• HEDIS Reviewer

    Centers Plan for Healthy Living (Garden City, NY)
    HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Monday, September 9, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... and plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation of… more
    Centers Plan for Healthy Living (09/09/24)
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  • Documentation reviewer

    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 (09/15/24)
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  • Case Reviewer

    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 (07/29/24)
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  • Physical Therapy Reviewer

    Centers Plan for Healthy Living (Queens, NY)
    …of medically necessary services in coordination with the care management department. Review of care management documentation and outcomes evaluation to ensure ... Physical Therapy Reviewer Jamaica, Queens, NY, USA Req #1050 Monday,...support involved in the member's care. + Provides utilization review for preauthorization, concurrent and post service review more
    Centers Plan for Healthy Living (09/09/24)
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  • Senior Design Reviewer (Sustainability)

    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 (07/18/24)
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  • Quality Control Case Reviewer

    City of New York (New York, NY)
    …Quality Control Case Reviewer , who will: - Conduct the preliminary monthly review of MICSA and HCSP cases selected from a sample of activated, recertified, ... from the State On-Line Query (SOLQ) databases. - Ensure the accuracy of the review sample by conducting preliminary WMS inquiries and case review ; utilize… more
    City of New York (07/29/24)
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  • Case Reviewer

    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 (07/29/24)
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  • Evaluation Reviewer , Bureau of Early…

    City of New York (New York, NY)
    …supervision of the Director of the Evaluation Standards Unit, the Evaluation Reviewer will: Provide quality assurance for the Early Intervention Program by reviewing ... Office staff in their implementation of a standardized process of evaluation review . Provide training and technical assistance to EI provider agencies and evaluators… more
    City of New York (07/12/24)
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  • Complex Medical Case Reviewer

    City of New York (New York, NY)
    …for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer , who will: - Conduct medical reviews and analyses claims to calculate injury related ... conclusions. - Communicate with plaintiff's counsel to obtain additional medical documentation or information. Negotiate repayment of the Medicaid lien with counsel.… more
    City of New York (07/05/24)
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  • Quality Control Case Reviewer

    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
    City of New York (08/23/24)
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  • Quality Control Case Review Supervisor

    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
    City of New York (07/29/24)
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  • Credit Review Americas (CRAD), Vice…

    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
    Mizuho Corporate Bank (08/30/24)
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  • Clinical Documentation Specialist

    BronxCare Health System (Bronx, NY)
    …to improvements and educational outcomes. Responsibilities + Provides concurrent and retrospective review of the clinical documentation in the medical record; ... Overview The Clinical Documentation Specialist will work with Senior Director in...or understated diagnoses. + Key responsibility will be to review the chart for information not currently in the… more
    BronxCare Health System (09/18/24)
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  • Clinical Documentation Specialist I…

    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
    Mount Sinai Health System (09/26/24)
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  • Project Manager Intern

    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
    City of New York (09/17/24)
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  • Director of Clinical Documentation

    Catholic Health Services (Rockville Centre, NY)
    …for improving the overall quality and completeness of clinical documentation through self-direction and self-management. Facilitates clarification to the clinical ... documentation through extensive interaction with physicians, nursing staff, care...ICD-10-CM/PCS Official Coding Guidelines Expert knowledge of CDI chart review and query policy CCDS certified Proficient in quality… more
    Catholic Health Services (07/16/24)
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  • Market Risk Model Testing & Documentation

    Santander US (New York, NY)
    Market Risk Model Testing & Documentation - VP / ED, Corporate & Investment Banking New York, 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
    Santander US (08/11/24)
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  • Documentation Specialist

    Pfizer (Pearl River, NY)
    **What You Will Achieve** Reliable documentation services form an essential component of a well-run Regulatory Affairs department. You will be the one entrusted with ... managing an efficient documentation system, record retention, and information services in compliance...received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends… more
    Pfizer (09/30/24)
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  • Client Tax Documentation Operations…

    Mizuho Corporate Bank (New York, NY)
    …to our processes and methods. Job Description: As a Client Tax Documentation Operations Analyst, you will be responsible for the verification and validating ... tax profile on various client systems. Responsibilities: + Manage and review weekly/monthly reports to assure counterparties are fully documented with valid… more
    Mizuho Corporate Bank (07/23/24)
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  • Credit Review Officer

    SMBC (New York, NY)
    …Prepare work papers, document exam results and conclusions + Monitor adherence to documentation , limits and risk mitigants including review of covenants and ... offers a competitive portfolio of benefits to its employees. **Role Description** SMBC Credit Review Department (CRVD) seeks a Credit Review Officer. As a Credit… more
    SMBC (09/11/24)
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