• Perianesthesia (PACU) Nurse Manager

    Excelsior Orthopaedics Group (Amherst, NY)
    Job Summary The Perianesthesia (Ortho PACU) Nurse Manager , reports to the Director of the Ambulatory Surgery Center (ASC) and is responsible to oversee the ... patient handoffs. + Promotes OR efficiency standards regarding first case on time starts and room turnover targets. +...Association for Ambulatory Healthcare (AAAHC) and the Centers for Medicare & Medicaid Services (CMS). + Follows guidelines from… more
    Excelsior Orthopaedics Group (06/05/25)
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  • RN Unit Manager - Taylor Health

    Arnot Health (Bath, NY)
    …the Long Term Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective time ... as appropriate/required. + Assists clinical staff with documentation for MDS based Case Mix to ensure appropriate classification of residents for reimbursement. +… more
    Arnot Health (04/28/25)
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  • Audit & Reimbursement III- Appeals

    Elevance Health (East Syracuse, NY)
    …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for … more
    Elevance Health (05/30/25)
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  • Licensed Master Social Worker (McPike Addiction…

    New York State Civil Service (Utica, NY)
    …a member of a multidisciplinary treatment team. The incumbent will function as a case manager and may be responsible for providing supervision to others. ... or psychiatrist. * Prepare reports and maintain medical and other case records including progress notes, observations, recommendations and discharge plans;* Attend… more
    New York State Civil Service (06/04/25)
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  • Health Insur & Auth Coord IV

    University of Rochester (Rochester, NY)
    …issues. + Perform as a Certified Application Counselor to assist parent with adding/updating case on NYSOH. + Work closely with DOH, NYSOH, and County DSS Offices to ... and assists with paperwork if necessary. + Quality and Case Management + Consistently monitor current admissions to ensure...compliance if missing from EMR. + Compliance + Review Medicare for MSP questions and validations. + Ensure compliance… more
    University of Rochester (05/15/25)
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  • Medical Director, MSK Surgery

    Evolent (Albany, NY)
    …Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the support services review process. ... as needed for new hires and completes new hire case assessment working on any defined areas of opportunity....by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (05/20/25)
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  • Assistant Site Supervisor , Bureau of Equitable…

    City of New York (New York, NY)
    …affordability programs; Aged 65 or older, Blind and Disabled (ABD) Medicaid and Medicare Savings program (MSP); applying for Medicare ; and other government ... on the NYS of Health Marketplace Exchange. - Record, case manage and track all applications until eligibility/coverage is...report number of clients to the Health Center Facility Manager in the absence of the Site Supervisor. PREFERRED… more
    City of New York (05/14/25)
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  • Occupational Therapist

    Sodus Rehab & Nursing Center (Johnstown, NY)
    …resident, staff and family education and in-servicing + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and ... Participates in internal audits as directed + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility in the SNF setting… more
    Sodus Rehab & Nursing Center (05/07/25)
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  • Occupational Therapist

    Sodus Rehab & Nursing Center (Norwich, NY)
    …resident, staff and family education and in-servicing + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and ... accordance with established acceptable time frames + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility in the SNF… more
    Sodus Rehab & Nursing Center (04/25/25)
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  • LTSS Service Coordinator - RN Telehealth

    Elevance Health (New York, NY)
    …Coordinator - RN Telehealth** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...based on state law and/or contract. + CHHA and/or Medicare Experience Preferred. For candidates working in person or… more
    Elevance Health (05/18/25)
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