• Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …Planner's primary function is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient discharge plans, support ... beneficiaries per CMS Conditions of Participation at the direction of the Case Manager . + Utilization Management Activities: + Collaborates with Case Managers… more
    Ellis Medicine (08/28/25)
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  • Director of Care Coordination (RN)

    Catholic Health Services (West Islip, NY)
    …Works collaboratively with, but not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals , Managed Care and Revenue Cycle and ... is responsible for providing overall management of the Care Coordination department responsible for patient care coordination, including oversight of Managers of… more
    Catholic Health Services (07/18/25)
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  • Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …to care management programs + Provides administrative support to the grievance and appeals process within the + Medical Services department Level III (in ... assigned to non-care managers are monitored by the care manager + The care manager provides feedback...under pressure. + Demonstrates proficiency in basic navigation and utilization of department specific applications: care management… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Senior Inpatient Coder (Remote)

    WMCHealth (Valhalla, NY)
    …Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department : Health Info Mgmt-WMC Health Union: No Position: Full Time ... Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the… more
    WMCHealth (08/30/25)
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  • Physician Support Rep III

    University of Rochester (Rochester, NY)
    …Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department : 500195 Medicine/AIR Ambulatory Work Shift: UR - Day (United States of ... GENERAL SUMMARY Under the direct supervision of the Practice Manager , Clinic Director and Nurse Manager works...effort of providers by reviewing reports such as Clinic Utilization , Master Templates and the volume of Referrals. +… more
    University of Rochester (08/07/25)
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