• Director Utilization Management

    Healthfirst (NY)
    …operational discipline and capacity for executive-level decision-making + Experience working as a case manager for a long-term care programs such as PACE, MAP ... + Work experience and deep familiarity of health plans such as Medicare, Medicaid and//or Managed Long-Term Care Plan (MLTCP). + Demonstrated understanding of UM… more
    Healthfirst (12/04/25)
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  • Community Navigator - 1115 Waiver Program

    Catholic Charities of the Dioscese of Albany (Amsterdam, NY)
    …is reviewed by a real member of our HR team or a trained hiring manager . Your journey matters to us. 1115 Waiver Enhanced Navigator - Catholic Charities of Fulton ... and stability. In this role, you will: + Conduct screenings with Medicaid -eligible individuals using the approved screening tools - ensuring accuracy, compassion,… more
    Catholic Charities of the Dioscese of Albany (12/03/25)
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  • Discharge Planner

    YesCare Corp (Goshen, NY)
    …planning log. + Serve as an active member of the multidisciplinary case management team, coordinating care with physicians, mental health providers, therapists, ... disability services. + Connect patients with severe mental illness to the Transition Manager Program at Access Supports for Living prior to their release. + Collect… more
    YesCare Corp (11/25/25)
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  • Care Coordinator-Psychiatry

    Mount Sinai Health System (New York, NY)
    …internal and community resources, electronic medical record and Centers for Medicare and Medicaid data to educate patients and form a care plan with specific health ... or prior experience as research coordinator, care navigator or peer advocate, case worker preferred + Excellent interpersonal and team building skills + Exceptional… more
    Mount Sinai Health System (11/25/25)
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  • Benefits & Entitlement Specialist-(ESSHI) El…

    Comunilife (Bronx, NY)
    …from HRA pursuant to the program budget. + Collaborate with HASA's Entitlement Case Manager to ensure that available benefits/entitlements are accessible to ... entitlements Benefits that may be needed include: Public Assistance, Medicaid , Food Stamps, Social Security Supplement Income/ Disability Insurance, Veteran's… more
    Comunilife (11/22/25)
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  • Clinical Risk Management Analyst (RN) - Day Shift,…

    Trinity Health (Syracuse, NY)
    …visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** None **CAREER PATH:** Management ... the Department of Health as required by law. **_Specific Activities_** + Conducts case finding by daily review of reported events and other information retrieved… more
    Trinity Health (11/20/25)
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  • Spanish Interpreter

    University of Rochester (Rochester, NY)
    …satisfaction + Informs patients of available supports as appropriate (Social Worker, Case Manager , Care Coordinator, Financial Coordinator, Chaplain, etc.) + ... 13166: Improving Access to Services for Persons with Limited English Proficiency, Medicaid Managed Care Requirements (42 CFR 438.10) The US Department of Health… more
    University of Rochester (11/19/25)
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  • Sr. Consultant, Change Management

    Cardinal Health (Albany, NY)
    …successful implementation. . Build strong partnerships across Patient Access, Case Management, Specialty Hubs, Pharmacy Operations, IT, and executive leadership. ... appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to… more
    Cardinal Health (11/15/25)
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  • Director, System Payer Contracting (On-site)

    Albany Medical Center (Albany, NY)
    …and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management, quality, credentialing, and other related departments. ... value-based enterprise financial acumen + Demonstrated leader of people and manager of resources. + Demonstrated success in orchestrating, leading, and overseeing… more
    Albany Medical Center (11/13/25)
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  • Dental Treatment Coord III

    University of Rochester (Rochester, NY)
    …appointments, treatment planning, financial arrangements, and approval phase until case completion. **ESSENTIAL FUNCTIONS** + Exercising tact, initiative, and ... insurance approvals. Acts as a resource to patients and care providers of Medicaid approval process and other 3rd party billing issues. Collaborates with all members… more
    University of Rochester (11/06/25)
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