Clinical Assessment RN Manager
1 month ago
FlexStaff Careers is seeking an experienced and motivated Clinical Assessment RN Manager to lead our clinical assessment team and ensure the efficient and timely completion of all tasks associated with the clinical assessment process.
Key Responsibilities:- Conduct in-home or virtual clinical assessments using UAS-NY for prospective and enrolled PACE participants.
- Review and update previous assessments, primary diagnoses, and medications in electronic medical records (EMR).
- Collaborate with Intake, Enrollment, and Care Delivery teams to ensure smooth transitions and optimal care for participants.
- Develop individualized service plans, provide education on the PACE program, and promote participation.
- Ensure timely completion of documentation within 48 hours and maintain accurate clinical records.
- Engage in continuous quality improvement and provide feedback to enhance processes and participant outcomes.
- Serve as the clinical point of contact for Care Delivery teams and provide ongoing support after participant enrollment.
- Comply with all CMS/PACE guidelines and organizational policies.
- Bachelor of Science in Nursing (BSN) preferred.
- 3-5 years in Managed Care Programs (MLTC, LTHHCP, MAP, PACE, etc.).
- 5+ years in case management, disease management, utilization review, or quality assurance.
- Experience working with frail or elderly populations.
- Proficiency in UAS-NY and Lenavi.
- Active and unrestricted RN license in New York State.
- Strong clinical management and customer service skills.
- Bilingual skills are strongly preferred.
- Proficiency in Microsoft Office and clinical management systems.
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Clinical Assessment RN Manager
3 weeks ago
Lake Success, United States FlexStaff Careers Full timeJob Title: Clinical Assessment RN ManagerJob Summary:FlexStaff Careers is seeking an experienced and motivated Clinical Assessment RN Manager to lead our clinical assessment team and ensure the efficient and timely completion of all tasks associated with the clinical assessment process.Key Responsibilities:Conduct in-home or virtual clinical assessments...
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Clinical Assessment RN Manager- Full-Time- Bronx, NY
2 months ago
Lake Success, United States FlexStaff Careers Full timeJob Description FlexStaff Our client is seeking an experienced and motivated Clinical Assessment RN Manager to lead our clinical assessment team and ensure the efficient and timely completion of all tasks associated with the clinical assessment process. The ideal candidate will play a key role in managing the onboarding and reassessment of participants,...
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Clinical Supervisor RN
4 weeks ago
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Clinical Care Coordinator
4 weeks ago
Lake Success, United States FlexStaff Careers Full timeJob Title: Clinical Care CoordinatorFlexStaff Careers is seeking a skilled and compassionate Registered Nurse to join our team as a Clinical Care Coordinator. This is a full-time direct hire position, Monday-Friday 9am-5pm, with a salary range of $95,000.00 - $110,000.00 per year.Job Summary:The Clinical Care Coordinator is a vital member of our team...
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Clinical Utilization Management Specialist
3 weeks ago
Lake Success, NY, United States Medix Full timeJob Title: Utilization Management / Appeals Registered NurseJob Details:Job Type: Contract-to-hireSalary Expectations: $50 - $54/hourWork Schedule: Monday to Friday, 8:00 AM - 5:00 PMWork Location: OnsiteJob Description Responsibilities/Job Duties:Conduct reviews for State and Federal Independent Dispute Resolution (IDR) case determinations, including prior...
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Clinical Supervisor RN
3 weeks ago
Lake Oswego, Oregon, United States Providence RN Full timeClinical Leadership OpportunityThe Clinical Staff Supervisor plays a vital role in coordinating and managing the clinical support staff and workflows within the clinic. As a key member of the clinic leadership team, this position brings a professional nursing perspective to the group, upholding the standards of nursing practice. The supervisor oversees the...
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Clinical Appeals Specialist
1 month ago
Lake Success, United States Medix Full timeJob Title: Clinical Appeals SpecialistLocation:Flexible work arrangements available, with a preference for nurses to work in the office in either Lake Success (New Hyde Park) or Albany, NYHours:Monday to Friday, 8am to 5pmStart date:As soon as possible, with a focus on getting all RNs started togetherPay:$48-52 per hour, with opportunities for...
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Residential RN/Nurse Case Manager
1 month ago
Lake Success, United States FlexStaff Careers Full timeJob Description FlexStaff is seeking a Nurse Case Manager/Staff Nurse to join our client's team, a leading organization that provides housing, services and programs for individuals with intellectual and developmental disabilities. The Nurse Case Manager will coordinate the delivery of health care services for persons receiving services residing in...
