• Chem Depend Counselor III

    Northwell Health (Staten Island, NY)
    …plan and makes all necessary referrals. Completes Discharge Summary at time of release.*3. Case Management*Functions as a case manager with overall ... program limits, as required.*Serves as primary contact to insurance carriers and managed care companies. Ensures patients are appropriately certified and assists… more
    Northwell Health (07/18/25)
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  • Mental Health Counselor

    Albany Medical Center (Albany, NY)
    …required. Must be eligible for reimbursement as a participating provider with managed care private insurance plans, Medicare, and Medicaid. Experience working ... with primary medical provider and other members of patient's care team. + Reviews case load monthly,...Abuse Specialist. + Works collaboratively with the medical provider, case manager , psychiatrist (if warranted), and other… more
    Albany Medical Center (05/31/25)
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  • Other Licensed Practitioner (OLP)/Clinician…

    Elmcrest Children's Center (Syracuse, NY)
    …+ Work cooperatively with the Supervisor, Medicaid Managed Care Liaisons, and potential Care Manager , on each case to maintain the best quality of ... and communicate with team when there are changes. + Completion of Managed care contact notes (progress notes) + Attending supervision and staff meetings as… more
    Elmcrest Children's Center (07/13/25)
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  • Adolescent Medicine - Physician - School Based…

    Mount Sinai Health System (New York, NY)
    …day-to-day operations, in collaboration with the School Based Health Center Administrative Practice Manager , in the care and treatment of patients as delineated ... Center ("MSAHC" or the "Center") works to provide health care and wellness for young people by providing vital...charged with ensuring that the above functions are developed, managed and delivered within a culture that is youth-centric,… more
    Mount Sinai Health System (07/26/25)
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  • Specialty Pharmacy Financial Access Coordinator,…

    Mount Sinai Health System (New York, NY)
    …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access… more
    Mount Sinai Health System (07/31/25)
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  • Community Connections Representative I/II (Buffalo…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market - ... through home visits and outreach. * Educates and assists members with accessing care , Case Management program and benefits and government cell phone programs.… more
    Excellus BlueCross BlueShield (07/29/25)
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  • AVP, Portfolio Analyst

    Aflac (New York, NY)
    …support the commercial real estate and real estate owned portfolios that are managed through existing and new mandates, external managers. As a key contributor, the ... the remit of the approved investment initiatives. Reports to: Vice President, Portfolio Manager - Real Estate Owned Principal Duties & Responsibilities + Manage and… more
    Aflac (06/24/25)
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  • Business Systems Analyst 2 (NY Helps), Wcb Item

    New York State Civil Service (Menands, NY)
    …and maintaining documentation through the system development life cycle (eg, Business Case , Use Case , Business Requirement Document [BRD], Fit-Gap Analysis, ... Please Note: A hybrid telecommuting schedule can be discussed with the hiring manager during the interview.We offer a work-life balance and a generous benefits… more
    New York State Civil Service (07/31/25)
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  • Director, System Payer Contracting (On-site)

    Albany Medical Center (Albany, NY)
    …relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the provision and reimbursement ... and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management, quality, credentialing, and other related departments.… more
    Albany Medical Center (07/16/25)
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  • Medicaid Eligibility Specialist

    City of New York (New York, NY)
    …with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, ... AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program...and Federal guidelines and procedures. - Complete the required case action utilizing the Welfare Management System (WMS) and… more
    City of New York (05/14/25)
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