- 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
- Evolent (Trenton, NJ)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. We can ... Will Be Doing:** + Serve as the Physician match reviewer in Imaging cases, that do not initially meet...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Trenton, NJ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse, you will be a key member of the utilization management team. We can ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse, you will routinely interact with leadership and...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… 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
- CVS Health (Trenton, NJ)
- …providers, claimants, etc. + Analyze and prepare cases for clinical and legal review , ensuring all documentation meets required standards. + Document all ... abuse. + Utilize company systems to obtain necessary electronic documentation . **Required Qualifications** + A minimum of 3 years...of three years of Medicaid Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as… more
- Elevance Health (Woodbridge, NJ)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- Trinity Health (Langhorne, PA)
- …clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer , educator and consultant. The CDI ... the overall quality, completeness, accuracy and integrity of medical record documentation through extensive record review . **Responsibilities include, but not… 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
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …on to pursue our mission at MSK and around the globe. Please review important announcements about vaccination requirements and our upcoming EHR implementation by ... accessible for MSK employees. Job Description Exciting Opportunity at MSK: Clinical Documentation Liaison Seeking a Clinical Documentation Liaison to join our… more
- Verista (New Brunswick, NJ)
- …control and quality assurance in pharmaceutical settings. + Expertise in validation documentation management and quality review processes. + Strong understanding ... collective expertise Associate Project Engineer Responsibilities: + Manage validation documentation in automated systems, including document control and archiving. +… 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
- Santander US (New York, NY)
- Market Risk Model Testing & Documentation - VP / ED, Corporate & Investment Banking Country: United States of America We are seeking a Quantitative Analyst to be a ... team at Santander Capital Markets. Key Responsibilities + Support Independent Model Review with Model Risk Management Group: + Perform qualitative and quantitative… more
- AbbVie (Branchburg, NJ)
- …but not limited to, organizing communications with TRP's, perform donor chart review , donor rejections and testing failures including any ERP system transactions ... projects. Create and sustain a positive team environment. + Initiate, investigate, review , and/or partner in the identification of discrepancies and issue resolution… more
- Amicus Therapeutics (Princeton, NJ)
- Promotional Materials Review Compliance (Contractor) Location Princeton, NJ Requisition ID 2299 # of openings 1 Apply Now ... (https://phh.tbe.taleo.net/phh04/ats/careers/v2/applyRequisition?org=AMICUS&cws=37&rid=1346) Contractor - Promotional Materials Review Compliance Amicus Therapeutics is a global, patient-dedicated biotechnology… more