening resident and family for financial history, investigating and obtaining financial documentation needed from but not limited to banking institutions, financial markets including life insurance agencies, pension programs, and investment firms.
Case Manager - Registered Nurse/LMSW : Inpatient Units Cayuga Health SystemCase Manager - Registered Nurse/LMSW : Inpatient UnitsIthaca, NYFull timeLicensure - current unrestricted NY State Licensure RN/LMSW Preferred Skills and Experience:BSN in nursing preferredCase Management Certification preferred Physical Requirements:Ability to stand, sit or ambulate for long periods. Expected to complete Case Management Certification - or equivalent - within 18 months of hire Experience - Minimum 2 to 3 years' experience in an acute care hospital setting or similar health care case experience.
Case Manager (Part Time) Volunteers of America Upstate New YorkCase Manager (Part Time)Ithaca, NYThe Case Manager works directly with residents of the single adult emergency shelter to support them in developing individualized goals and successfully transitioning from homelessness to permanent housing. Build and maintain strong working relationships with landlords, housing providers, and partner agencies to expand housing opportunities and resources.
RN/LMSW Case Manager: Inpatient Units Cayuga Health System (Inactive)RN/LMSW Case Manager: Inpatient UnitsIthaca, NYAbility to mobilize freely around units, transport self to site locations, and perform required data entry into EMR and alternate data management systems. Demonstrates resilience in coping with challenging situations as well as the emotional stability and organizational skills necessary to meet the demands of the busy healthcare environment.
Social Security Disability Case Manager MindsetSocial Security Disability Case ManagerNew YorkThe ideal candidate will be responsible for assisting clients with the application process, gathering necessary documentation, advocating on behalf of clients, and ensuring that all claims are processed accurately. Due to this being a remote role, you’ll need reliable internet with speeds of at least 100 Mbps download and 30 Mbps upload, a comfortable place to work, and a backup plan for occasional internet outages.
Home Health Registered Nurse Case Manager Humana IncHome Health Registered Nurse Case ManagerCorning, NY$77,200–$106,200 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Home Health Registered Nurse Case Manager CenterWellHome Health Registered Nurse Case ManagerCorning, New York$49–$69 / hourOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Case Manager - AOMC Arnot Health SystemCase Manager - AOMCElmira, NYFull timeIn conjunction with the patient/family, other members of the health care team, the payer, and available resources, formulates a plan to address assessed needs and issues, implements the plan, evaluates the effectiveness of the plan in meeting established care goals and revises the plan as needed to reflect the changing needs, issues and goal. MAIN FUNCTION:The Case Manager coordinates, negotiates, procures services resources for and manages the care of complex patients to facilitate achievement of quality and cost, patient outcomes.
NewCase Manager / Care Manager Bond Health StaffingCase Manager / Care ManagerOrange County, NY$50,000–$60,000 / yearThe role of the Care Manager is to deliver the 6 core services in a person-centered manner in order to meet the needs of the individual, the OPWDD valued outcomes, the objectives of the People First Transformation, and the State requirements. The Care Manager provides referral and linkage to benefits and services, and in-person visits with members ranging from monthly to bi-annually dependent on the need of each member.