• RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …care experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports (LTSS), or ... - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a formal appeals request… more
    Molina Healthcare (11/14/25)
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  • Group Copy Supervisor

    BGB Group (New York, NY)
    …compelling content. + Familiarity with regulatory requirements (eg, FDA, OPDP, medical /legal review processes). + Exceptional writing, editing, and communication ... wide range of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for… more
    BGB Group (10/14/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Albany, NY)
    …Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued ... language to author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide… more
    Datavant (11/12/25)
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  • Experienced Inpatient Medical Record Coder

    Stony Brook University (Commack, NY)
    …grouping logic to accurately reflect the diagnosis, procedures documented in the medical record. Documentation assessment and review for accurate abstracting of ... Experienced Inpatient Medical Record Coder **Position Summary** At Stony Brook...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
    Stony Brook University (09/27/25)
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  • HCC Risk Adjustment Coder - Full Time - Remote

    Datavant (Albany, NY)
    …bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized ... severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's..., analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
    Datavant (11/14/25)
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  • RN, Research

    University of Rochester (Rochester, NY)
    …RESPONSIBILITIES: Human Subject Recruitment: Identification of participant pools via electronic medical record review and discussion with clinical team members. ... data collection skills. On occasion, this position may require travel to private medical offices and Urgent Care facilities in the Rochester area to enroll potential… more
    University of Rochester (11/06/25)
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  • Radiology Practitioner Assistant

    University of Rochester (Rochester, NY)
    …- Obtain clinical history from patient or medical record - Evaluate Medical Images, review preliminary reports and images with supervising physician, and ... internal equity considerations._ **Responsibilities:** Provides primary healthcare services in medical imaging with physician supervision. Under the supervision, guidance… more
    University of Rochester (11/06/25)
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  • Patient Services Coordinator I - Urology

    Mount Sinai Health System (New York, NY)
    …tasks such as: visit status reminders, follow-up appointments, authorizations for medical review , coordination of specialty appointments and resolving billing ... Sinai Health System is one of the largest academic medical systems in the New York metro area, with...safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by… more
    Mount Sinai Health System (11/26/25)
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  • LPN

    Spectrum Health and Human Services (Buffalo, NY)
    …SKILLS/COMPETENCIES: + Qualified to provide medical services such as conducting medical history review , obtaining basic vital signs and providing injectable ... and demonstration of Agency Core Values in all day-to-day activities. Provides medical care to the Agency's behavioral health programs. Duties are in keeping… more
    Spectrum Health and Human Services (10/19/25)
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  • Nurse Practitioner

    Elmcrest Children's Center (Syracuse, NY)
    …consultation and interventions at the discretion and under the supervision of the Medical Director. + Review sub-specialty consultations and medical ... evening hours. The Nurse Practitioner works closely with the Medical Director to best provide medical services to the children of Elmcrest Children's Center. The… more
    Elmcrest Children's Center (09/03/25)
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