- Guthrie (Vestal, NY)
- …Documents insurance coverage of services to be provided. Notifies case management about interactions with insurance companies regarding services. Communicate ... with clinical staff to coordinate appropriate staff visits. Communicates any changes in insurance coverage with office and clinical staff. Manage denials or potential denials as described by the insurer. Monitors and reviews the applicable schedule to ensure… more
- The Salvation Army (Spring Valley, NY)
- …Neighbor Fund, Veolia Water Fund and referrals to other agencies. In the case where unique requests are made, consultation with the Corps Officers will determine ... the best course of action. + Food pantry. Responsible to interview clients to determine need, keep records, make reports to supporting agencies, keep statistics, distribute food bags, order food supplies, organize food drives as well as general maintenance and… more
- Highmark Health (Buffalo, NY)
- …call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, ... status research, etc. Ensures all accurate information is verified and entered at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. This role may be required to make outbound calls, triage… more
- Highmark Health (Buffalo, NY)
- …as verifying benefit coverage for the member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical ... review. Ensures all accurate information is entered at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. The requests may come via fax, Predictal Availity portal and/or service form inquiry. At… more
- Cardinal Health (Whitestone, NY)
- …equipment to replenish warehouse. + Utilize voice to pick system to pick large case items with material handling equipment or to pick small unit of measure items ... and place on cart. + Palletize large items to skid and wrap for shipment. + Pack small items in boxes. + Drive material handling equipment as required by job duty. Example equipment in the facility includes: order picker (cherry picker), forklift, reach truck,… more
- Rochester Regional Health (Rochester, NY)
- …patient/family interviews and team conferences + coordinate multidisciplinary and agency case conferences; work with care managers to advocate for patient/family to ... obtain approval for insurance coverage. + Manage referrals related to patients at risk and determine appropriate intervention strategies and document as implemented + ensure inappropriate referrals are channeled correctly and documented. + Coordinate… more
- BronxCare Health System (Bronx, NY)
- …project including management of the project timeline, project goals, coordinating case management meetings, liaising with Hospital clinical leadership. - Provide ... project leadership by serving as the 'brainstorming' engine by continually contributing to ideation methods and work-plan implementation - Coordinate and supervise the maintenance, monitoring, recording patients' medical records, follow-up, and lab data. -… more
- Cardinal Health (Albany, NY)
- …on those requirements. **Qualifications:** + Call monitoring/audit experience preferred. + Case audit experience preferred. + HS Diploma, GED or technical ... certification in related field or equivalent experience, preferred. + Adverse Event reporting experience strongly preferred. + Strong customer service/quality background experience. + Excellent verbal and written communication skills + Strong prioritization… more
- HANAC, Inc. (Astoria, NY)
- …issues + Identify the process to alleviate client issues + Work with a case manager to complete required immigration paperwork + Consult with staff attorney to ... overcome obstacles + Provide workshop presentations + Assist in the completion of various program requirements as needed. + Obtaining visas and citizenships + Updating clients on progress, answering their questions, or preparing paperwork + Creating and… more
- University of Rochester (Rochester, NY)
- …treatment planning, financial arrangements, and approval phase until case completion. RESPONSIBILITIES: Exercising tact, initiative and independent judgment ... makes decision using approved Dentistry procedures regarding security of complex, high dollar, dental accounts. Ensures accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization. Negotiates down-payments and authorizes repayment… more