• Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies and… more
    Humana (08/23/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Albany, NY)
    …CMD represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex issues regarding job duties ... and communication skills + 5 years of established, post-residency clinical experience + Knowledge of the managed care industry...and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (08/08/25)
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  • Social Worker

    University of Rochester (Rochester, NY)
    …the social worker uses established tools to measure the impact of evidence- based behavioral interventions and regularly reassesses the patient progress and risk for ... health outcomes using an established tool. This position is based at the Pluta Cancer Center which is part...their families comprehensive inpatient and outpatient services. It is home to one of upstate New York's largest blood… more
    University of Rochester (08/23/25)
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  • Adolescent Medicine - Physician, Bureau of School…

    City of New York (New York, NY)
    …of public health initiatives, case management, education, mandated direct clinical services, and sexual and reproductive health services. School Physicians ... concerns. - Complete medical accommodation reviews efficiently, using sound clinical judgment, coordinating services when appropriate - Participate in meetings… more
    City of New York (08/13/25)
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  • Associate Director of Microbiology, Bureau…

    City of New York (New York, NY)
    …employees contribute to the health and safety of NYC residents by providing clinical and environmental laboratory testing services. PHL is committed to its mission ... priorities of DOHMH and its community partners to prevent and respond to clinical and environmental public health concerns. The mission of the Public Health… more
    City of New York (08/13/25)
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  • Medical Director - OneHome

    Humana (Albany, NY)
    …Medicine, Family Practice, Geriatrics, Physiatry, Emergency Medicine, Critical Care or hospital based clinical specialists + Ability to function in a dynamic ... relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director… more
    Humana (08/25/25)
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  • Co-Response Team Supervisor, Bureau of Health…

    City of New York (New York, NY)
    …support of Co-Response teams. To do so the supervisors will: - Provide clinical oversight and field- based supervision and ongoing coaching to Co-Response ... an individual must be: 1) Licensed as a Licensed Clinical Social Worker (LCSW) and/or Licensed Master Social Worker...and progress notes for quality improvement - Respond to field- based crisis and issues (which may involve in-person/field or… more
    City of New York (07/25/25)
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  • Clinician/Therapist

    Abbott House (Bronx, NY)
    About Abbott House Abbott House is an innovative community- based organization that helps children, families, adults and people with intellectual and developmental ... children and youth services in the Treatment Family Foster Care/Group Home program. Responsible for the preparation of goal-oriented diagnostic assessments,… more
    Abbott House (06/25/25)
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  • Interpreter, Language, SMH

    University of Rochester (Rochester, NY)
    …GENERAL PURPOSE: The Spanish interpreter provides interpreting services for all clinical and professional University of Rochester Medical Center staff, patients and ... medical and non-medical healthcare encounters across URMC's diverse and numerous clinical specialties in inpatient and ambulatory settings.** + Interpreter carries a… more
    University of Rochester (08/07/25)
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  • Spanish Interpreter

    University of Rochester (Rochester, NY)
    …and others. The Spanish interpreter provides interpreting services for all clinical and professional University of Rochester Medical Center staff, patients and ... medical and non-medical healthcare encounters across URMC's diverse and numerous clinical specialties in inpatient and ambulatory settings. - Interpreter carries a… more
    University of Rochester (08/07/25)
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