NewClin Res Mgr Richmond Medical CenterClin Res MgrStaten Island, New YorkDay Shift - 7.5 Hours (United States of America) Job Description The Clinical Resource Manager is responsible for the timely facilitation and coordination of patient care for a specific patient population or area of assignment. The job responsibilities include working effectively with the interdisciplinary team to plan and implement an individualized safe and appropriate discharge plan.
Manager - Care Coordination Richmond Medical CenterManager - Care CoordinationStaten Island, New YorkDay Shift - 7.5 Hours (United States of America) The Manager of Case Management will oversee the daily operations of the Care Coordination Department. Requirements: -At least 5 years of clinical experience as a registered nurse in an acute care setting three of which include case management or utilization management.
Medicare Care Manager Team Lead Metroplus Health Plan IncMedicare Care Manager Team LeadNew York, NYThe Medicare Care Manager Team Lead manages day-to-day activities of the Care Management (CM) team (RN/ SWCare Managers and Care Management Associates/Personal Health Coaches) to ensure quality outcomes such as reduction in emergency room visits and hospital admissions, improved member satisfaction, closing and reducing gaps in care, and cost effectiveness. Under the direction of the Director of Integrated Care Management-Medicare, the Medicare Care Manager Team Lead ensures that staff adhere to the Medicare Model of Care requirements, policies, procedures and workflows established to manage the Medicare Dual Eligible Special Needs Plan (D-SNP) population.
Registered Nurse Center For Hope HospiceRegistered NurseScotch Plains, New JerseyAssesses patients' clinical status and environment to identify needs for treatment and personal care to address pain and other discomforting effects of the primary and related illnesses and conditions; Ensures that patient care needs are being met as identified in the initial, comprehensive and ongoing assessments of the patient's physical, emotional, psychological, spiritual and environmental conditions; Responsible for identifying, coordinating, and providing patient/family care to patients and families in their own home, skilled nursing facility or residential care facility (including the Center's unique residences); Participates in triage system of phone calls and performs, or assigns care to home patients as needed and to residential patients in accordance with their needs; Provides education/counseling/interventions necessary to provide comfort care and maximize the quality of life for the patient and family; Develops, evaluated and revises a written POC in conjunction with IDG members that meets the needs of the patient and their immediate family/caregivers; Participates in regularly scheduled IDG meetings; Develops Home Health Aide (CHHA) POC in accordance with patient's assessed needs and revises CHHA POC as changes in patient's needs occur. Maintains skills to meet patients' needs for nursing care to patients as prescribed by the physician and in the Interdisciplinary Group, including but not limited to: monitoring/tracking of Vital Signs, IV placement, comprehensive personal care, phlebotomy, medication administration and wound care; Authorizes, coordinates and supervises care of subordinate care providers, as prescribed in the Interdisciplinary Plan of Care, and in accordance with state, and federal regulations when using ancillary personnel, i.e.-Licensed Practical Nurses as well as Certified Home Health Aids, in order to meet the needs of the patient; Documents accurate and ongoing patient assessments and care.
NewManager, Medical Utilization and Care Management Capital Rx LLCManager, Medical Utilization and Care ManagementNew York, NY$95,000–$130,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. Oversee vendor execution of utilization reviews, including prospective, concurrent, and retrospective reviews, to ensure medical necessity and appropriate level of care determinations.
Registered Nurse Med/Surgical CareWell HealthRegistered Nurse Med/SurgicalEast Orange, NJCommunicates and coordinates with Case Manager to ensure timely discharge, patient satisfaction and quality care along the continuum of care. Certifications required: BLS (American Heart Association), ACLS - Advanced Cardiovascular Life Support preferred.
Registered Nurse Med/Surg CareWell HealthRegistered Nurse Med/SurgEast Orange, NJCommunicates and coordinates with the Case Manager to ensure timely discharge, patient satisfaction and quality care along the continuum of care. Certifications required: BLS (American Heart Association), ACLS - Advanced Cardiovascular Life Support preferred.
Registered Nurse-Homecare Infusion-FT (North NJ) Hackensack Meridian HealthRegistered Nurse-Homecare Infusion-FT (North NJ)Lodi, New JerseyFull timeWithout previous experience or experience not within one (1) year: Will complete a vascular access device (VAD) course through HMH and follow up practicum experience in HMH outpatient infusion setting and return demonstration with preceptor inserting peripheral line, accessing ports, PICCs and central lines. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
NewCare Manager II The Sisters of Mercy of the AmericasCare Manager II", NY$43–$57Rooted in the mission of the Sisters of Mercy, to respond with vision and compassion to the needs of those who are poor, sick, and uneducated, this role embodies compassion, mercy, and a commitment to social justice in all aspects of care and service. Provide clinical oversight and consultation for Sisters residing in Assisted Living, Rehabilitation, or Long-Term Care facilities.
Full-Time Health Home Care Manager Doral Medical and Multi Specialty Facility LLCFull-Time Health Home Care ManagerBrooklyn, NY$52,000–$55,000 / yearThe 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.
Chinese-speaking Full-Time Health Home Care Manager Doral Medical and Multi Specialty Facility LLCChinese-speaking Full-Time Health Home Care ManagerBrooklyn, NY$52,000–$55,000 / yearThe 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.
