• Prior Authorization Coordinator

    SUNY Upstate Medical University (Syracuse, NY)
    …required. Preferred Qualifications: Experience with medication reimbursement, medications, physician orders and insurance claim submission preferred. Experience with ... carrier/managed care review preferred. National Pharmacy Technician Certification preferred. LPN preferred. Work Days: Monday-Friday, hours dependent on the… more
    SUNY Upstate Medical University (08/08/25)
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  • RN Care Services Supervisor - LHCSA

    HCR Home Care (East Syracuse, NY)
    …payer. This role is also highly focused on Aide retention operates within the Licensed Home Care Service Agency (LHCSA). The RN Care Services Supervisor is a ... of that care, including care delivered by other staff ( LPN , HHA, PCA) who must be directed and supervised...to standards of nursing practice. + Contact the primary physician and/or notify the clinical supervisor per regulatory guidelines.… more
    HCR Home Care (09/02/25)
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  • Risk Adjustment Coding Specialist (Remote in New…

    CDPHP (Latham, NY)
    …for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality ... Specialist) or CPC/CPC-A (Certified Coding Professional) required. If CCA or RN/ LPN licensure, successful completion of AHIMA CCS/CCS-P or AAPC CPC certification… more
    CDPHP (08/27/25)
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  • Charge Nurse RN - Full Time and Part Time…

    Loretto Management Corporation (Syracuse, NY)
    …wages, as well as flexible scheduling for certain positions. Whether you are a seasoned nurse or recent graduate we want to talk with you about joining our team! ... TheCharge Nurse , RN, is responsible for performing a variety of...resident health, administers medications, and ensures accurate implementation of physician orders. + Supports residents with ADLs and special… more
    Loretto Management Corporation (08/23/25)
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  • Pharmacy Prior Authorization Technician

    Kelly Services (Rochester, NY)
    …regarding requests and clarify prior authorization information + Communicate with pharmacies/ physician offices for clarification on requests and claims + Act as ... field; Associate's degree preferred + Pharmacy Technician certification (CPhT), LPN , or Medical Assistant/Technologist background strongly preferred **Physical Requirements**… more
    Kelly Services (08/19/25)
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  • Health Home Care Manager I - Full-Time - Genesee…

    HCR Home Care (Batavia, NY)
    …the client's care to effectively reduce duplicative services. + Consult with the physicians , Managed Care Organizations and other members of the Care Team for the ... OR + NYS Licensure and current registration as an LPN or RN with 1 to 3 years of...Health Home Care Manager 1 is primarily in an office setting and may be exposed to outdoor conditions.… more
    HCR Home Care (09/03/25)
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  • Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …of providers (and others as needed), including but not limited to physicians , skilled nursing facilities, mid-level providers and members + Extracts, sorts and ... guideposts for employee development and promotional opportunities. All Levels + LPN , Medical Assistant, Health Plan customer service or claims processor experience… more
    Excellus BlueCross BlueShield (08/27/25)
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