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About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers’ Compensation and other Casualty clients. The Workers’ Compensation Nurse Case Reviewer collaborates with medical care providers, employers, employees, and at times, attorneys to support the appropriate return to work, the provision of necessary medical services, and the evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager. Primary Responsibilities • Collaborates with workers' compensation patients, employers, providers, and claims adjusters to coordinate medical and disability services for timely return to work, • Provides case management, utilization review, continued stay reviews, and based on clinical judgment and state WCB Medical Treatment Guidelines, • Knowledgeable and compliant with New York State Workers’ Compensation Law, Medical Treatment Guidelines, ERISA, HIPAA confidentiality requirements, and NY Formulary Review process, • Proven ability to anticipate claimant's treatment or recovery milestones, • Provides Case Management services, including assessing barriers to recovery and determining treatment alternatives, • Facilitates and expedites discharge planning as needed, • Produces accurate electronic records of individual cases, • Ensures timely, cost-effective medical care for injured workers' recovery, • Answers provider calls and assists with Casualty Department workload as necessary, • Kind, caring, and positive with all customers and fellow employees, • Adheres to established quality assurance standards and MagnaCare policies and procedures Essential Qualifications • Currently licensed Registered Nurse in the state of NY, or the ability to obtain, • Maintain current licensure(s) and specialty certifications that are relevant to this position; CCM is encouraged, • Minimum 1 year experience in worker’s compensation case management, • Bachelor’s degree preferred, • Minimum of 4 years’ experience in a clinical environment required, • Strong skills in medical assessment/medical record review, • Excellent customer service skills, • Ability to define and solve problems, collect data, establish facts and make effective decisions a must., • Must be detail oriented and have strong organizational and time management skills, and the ability to work independently., • Ability to work proficiently on a computer (PC) with working knowledge of Microsoft Office, especially Word, Excel Teams, and Outlook Powered by JazzHR zEGYw9cEHB

Job DescriptionAbout The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers’ Compensation and other Casualty clients. The Workers’ Compensation Nurse Case Reviewer collaborates with medical care providers, employers, employees, and at times, attorneys to support the appropriate return to work, the provision of necessary medical services, and the evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager. Primary Responsibilities • Collaborates with workers' compensation patients, employers, providers, and claims adjusters to coordinate medical and disability services for timely return to work., • Provides case management, utilization review, continued stay reviews, and based on clinical judgment and state WCB Medical Treatment Guidelines., • Knowledgeable and compliant with New York State Workers’ Compensation Law, Medical Treatment Guidelines, ERISA, HIPAA confidentiality requirements, and NY Formulary Review process., • Proven ability to anticipate claimant's treatment or recovery milestones., • Provides Case Management services, including assessing barriers to recovery and determining treatment alternatives., • Facilitates and expedites discharge planning as needed., • Produces accurate electronic records of individual cases., • Ensures timely, cost-effective medical care for injured workers' recovery., • Answers provider calls and assists with Casualty Department workload as necessary., • Kind, caring, and positive with all customers and fellow employees., • Adheres to established quality assurance standards and MagnaCare policies and procedures.Essential Qualifications, • Currently licensed Registered Nurse in the state of NY, or the ability to obtain., • Maintain current licensure(s) and specialty certifications that are relevant to this position; CCM is encouraged., • Minimum 1 year experience in worker’s compensation case management., • Bachelor’s degree preferred., • Minimum of 4 years’ experience in a clinical environment required., • Strong skills in medical assessment/medical record review., • Excellent customer service skills., • Ability to define and solve problems, collect data, establish facts and make effective decisions a must., • Must be detail oriented and have strong organizational and time management skills, and the ability to work independently., • Ability to work proficiently on a computer (PC) with working knowledge of Microsoft Office, especially Word, Excel Teams, and Outlook. Powered by JazzHR zEGYw9cEHB

Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management and patient training success.

