• TB Hotline Coordinator, Bureau of Tuberculosis…

    City of New York (New York, NY)
    …be responsible for triaging calls, coordinating follow-up with internal teams (eg, case management ) and ensuring seamless care transitions, especially regarding ... City. As the TB Hotline Coordinator (Junior Public Health Nurse ), you will manage the Bureau of Tuberculosis Control's...requests for infectious TB patients. - Work with BTBC case management staff to ensure appropriate discharge… more
    City of New York (11/27/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Albany, NY)
    …the start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. ... help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and...MCG or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in… more
    Humana (11/19/25)
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  • Insurance Specialist

    Trinity Health (Syracuse, NY)
    …or have completed a college level course in medical terminology.One year of case management or utilization review/billing or coding experience.One year of ... experience in coding/medical records/billing or healthcare related fieldOne year of case management or utilization review, billing, or coding experiencePlease be… more
    Trinity Health (11/05/25)
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  • Family Specialist - 00216 (Abb008) - Mon - Fri 9AM…

    WellLife Network (Brooklyn, NY)
    …input of other members of the ACT team and the consumers. 6. Coordinate case management services in order to ensure comprehensive development of an individual's ... with other specialist on the ACT Team, ie Substance abuse specialist, Employment specialist, Nurse , Case manager. 8. Attend and participate in all team meetings.… more
    WellLife Network (09/18/25)
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  • Appeals Manager

    BronxCare Health System (Bronx, NY)
    management and services work. On the job or formal training in certified case management , denial and appeals management from a business school in ... department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify patterns and… more
    BronxCare Health System (11/15/25)
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  • Operations Manager - VBCM (Remote)

    Sharecare (Albany, NY)
    …CareFirst in a variety of areas such as integration activities, audits, and case management in collaboration with the Director. + Provide clinical/coaching ... required; Compact state preferred + Bachelor's degree preferred + 5+ years' experience in Care/ Case Management + NCQA experience preferred + Certified Case more
    Sharecare (11/25/25)
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  • Family Health Advocate - Remote

    Sharecare (Albany, NY)
    …to Clinical Advocates ( Nurse ) for conditions that require clinical care and case management assistance + Primary duties include but are not limited to: ... during the training period will be evaluated on a case by case basis and must be...plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical,… more
    Sharecare (11/22/25)
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  • Sr. Technical Specialist, GL

    Travelers Insurance Company (Melville, NY)
    …process, relevant case and statutory law and expert + litigation management skills preferred. + Extensive claim and/or legal experience and technical expertise ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
    Travelers Insurance Company (10/16/25)
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  • RN - HIV Medicine Practice

    Albany Medical Center (Albany, NY)
    …(DHIVM) offers comprehensive HIV services including primary medical care, medical case management , medication adherence, peer services, substance abuse ... of America) Salary Range: $83,200.00 - $128,960.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse (RN) - Full TimeHIV Medicine Clinic - Albany, NY We have an… more
    Albany Medical Center (10/22/25)
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  • Procedure RN - Part Time 24-32/hrs.- Genesee…

    HCR Home Care (Batavia, NY)
    …response to the plan of care interventions and communicate changes to the case manager . + Collaborate and share findings with the multidisciplinary care team ... patient's condition and/or family and home situations. + Document communication with case manager and physician. + Meet visit productivity requirements and conduct… more
    HCR Home Care (11/01/25)
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