- Zurich NA (Albany, NY)
- Marine Claims Specialist II 126114 Zurich North...coverage. + Work to have a timely resolution to claims by developing case strategy; developing a ... America is hiring a Marine Claims Senior Claims Specialist Role (With Hull...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires a… more
- Elevance Health (Latham, NY)
- **Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... accommodation is granted as required by law._ The **Nurse Case Manager II ** will be...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- City of New York (New York, NY)
- … who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and distribute cases in ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- Highmark Health (Albany, NY)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and...works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …is on-site in the residence. + Reports any concerns/discrepancies to the nurse case manager . Ensures all over-the counter medications are not expired and ... and SCIP-R. 12. Reports all incidents to the Residence Manager , and reports all medical issues/ injuries to the...all other duties as assigned by the registered nurse. II . POSITION REQUIREMENTS A. Qualifications 1. Must have a… more
- Trinity Health (Albany, NY)
- …ENVIRONMENT AND HAZARDS:** Office and/or Clinical Setting. Exposure Class I or II - dependent on service. **PHYSICAL DEMANDS:** Sedentary work: requires sitting, ... visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management… more