• Senior Fraud Investigator

    City of New York (New York, NY)
    …- Send letters to clients that require their response. - Annotate and update case information. Write comprehensive case notes, include a case disposition ... answer inquiries from court officials, retrieve documents, recount and attest to case information pertinent to their investigation. - Communicate via telephone to… more
    City of New York (02/12/25)
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  • Trainer - Clinical Services -Utilization Review…

    Molina Healthcare (Albany, NY)
    …Registered Nursing (RN) or State Clinical Social Worker/Counseling (or related field ) License Certified Case Manager (CCM), Utilization Management Certification ... development, implementation, and delivery of training curriculum for Utilization Management, Case Management, and LTSS staff. Leads and manages classes, adapting to… more
    Molina Healthcare (05/07/25)
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  • Data Control Unit Supervisor

    City of New York (New York, NY)
    …by Medicaid Settlement Unit staff by randomly selecting a set percentage of each Case Reviewer's completed cases. Review case files and data entries in MAESTRO ... law Departments Review. - Approve monthly statistical reports and field audit reports to ensure that field ...Research and compose bi-weekly reports for management on current case assignment statistics by querying the database to determine… more
    City of New York (02/12/25)
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  • Registered Nurse - Specialty Care Outpatient Staff…

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    Summary Delivers fundamental knowledge- based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates care based on ... Staff Registered Nurse (RN) is responsible for providing competent, evidence- based specialty care to patients with oversight of licensed...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (04/25/25)
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  • Data Analyst, Bureau of Tuberculosis Control

    City of New York (New York, NY)
    …surveillance of suspected and confirmed cases of TB; maintains the TB registry and case management system (Maven) of all TB cases, contacts to TB cases, persons ... quality assurance and data analysis on data collected by case management and surveillance staff o Assist and coordinate...college or university with a specialization in an appropriate field of physical, biological or environmental science or in… more
    City of New York (02/12/25)
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  • Transplant Care Nurse RN - Stem Cell, Bone Marrow…

    Highmark Health (Albany, NY)
    …is being provided. **Preferred** + Certification in utilization management or a related field + Certification in Case Management **SKILLS** + Written and verbal ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
    Highmark Health (04/25/25)
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  • Clinical Social Worker/Therapist

    Rising Ground (Brooklyn, NY)
    …+ Must be able to move between different treatment approaches (clinical case management and evidence- based , trauma-focused psychotherapy) depending on the needs ... and implementing individual and group psychotherapy, assertive outreach, and clinical case management services, using evidencebased practices that are effective for… more
    Rising Ground (04/04/25)
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  • Housing Team Coordinator

    City of New York (New York, NY)
    …Prepare and maintains weekly, monthly, quarterly, outcome reports within specified timeframes based on researched information from case , vendor, and contractor ... with HIV, as well as 8,000+ affected families. HASA provides intensive case management, rental assistance, emergency and permanent supportive housing, and assistance… more
    City of New York (02/12/25)
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  • Investigator

    Highmark Health (Albany, NY)
    …may be conducted onsite or offsite. The incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential ... fraud, waste and abuse case , conducting the initial investigations and coordinating the recovery/savings of money related to fraud, waste and abuse. The incumbent… more
    Highmark Health (05/08/25)
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  • Per Diem Child and Family Counselor

    New Directions Youth and Family Services (Niagara Falls, NY)
    …and/or Professional Qualifications/Skills + Bachelor's degree in a human services field plus two years of related experience OR Registered Professional Nurse ... of experience OR Master's degree in a human services field plus one year of related experience We want...SUMMARY: The Child and Family Counselor provides in-home and community- based services to Medicaid enrolled youth ages 0-21 under… more
    New Directions Youth and Family Services (04/18/25)
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