- City of New York (New York, NY)
- …The Office of Constituent Services (OCS) is seeking (1) Eligibility Specialist II to function as Case Reviewer . The Case Reviewer will: - Respond to ... (NAMI-Net Available Monthly Income) if institutionalized. - Interview and/or review documentation submitted by applicants/recipients (A/R) or authorized representatives,… more
- City of New York (New York, NY)
- …is recruiting for (1) one Principal Administrative Associate II to function as a Quality Control Case Reviewer , who will: - Ensure the accuracy of the review ... by conducting preliminary WMS inquiries and case review ; utilize reports to verify that sample is auditable;...review and share documents with the Quality Control Case Review Supervisor to ensure the appropriateness… more
- City of New York (New York, NY)
- …the final report. CA PERT Sr. Reviewer prepares lawsuit packets for each case in the review for electronic transmission to NYC Corporation Counsel. - Conduct ... during customer interaction, and determine whether appropriate action was taken. - Review case file information, POS entries and WMS data to report on the… more
- City of New York (New York, NY)
- …for (1) one Principal Administrative Associate II to function as a NCA PERT Case Reviewer , who will: - Conduct NCA Supplemental Nutrition Assistance (SNAP) ... customer interaction and determine whether appropriate action was taken. - Review case file information, Paperless Office System (POS) entries and Welfare… more
- City of New York (New York, NY)
- …of Constituent Services (OCS) is seeking three (3) Eligibility Specialist II's to function as Case Reviewers. The Case Reviewer will: - Respond to inbound ... (NAMI-Net Available Monthly Income) if institutionalized. - Interview and/or review documentation submitted by applicants/recipients (A/R) or authorized representatives,… more
- City of New York (New York, NY)
- …legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Assurance & Fiscal Integrity (OQA&FI) / The Process Evaluation Review Team (PERT) is recruiting for (2) one Principal...one Principal Administrative Associates III, to function as Senior Case Reviewers who will: - Conduct legally mandated … more
- City of New York (New York, NY)
- …for (2) two Principal Administrative Associates II to function as a Quality Control Case Reviewers, who will: - Review POS, HRA One Viewer of imaged/scanned ... to ensure that data collected is complete, accurate and appropriate to the case under review . - Prepare manual budgets to replicate the actual amounts issued to… more
- City of New York (New York, NY)
- …THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... for (2) two Principal Administrative Associates IIIs, who will function as Senior Case Reviewers: - Conduct legally mandated case reviews to comply with… more
- NJM Insurance (Trenton, NJ)
- …Premium Audit Reviewer is responsible for the quality and timely review of all premium audits, including complex, out-of-state and key accounts, in accordance ... up to 2 days per week. Job Responsibilities: + Review and verify the accuracy of Commercial Lines policy...of fraud and promptly notify the supervisor if a case warrants investigation by the Special Investigations Unit (SIU).… 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 relevant ... case activity in the case tracking system....of three years of Medicaid Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as… more
- City of New York (New York, NY)
- …for one (1) Principal Administrative Associate III to function as a Quality Control Case Review Supervisor who will: - Supervise and provide guidance to Quality ... the Enhanced Quality Assurance System (EQAS) or the State Case Review units. Provide guidance and clarification...are in compliance with the State. - Train QC Case Reviewer on these rules and procedures… more
- City of New York (New York, NY)
- …with latitude for independent judgment, the Clerical Associate III, functioning as Case Review Specialist, is responsible for reviewing reports to correct ... and reconcile the data integrity of electronic case files. The Case Review Specialist researches and enters data into OCSS's child support system ensuring… more
- City of New York (New York, NY)
- … case determinations and take action to resolve outstanding issues. - Review case inquiries submitted by community-based organizations and conducts research ... general supervision of the Case Resolution Supervisor, the Case Resolution Specialists review and resolve case inquiries submitted by partner… more
- Mount Sinai Health System (New York, NY)
- …Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... limited to: + Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED patients ... specified timeframes. * Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
- United Therapeutics (Trenton, NJ)
- …to meet the needs of the intended audience and contributors + End-to-end case processing, including data entry, QC, medical review , and regulatory submissions ... orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management...appropriate CAPA is in place to address the findings; Review and approve deviations/CAPAs for any PM ICSR-related activity… more
- City of New York (New York, NY)
- … case reopens which have been closed regardless of date; and one-shot deals. - Review specific case and authorizes benefits as required. - Review the ... (1) Associate Benefits Opportunity Specialist II, to function as Case Management Team Leader, who will: - Monitor the...prepare regular reports on unit activities. - Perform final review of packets prior to fair hearing and determines… more
- Mount Sinai Health System (New York, NY)
- …**Responsibilities** 1. Attends interdisciplinary rounds on units as warranted. 2. Meets with Case Managers, as warranted, to review medically complex and long ... to appropriate length of stay. 7. Collaborates with the Director of Case Management to maintain, review and update all Case Management specialty policies in… more
- Rising Ground (New York, NY)
- …staff that reflects the communities we serve. The goals of thePreventive Case Planner, within theFamily Connections model, are to keep families together, while ... Under the direction of the Social Work Supervisor, the case planner shall serve as the primary service provider....must be completed and submitted to their Supervisor for review two weeks prior to submission to ACS. +… more
- Win (Women In Need) (New York, NY)
- Title of Position: Case Manager Department: Transitional Housing Reports to: Social Service Supervisor FLSA Status: Non-Exempt Salary: $25.22/hr. Positions reporting ... to this position: None Purpose of the Position The Case Manager is responsible for case management services for clients in transitional housing. The Case … more