• Pre-Arrival Authorization Specialist I

    UNC Health Care (Goldsboro, NC)
    …6. Escalate matters/scheduled accounts that require attention to Pre-Arrival Team Lead/ Manager . 7. Notify Utilization Review & Case Management regarding ... skills & good attention to details. * Must have knowledge of Medicare/ Medicaid and Commercial Insurance payers. * Ability to prioritize and multi-task. *… more
    UNC Health Care (12/10/25)
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  • Occupational Therapist

    Tarrytown Rehabilitation & Nursing Center (Middletown, NY)
    …and in-servicing + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and State regulations related to rehabilitation ... with established acceptable time frames + Possess a strong knowledge of Medicare, Medicaid and other payment sources and their responsibility in the SNF setting +… more
    Tarrytown Rehabilitation & Nursing Center (12/09/25)
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  • Physical Therapist

    Sevita (Scottsdale, AZ)
    …program participants, and PT/PTA students + Write service summaries as requested by case manager /program director and maintain daily billing summaries and turn ... **This opening is following guidance set forth in the Centers for Medicare & Medicaid (CMS) Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule - The… more
    Sevita (12/09/25)
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  • Director Utilization Management

    Healthfirst (NY)
    …operational discipline and capacity for executive-level decision-making + Experience working as a case manager for a long-term care programs such as PACE, MAP ... + Work experience and deep familiarity of health plans such as Medicare, Medicaid and//or Managed Long-Term Care Plan (MLTCP). + Demonstrated understanding of UM… more
    Healthfirst (12/04/25)
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  • Community Navigator - 1115 Waiver Program

    Catholic Charities of the Dioscese of Albany (Amsterdam, NY)
    …is reviewed by a real member of our HR team or a trained hiring manager . Your journey matters to us. 1115 Waiver Enhanced Navigator - Catholic Charities of Fulton ... and stability. In this role, you will: + Conduct screenings with Medicaid -eligible individuals using the approved screening tools - ensuring accuracy, compassion,… more
    Catholic Charities of the Dioscese of Albany (12/03/25)
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  • Behavioral Health Substance Use Disorder…

    Fenway Health (Boston, MA)
    …Health Job Type Full-time Description Under the general supervision of the Manager of Integrated Behavioral Health Services, the Behavioral Health Specialist with ... resource listings appropriate for Fenway Health patients + Works with Medicaid , Medicare, Welfare, Social Security, housing, educational, day care and other… more
    Fenway Health (11/27/25)
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  • Collector

    Trinity Health (Westchester, IL)
    …with patients, third-party payers, and insurance companies (including Medicare/ Medicaid ) to resolve outstanding balances, investigate claim denials, and ... requires collaboration with other hospital departments such as Patient Access, Coding, Case Management, and Managed Care to gather necessary information and ensure… more
    Trinity Health (11/26/25)
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  • Discharge Planner

    YesCare Corp (Goshen, NY)
    …planning log. + Serve as an active member of the multidisciplinary case management team, coordinating care with physicians, mental health providers, therapists, ... disability services. + Connect patients with severe mental illness to the Transition Manager Program at Access Supports for Living prior to their release. + Collect… more
    YesCare Corp (11/25/25)
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  • Care Coordinator-Psychiatry

    Mount Sinai Health System (New York, NY)
    …internal and community resources, electronic medical record and Centers for Medicare and Medicaid data to educate patients and form a care plan with specific health ... or prior experience as research coordinator, care navigator or peer advocate, case worker preferred + Excellent interpersonal and team building skills + Exceptional… more
    Mount Sinai Health System (11/25/25)
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  • Benefits & Entitlement Specialist-(ESSHI) El…

    Comunilife (Bronx, NY)
    …from HRA pursuant to the program budget. + Collaborate with HASA's Entitlement Case Manager to ensure that available benefits/entitlements are accessible to ... entitlements Benefits that may be needed include: Public Assistance, Medicaid , Food Stamps, Social Security Supplement Income/ Disability Insurance, Veteran's… more
    Comunilife (11/22/25)
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