• Financial Case Manager

    Rochester Regional Health (Rochester, NY)
    Job Title: Financial Case ManagerDepartment: Health Information Management Location: Alex Park SUMMARY: The Financial Case Manager is responsible for ... reviewing uninsured and under-insured patient accounts by following the insurance verification process. All communication must be conducted in a manner that will result in positive patient relations and prompt reimbursement for services rendered. The FCM may… more
    Rochester Regional Health (09/23/25)
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  • Care Management Processor (Must reside…

    Molina Healthcare (Rochester, NY)
    …**KNOWLEDGE/SKILLS/ABILITIES** + Provides telephone, clerical, and data entry support for the Case Management team. + Responsible for initial review of assigned ... case levels to assist in Case Management assignment. + Reviews data to identify principal member needs and works under the direction of the Case Manager… more
    Molina Healthcare (09/11/25)
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  • Utilization Management Reviewer, RN…

    Excellus BlueCross BlueShield (Rochester, NY)
    …cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as ... processes for accessing Health Plan to perform medical review, obtains case or disease management support, or otherwise interacts with Health Plan programs and… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Medical Director, Medical Management

    Highmark Health (Albany, NY)
    …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
    Highmark Health (10/15/25)
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  • Manager, Absence Management & Safety

    Paychex (Rochester, NY)
    …ADA & FML programs to ensure legal compliance, limit organizational liability, and provide case management for employees. Supports all functions of the leave of ... laws. + Develops and maintains metrics to measure effectiveness of all case management programs, including development of Productivity ROI. Reports and… more
    Paychex (10/08/25)
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  • Care Management Specialist

    Charles B. Wang Community Health Center (Queens, NY)
    …targeted risk population per PCP referral, risk stratification, and patient lists + Handle case management assignments, review case progress in accordance to ... Full-Time Care Management Specialist Reports to: Manager, Care Management Services Queens/Manhattan, New York United States Responsibilities : + Identify the… more
    Charles B. Wang Community Health Center (08/13/25)
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  • Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …Discharge Planner's primary function is to provide administrative support to the Case Management Department. Responsibilities include maintaining case files, ... + Appropriately refer and elevate medical and/or complex needs to appropriate case management and social work staff to ensure smooth care transition + Coordinate… more
    Ellis Medicine (10/15/25)
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  • Executive Director

    City of New York (New York, NY)
    …that youth served by DYFJ receive comprehensive and consistent medical, mental health, and case management services. The Executive Director of Case ... in the care and/or custody of ACS within a secure detention facility. Case Management is responsible oversight and management of the intake, adjustment, and… more
    City of New York (10/10/25)
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  • Retail Business Risk Analyst III - Retail…

    M&T Bank (Buffalo, NY)
    …including a minimum of 3 years' relevant work experience. + Case Management / Investigations, Issue Remediation/Resolution (either customer or internal) ... office in Buffalo, NY. **Overview:** Support the first line of defense risk management function by assisting with the identification and assessment of risks, risk… more
    M&T Bank (10/14/25)
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  • Utilization Management - Registered Nurse

    Crouse Hospital (Syracuse, NY)
    …area preferred. + Three (3) - Five (5) years acute hospital experience. + Case Management or Utilization Management experience preferred. Benefits Overview: ... Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage data...of services. Pay Range: $80,000.00 / year + Utilization Management RNs are eligible for up to a $10,000… more
    Crouse Hospital (09/25/25)
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