• Manager, Credentialing

    University of Rochester (Albany, NY)
    …including but not limited to, The Joint Commission TJC, Center for Medicaid and Medicare Services (CMS), National Committee for Quality Assurance (NCQA), State ... keeping, and internal and external communication. Collaborates with and assists the director with the overall management and supervision of all Medical Staff… more
    University of Rochester (08/25/25)
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  • Utilization Manager Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address ... and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and providers to obtain… more
    Excellus BlueCross BlueShield (08/23/25)
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  • QIDP Coordinator

    CP Unlimited (Fishkill, NY)
    …documentation. The employee in this position will work closely with the Director of Day Services, The Billing Department, Day Habilitation Coordinators, Habilitation ... us unique," as well as values of the HCBS Medicaid Waiver, ie, Independence, Integration into the Community, Individuality,...regularly and as needed. + Will notify the Program Director of any safety concerns immediately upon becoming aware… more
    CP Unlimited (08/19/25)
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  • Credentialing Specialist

    Northern Rivers Family Services (Albany, NY)
    …posting receipts, journal entries, and reconciliation tasks assigned by CFO, Controller, Director of Revenue Cycle Management or AR Manager based on workload. You ... will report to the Chief Financial Officer, until the Director of Revenue Cycle Management position is filled and...provide billable services or are required to register with Medicaid /Medicare based on their credential, department and position. +… more
    Northern Rivers Family Services (08/16/25)
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  • Manager Heath Insurance & Prior Auth. Coords

    University of Rochester (Rochester, NY)
    …insurance products to supervisors and staff. + Provide coverage to Director , fellow department Managers and Supervisors. _Interdisciplinary Processes_ + Collaborate ... to integrate operations with other components of URMC, such as Medicaid Enrollment & Outreach, Financial Assistance, Registration and Insurance Management,… more
    University of Rochester (08/14/25)
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  • Executive Deputy Commissioner

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE DIRECTOR OF SOCIAL SERVICE CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR ... Services Program (HCSP), and the Medical Assistance Program (otherwise known as Medicaid ). Under executive management of the Chief Special Services Officer, with… more
    City of New York (08/13/25)
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  • RN - Nursing Supervisor

    Elderwood (North Creek, NY)
    …of nursing personnel of each unit, and other additional duties assigned by the Director of Nursing Services. RN Supervisor Shift Options: + + Evenings: 3pm -11pm + ... a 4-star rating from the Centers for Medicare and Medicaid Services (CMS)-exceeding both the New York state average...for nursing services in the absence of the Assistant Director of Nursing Services and/or Director of… more
    Elderwood (08/11/25)
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  • Vice President for Programs (Special Programs)

    Comunilife (New York, NY)
    …the Assistant Vice Presidents for Programs (AVP) for Transitional Housing, Program Director for Medical Respite, Program Director for Care Coordination, and ... managed in compliance with contract and policy requirements of NYS-OMH, NYC-DOHMH, Medicaid /Medicare, HRA/HASA, OTDA, DHS, HUD, HPD, SAMSHA, MRT, ESSHI and HIV/AIDS… more
    Comunilife (08/08/25)
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  • Nursing Supervisor

    City of New York (New York, NY)
    …Specialized Care Unit (SCU) and specialized medical cases. Under direct supervision of Director of MRAM and Executive Director of Clinical Programs and Services, ... facilities. - Participate in review and collect medical documentation for non- Medicaid reimbursable requests. - Examine various requests, forms, and other… more
    City of New York (08/08/25)
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  • Eligibility And Support Manager

    City of New York (New York, NY)
    …housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services ... or SSD application and appeal. Under the general direction of the Center Director with broad latitude for the exercise of independent initiative and judgment,… more
    City of New York (07/31/25)
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