**Three Positions** Conducts case management program activities (including the Case Management process and quality improvement) in accordance with departmental, corporate, state, federal, CMSA and URAC accreditation standards, as well as CMS standards if appropriate to the case assignment. Uses a systematic approach to identify members meeting program criteria, assessing opportunities to coordinate care and treatment options, and collaborating with primary providers. Implements the Case Management process to facilitate quality, cost effective medical and benefits management Qualifications: RN with current New York State license, BSN Preferred. CCM desired (CCM certification required after 2 years of employment as a case manager). Minimum of 3 years progressive clinical experience including, community health, behavioral health, and managed care experience preferred. Excellent written and verbal communication skills. Computer experience and use of measurement/criteria. Strong interpersonal skills. Must have the ability to...

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