• Director , Denial Resource…

    Baylor Scott & White Health (Albany, NY)
    **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical ... function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center...regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of… more
    Baylor Scott & White Health (10/04/25)
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  • Center Deputy Director

    City of New York (New York, NY)
    …child support enforcement, etc. Under the general direction of the Benefits Access Center Director , with wide latitude for the exercise of independent judgment ... ensuring that Agency's requirements are met for opening, reopening, denial , closing, change in case status and change in...the payment accuracy rate. - Assist the Benefits Access Center Director in directing the activities of… more
    City of New York (09/11/25)
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  • Director Pre Appeals Management-HSO Appeals…

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days -Remote** The Director , Pre Appeals Management ... pre-appeals management program. This role ensures the appropriate use of medical resources , compliance with regulatory standards, and coordination of care to improve… more
    Mount Sinai Health System (11/01/25)
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  • Senior Director , Patient Financial…

    Mount Sinai Health System (New York, NY)
    …is responsible for hospital-based Billing and Accounts Receivable performance across the medical center . The Senior Director will report to the Vice President ... **Job Description** **Senior Director , Patient Financial Services (Backend) Corporate East 42nd...Accounts department. This includes Billing, Cash application and reconciliation; Denial management and all aspects of Third Party follow-up.… more
    Mount Sinai Health System (11/11/25)
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  • Appeals Manager

    BronxCare Health System (Bronx, NY)
    …is responsible to assist in the analysis and preparation of response to denial notification letters that arrive in letter and electronic format. Collaborating with ... the Department Denial and Appeals Coordinators, Physician Advisors, and the clinical...accordance with department procedures using Care Management and other resources , escalates issues related to business associate interactions and… more
    BronxCare Health System (11/15/25)
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  • Nurse Case Manager - FT Days

    Nuvance Health (Poughkeepsie, NY)
    …Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus ... multiple primary and specialty care physician practices locations, including The Heart Center , a leading provider of cardiology care. Non-acute care is offered… more
    Nuvance Health (09/28/25)
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  • Case Manager RN - Per Diem

    Nuvance Health (Carmel, NY)
    …and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) * Robotic Center of Excellence - Surgical Review Corporation (SRC) At Putnam Hospital, ... Case Manager RN, working in conjunction with the centralized denial prevention team, partners with the local interdisciplinary care...care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely… more
    Nuvance Health (11/18/25)
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  • Early Childhood Education Consultant, Bureau…

    City of New York (New York, NY)
    …BUT NOT BE LIMITED TO: Evaluate and assess child care programs ( center -based, residential, school-based and after-school programs) to assure compliance with local, ... other best practices within the field; Serve as a resource person for the Bureau and providers on current...notices of violation and make recommendations for issuance or denial or child care permits or licenses and/or closure… more
    City of New York (11/13/25)
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  • Supervisor VI -(CDM Coding) Chargemaster/Projects…

    Mount Sinai Health System (New York, NY)
    …the quality and consistency of their coding assessments. + Serve as an expert resource for the coding staff by performing random quality and productivity reviews and ... share findings with Director and staff for performance improvement. + Review accounts...Review accounts in various WQs to identify coding errors, denial patterns and troubleshoot root causes, if/when needed. +… more
    Mount Sinai Health System (10/01/25)
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  • RN/Case Manager (Inpatient)-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …focused on reducing the length of stay (LOS), improved efficiency, quality and resource utilization. Assignment will be by units/clinical areas of practice and may ... the mission, vision, philosophy and goals of the Medical Center . 6. Case Management: The CM process will include:...coordination of services based on clinical needs and available resources . 10. Utilization Review: 11. Maintains a working knowledge… more
    Mount Sinai Health System (11/05/25)
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