- St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
- …Position Summary: This role works collaboratively with clients, admissions, finance, medical departments, and insurance companies to support the admission ... + Coordinate the exchange of required documentation between providers, staff, and insurance companies. + Work with the medical providers and clinicians… more
- New York State Civil Service (New York, NY)
- …Comments All OMH employees receive a generous benefits package including:* NYS medical , dental, & vision insurance * Access to tuition assistance programs* ... NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Manhattan Psychiatric Center, P26306 Occupational Category Health Care,… more
- Family of Kidz (Westbury, NY)
- …Time Off (between 25-28 days!) + 12 Holidays including Winter break 12/25-1/1 + Medical , Dental, and Vision Insurance + 401(k) + Flexible Spending and Health ... School Contract Review Specialist & Processor Job Title: School Contract...employees who work 25 or more hours per week ( Medical , Dental, Vision, FSA, Legal and Pet Insurance… more
- Citigroup (Queens, NY)
- This position is part of the Artificial Intelligence (AI) Review and Challenge Group within Citi's Model Risk Management organization. This position will perform ... independent review and effective challenge of all lifecycle activities of...and retention awards. Citi offers competitive employee benefits, including: medical , dental & vision coverage; 401(k); life, accident, and… more
- Elderwood (Buffalo, NY)
- …On-Site Parking, Friendly and supportive staff, Generous PTO & holiday package, Life Insurance , Medical , Dental, and Vision insurance , Point-earning employee ... in Williamsville, NY is seeking an experienced, detail-oriented Accounts Review Specialist to join our team and make a...at Woodmark of NY: + Full Benefits Package - Medical , Dental, Vision, Life + 401(k) with company match… more
- Citigroup (Getzville, NY)
- **Description:** The Loan Pledging Review Specialist is responsible for reviewing Wealth Lending Loans for eligibility to the FRB Borrower in Custody or Federal Home ... will be a subject matter expert on published pledging criteria critically review loan documentation to determine eligibility. **Responsibilities:** + Act as subject… more
- Centene Corporation (New York, NY)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... with DME. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with… more
- Centene Corporation (New York, NY)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care… more
- CDPHP (Albany, NY)
- …and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, ... to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical ...This includes approval determinations and appropriate exceptions, coordinating with Medical Directors on denials. In addition, the UR nurse… more
- Elevance Health (East Syracuse, NY)
- **Clinical Review Nurse I - Medicare Part A** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... Medicaid Services to transform federal health programs. The **Clinical Review Nurse I** is responsible for reviewing and making... Nurse I** is responsible for reviewing and making medical determinations as to whether a claim meets the… more
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