• Clinical Denials & Appeals Specialist

    Northwell Health (Melville, NY)
    …and regulations. Performs concurrent and retrospective utilization management using evidenced- based medical necessity criteria; conducts clinical reviews and ... and the third party payer. Prepares and defends level of care and medical necessity for assigned case. Collaborates with physician advisor, payor representative and… more
    Northwell Health (08/20/25)
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  • Registered Nurse Case Manager

    Northwell Health (Sleepy Hollow, NY)
    …management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits data to management ... third party payer regulations. + Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient.… more
    Northwell Health (08/20/25)
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  • Registered Nurse Case Manager -Richmond County-…

    Northwell Health (Staten Island, NY)
    …management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria + Submits data to management ... third party payer regulations + Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient +… more
    Northwell Health (07/02/25)
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  • Science & Technology Program Coordinator

    Albany Medical Center (Albany, NY)
    … Education and other members of the Division of Community Outreach and Medical Education on community- based educational outreach for recruiting to AMC STEP. ... Department/Unit: Community Outreach And Medical Education Work Shift: Day (United States of...are expected to ensure that: Access to information is based on a "need to know" and is the… more
    Albany Medical Center (07/30/25)
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  • Physician Assistant/Nurse Practitioner - Internal…

    Premier Medical Group of the Hudson Valley (Hopewell Junction, NY)
    …exam, based on age and history. + Conducts non-invasive preventive screening procedures based on age and history. + Identifies medical and health risks and ... Premier Medical Group is part of a multi-specialty practice...status in EMR. + Formulates the appropriate differential diagnosis based on history, physical examination and clinical findings. +… more
    Premier Medical Group of the Hudson Valley (07/24/25)
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  • Pharmacy Technician

    CVS Health (Scarsdale, NY)
    …allowable under the law, unless you are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that ... of all duties, responsibilities and qualifications required of employees assigned to this job. Based on the role and location, this position may require you to be… more
    CVS Health (08/21/25)
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  • Account Specialist, SMD - Long Island East

    AbbVie (Port Jefferson, NY)
    …and health systems. Customer accounts may include community/private practices, community- based hospitals, academic medical centers, and government accounts ... medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's… more
    AbbVie (08/16/25)
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  • Physician - Internal Medicine

    Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
    …exam, based on age and history. + Conducts non-invasive preventive screening procedures based on age and history. + Identifies medical and health risks and ... Practitioner LOCATION: Poughkeepsie, New York JOB STATUS: Full-time JOB SUMMARY Premier Medical Group is expanding and seeking a full time Nurse Practitioner to… more
    Premier Medical Group of the Hudson Valley (07/01/25)
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  • Primary Care Physician (PCP)

    STG International (Kingston, NY)
    …of the Veteran Affairs Primary Care Program, and to supervise the Community Based Outpatient Clinic's (CBOC's) day-to-day delivery of medical care. ESSENTIAL ... Primary Care Physician to provide services at our Community Based Outpatient Clinic. JOB SUMMARY: The general duty of...FUNCTIONS: + Provide medical care based on primary and preventative care , to meet… more
    STG International (07/09/25)
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  • Primary Care Physician (PCP)

    STG International (Dunkirk, NY)
    …of the Veteran Affairs Primary Care Program, and to supervise the Community Based Outpatient Clinic's (CBOC's) day-to-day delivery of medical care. ESSENTIAL ... Primary Care Physician to provide services at our Community Based Outpatient Clinic. JOB SUMMARY: The general duty of...FUNCTIONS: *Provide medical care based on primary and preventative care, to meet the… more
    STG International (07/02/25)
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