• HCare Compliance Invest 2

    Public Consulting Group (Albany, NY)
    …decision-making skills, with accuracy and attention to detail. **Qualifications** + Licensed registered nurse ( RN ), a licensed social worker (LSW, ... obtain documentation, provide education as needed, and to address and attend reconsideration appeals as necessary. + Create a thorough written report to document the… more
    Public Consulting Group (09/06/25)
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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... errors, types and recurring issues. 4. Facilitates, coordinates and prepares denial appeals working with internal and external customers in a proactive manner to… more
    Arnot Health (08/08/25)
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  • Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …and assist in utilization management activities under the direction of a registered nurse and/or social worker. Responsibilities include maintaining case files, ... primary function is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse ...or send for insurance denials or quality improvement organization appeals . + Assists UM Coordinator with data entry of… more
    Ellis Medicine (08/28/25)
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  • LPN Care Coordinator - Cancer Center - Full Time

    Guthrie (Corning, NY)
    …needed for patient that have arrived without orders. Prepare educational materials for the RN Nurse Navigator for Chemo Education Visits per the instruction and ... of coverage of ordered medications. * *Coordinate and complete appeals for denials as needed * *Monitor and Review...offices and for DBL office as needed Coverage for RN Nurse Navigator * *Coordinate and facilitate… more
    Guthrie (08/08/25)
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  • Administrator of Admissions, Outreach & Intake

    Calvary Hospital (Bronx, NY)
    …year Requirements QUALIFICATIONS: 1. Master of Nursing Degree required. 2. NYS unencumbered Registered Nurse License required. 3. Ten (10) to fifteen (15) years ... to facilitate reimbursement for services provided by the Hospital. Oversees the appeals process for those cases for which reimbursement has been denied. Conducts… more
    Calvary Hospital (08/20/25)
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