• Shelter Case Manager

    Unity House (Troy, NY)
    …to put your skills to good work! Responsibilities: Provide victim-centered, trauma-informed case management services to victims and their family. Work with ... clients to locate and secure appropriate housing. Offer emotional support, crisis intervention, safety planning and other services. Answer domestic violence and PREA hotlines and provide support and referral Assist clients with life skills development as… more
    Unity House (09/19/25)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position Type Full-Time Work Arrangement Onsite ID ... behavioral healthcare issues. To support the mission of Helio Health, theUtilization Case Manager will enhance the program's efforts to track, review, and analyze… more
    Helio Health Inc. (10/07/25)
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  • Quality Control Case Reviewer

    City of New York (New York, NY)
    …pertinent to quality control eligibility criteria. Compares Paperless Office System (POS) case record, Welfare Management System (WMS) and One Viewer information ... Administrative Associates II to function as a Quality Control Case Reviewers, who will: - Review POS, HRA One...Review POS, HRA One Viewer of imaged/scanned documents, Welfare Management System (WMS) data and other pertinent data to… more
    City of New York (08/13/25)
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  • Case Review Specialist

    City of New York (New York, NY)
    …policy, procedures, and adherence to deadlines. - Perform ad-hoc special investigative case reviews, as per management requests. Hours: Monday-Friday, 9am - ... The Data Integrity unit reviews, processes and updates data on Child Support Management System (CSMS) and Automated State Support Tracking System (ASSETS) case more
    City of New York (08/14/25)
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  • Director of Care Management - Mount Sinai…

    Mount Sinai Health System (Long Island City, NY)
    …utilization review, appeals management and discharge planning to facilitate the case management process and maximize reimbursement to the hospital. Must be ... in nursing or healthcare-related field **Experience Requirements** 5 years of Case Management and 6 years of clinical nurse experience. Previous supervisory… more
    Mount Sinai Health System (07/24/25)
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  • 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 - Claims Management

    Humana (Albany, NY)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (10/16/25)
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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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