• Complex Claims Advisor | Commercial GL…

    Sedgwick (Albany, NY)
    …FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional ... complex claims . Supervisory experience a plus. Specific jurisdictional expertise preferred . **Skills & Knowledge** + Subject matter expertise in worker 's… more
    Sedgwick (09/25/25)
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  • Senior Social Worker /LMHC

    Trinity Health (Troy, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Senior Social Worker /LMHC** **Crime Victim Services, Troy, NY** If you are looking for a ... allowance and career development **What you will do:** The Senior Social Worker /LMHC will have strong clinical experience to provide trauma-informed therapy to… more
    Trinity Health (10/25/25)
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  • Per Diem - On Call - Case Worker - Crime…

    Trinity Health (Troy, NY)
    …Type:** Part time **Shift:** 12 Hour Evening Shift **Description:** **Per-diem Case Worker ** Here at Samaritan Hospital, an affiliate of St. Peter's Health Partners, ... allowance and career development. **What you will do:** The Per-Diem Case Worker is responsible for providing services to victims/survivors of sexual violence,… more
    Trinity Health (10/01/25)
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  • Community Health Worker

    BronxCare Health System (Bronx, NY)
    Overview The Community Health Worker (CHW) will be responsible for helping patients and their families to navigate and access community series, other resources, and ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
    BronxCare Health System (10/09/25)
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  • Family Support Worker

    BronxCare Health System (Bronx, NY)
    …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... such as a Day Care Center/Head Start Program or working with high-risk families preferred . - Completion of certificate program in Child Care - High School or GED… more
    BronxCare Health System (10/16/25)
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  • Dietary Worker

    BronxCare Health System (Bronx, NY)
    …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... - None, will train - Hospital or food related experience Preferred - High School Diploma Job LocationsUS-NY-Bronx ID2025-5099 Category Customer Service/Support… more
    BronxCare Health System (09/12/25)
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  • Clm Resltion Rep II, Hosp/Prv

    University of Rochester (Rochester, NY)
    …Elmgrove Rd, Rochester, New York, United States of America, 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the… more
    University of Rochester (09/24/25)
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  • Accounts Receivable Representative

    Ellis Medicine (Schenectady, NY)
    …payments, Medical Records, Worker 's Compensation C-4 or No Fault forms), then claims will be submitted daily to the appropriate payer as indicated. + Analyze 277 ... REQUIREMENTS: + Education: High School Diploma or Equivalent required. Associate's degree preferred . + Experience: 2 years of accounts receivable experience in a… more
    Ellis Medicine (10/31/25)
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  • Telephonic Case Manager

    Sedgwick (Albany, NY)
    …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker , employer, and medical providers, create a case management strategy to facilitate… more
    Sedgwick (10/22/25)
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  • Inpatient Clinical & Coding Specialist - Senior

    Independent Health (Buffalo, NY)
    …of the audit plan **.** **Qualifications** + Associates degree required. Bachelor's degree preferred . An additional two (2) years of experience will be considered in ... NYS licensed RN or LPN required. LPN or RN preferred . + Four (4) years of experience working in...Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to… more
    Independent Health (10/04/25)
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