• Case Reviewer (NP/PA) - Ortho Surgery

    Elevance Health (New York, NY)
    …an impact:** + Receives pre-authorization requests from front-line intake and nurse reviewers. + Conducts initial medical necessity clinical screenings. + Determines ... pre-authorization requests for services. + Conducts review of grievance and appeals requests to provide to Medical Directors. **Minimum Requirements:** + Requires… more
    Elevance Health (08/13/25)
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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …authorization, untimely filing, coordination of benefits, services type issues, and insurance or service verification. Identify patterns of common denial errors, ... types and recurring issues. 4. Facilitates, coordinates and prepares denial appeals working with internal and external customers in a proactive manner to bring… more
    Arnot Health (08/08/25)
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  • Physician Support Rep III

    University of Rochester (Rochester, NY)
    …Under the direct supervision of the Practice Manager, Clinic Director and Nurse Manager works with considerable latitude for independent judgement. Responsible for ... in selecting for routine and non-routine letters of correspondence related to appeals on denied claims, billing and patient communications. + This includes compiling… more
    University of Rochester (08/07/25)
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  • Case Manager - Per Diem

    Stony Brook University (Stony Brook, NY)
    …discharge to prevent denials.This includes patient and family contacts, insurance authorizations, tests, procedures, community resources etc. + Assistants with ... the hospital stay. + Assist with coverage for UR, Appeals and denials + Actively involved in performance improvement...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN license… more
    Stony Brook University (07/09/25)
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