172 care manager jobs found

Job Summary The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA).  Core Job Responsibilities Identifies and coordinates enrollee services as provided by the plan and services that are not a benefit of the plan (Medicare Services). Completes comprehensive assessment using the DOH approved tool to determine eligibility of medically necessary services....

Job Summary The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA).  Core Job Responsibilities Identifies and coordinates enrollee services as provided by the plan and services that are not a benefit of the plan (Medicare Services). Completes comprehensive assessment using the DOH approved tool to determine eligibility of medically necessary services....

Nurse Manager – CTICU/CICU Rochester General Hospital, Rochester, NY Rochester Regional Health has an exciting opportunity for a Nurse Manager to lead our CTICU and CICU at Rochester General Hospital. This role is ideal for experienced nursing leaders passionate about driving excellence in patient care and fostering a collaborative team environment.   LIFE IN GREATER ROCHESTER The greater Rochester region offers a unique blend of friendly communities, natural beauty, and metropolitan amenities. Experience the warmth of the people, diverse culture, and the convenience of city living with a vibrant food and arts scene. ABOUT ROCHESTER GENERAL HOSPITAL Rochester General Hospital is a 528-bed tertiary care hospital that has been serving the residents of the Rochester Region and beyond since 1847. Rochester General Hospital offers primary medical care and a broad range of specialties. Rochester General Hospital’s medical staff includes over 1,000 primary care...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Job Summary: *Must possess RN NY license** 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. This role involves conducting comprehensive assessments to evaluate members’ needs and addressing SDoH challenges by connecting them with appropriate resources and support services. The Social Worker provides education...

Registered Nurse Virtual Care & Care Management (1099 / Contract, Remote) CareTalk Health Compact Multi-State Licensure Required CareTalk Health is a virtual medical practice that specializes in Clinical Process Outsourcing (CPO). We partner with healthcare organizations to build and manage patient and member populations. About the Role CareTalk Health is seeking experienced and highly organized Registered Nurses to join our virtual care team. This fully remote role blends care management, care navigation, and Annual Wellness Visit (AWV) chart preparation, supporting providers in delivering comprehensive, compliant, and patient-centered care. The RN Care Manager will manage medically complex patients, develop and monitor care plans across multiple programs (CCM, RPM, RTM, APCM), complete AWV chart preparation, and actively work to close care gaps, coordinate orders, and support preventive and chronic care initiatives. This role requires strong clinical judgment,...

Overview Manages, coordinates, facilitates and supports the members of the interdisciplinary team in provision of hospice care to patient/families of VNS Health Hospice Care Program, including After Hours. Ensures the implementation of clinical/quality improvement initiatives for hospice services in compliance with regulatory requirements. Demonstrates knowledge and commitment to excellence in clinical practice and customer service. Works under general direction. What We Provide Referral bonus opportunities    Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays  Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability   Employer-matched retirement saving funds  Personal and financial wellness programs   Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care    Generous tuition reimbursement for qualifying degrees  Opportunities for professional growth and career...

Overview Ensures the quality, safe delivery, and cost-effective home care services. Coordinates home care services that reflect VNS Health's philosophy and ensures standards of care are maintained. Works under general direction.     What We Provide Referral bonus opportunities    Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays  Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability   Employer-matched retirement saving funds  Personal and financial wellness programs   Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care    Generous tuition reimbursement for qualifying degrees  Opportunities for professional growth and career advancement   Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities     What You Will Do   Review all clinical documentation completed by Registered Nurse Field Supervisors (RNFS) for...

