• Discharge Planner

    WMCHealth (Valhalla, NY)
    …+ Maintain required documentation of work activities. + In collaboration with the case manager and care coordinator, implement the discharge review program ... Details: Job Summary: The candidate works closely with the case management team and assists in discharge planning services...Knowledge of regulatory agency standards; Centers for Medicare & Medicaid Services, Office of Mental Health and Det Norske… more
    WMCHealth (12/23/25)
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  • Care Navigator

    Elderwood (Buffalo, NY)
    …with vested employer match up to 4% Substantial Referral program Reporting to the Manager of Clinical Operations, the Care navigator assists the clinical staff with ... case management responsibilities. These include speaking with clients or...the call needs to be routed to a care manager . + Completing call audits + Coordinating and managing… more
    Elderwood (12/17/25)
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  • Legal Assistant 1, Trainee 1 & 2

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Legal Assistant 1, Trainee 1 & 2 Occupational Category Legal Salary Grade NS Bargaining Unit ... Counsel and have the responsibility of assisting the Office in legal case management and preparation of materials, evidence, and research related to Administrative… more
    New York State Civil Service (12/15/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …and performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling potential beneficiaries ... manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The...external processes are followed + Update customer file in Case Tracker with summary of interaction + Interact with… more
    Centers Plan for Healthy Living (10/14/25)
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  • Eligibility Worker

    City of New York (New York, NY)
    …and the issuance of accurate benefits per agency guidelines. Clearly explain all case actions to participants - Determine initial and continuing eligibility for HASA ... all required forms to effect processing for Cash Assistance, Medicaid , and SNAP. - Review pertinent consumer data from...clearances as they develop. - Prepare detailed write-ups on case decisions and histories utilizing POS system as mandated… more
    City of New York (12/26/25)
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  • MDS Coordinator RN

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of all Minimum… more
    Glengariff Rehabilitation and Healthcare Center (12/27/25)
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  • Medical Director (NV)

    Molina Healthcare (Rochester, NY)
    …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... leadership and quality improvement teams. * Facilitates conformance to Medicare, Medicaid , NCQA and other regulatory requirements. * Reviews quality referred issues,… more
    Molina Healthcare (11/21/25)
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  • Specialty Pharmacy Financial Access Coordinator,…

    Mount Sinai Health System (New York, NY)
    …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care...assistance. 13.Interacts with medical and professional staff on a case by case basis to obtain appropriate… more
    Mount Sinai Health System (11/06/25)
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  • Clinical Field Staff Supervisor (CFSS)-…

    HCR Home Care (Rochester, NY)
    …normality . Review new lab order via fax and email clinician to review and n otify case manager and physician , as appropriate . + En try of Hospital Hold ... all new interim orders before they are sent to physician. Notify Clinical Manager /Regional Director if unable to approve the order. + Assure orders are written… more
    HCR Home Care (12/29/25)
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  • Clinical Program Manager -13050-001

    Mount Sinai Health System (Jamaica, NY)
    **Job Description** The Clinical Program Manager will have clinical and administrative responsibilities to ensure that the Department of Neurology is run according ... will directly report to the Director of Neurology. The manager will act as the Supervising Advanced Practice Provider,...on Certification of Physician Assistants + DEA number + Medicaid number + Ability to remain positive and supportive… more
    Mount Sinai Health System (12/11/25)
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