- Molina Healthcare (Albany, NY)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the payor, as… more
- Mount Sinai Health System (New York, NY)
- **Job Description** RN/ Case Manager Mount Sinai West FT Days 8a-4p EOW The Case Manager (CM) will be responsible for all aspects of case management ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...with physicians and managed care companies on concurrent denial appeals 5. Communicates clinical information to the payor, as… more
- Stony Brook University (Stony Brook, NY)
- Case Manager - Per Diem **Position...the hospital stay. + Assist with coverage for UR, Appeals and denials + Actively involved in performance improvement ... Summary** At Stony Brook Medicine, a ** Case Manager ** is a valuable member of our team, who provides clinical services to our patient population. Qualified… more
- Arnot Health (Elmira, NY)
- …Description Remote work available! Up to $10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review ... and recurring issues. 4. Facilitates, coordinates and prepares denial appeals working with internal and external customers in a...inclusive of all duties that may be assigned. MEETINGS: Case management staff meetings. Case management staff… more
- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day management of the RN ... $95,000 plus based on education and experience Schedule: Full-Time, 8:00am-4:30pm Manager , Care Coordination Responsibilities: + Manager is responsible for… more
- Cardinal Health (Albany, NY)
- …insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed + Resolve patient's questions and any representative ... for the patient's concerns regarding status of their request for assistance + Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare,… more
- CUNY (Brooklyn, NY)
- Manager of Student Advocacy and Accountability (HEA) **POSITION DETAILS** New York City College of Technology of the City University of New York (CUNY), a ... Brooklyn offering associate and baccalaureate degrees, invites applications for a Manager of Student Advocacy and Accountability. Reporting to the Vice President… more
- Mount Sinai Health System (New York, NY)
- …as per department protocol (IPRO Discharge Appeals / Insurance requests) + Support Appeals Nurse / Manager by confirming status of denials + Tracking status ... Every Weekend** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and...+ Requests or provides Medical Records as required for appeals , On / Off-site Insurance reviews + Implements… more
- Ralliant (Albany, NY)
- **Job Title:** Product Manager **Location:** Remote, USA **Job Summary:** As a key contributor within Hengstler-Dynapar, the **Product Manager ** will guide the ... aligns with the company's business objectives while collaborating cross-functionally. The Product Manager will work closely with all functions within our company to… more