- Adecco US, Inc. (New York, NY)
- **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel **Location:** Remote - Will be assigned a market to cover based on location ... on location Temp-to-hire **Position Overview** We are seeking a **Field Reimbursement Manager (FRM)** to support access and reimbursement services for a specialty… more
- City of New York (New York, NY)
- …obtaining federal disability benefits or employment by providing assessment, case management, wellness planning, rehabilitation services, job placement and retention ... to treatment and application assistance with the federal disability application and appeals processes as appropriate. Under the general direction of the Director of… more
- Justice, Bureau of Prisons/Federal Prison System (New York, NY)
- …our communities. Responsibilities Responsible for all duties and functions related to case work activities for sentenced adults and adjudicated juveniles housed in ... non-federal facilities, under the general direction of the Residential Reentry manager . Serves as a liaison with other criminal justice agencies, particularly the… more
- Elevance Health (New York, NY)
- …**How you will make an impact** : + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to physician calls to ... for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of medical… more
- Elevance Health (New York, NY)
- …with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... for posting. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
- University of Rochester (Rochester, NY)
- …compliance, insurance company barriers and tracking all assistance provided. Plans, executes, appeals and follows through on all aspects of the process which has ... to reconcile any discrepancies and/or answer any questions. + Escalates case management when medical assessment is needed. + Prioritizes referral requests… 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 ... part of a team with the immigration attorney, Board of Immigration Appeals (BIA) accredited representative, and support staff. The Immigration Paralegal will assist… more
- University of Rochester (Rochester, NY)
- …company barriers and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of the process which ... departments to reconcile any discrepancies and/or answer any questions. Escalates case management when medical assessment is needed. Prioritizes referral requests… more
- Elevance Health (New York, NY)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer consultation ... alternative surgical and non-surgical treatments. + Performs first level provider appeals of coverage decisions. + Provides support and education to internal… more
- Health Advocates Network (Albany, NY)
- …communication skills. Perform related duties as required: * Screen requests for External Appeals in accordance with the Federal No Surprise Act. * Screen requests ... processes with consumers and representatives of financial entities. * Keep electronic case files updated, complete and organized. * Research, process, and resolve… more