• Insurance Strategy Consultant

    Humana (Albany, NY)
    …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare more
    Humana (11/11/25)
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  • Preschool Speech Pathologist (SLP) (w/ Retention…

    Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
    …the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school districts, and ... Receives direct supervision from the Coordinator of Speech Therapy and/or Associate Director of Clinical Services. Provides guidance and instruction to support staff… more
    Erie 2-Chautauqua-Cattaraugus BOCES (09/12/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the Senior Director ... of clinical experience is required. Key skills include a strong understanding of medical terminology and patient care, expertise in medical coding systems and… more
    Mount Sinai Health System (09/24/25)
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  • Case Manager - Registered Dietician

    CDPHP (Latham, NY)
    …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity ... departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for… more
    CDPHP (11/25/25)
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  • MDS Coordinator

    WMCHealth (Warwick, NY)
    …and appropriateness of placement + Assesses resident's potential eligibility for Medicare coverage. Initiates Medicare Certification and recertification for ... add Active Diagnosis as needed in PCC. + Ensure medical record supports assessments. Update medical record...discipline as needed. + Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff… more
    WMCHealth (09/12/25)
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  • Therapy Aide

    WMCHealth (Margaretville, NY)
    …+ Keep abreast of economic conditions/situations and recommend to the Activity Director adjustments in activity programs that assure the continued ability to provide ... forms, reports, etc., and submitting such to the Activity Director as required. + Committee Functions + Serve on,...upset residents, family members, etc. + Communicates with the medical staff, nursing services, and other department supervisors. +… more
    WMCHealth (10/01/25)
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  • Admissions RN Coordinator

    Guthrie (Cortland, NY)
    …protocols and ensure regulatory compliance + Collaborate with the Administrator and Director of Nursing to maintain census and care quality Why Choose Guthrie: ... welcome for your experience + Comprehensive Health Coverage - Medical and dental plans start the 1st of the...financial information under the discretion of the Administrator and Director of Nursing. This will include, but not be… more
    Guthrie (09/19/25)
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  • Utilization Management Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case ... identifies and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Physical Therapist

    The Arc Erie County NY (Williamsville, NY)
    …the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school districts, and ... direct supervision from the Coordinator of Physical and Occupational Therapy, Associate Director of Related Services and/or Associate Director of Clinical… more
    The Arc Erie County NY (09/07/25)
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  • Utilization Management Reviewer, Licensed…

    Excellus BlueCross BlueShield (Rochester, NY)
    …external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case ... identifies and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and… more
    Excellus BlueCross BlueShield (11/19/25)
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