• LPN Care Coordinator - Hereditary Risk…

    Guthrie (Binghamton, NY)
    …for review and determination of coverage of ordered medications. + Coordinate and complete appeals for denials as needed + Monitor and Review REMS clearance for ... that qualify Monday through Friday 8:00am-4:30pm Position Summary: The LPN Care Coordinator will assist the providers with medication refills, patient messages, in… more
    Guthrie (12/09/25)
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  • Clinical Documentation Integrity Manager- Remote

    Garnet Health (Middletown, NY)
    …responsible for the day to day operation of the CDI department and DRG Denials appeals process. The Manager will develop, implement and evaluate processes, ... quality, completeness, and accuracy of medical record documentation. The Manager will evaluate denials and work closely with the outcomes manager and coding denial … more
    Garnet Health (10/23/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …company barriers and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of the process which ... + Responsible for managing department referrals. Serves as liaison, appointment coordinator , and patient advocate between the referring office, specialists and… more
    University of Rochester (12/05/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …compliance, insurance company barriers and tracking all assistance provided. Plans, executes, appeals and follows through on all aspects of the process which has ... Responsible for managing department referrals. + Serves as liaison, appointment coordinator , and patient advocate between the referring office, specialists, and… more
    University of Rochester (11/19/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …company barriers and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of the process which ... Responsible for managing department referrals. + Serves as liaison, appointment coordinator , and patient advocate between the referring office, specialists and… more
    University of Rochester (10/16/25)
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