• Clinical Denials & Appeals Specialist

    Northwell Health (Melville, NY)
    …certifications as needed. Preferred Skills 3-5 years experience in Utilization Review, Case Management , and Clinical Appeals. 3-5 years of acute inpatient ... payer. Prepares and defends level of care and medical necessity for assigned case . Collaborates with physician advisor, payor representative and site case more
    Northwell Health (08/20/25)
    - Related Jobs
  • ICU/Critical Care NP/PA

    Garnet Health (Middletown, NY)
    …physicians involved in the critical care or surgery patient care units, nurses, case management , physical and occupational therapy and with any other departments ... physicians involved in the critical care or surgery patient care units, nurses, case management , physical and occupational therapy and with any other departments… more
    Garnet Health (06/03/25)
    - Related Jobs
  • Clinical Nurse III: M2: Ortho/Spine…

    Albany Medical Center (Albany, NY)
    …Pharmacy clinical support staff pastoral care physical therapy / Occupational Therapy Case Management / Social work to facilitate discharge planning Access to ... Engaged leadership to assist you in being successful in your role ( Nurse Clinicians, Educators, Managers) Shared governance both unit and organizational level… more
    Albany Medical Center (06/03/25)
    - Related Jobs
  • Care Facilitator- Per Diem- Canton-Potsdam…

    Rochester Regional Health (Rochester, NY)
    Job Title: Care Facilitator Department: Case Management Location: Canton-Potsdam Hospital with floating to other hospital locations Hours Per Week: Per Diem ... in daily Huddles, providing ongoing communication to the Charge Nurse and Nurse Manager to address complex...acute hospital care experience not required. PREFERRED QUALIFICATIONS: + Case Management or Utilization Management more
    Rochester Regional Health (07/25/25)
    - Related Jobs
  • Clinical Sales Specialist, Structural Heart, TAVI…

    Abbott (New York, NY)
    …Territory Manager (TM) + Data entry into Salesforce, Mentor software for customer case support management + Learn commercial data analytics, resources & tools ... life through the design and provision of device and management solutions for the treatment of STRUCTURAL HEART disease....role is to provide TAVI clinical trial and commercial case support, trial enrollment & education initiatives for accounts… more
    Abbott (08/21/25)
    - Related Jobs
  • Social Worker - Adolescent Health Center (Eating…

    Mount Sinai Health System (New York, NY)
    …She/he/they will provide short term individual, family, and group psychotherapy, intense case management , crisis intervention, and health education as part of ... of clinical service delivery, reporting, incident review, and high-risk case management . + Knowledge of and ability...outpatient practices, more than 300 labs, a school of nursing , and a leading school of medicine and graduate… more
    Mount Sinai Health System (08/09/25)
    - Related Jobs
  • LPN Supervisor - Assisted Living Memory Care

    Rochester Presbyterian Home (Rochester, NY)
    …monitoring and administration, acting as clinical lead to staff, assistance in case management and care planning and oversight, personal care assistance ... of the charming farmhouse-style homes have no long corridors, nurse stations or medication carts - just a warm,...Communicate changes in resident condition/orders through 24-hour report to Case manager. + Facilitate huddles with nursing more
    Rochester Presbyterian Home (06/26/25)
    - Related Jobs
  • Assistant Deputy Commissioner Of Field Operations

    City of New York (New York, NY)
    …diagnosed with HIV or AIDS. Among the services provided are intensive case management , direct linkages to Cash Assistance, Medicaid, Supplemental Nutrition ... program amended the eligibility criteria last year to include the provision of HASA case management services to all persons diagnosed with HIV. Persons diagnosed… more
    City of New York (08/13/25)
    - Related Jobs
  • Nurse Case Manger II

    Elevance Health (Latham, NY)
    ** Nurse Case Manager II** **Location:** This...Case Manager II** will be responsible for care management within the scope of licensure for members with ... to identify individual and family needs, and develops a specific care management plan to address the objectives and goals identified during the assessment.… more
    Elevance Health (08/08/25)
    - Related Jobs
  • RN Team Leader Clinical Service-Home Care-HC

    Rochester Regional Health (Rochester, NY)
    …staff by conducting orientation classes, providing observation and co-visits, and assisting with case management as appropriate. + Serves as resource person to ... team of clinicians and support staff in providing direct nursing services to patients. This role may include assisting...of selected clinical staff through provision of assistance in case management or other clinical services. +… more
    Rochester Regional Health (07/30/25)
    - Related Jobs