Are you a CRNA searching for your next exciting locum tenens opportunity? This position with one of VISTA's healthcare partners in New York might just be the opportunity for you!.Schedule: Monday‐Friday, 8 hour days, No call.Type of Cases: Bread and Butter, OB, Ortho.Credentialing: 60&dash

As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. As a Clinical Manager, you may

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.Review and analyze electronic medical records via a secure web portal.Accurately document exam findings and complete the require

Core Medical Group is seeking a travel nurse RN Maternal - Newborn for a travel nursing job in Niskayuna, New York.Job Description & Requirements Specialty: Maternal - Newborn Discipline: RN Start Date: 10/06/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Travel Client in

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.Review and analyze electronic medical records via a secure web portal.Accurately document exam findings and complete the require

Posted job title: RN:PCU - Progressive Care Unit,19:00:00-07:00:00 About Voca Healthcare As a Voca Traveler, you will gain new clinical skills, visit amazing places and meet awesome healthcare professionals.

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.Review and analyze electronic medical records via a secure web portal.Accurately document exam findings and complete the require

Care Team Solutions is seeking a travel nurse RN Interventional Radiology for a travel nursing job in Roslyn, New York.Job Description & Requirements.Registered Nurse must have 2+ years of recent experience in particular specialty.Must Have 2+ Years of recent Interventional Radiology experience.Six

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.This role involves conducting .Review and analyze electronic medical records via a secure web portal.Accurately document exam f

Posted job title: RN:PCU - Progressive Care Unit,07:00:00-19:00:00 About Voca Healthcare As a Voca Traveler, you will gain new clinical skills, visit amazing places and meet awesome healthcare professionals.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

Posted job title: RN:Med Surg,19:00:00-07:00:00 About Voca Healthcare As a Voca Traveler, you will gain new clinical skills, visit amazing places and meet awesome healthcare professionals.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

Openwork Health is seeking a travel nurse RN Med Surg for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 10/20/2025 Duration: 12 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Openwork Health Job ID 72652

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

Genie Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 10/13/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Genie Healthcare is looking

DocCafe has an immediate opening for the following position: Nurse Practitioner - Orthopedics in New York.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.Register now to apply for this job and for access to 120,000+ other openings.DocCafe O

We offer competitive pay, comprehensive benefits, and access to diverse clinical experiences that build your skills and open doors to new possibilities. Whether you want to explore new locations, broaden your clinical experience, or achieve better work–life balance, Olaro provides the flexibility

GHR Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 10/13/2025 Duration: 12 weeks 36 hours per week Shift: 12 hours Employment Type: Travel GHR

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

Network Adjusters is seeking a friendly, organized, and proactive individual to join our customer service team in our New York office in Farmingdale.The ideal candidate has excellent communication and customer service skills.He/she has an excellent understanding of administrative and clerical proced

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

The New York State Unified Court System is seeking a.Genesee County Problem-Solving Courts.This position will assist with expanding and managing the requirements and resources of the court’s BRIDGE program and provide a supportive role in the implementation of problem-solving courts.Provide case m

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

We're on the hunt for curious, motivated individuals to test and review online money-making opportunities featured on FinanceBuzz.If you enjoy discovering new platforms and sharing your experience, this flexible gig could be perfect for you.Qualifications, skills, and all relevant experience needed

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for ou

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. Provides support for all clinical staff members at regular intervals and encourages professional growth. Training and advancement: You wil

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for ou

The New York State Unified Court System is seeking a.Genesee County Problem-Solving Courts.This position will assist with expanding and managing the requirements and resources of the courts BRIDGE program and provide a supportive role in the implementation of problem-solving courts.Provide case mana

Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth. Participates in the completion of the FMS Administrative Clinical Review. Ensure provision of quality patient care while maintaining cost-effective clinical operations in acc

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

SIGN ON BONUS AVAILABLE PURPOSE AND SCOPE: Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management an

Care Team Solutions is seeking a travel nurse RN Interventional Radiology for a travel nursing job in Roslyn, New York.Job Description & Requirements.Registered Nurse must have 2+ years of recent experience in particular specialty.Must Have 2+ Years of recent Interventional Radiology experience.

SIGN ON BONUS AVAILABLE PURPOSE AND SCOPE: Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management an

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth. Minimum of 12 months experience in clinical nursing is required. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance w

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

SIGN ON BONUS AVAILABLE PURPOSE AND SCOPE: Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management an

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. Provides support for all clinica

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

Planet Healthcare is a global leader in clinical staffing because we take a candidate-first approach.