Overview Manages, coordinates, facilitates and supports the members of the interdisciplinary team in provision of hospice care to patient/families of VNS Health Hospice Care Program, including After Hours. Ensures the implementation of clinical/quality improvement initiatives for hospice services in compliance with regulatory requirements. Demonstrates knowledge and commitment to excellence in clinical practice and customer service. Works under general direction. What We Provide Referral bonus opportunities    Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays  Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability   Employer-matched retirement saving funds  Personal and financial wellness programs   Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care    Generous tuition reimbursement for qualifying degrees  Opportunities for professional growth and career...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health  Title: RN, Case Manager  Location: Allerton 2721 Bronxwood Ave, Bronx, NY 10469 Parkchester 1317 Castle Hill Ave, Bronx, NY 10462 Soundview 1555 Westchester Ave, Bronx, NY 10472 *Subject to adjustment based on clinic needs *Eligible candidates may receive a sign‑on bonus as part of the offer package. Role Description: In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health  Title: RN, Case Manager  Location: University Ave 1953 University Ave, Bronx, NY 10453 Washington Heights 4405 Broadway, New York, NY 10040 *Subject to adjustment based on clinic needs *Eligible candidates may receive a sign‑on bonus as part of the offer package. Role Description: In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health  Title: RN, Case Manager  Location: University Ave 1953 University Ave, Bronx, NY 10453 Washington Heights 4405 Broadway, New York, NY 10040 *Subject to adjustment based on clinic needs *Eligible candidates may receive a sign‑on bonus as part of the offer package. Role Description: In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health  Title: RN, Case Manager  Location: Simpson 1024 Westchester Ave, Bronx, NY 10459 Jackson Heights 97-01 Northern Blvd, Flushing, NY 11368 *Subject to adjustment based on clinic needs *Eligible candidates may receive a sign‑on bonus as part of the offer package. Role Description: In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health  Title: RN, Case Manager  Location: Freeport 14-16 Brooklyn Ave, Freeport, NY 11520 Hempstead 210 Fulton Ave, Hempstead, NY 11550 Far Rockaway 10-48 Beach 20th St, Far Rockaway, NY 11691 *Subject to adjustment based on clinic needs *Eligible candidates may receive a sign‑on bonus as part of the offer package. Role Description: In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care...

The VA New York Harbor Healthcare System (NYHHCS) is a multi-site medical system that includes a major medical facility in Manhattan, Brooklyn, St. Albans campus in Queens, and two Community Based Outpatient Clinics (CBOCs). VA NYHHCS is an academic facility with teaching and research programs. VA NEW YORK HARBOR HEALTHCARE SYSTEM, Manhattan campus, affiliated with NYU Grossman School of Medicine, is recruiting a full-time Psychiatrist for our PRIMARY CARE/MENTAL HEALTH INTEGRATION ("PCMHI") program . Major Duties and Responsibilities : PCMHI is VA's approach to integrating mental and behavioral health care into medical settings that are co-located and collaborative with the primary care team. PCMHI focuses on early intervention and prevention for mild-to-moderate behavioral health conditions within primary care and aids in identifying and referring veterans to specialty mental health services when necessary. PCMHI services include collocated collaborative...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Nurse Practitioner, Advanced Practice Provider Company: Oak Street Health Role Description: The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse Practitioners see patients independently and collaborate with physicians, depending on the patient’s specific situation. Nurse Practitioners provide longitudinal care and build meaningful patient relationships; this creates trust and...

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Title: Nurse Practitioner, Advanced Practice Provider [Spanish Required] Company: Oak Street Health Location:  Parkchester Center - 1317 Castle Hill Ave Bronx, NY 10462 Role Description: The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse Practitioners see patients independently and...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Nurse Practitioner, Advanced Practice Provider [Spanish Preferred] Company: Oak Street Health Location:  City Line Center - 1114 Liberty Ave Brooklyn, NY 11208 Role Description: The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse Practitioners see patients independently and collaborate with physicians, depending on the patient’s specific situation. Nurse Practitioners...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Nurse Practitioner, Advanced Practice Provider Company: Oak Street Health Location:  11515 Sutphin Blvd Jamaica, NY 11434 Role Description: The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse Practitioners see patients independently and collaborate with physicians, depending on the patient’s specific situation. Nurse Practitioners provide longitudinal care and build...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Nurse Practitioner, Advanced Practice Provider Company: Oak Street Health Role Description: The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse Practitioners see patients independently and collaborate with physicians, depending on the patient’s specific situation. Nurse Practitioners provide longitudinal care and build meaningful patient relationships; this creates trust and...

Description Nuvance Health has a network of convenient hospital and outpatient locations - Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care. Non-acute care is offered through various affiliates, Summary: The hyperbaric chamber operator is an individual that has documentation of successful completion of a 40-hour National Board of Diving and Hyperbaric Medical Technology (NBDHMT) - approved, Introductory Hyperbaric Medicine Course. The hyperbaric chamber operator assists in the provision of safe and therapeutic management of patient care to an assigned group of patients through the utilization Standards of Practice and policies and procedures and in collaboration with other members of the health care...