• Director of Patient Services, Homecare RN - Hapi

    The New Jewish Home (Bronx, NY)
    The New Jewish Home has a long experience delivering rehabilitation and home care services. Our goal is to help each patient get well, stay well and return to ... health and independence as quickly as possible. The HAPI Division of The New Jewish Home is seeking for a full time Director of Patient Care to join our team. Job… more
    The New Jewish Home (06/25/25)
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  • Licensed Skilled Nursing Home Administrator

    Heritage Ministries (Greenhurst, NY)
    …growth mode and currently seeking an Administrator to join our team! The Nursing Home Administrator will oversee and be responsible for the total operation of the ... the organization's commitment to its employees, residents, and larger community. + Review monthly facility operating and budgetary statements + Ensure the proper… more
    Heritage Ministries (06/07/25)
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  • Health Insur & Auth Rep III

    University of Rochester (Rochester, NY)
    …patients COBRA entitlement and assist with paperwork if necessary. **_Compliance_** + Review Medicare for MSP questions and validations. Investigates and ... Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United...coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage… more
    University of Rochester (08/07/25)
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  • Medical Director - Care Plus - Florida

    Humana (Albany, NY)
    …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience ... focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient… more
    Humana (06/28/25)
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  • Community Health LPN

    Rochester Regional Health (Rochester, NY)
    …CareLocation: West MonroeHours Per Week: 40 SUMMARY: The Licensed Practical Nurse (LPN) provides home health services to Rochester Regional Certified Home ... direction of a Registered Nurse and in compliance with Medicare , Medicaid, and NYS Department of Health ...in ongoing service education programs to remain current in home health practices and available community resources.… more
    Rochester Regional Health (08/08/25)
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  • Medical Director- South Central

    Humana (Albany, NY)
    …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience ... on quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation).… more
    Humana (07/11/25)
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  • Healthcare Risk Management - St Peters…

    Trinity Health (Albany, NY)
    …Pharmacists, Social Workers encouraged to apply! This is NOT a remote work from home position **Mission Statement:** We, St Peter's Health and Trinity Health ... for the overall patient safety and clinical risk management functions related to review and response to reported events. Responds to crisis situations that have… more
    Trinity Health (07/22/25)
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  • RN Unit Manager - Taylor Health

    Arnot Health (Bath, NY)
    …of the Long Term Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective time ... Nursing (DON) all nursing care activities based on the philosophy of Arnot Health using initiative and independent judgment to provide the best available services to… more
    Arnot Health (07/28/25)
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  • Bilingual Telephonic UM Coordinator

    Humana (Albany, NY)
    … Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... ICD-10 codes. + Member service + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care...help people with Medicare , or both Medicare and Medicaid, achieve their best possible health more
    Humana (08/16/25)
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  • Nursing Supervisor

    Option Care Health (New Rochelle, NY)
    …competency is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as ... Acts as Administrator and/or Director of Nursing of the Home Health Agency for Medicare ...using find and replace, undo, spell check, track changes, review pane and/or print functions). + Basic level skill… more
    Option Care Health (08/15/25)
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