Care Manager - Utilization Management (Must Have UAS Experience) Metroplus Health Plan IncCare Manager - Utilization Management (Must Have UAS Experience)New York, NYRemoteThe Care Manager, under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient. Performs care management including hospital admission certification, continued stay review, discharge planning, outpatient, and ancillary services review, etc., following established MetroPlusHealth Utilization Management policies, procedures, and protocols.
Per-Diem Field RN Center For Hope HospicePer-Diem Field RNScotch Plains, New JerseyAssesses patients' clinical status and environment to identify needs for treatment and personal care to address pain and other discomforting effects of the primary and related illnesses and conditions; Ensures that patient care needs are being met as identified in the initial, comprehensive and ongoing assessments of the patient's physical, emotional, psychological, spiritual and environmental conditions; Responsible for identifying, coordinating, and providing patient/family care to patients and families in their own home, skilled nursing facility or residential care facility (including the Center's unique residences); Participates in triage system of phone calls and performs, or assigns care to home patients as needed and to residential patients in accordance with their needs; Provides education/counseling/interventions necessary to provide comfort care and maximize the quality of life for the patient and family; Develops, evaluated and revises a written POC in conjunction with IDG members that meets the needs of the patient and their immediate family/caregivers; Participates in regularly scheduled IDG meetings; Develops Home Health Aide (CHHA) POC in accordance with patient's assessed needs and revises CHHA POC as changes in patient's needs occur. Maintains skills to meet patients' needs for nursing care to patients as prescribed by the physician and in the Interdisciplinary Group, including but not limited to: monitoring/tracking of Vital Signs, IV placement, comprehensive personal care, phlebotomy, medication administration and wound care; Authorizes, coordinates and supervises care of subordinate care providers, as prescribed in the Interdisciplinary Plan of Care, and in accordance with state, and federal regulations when using ancillary personnel, i.e.-Licensed Practical Nurses as well as Certified Home Health Aids, in order to meet the needs of the patient; Documents accurate and ongoing patient assessments and care.
Care Manager Metroplus Health Plan IncCare ManagerNew York, NY$112,351–$132,327 / yearMetroPlusHealth 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. The CM is also responsible for care management for medically fragile children and supporting the coordination of services related to inpatient, homecare, specialty medications, and DME according to UM requirements set forth by the "office of Health Insurance Programs Principles for Medically Fragile Children.
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. Recent med/surg or cardiac experience, PRI and/or case management certification preferred.
Clinical Documentation Specialist RN Hackensack Meridian HealthClinical Documentation Specialist RNHackensack, New JerseyFull timeObtains and promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to ensure clinical documentation reflects the level of service rendered to patients is complete and accurate. Responsibilities: A day in the life of a Clinical Documentation Specialist RN at Hackensack Meridian Health includes: Facilitates appropriate clinical documentation to ensure the level of services and acuity of care are accurately reflected in the medical record.
Pediatric Registered Nurse Montrose, NY Sunshine Homecare Services CorpPediatric Registered Nurse Montrose, NYNew City, NYFull timeQualifications Graduate of an accredited RN programCurrent NY State RN license in good standingMinimum 2 years of pediatric nursing experience preferredExperience in school or community health nursing is a plusMust have or willing to get NPIFamily prefers male nurse Certifications/Licenses Valid Nursing Degree/DiplomaActive New York State RN LicenseCurrent CPR Certification Skills & Abilities Strong pediatric care skills requiredExcellent communication with children, families, and staffAbility to handle emergency situations calmlyOrganized and detail-oriented documentation skillsKnowledge of infection control and safety procedures Physical Requirements & Work Environment Ability to remain on school premises for scheduled hoursAbility to assist with student mobility and transfers to and from school and when home Why Work for Sunshine? Position Details Schedule: Mon-Sun 7:00am-3:00pm, 3:00pm-11:00pmLocation: Montrose, NYEmployment Type: Full time and Part-TimeRate: $50.00 Essential Job Duties Provide direct nursing care to child at school and homeAdminister medications and treatments as prescribedMonitor and document the child's health status throughout the eveningBe prepared to respond to medical emergencies and provide appropriate interventionsAssist with medical devices such as feeding tubes, tracheostomies, oxygen, nebulizer and catheters as neededCollaborate with family, and healthcare providersEnsure compliance with the care plan developed by the RN Case Manager and physicianDocument care and communicate updates with Sunshine Homecare Services and RN case manager.
Regional Business Manager - Midatlantic HeartFlowRegional Business Manager - MidatlanticMidAtlantic Region - Morristown, NJRemote$240,000–$280,000 / yearHeartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart.
NewAccount Manager MCG Health LLCAccount ManagerNY$108,000–$151,000 / yearYou will partner with academic leaders, faculty, administrators, and internal stakeholders to support successful implementation, workflow integration, training, and ongoing optimization of MCG solutions across programs, departments, campuses, and affiliated institutions. Working independently, the Senior Account Executive applies consultative expertise to develop strategic account plans, identify opportunities to expand solution adoption, proactively mitigate retention risks, and deliver measurable customer value.
NewRegistered Nurse ICU CareWell HealthRegistered Nurse ICUEast Orange, NJ$43.96–$49.47 / hourWhen determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Salary ranges shown on third-party job sites may not accurately reflect ranges provided by CareWell Health.