• Medical Director -Pharmacy Appeals

    Humana (Albany, NY)
    …+ Knowledge of the managed care industry, Integrated Delivery Systems, health insurance , or clinical group practice management + Utilization management ... where the analysis of situations or data requires a case -by- case consideration of the Medicare rules, Humana...organization such as Medicare Advantage, managed Medicaid, or Commercial health insurance + Experience with national guidelines,… more
    Humana (08/22/25)
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  • Transition Coordinator

    OLV Human Services (Buffalo, NY)
    …goals for each interaction utilizing funds. * Provide advocacy and case management with educational programs, mental health providers, legal system and other ... completing biometric health screenings on a single health insurance plan & up to $1,200...linkages are in place. The Transition Coordinator carries the case in "after-care" for 30-60 days to make sure… more
    OLV Human Services (06/06/25)
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  • Clinician - Bilingual Spanish

    Abbott House (Irvington, NY)
    …participate and provide expert/professional support in treatment team meetings concerning mental health issues and behavior management . They will also provide ... & Responsibilities:. + Demonstrates the ability to assess each case and adapt service plan throughout the life of...+ Makes timely and appropriate referrals for medical services, health screening and mental health assessment of… more
    Abbott House (07/07/25)
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  • Physician, Bureau of Tuberculosis Control

    City of New York (New York, NY)
    …will see patients in the TB clinics, perform medical consultation, participate in case management and contact investigation teams. We strongly encourage people ... chest centers. - Becoming an integral member of the case management team, performing systematic reviews of...are entitled to unmatched benefits such as: oa premium-free health insurance plan that saves employees over… more
    City of New York (08/28/25)
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  • Clinical Counselor Outpatient Services

    Educational Alliance, Inc. (New York, NY)
    …Clinical Services and Documentation (80%) + Provide caseloads with weekly individual case management and counseling sessions consistent with the individualized ... knowledge of Microsoft Office applications. + Competent in electronic health records that support treatment plans and case...PTO Policy + Competitive Salary + Medical & Dental Insurance + Pension Plan + 403b Retirement Plans +… more
    Educational Alliance, Inc. (08/20/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Albany, NY)
    …the start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. ... part of our caring community and help us put health first** The Care Manager, Telephonic Nurse 2 employs...MCG or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in… more
    Humana (08/22/25)
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  • Resident Manager

    The Salvation Army (Syracuse, NY)
    …diagnosed mental illness, 18 to 25 years of age. The program offers intensive mental health case management services in a supportive environment. The role of ... creating an atmosphere of acceptance and understanding. + Assist Case Manager and Case Aide in working...+ Valid driver's license that meets The Salvation Army insurance requirements is preferred. + Ability to achieve and… more
    The Salvation Army (07/30/25)
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  • Specialized Trial Preparation Assistant

    City of New York (New York, NY)
    … materials. - Learning Bronx District Attorney's Office and Community Justice Bureau case management applications. - Assisting with Community Justice Bureau's ... as assigned. The City of New York offers a comprehensive benefits package including health insurance for the employee and his/her spouse or domestic partner and… more
    City of New York (07/19/25)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Saratoga Springs, NY)
    …position can further develop your skills in compliance, medical billing, customer service, and Health Information Management (HIM)! If you are looking to make an ... all clerical and administrative professionals with a background in insurance ! The CR Wood Cancer Center is looking to...processing * Your work will help to improve the health of our community by supporting vital administrative functions… more
    Glens Falls Hospital (07/02/25)
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  • Referral & Authorization Specialist - Cancer…

    Glens Falls Hospital (Glens Falls, NY)
    …position can further develop your skills in compliance, medical billing, customer service, and Health Information Management (HIM)! If you are looking to make an ... all clerical and administrative professionals with a background in insurance ! The CR Wood Cancer Center is looking to...processing . Your work will help to improve the health of our community by supporting vital administrative functions… more
    Glens Falls Hospital (07/02/25)
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