• Medical Director - Medicare Grievances and Appeals…

    Humana (Albany, NY)
    …+ Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. ... **Work at Home Guidance** To ensure Home ...of posting. The pay range may be higher or lower based on geographic location and individual pay will vary … more
    Humana (08/08/25)
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  • Nurse Navigator

    Catholic Health Services (Rockville Centre, NY)
    …has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. ... our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time. We are… more
    Catholic Health Services (08/15/25)
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  • NHVP Site Director Manhattan, Bureau of Maternal…

    City of New York (New York, NY)
    …From: January 4, 2023 To: January 24, 2023. PROGRAM AND JOB DESCRIPTION: The Newborn Home Visiting Program (NHVP), in an effort to promote the agency's Take Care New ... York goal of Having a Healthy Baby, offers home visits to families with a new infant on...stakeholder that include but not limited to hospital, and community- based partners. - Develop, review, and submit reports related… more
    City of New York (08/13/25)
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  • Executive Director Of Fields Operations

    City of New York (New York, NY)
    …TITLE CHANGEL ELIGIBLE FOR 6.1.9. TITLE CHANGE OR REACHABLE ON EXAM#1121. The Home Care Services Program (HCSP) is responsible for service authorization, and ongoing ... oversight for Home Attendant and Housekeeping services for active cases. The...for the evaluation, the review of cases and assessments based on New York State Department of Health (NYSDOH)… more
    City of New York (08/13/25)
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  • Per Diem - Patient Service…

    Mount Sinai Health System (Greenlawn, NY)
    …standard of excellence. + May check patients in or out, collect co-pays, scan insurance cards and ensure other required documents are reviewed and signed. + May ... the electronic medical record; scanning op reports, test results, home care and any other forms. + May schedule...and assist them in navigating MyChart. + May acquire insurance pre-authorization/referrals from managed care plans for all required… more
    Mount Sinai Health System (07/12/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Albany, NY)
    …Consistent Reporting: Establish a consistent reporting cadence and template for market- based reporting to ensure clarity and accountability. + Compliance and ... the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/26/25)
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  • Telephonic UM Administration Coordinator

    Humana (Albany, NY)
    …8am-5pm EST, must have ability to work Nights, Weekends and Holidays based on business needs. **Preferred Qualifications** + Bilingual English/Spanish able to speak, ... work 1 weekend a quarter. Schedule subject to change based on business needs. As part of our hiring...moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (08/25/25)
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  • Social Services Care Manager

    Humana (Albany, NY)
    …Must be willing to obtain/maintain social work licensure in multiple states, based on business need **Preferred Qualifications** + Experience working with geriatric, ... NM, OK, NY + Bilingual English/Spanish + Bilingual English/Creole **Work-At- Home Requirements** To ensure Home or Hybrid...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/08/25)
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  • Senior Policy Governance Professional

    Humana (Albany, NY)
    …and approaches to assignments. **Specific responsibilities** Monitor enterprise controls based on the established pillars for consistent clinical decision-making: ... partners.** + Proactively identifies potential risks and impacts to UM delegates based on Humana Business Decisions + Manages Humana-to delegate discussions for… more
    Humana (08/27/25)
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  • Technology Strategy Lead

    Humana (Albany, NY)
    …at Humana is a pioneering force, driving AI innovation across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are ... in the AI/GAI space + Prioritize areas to implement, based on deep understanding of opportunities and challenges at...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (08/27/25)
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