• RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …(HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (CMS) guidelines, MCG, InterQual or other medically appropriate clinical ... guidelines, Medicaid , Medicare, CHIP and Marketplace, applicable state regulatory requirements, including ability to easily access and interpret these guidelines. *… more
    Molina Healthcare (11/14/25)
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  • Direct Support Professional

    Catholic Health Services (Elmont, NY)
    …or events and outcomes in factual terms in progress notes, communication books and Medicaid billing log. + Progress notes are to be completed bi-weekly and a monthly ... of service, delivery and outcome of the intervention. Documentation may include Medicaid log book, progress notes and monthly restorative service note. + Provides… more
    Catholic Health Services (11/07/25)
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  • Director, Data Governance Strategy and Standards,…

    City of New York (New York, NY)
    …and administration of New York State Department of Health (NYSDOH) Medicaid and hospital discharge data and NYS-Statewide Health Information Network-New York ... timely data deliverables, respective data use authorizations. -Supervise SPARCS, Medicaid and electronic health record stewards and Vital Data coordinator… more
    City of New York (10/25/25)
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  • Physical Therapist Consultant - Preschool Special…

    COARC (Hudson, NY)
    …therapy strategies + Document services and progress according to school district and Medicaid standards + Participate in IEP meetings and provide input to the Child ... professional liability/business insurance + Familiarity with IEP documentation and Medicaid billing standards preferred + Strong organizational, communication, and… more
    COARC (10/15/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …insurance and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid , etc.), managed care contracts and coordination of benefits is ... Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor (CHA) can be...set by entities like the Centers for Medicare and Medicaid Services (CMS). + Mitigate the risk of compliance… more
    Mount Sinai Health System (09/24/25)
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  • Senior Coder (Inpatient)

    Northwell Health (Lake Success, NY)
    …records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make determinations on medical coding and ... required. + One or more of the following required: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist more
    Northwell Health (11/21/25)
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  • Eligibility Worker

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE FOR AT LEAST ONE YEAR The HIV/AIDS Services Administration (HASA) is ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides vocational services… more
    City of New York (11/08/25)
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  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Rochester, NY)
    …review/resolution and all audits + Coordinate responses and resolution to Medicaid and Medicare credit balances. + Request insurance adjustments or retractions. ... a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement… more
    University of Rochester (11/06/25)
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  • Associate Psychologist

    New York State Civil Service (NY)
    …administrative services, administrative oversight, training, special education, behavior specialist , habilitation specialist , project management, research, or ... eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility. * If… more
    New York State Civil Service (10/16/25)
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  • Eligibility Worker

    City of New York (New York, NY)
    …centers, and drug treatment programs. HASA is recruiting for three (3) Eligibility Specialist to function as an Eligibility Worker who will: - Perform initial ... received and prepare all required forms to effect processing for Cash Assistance, Medicaid , and SNAP. - Review pertinent consumer data from HASA databases, State… more
    City of New York (09/26/25)
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