• Clinical Denials & Appeals Specialist

    Northwell Health (Melville, NY)
    …and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective utilization management ... of illness and intensity of services provided. Performs PRI's (Patient Review Instrument), as needed. Performs related duties as required. All responsibilities… more
    Northwell Health (08/20/25)
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  • Faculty, Full Time Tenure Track, Psychiatric…

    Monroe Community College (Rochester, NY)
    …classes; develop new educational materials; assist with curriculum development, review , and assessment; perform professional duties; and participate in departmental ... with student retention and completion initiatives + Assists with development, review , and revision of department curriculum, including assessment of student learning… more
    Monroe Community College (08/08/25)
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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and retrospective authorization and ... with physicians and other Arnot Health departments in matters of auth/denial review decisions. 8. Maintains a working relationship with Physician Advisor regarding… more
    Arnot Health (08/08/25)
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  • Asst Utilization Coordinator

    WMCHealth (Valhalla, NY)
    …investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester Medical Center. Depending upon ... assignment, incumbents may implement the review /screening aspects of the Quality Improvement Plan; monitor the...York State Department of Education, as a registered professional nurse . Training and Experience: three years of experience where… more
    WMCHealth (08/02/25)
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  • Faculty, Full Time Tenure Track, Nursing

    Monroe Community College (Rochester, NY)
    …faculty teach classes, develop new educational materials, assist with curriculum review and assessment, perform professional duties, and participate in departmental ... completion initiatives, including early alert + Assists with the development, review , and revision of department curriculum, including assessment of student learning… more
    Monroe Community College (08/01/25)
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  • Clinical Data Abstractor

    WMCHealth (Suffern, NY)
    …are required for regulatory and NYS registries. The Clinical Data Abstractor will review the quality metrics and support the multidisciplinary clinical teams to ... review processes and make improvements as identified and needed....the New York State Education Department, as a Registered Nurse required. Other: Excellent intrapersonal and time management skills,… more
    WMCHealth (07/28/25)
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  • RN Unit Manager - Taylor Health

    Arnot Health (Bath, NY)
    …Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective time management, flexibility ... of resident care. e. Assists the DON with implementing appropriate review systems for competency-based appraisals of staff. f. Participates in Nursing/Medical… more
    Arnot Health (07/28/25)
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  • Regional Leader - Edison Engineering Development…

    GE Vernova (Schenectady, NY)
    …Talent Acquisition teams to support postings and job marketing locally + Review resumes for candidate applicability, complete phone screens + Conduct interviews with ... / offboarding positions from local leaders, diversifying rotational offerings + Review submitted rotations for experience requirements and content + Review more
    GE Vernova (07/23/25)
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  • Technical Leader - Fleet Engineering, Machine Head

    GE Vernova (Schenectady, NY)
    …On Time Delivery. + Support Functional Manager and RCA leaders in daily management ops review calls. + Oversee 8D steps progress across RCAs. + Track and drive RCA ... RCA process. + Drive RCA team readiness for D-steps review , identifying and supporting TU process when required as...drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
    GE Vernova (07/19/25)
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  • Psychologist 1/2

    New York State Civil Service (NY)
    …as a member of an interdisciplinary treatment team and attend meetings for case review ; * Participate in and lead individual, family and group counseling sessions; * ... and maintain a wide variety of records. * Peer review . LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all #LI-MF1 Minimum Qualifications Minimum Qualifications for… more
    New York State Civil Service (07/15/25)
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