• OB/GYN - System Medical Director - Ambulatory…

    Mount Sinai Health System (New York, NY)
    …institution also received a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric emergency department in New ... + Ensure Compliance with NYS Prenatal Care Regulations + Ensure compliance with Medicare Teaching Physicians rules (TPR) - This relates to supervisory role of the… more
    Mount Sinai Health System (08/29/25)
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  • Case Manager- Case Management

    Arnot Health (Elmira, NY)
    …of admission and stay in accordance with Interqual. ** 2. Prepares Medicare /Non Medicare hospital notices of noncoverage (HINN) when patient's level ... approved registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three years clinical… more
    Arnot Health (08/08/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    …within thirty days. Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on admission. Reviews with the ... for admission. Follows the process for Code 44 on Medicare patients. Follow the process for Code 44 on...: Current NYS RN. A Bachelor's degree or a nurse working on their degree with an RN license… more
    Stony Brook University (07/16/25)
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  • NP - Adult Psychiatric Inpatient/Consult/ED

    SUNY Upstate Medical University (Syracuse, NY)
    …working in a multidisciplinary treatment team model. The Psychiatric Adult Nurse Practitioner will provide high quality professional consult, emergency and inpatient ... Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification Number (or PTAN). Eligibility… more
    SUNY Upstate Medical University (07/16/25)
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  • Psychiatric NP Inpatient/ED

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Psychiatric Nurse Practitioner will provide high quality professional Psychiatric services to patients on the Inpatient Psychiatry Unit 4B and the ... Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification Number (or PTAN). Eligibility… more
    SUNY Upstate Medical University (07/16/25)
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  • NP Adult Inpatient Psychiatry Mental Health

    SUNY Upstate Medical University (Syracuse, NY)
    …Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification Number (or PTAN). Eligibility ... Preferred Qualifications: NYS licensed/registered NP. Master's Degree as a Nurse Practitioner required. Experience with Adult Psychiatry preferred. Inpatient… more
    SUNY Upstate Medical University (07/13/25)
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  • Entitlements Specialist

    Project Renewal, Inc. (Bronx, NY)
    …psychiatric services are provided Monday through Friday, staffed by a psychiatrist, nurse practitioner, registered nurse , and a licensed practical nurse ... Level II; Public Assistance Level II; Veterans benefits; Medicaid; Medicare ; HMO insurance). Active problem-prevention and problem-solving measures with residents… more
    Project Renewal, Inc. (09/02/25)
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  • Supervisor, Care Management

    Molina Healthcare (Rochester, NY)
    …contact are per ToC protocols. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or ... **Preferred Experience** More than five years Case Management experience. Medicaid/ Medicare Population experience with increasing responsibility. **Preferred License, Certification,… more
    Molina Healthcare (08/27/25)
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  • Clinical Review Clinician - Appeals

    Centene Corporation (New York, NY)
    …and 2 - 4 years of related experience. Knowledge of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. ... **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required or + LVN -...State Licensure required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse more
    Centene Corporation (08/21/25)
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  • RN Lead, HCS (Clinical) Remote with field travel…

    Molina Healthcare (Syracuse, NY)
    …HCS Department staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and direction of ... **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse (RN), Licensed Vocational Nurse (LVN), or Licensed Practical… more
    Molina Healthcare (08/15/25)
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