- City of New York (New York, NY)
- … Reviewers who will: Facilitate participant intake process, including collection and review of documentation required to obtain approval in education and ... One Viewer system, including data entry and retrieval on computerized systems. - Review records processed by the unit, identifying errors, and indicating need for… more
- City of New York (New York, NY)
- …care (NAMI-Net Available Monthly Income) if institutionalized. - Interview and/or review documentation submitted by applicants/recipients (A/R) or authorized ... seeking (1) Eligibility Specialist II to function as Case Reviewer . The Case Reviewer will: - Respond...to determine eligibility for Medicaid. - Conduct a comprehensive review of applications including financial and legal documentation… more
- City of New York (New York, NY)
- … for both sustainability and resiliency; LEED compliance strategies; and certification documentation . The Sr. Design Reviewer will also be responsible for ... Department of Design & Construction, Public Buildings Division seeks a Sr. Design Reviewer to join the Sustainability Unit. The selected candidate will serve as one… more
- City of New York (New York, NY)
- …for (1) one Principal Administrative Associate II to function as a Quality Control Case Reviewer , who will: - Ensure the accuracy of the review sample by ... conducting preliminary WMS inquiries and case review ; utilize reports to verify that sample is auditable;...case records requested by external auditors and identify missing documentation and processing errors that could result in negative… more
- City of New York (New York, NY)
- …care (NAMI-Net Available Monthly Income) if institutionalized. - Interview and/or review documentation submitted by applicants/recipients (A/R) or authorized ... representatives, to determine eligibility for Medicaid. - Conduct a comprehensive review of applications including financial and legal documentation , as well as… more
- City of New York (New York, NY)
- …third-party contacts to clarify and identify any variances, discrepancies or inadequate documentation discovered during the review of State Quality Control ... II to function as a Quality Control Case Reviewers, who will: - Review POS, HRA One Viewer of imaged/scanned documents, Welfare Management System (WMS) data… more
- VNS Health (Manhattan, NY)
- …with high volume providers for compliance with HEDIS/QARR standards. Evaluates documentation discrepancies identified during initial review and advises on ... healthcare facilities on the retrieval of medical records for review and abstraction pertaining to HEDIS/QARR and other focused...corrective actions as appropriate. Reviews and enters documentation findings into a database. + Manages and organizes… more
- City of New York (New York, NY)
- …by the New York State Office of Temporary and Disability Assistance (NYSOTDA). Review the corrective action memorandums and supporting documentation on State ... Associate III to function as a Quality Control Case Review Supervisor who will: - Supervise and provide guidance...Monitor the preparation and submission of detailed correspondence and documentation to be sent to New York State Quality… more
- Mizuho Corporate Bank (New York, NY)
- …and enhance Credit Review 's Risk Assessment process. + Draft potential review issues for discussion with relevant Reviewer -in-Charge, Credit Review ... About the Team Credit Review provides the Board and bank management with...to opine on the adequacy of facility underwriting and documentation , including, but not limited to, collateral, repayment sources,… more
- Hackensack Meridian Health (Neptune, NJ)
- …inpatient admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance with ... healthcare and serve as a leader of positive change. The **Clinical Documentation Specialist Registered Nurse (RN)** facilitates improvement in the overall quality,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to improve the overall quality and completeness of clinical ... documentation and coding in outpatient physician practices. They will...Management and the Mount Sinai Health Partners team to review and code ambulatory medical records, identify opportunities to… more
- City of New York (New York, NY)
- …where staff will be engaged include, but are not necessarily limited to, review of plans, calculations and supporting documentation for stormwater pollution ... has reduced the soil disturbance threshold of projects requiring review and approval in the MS4 areas to 20,000...supporting calculations to demonstrate compliance with the code; the reviewer must be able to read and understand documents… more
- Molina Healthcare (New York, NY)
- …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate ... quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review ,...and audit details in the database + Provides supporting documentation for denial and modification of payment decisions +… more
- City of New York (New York, NY)
- …are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office of Liens & Trust (OLT) and Supplemental ... (6) Eligibility Specialists IIs to function as a Claims Review Specialists, who will: - Review , process,...decisions/packets on claim cases. - Obtain collateral information / documentation as needed. - Prepare electronic and paper eligibility… more
- Citigroup (New York, NY)
- …the prior year IRC Findings. + Conduct analysis and produce detailed technical documentation to assess whether the risk pool remediation meets the requirements of ... IRC Findings. + Focus in-depthIRC follow-up review as needed based on progress made with IRC...Corporate Equity Derivative (CED) + Develop and maintain technical documentation including project plans + Drive the collaboration with… more
- Mount Sinai Health System (New York, NY)
- …Description** **Accounting Clerk Accounting Clerk-Patient Financial Service (Claims Edit and Review ) Corporate 150 East 42nd Street, Full-Time -Days** Under the ... during admission and after discharge of admission to obtain essential documentation to process Medicaid application, financial assistance and/or determine the method… more
- MUFG (New York, NY)
- …portfolios to identify deterioration or negative management control trends and review compliance with policies, guidelines, and regulations. + Prepare periodic Risk ... conditions, the accuracy of risk grading, and adequacy and accuracy of documentation . + Identify and evaluate the effectiveness of credit risk process controls.… more
- International Rescue Committee (New York, NY)
- …in February, the consultant will continue to engage with the project, as a reviewer of tools created, and leading the documentation of evidence-based case ... learnings from the project. This consultancy will lead the documentation of learnings on two topics: risk factors that...service delivery within humanitarian contexts. Scope of Work: 1. Review and provide input to the data collection tools… more
- City of New York (New York, NY)
- …provides clarification of legal terms and conditions of contracts to vendors. - Review corrective actions and financial documentation where the contractor has ... operations of the subdivision. This role includes all the duties as the primary reviewer of the responsibility determinations per the research of the analysts in the… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …and documentation as required. + Inform callers that the Nurse Case Reviewer may obtain additional medical information for review and certification. + (In ... + HS diploma or GED is preferred. + Strong skills in medical record review . + Excellent customer service and communication skills. + Ability to define problems,… more