• Nurse Navigator

    Catholic Health Services (Rockville Centre, NY)
    …involves either the Director of Sales & Marketing or the General Manager . (Based on reporting structure). Demonstrates thorough knowledge of core therapy referrals ... by payor source, such as: TPN, Enteral Nutrition and Inotropic Agents for Medicare . Evaluates current and future clinical and service needs for existing and new… more
    Catholic Health Services (08/15/25)
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  • Sr Digital Marketing Specialist (Remote)

    Molina Healthcare (Yonkers, NY)
    …**Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar) ... Google AdWords, Tag Manager systems, (Adobe or Google) CMS (content management system)...a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL… more
    Molina Healthcare (08/14/25)
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  • Clinical Field Staff Supervisor (CFSS)-…

    HCR Home Care (Rochester, NY)
    …all new interim orders before they are sent to physician. Notify Clinical Manager /Regional Director if unable to approve the order. + Assure orders are written ... and email clinician to review and n otify case manager and physician , as appropriate . + En...- solve effectively. + Possess es knowledge of the Medicare /Medicaid guidelines governing home health agencies. + Organized, detail-oriented… more
    HCR Home Care (08/13/25)
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  • Patient Health Advocate

    Somatus (Brooklyn, NY)
    …extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their care needs. The individual ... Responsibilities + Works under the guidance of physicians and/or a nurse care manager . + Follow-up with health management plans and goals. + Establish positive,… more
    Somatus (08/08/25)
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  • Denials Specialist

    WMCHealth (Hawthorne, NY)
    …service satisfaction and quality + Works under the direction of the Denial Manager to analyze denial and underpayment reports, provide feedback on root causes of ... denials, and formulate denials resolution strategies + Works with the Follow-up Manager to establish and monitor accounts receivable management and cash collection… more
    WMCHealth (08/02/25)
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  • Social Worker

    CenterLight Health System (Ridgewood, NY)
    JOB PURPOSE: Under the direction of the Social Work Manager , the Social Worker will provide social work services including: advocating, assessing, assisting, ... which help them remain safely in the community (SNAP, SC/DRIE, Medicaid, Medicare , housing, etc.) and assist with making referrals, coordinating services and… more
    CenterLight Health System (08/29/25)
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  • Lead Analyst, Technical Configuration Information…

    Molina Healthcare (Rochester, NY)
    …reports + Creates complex MRDT and other configuration update scripts + Assists manager in establishing standards, guidelines, and best practices for the team + ... for complex reports and automated configuration processes/solutions + Assist manager in establishing peer review standards and methodology +...proof of concept tests without needing mentoring + Eg, Medicare Exclusion POC + Acts as a team lead,… more
    Molina Healthcare (08/27/25)
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  • Treatment Team Leader Developmental Disabilities

    New York State Civil Service (Middletown, NY)
    …2, Habilitation Specialist 2, Infection Control Nurse, Intermediate Care Facility Program Manager 1, Intermediate Care Facility Program Manager 2, Licensed ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
    New York State Civil Service (08/27/25)
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  • Health Information Specialist (HIM Specialist)

    Saratoga Hospital (Saratoga Springs, NY)
    …of patient information. What You'll Do + Assist the HIM Operations Manager to ensure all clinical documentation is available to coding/billing and clinical ... Meet productivity and quality benchmarks and scorecard expectations set by HIM Operations Manager . + Collaborate with the team to enhance data accuracy and integrity… more
    Saratoga Hospital (08/26/25)
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  • MDS Coordinator RN

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and coordinating services ... and guidelines that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical thinking skills to… more
    Glengariff Rehabilitation and Healthcare Center (08/25/25)
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