- City of New York (New York, NY)
- …will enhance his or her well-being. HASA provides intensive case management , rental assistance, emergency and non-emergency housing, and assistance with applying ... and appeal. Under the general supervision of the Director of Contract Management with latitude for individual initiative and judgement performs difficult and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and peer-to-peer calls in timely manner and provides support for the Case Management (CM) and Registered Nurse (RN) reviewers and manages the denial process. + ... Leads interdisciplinary complex care management rounds. + Provision of clinical oversight and leadership...system. + Develops, conducts concurrent and retrospective reviews of claims and appeals and resolves grievances related to medical… more
- Centene Corporation (New York, NY)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... in absence of VPMA. + Provide medical leadership for all utilization management , pharmacy, case management , disease management , cost containment,… more
- AIG (New York, NY)
- Make your mark in Catastrophe Risk Management The North American Catastrophe Risk Management team is responsible for catastrophe modelling and portfolio exposure ... management for AIG's North American Insurance businesses. Effective Catastrophe Management is integral to the success of the business and our catastrophe… more
- Volunteers of America Upstate New York (Rochester, NY)
- …to the financial strategy; + optimization of financial systems, controls and cash management ; + oversight of compliance with grant and contract requirements from a ... Prepares reporting for board, audit and finance committees. Financial and Operational Management + Prepares and reviews monthly and annual financial statements +… more
- Centene Corporation (New York, NY)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... of coverage for medically necessary health care services. Answers Utilization Management directed telephone calls; managing them in a professional and competent… more
- Capgemini (New York, NY)
- …experience in early commercialization, product launch, brand growth, and lifecycle management . The team's consultants help drive change and transform organizations. ... and experience. _This role focuses on_ **_supporting analytics and business insights management consulting related work in the Life Sciences Industry_** _, with a… more
- Duane Reade (Woodside, NY)
- …and professional growth + A problem-solver - You navigate challenges, from insurance claims to medication management , with ease **Apply Today & Build Your ... + Comprehensive benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu… more
- Elevance Health (Latham, NY)
- …as required by law. The **Nurse Case Manager** II is responsible for care management within the scope of licensure for members with complex and chronic care needs ... assessments to identify individual needs and a specific care management plan to address objectives and goals as identified...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- MVP Health Care (Rochester, NY)
- …written communication skills. + Detail-oriented with strong organizational and time management skills. + Ability to work independently and prioritize multiple ... regulatory requirements are met. + Participate in planning activities with the Case Management Team to ensure services are in place; communicate with vendors to… more