• Social Worker-MSW-PD

    Catholic Health Services (Bethpage, NY)
    …Provides information and counseling to patients and families regarding Medicare /Medicard and other entitlements. Qualifications: MSW required. New York State ... PRI Screening required. Social work experience in an acute care setting strongly preferred. Salary Range USD $47.70 - USD $47.70 /Yr. The salary range or rate listed does not include any differential pay or other forms of compensation that may be applicable to… more
    Catholic Health Services (08/14/25)
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  • Case Manager RN - Emergency Services

    Bassett Healthcare (Cooperstown, NY)
    …and hospital protocols to make recommendations for unit placement Review traditional Medicare fee for service (FFS) using the two-midnight rule Using documentation ... from the following to determine the start of care and need for two midnights: physician office, ambulance or ED Discuss alternative patient status/LOC as appropriate Responsibilities for Relationships: Collaboration and Teamwork: Collaborates with other health… more
    Bassett Healthcare (08/14/25)
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  • Manager, Claim Support Services

    Centene Corporation (New York, NY)
    …in claim processing payer support services in healthcare, preferably with Medicare , Medicaid or equivalent business experience. Ability to deal with abstract ... and concrete variables and apply principles of logic or scientific thinking to define problems, collect data, establish facts, and draw valid conclusions. Previous experience as a lead in a functional area, managing cross functional teams on large scale… more
    Centene Corporation (08/14/25)
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  • Social Worker LCSW Metabolic Center for Wellness

    Catholic Health (Cheektowaga, NY)
    …individual, group and family therapy + Knowledge of healthcare reimbursement, Medicare and provider services, preferred WORKING CONDITIONS: + Works in Metabolic ... and Wellness Center + Office environment with intermittent standing and walking, prolonged sitting REQNUMBER: 36017 more
    Catholic Health (08/14/25)
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  • Advanced Practice Provider-PD Vascular PA

    Catholic Health Services (Roslyn, NY)
    …on Long Island to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job Details We ... are seeking a qualified and dedicated Physician Assistant (PA) specializing in Vascular Surgery to join our esteemed healthcare team. As a key member of our vascular surgery team, you will play a crucial role in providing comprehensive patient care, both in… more
    Catholic Health Services (08/14/25)
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  • Manager, Data Services & Analytics

    New York eHealth Collaborative (New York, NY)
    …technical and non-technical audiences. + Familiarity with Clinical Quality reporting, Medicare and Medicaid claims data, ICD coding, CDA standards, web scraping, ... EHR/EMR systems, and healthcare policy issues related to public health, healthcare delivery systems, and other healthcare-related datasets. + Experience working with cloud platforms (AWS or Azure), including cost optimization strategies for large-scale data… more
    New York eHealth Collaborative (08/14/25)
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  • Registered Nurse 1 (Veterans Home at St. Albans)…

    New York State Civil Service (Jamaica, NY)
    …excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists. If you are appointed and subsequently listed as an excluded ... individual or entity on any of these lists, you may be terminated from your employment. Minimum Qualifications Candidates must possess a license and current registration as a registered professional nurse in New York State. Reassignment: Current New York State… more
    New York State Civil Service (08/14/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​ ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (08/14/25)
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  • Nurse Practitioner - Psychiatry

    Northern Rivers Family Services (Troy, NY)
    …get: + National Provider Identification (NPI)- issued by the federal Center for Medicare and Medicaid Services (CMS). All electronic prescriptions in NYS require an ... NPI. Claims processing functions also require the NPI of nurse practitioners and physicians. + Federal Drug Enforcement Administration (DEA)number - issued by the United States Department of Justice Department DEA to nurse practitioners and physicians to… more
    Northern Rivers Family Services (08/14/25)
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  • Care Coordinator - Pay For Performance P4P - Mount…

    Mount Sinai Health System (New York, NY)
    …outcomes. Utilizes internal and community resources, electronic medical record and Centers for Medicare and Medicaid data to educate patients and form a care plan ... with specific health outcomes. **Qualifications** **Education Requirements** Bachelor's degree in Health Sciences, Social Work or other professional degree. **Experience Requirements** 1-3 years relevant experience in patient navigation preferred. Population… more
    Mount Sinai Health System (08/14/25)
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