- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews ... from payors for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of record, as… more
- Molina Healthcare (Albany, NY)
- …Utilization Management, Chief Medical Officer, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training, leadership and mentoring for less ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct...has been made or upon request by another Molina department to reduce the likelihood of a formal appeal… more
- Mount Sinai Health System (New York, NY)
- …Nurse denial phone calls for UM Nurse to follow + Prioritizes work as per department protocol (IPRO Discharge Appeals / Insurance requests) + Support Appeals ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front...To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring it… more
- Mount Sinai Health System (New York, NY)
- …Experience Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- Mount Sinai Health System (New York, NY)
- …homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years? experience as a ... **Job Description** RN/Case Manager Mount Sinai West FT Days 8a-4p EOW...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- Hudson Valley Community College (Troy, NY)
- …to build on decades of successful service to our community. Advancement Operations Manager HV-NTP-8575 2 In order to be considered an applicant for this position ... completion of a background check. Position Summary The Advancement Operations Manager position focuses on optimizing donor database (Raiser's Edge) management in… more
- University of Rochester (Rochester, NY)
- …Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department : 500183 Health Insurance Counseling Work Shift: UR - Day (United States ... authorization process, from submission through follow-up and including authorization appeals . This position works in a high-performance, fast-paced, authorization-focused… more
- Crouse Hospital (Syracuse, NY)
- …day management of the RN Care Managers in the department , including Utilization Management, Discharge Planning and Denials and Appeals functions. + Assessing ... outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day...day management of the RN Care Managers in the department . Pay Range: $95,000 plus based on education and… more
- CBRE (New York, NY)
- VAS - Institutional Funds Manager Job ID 230919 Posted 29-Jul-2025 Service line Advisory Segment Role type Full-time Areas of Interest Valuations/Appraisal ... The Role:** As a CBRE VAS - Institutional Funds Manager , you will independently prepare market value appraisals on...of the property; conducting analyses and studies, eg, land utilization , supply and demand, economic feasibility, highest and best… more
- Arnot Health (Elmira, NY)
- …errors, types and recurring issues. 4. Facilitates, coordinates and prepares denial appeals working with internal and external customers in a proactive manner to ... bring satisfactory resolution in coordination with other department staff 5. Relays denial information to appropriate billing clerks and management. 6. Follow up on… more