- Molina Healthcare (Rochester, NY)
- …experience, including hospital acute care/medical experience (STRONGLY DESIRED)** + **Registered Nurse with Claims and CIC coding experience (STRONGLY DESIRED)** ... **_For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of...Payment Integrity strategies through both pre-payment and post payment claims reviews, aligning with industry and corporate standards as… more
- Trinity Health (Troy, NY)
- …claims * Reviewing cash postings * Following up on denials and outstanding claims For Eddy Visiting Nurse & Rehab Association: * Requesting authorizations for ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Claims Processing Tech II -** **Community Hospice** **- FT Days** **Narrative:** The Community… more
- Lincoln Financial (Albany, NY)
- …at a Glance** We are excited to bring on highly motivated Short Term Disability Claims Specialists to staff our ever-growing claims organization. As a Short Term ... home, then please read on! Click the following link Claims Specialist Job Preview (https://marketingmedia.lfg.com/lfg/DOCS/lfd/emailMarketing/Video/6369162297112.html) to see a realistic… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Nurse Administrator/Nursing Instructor Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... Job Brief This role encompasses the responsibilities of both the Nurse Administrator and Coordinator of Nursing Education and reports directly to… more
- Constructive Partnerships Unlimited (Queens, NY)
- Nurse Case Manager Type of Position Full time Search Location(s) Queens, NY Apply Now ... hospital and specialty clinic services. Provides supervision to the Licensed Practical Nurse (s) on shift. POSITION DUTIES: + Assesses each person receiving services… more
- Northern Rivers Family Services (Troy, NY)
- …an NPI. Claims processing functions also require the NPI of nurse practitioners and physicians. + Federal Drug Enforcement Administration (DEA)number - issued by ... Nurse Practitioner - Psychiatry Job Details Job Location...$80.00 - $90.00 Hourly Travel Percentage Negligible Job Category Nurse Description Our Assertive Community Treatment (ACT) programs are… more
- CDPHP (Albany, NY)
- …invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation for services requiring prior ... exceptions, coordinating with Medical Directors on denials. In addition, the UR nurse is responsible for completing inpatient level of care reviews, post-acute care… more
- BronxCare Health System (Bronx, NY)
- Overview From treating illness to advising patient on maintaining a healthy lifestyle, Nurse Practitioners provide a full range of services. The Nurse ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Sedgwick (Albany, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Quality Review Nurse **PRIMARY PURPOSE** : To monitor team and colleague technical and quality ... flexible spending or health savings account, and other additional voluntary benefits._ \# nurse Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.… more
- Constructive Partnerships Unlimited (Queens, NY)
- Nurse Case Manager Type of Position Full time Search Location(s) Queens, NY Apply Now ... go onsite if an on call problem warrants a nurse 's visit. + Maintains all medical standards as set...code of business conduct, the NYS and federal false claims act, whistleblower protection and mandatory reporting. Completes corporate… more