- Elevance Health (New York, NY)
- …**How you will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to physician calls ... necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or...in person or virtually in the below location(s), the salary * range for this specific position is $215,255 -… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the Health Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates and utilizes corporate applications; core claims ... assigned to non-care managers are monitored by the care manager + The care manager provides feedback...daily and as needed basis for department related metrics: case and review timeliness, workflow volumes, referrals generated to… more
- Wright Beverage Distributing Corp. (Le Roy, NY)
- …Details Job Location LeRoy Facility - LeRoy, NY Position Type Full Time Salary Range $18.90 - $24.57 Hourly Travel Percentage None Job Category Warehouse Description ... package for employees and their families with best-in-class health insurance . Come join our team and make Wright Beverage...cases of product per hour onto company vehicles.- 1 case of cans = 21 pounds- 1 case… more
- Garnet Health (Harris, NY)
- …effectively organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox ... non-psychiatric patients. The Clinician is also responsible for obtaining insurance approval for inpatient behavioral health treatment, making sure...plan. The SW Clinician will also be the primary Case Manager for the detox patient on… more
- Highmark Health (Albany, NY)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Lifespan (Rochester, NY)
- …documentation following program policies and procedures. + Meets weekly with the Program Manager for supervision and case review. 4. Performs other duties as ... training, performance evaluation, and recognition activities as assigned by the Program Manager . Advocates for and educates about long term care residents' rights in… more
- New York State Civil Service (Schenectady, NY)
- …Attorney 1/2/3 (NY HELPS) WCB Items #2680 and 8265 Occupational Category Legal Salary Grade 25 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) ... Salary Range From $66951 to $121413 Annually Employment Type...supervision of an Associate Attorney, the Senior Attorney reviews case files, analyzes evidence, conducts legal research and drafts… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical ... to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case load as appropriate. Maintains case logs, prepares records and… more
- Audacy (Rochester, NY)
- …Title:** Account Executive **Department:** Sales **Reporting To:** Sales Manager **Employment Type:** Full-Time **Work Arrangement:** On-site/Hybrid **Job ... platform and original content (video/audio). Audacy offers an attractive base salary , bonus compensation plus lucrative commissions beyond quota attainment. Our… more
- Zurich NA (Albany, NY)
- …+ Develop and implement effective claim resolution strategies, including case evaluations, issue escalation, and timely disposition planning. + Establish ... Achieve favorable claim outcomes by exercising sound judgment, applying case -specific resolution strategies, leveraging available tools, negotiating effectively, and… more