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RN Case Manager
1 month ago
Lake Success, United States FlexStaff Careers Full timeJob Title: RN Case Manager - Queens Peds/Adults Full and Part-time ContractsFlexStaff Careers is seeking a skilled Registered Nurse Case Manager to join our team in Queens. As a key member of our healthcare team, you will serve as a liaison between patients and healthcare facilities, ensuring a continuum of quality patient care throughout...
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Nurse Case Manager/Residential RN
2 weeks ago
Lake Success, United States FlexStaff Full timeJob DescriptionFlexStaff is seeking a Nurse Case Manager/Staff Nurse to join our client's team, a leading organization that provides housing, services and programs for individuals with intellectual and developmental disabilities. This is a direct hire, permanent, full-time position covering group homes in Carmel and MahopacSchedule: Monday-Friday, 9am-5pm...
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Nurse Case Manager/Residential RN
3 weeks ago
Lake Success, United States FlexStaff Careers Full timeJob Description FlexStaff is seeking a Nurse Case Manager/Staff Nurse to join our client's team, a leading organization that provides housing, services and programs for individuals with intellectual and developmental disabilities. This is a direct hire, permanent, full-time position covering group homes in Carmel and Mahopac Schedule: Monday-Friday,...
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Clinic Registered Nurse
5 days ago
Lake Success, United States FlexStaff Full timestrong>Job DescriptionFlexStaff is seeking a Charge Nurse to join our client's team, a leading organization that provides housing, services and programs for individuals with intellectual and developmental disabilities. This position is based in a group home in Bayside, Queens. 8am-4pm, Monday-Friday. Directly oversees and coordinates the provision of...
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RN - Clinical Decision Unit Nurse
4 weeks ago
Lake Oswego, Oregon, United States Providence RN Full timeAbout the RoleWe are seeking a skilled and compassionate RN to join our team in the Clinical Decision Unit at Providence Portland Medical Center. As a Clinical Decision Unit Registered Nurse, you will play a vital role in providing high-quality patient care and making a meaningful difference in the lives of our patients and their...
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RN - Clinical Decision Unit
3 weeks ago
Lake Oswego, Oregon, United States Providence RN Careers Full timeAbout the RoleWe are seeking a skilled and compassionate RN to join our team in the Clinical Decision Unit at Providence Portland Medical Center. As a Clinical Decision Unit Nurse, you will play a vital role in providing high-quality patient care and making a meaningful difference in the lives of our patients and their families.ResponsibilitiesProvide direct...
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RN Case Manager
4 weeks ago
Lake Success, United States FlexStaff Careers Full timeJob Title: RN Case Manager - Residential Facility/Day FacilityJob Summary: We are seeking a Registered Nurse Case Manager to provide comprehensive care coordination and management for residents in our supportive housing environments.Key Responsibilities:* Develop and implement personalized care plans based on each resident's unique health needs.* Ensure...
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Clinical Supervisor RN
4 weeks ago
Lake Oswego, Oregon, United States Providence RN Full timeClinical Staff Supervisor RoleThe Clinical Staff Supervisor plays a vital role in the clinic, overseeing the clinical support staff and coordinating clinical workflows and activities. This position is an integral member of the clinic leadership team, bringing a professional nursing perspective to the group and upholding the standards of nursing practice.Key...
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Nurse Case Manager/Residential RN Position
4 weeks ago
Lake Success, United States FlexStaff Careers Full timeJob Title: Nurse Case Manager/Residential RN PositionJob Summary: FlexStaff Careers is seeking a skilled Nurse Case Manager/Residential RN to join our client's team, a leading organization providing housing, services, and programs for individuals with intellectual and developmental disabilities.Responsibilities:* Coordinate the delivery of healthcare...
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Clinical Nurse
3 weeks ago
Lake Oswego, Oregon, United States Providence RN Full timeJob SummaryThe Providence RN is seeking a skilled and compassionate Clinical Nurse to join our team in providing high-quality patient care in an ambulatory care environment. As a Clinical Nurse, you will be responsible for delivering comprehensive nursing care to patients based on their individual physical, emotional, and spiritual needs.Key...
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Nurse Case Manager/Residential RN
1 month ago
Lake Success, United States FlexStaff Careers Full timeFlexStaff Careers is seeking a skilled Nurse Case Manager/Staff Nurse to join our client's team, a leading organization providing housing, services, and programs for individuals with intellectual and developmental disabilities. This is a full-time, direct hire position with various group home locations in Brooklyn. Responsibilities include coordinating...
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Clinical Utilization Management Specialist
3 weeks ago
Lake Success, NY, United States Medix Full timeJob Title: Clinical Utilization Management SpecialistLocation: Flexible work arrangements availableJob Summary:We are seeking a skilled Clinical Utilization Management Specialist to join our team at Medix. As a key member of our IDR team, you will be responsible for conducting reviews up to and including the appeal level, compiling regulatory guidance,...