• Senior Attorney

    City of New York (New York, NY)
    …and support staff, including staff training on policy, practices and new procedures; review case files, recommending follow up action, and assuming full ... Rule (CPLR) Article 78 proceedings, and responding to client case requests pursuant to agency policy or procedures. The...to function as a Senior Attorney who will: - Review Freedom of Information Law (FOIL) requests from outside… more
    City of New York (08/13/25)
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  • Ombudsman Worker

    City of New York (New York, NY)
    …shelter residents moving into permanent housing via Paperless Alternate Module (PAM) - Review case actions processed within the unit in Welfare Management System ... function as Ombudsman Workers, who will: - Receive and review returned checks following Agency guidelines and procedures to...System (POS) and Paperless Alternate Module (PAM). - Write case progress report on each complaint via computer and… more
    City of New York (08/13/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Albany, NY)
    …provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational ... team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of… more
    Humana (08/09/25)
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  • Medical Director, Clinical Services

    Highmark Health (Albany, NY)
    …of the requested treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may be required. The incumbent ensures compliance ... DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of...as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary… more
    Highmark Health (07/29/25)
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  • Care Manager - Readmission Specialist

    Stony Brook University (Stony Brook, NY)
    …high quality multidisciplinary care is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization of resources via ... with an interdisciplinary team regarding transition of care including Case Managers, Social Workers, Pharmacists, Medical staff, Nursing, Physical...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
    Stony Brook University (07/15/25)
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  • Administrative Assistant 1 or Administrative…

    New York State Civil Service (New York, NY)
    …incoming service of legal papers, input data and documents into NYMatters ( case management database), ensure timely and appropriate distribution of legal papers to ... designated Bureau staff, and research case information in NYMatters.* Assist with facilitating various Bureau financial transactions, including the preparation, … more
    New York State Civil Service (09/06/25)
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  • Social Worker ( Mental Health)

    Veterans Affairs, Veterans Health Administration (Bath, NY)
    …to treatment plans. Evaluates his/her own practice through professional peer review , case conferences and other organizational means. Communicates effectively, ... DRRTP Social Worker at the Bath VA Medical Center independently performs case finding functions and outreach, identifies and screens patients for psychosocial needs.… more
    Veterans Affairs, Veterans Health Administration (09/05/25)
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  • Registered Nurse Care Manager Transition of Care…

    Catholic Health (Kenmore, NY)
    …years acute care and/or community health nursing + Preferred prior insurance /managed care/utilization review experience in the role of a Case Manager or Disease ... member of the Care Management and interdisciplinary care team, provides comprehensive case management and discharge services to patients and families in the hospital… more
    Catholic Health (09/03/25)
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  • Senior Analyst, Special Investigative Unit

    CVS Health (Albany, NY)
    …providers, claimants and customers. + Researches and prepares cases for clinical and legal review . + Documents all appropriate case activity in case tracking ... + Gives presentations to internal and external customers regarding ongoing case investigations. **Required Qualifications** + 3-5 years investigative experience in… more
    CVS Health (09/02/25)
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  • Simulation Education Coordinator

    Stony Brook University (Stony Brook, NY)
    …patients. The incumbent will be responsible for the development/revision of simulation case materials, evaluation of the simulation activity and the debriefing of ... simulation sessions as needed. SPs are trained in all aspects of case portrayal, accurate evaluation of student's communication, performance and medical knowledge. +… more
    Stony Brook University (08/28/25)
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