- City of New York (New York, NY)
- …& FI is recruiting for one (1) Principal Administrative Associate III to function as a Quality Control Case Review Supervisor who will: - Supervise and ... provide guidance to Quality Control (QC) Case Reviewers... Quality Assurance System (EQAS) or the State Case Review units. Provide guidance and clarification… more
- City of New York (New York, NY)
- …and procedures necessary for the audit review and share documents with the Quality Control Case Review Supervisor to ensure the appropriateness ... contradictions between state policies and agency procedures. Report all findings to the Quality Control Case Review Supervisor. - Prepare case … more
- City of New York (New York, NY)
- …Principal Administrative Associate II to function as a Quality Control Case Reviewers, who will: - Review POS, HRA One Viewer of imaged/scanned ... to clarify and identify any variances, discrepancies or inadequate documentation discovered during the review of State Quality Control errors or in the EQAS… more
- City of New York (New York, NY)
- …the Quality Control Review Schedule (QCRS) data sheet submitted by the quality control Case Reviewers into the EQAS database. Review the data ... case review materials received from the quality control EQAS and State QC ...- Receive and review quality control work. It consists of case clearance… more
- City of New York (New York, NY)
- …avoidable health outcomes. PROGRAM AND JOB DESCRIPTION: The mission of the Bureau of TB Control is to prevent the spread of TB and to eliminate it as a public ... work to staff to ensure adequate coverage for all case management activities in area of responsibility; monitor all...supports the agency and Bureau' mission * Conduct routine quality assurance monitoring of the TB registry to ensure… more
- City of New York (New York, NY)
- …alerts for unaddressed safety and risk related concerns identified during the case review . - Complete a quality control instrument to assess and promote ... and Evaluation Unit's Supervisor who is responsible for evaluating quality case practice within the Division of...safety and well-being of children listed in the assigned case review . - Participate in workgroups to… more
- BronxCare Health System (Bronx, NY)
- … findings in cooperation with other health care professionals. Preparation of Patient Review Instrument (PRI) Screen, Case form, AIDS chronic care package ... Overview The Case Manger will coordinate care using a collaborative...which many adversely affect the length of stay and quality of care by communicating and using all available… more
- City of New York (New York, NY)
- … Quality Assurance & Fiscal Integrity conducts complex internal audits and quality control reviews to identify areas of programmatic deficiencies. Within that ... relayed during customer interaction and determine whether appropriate action was taken. - Review case file information, Paperless Office System (POS) entries and… more
- City of New York (New York, NY)
- …responsible for providing various functions of eligibility determination, financial planning, case monitoring and other related services to Public Assistance cases. ... Specialist in the CAS Reasonable Accommodation Services unit, to function as a Case Manager, who will: - Handle the entire application process for all new… more
- Ellis Medicine (Schenectady, NY)
- …licensed to practice as a RN in New York State. Experience: Previous Utilization Review , Quality Assessment, Discharge Planning or Home Care experience is highly ... preferred. Requirements: * Adheres to the Case Management Philosophy and practices of the UR/QA DP...and system. * Ensures the comprehensive integration of Utilization Review , Quality Assurance, and Discharge Planning Activity.… more
- WMCHealth (Kingston, NY)
- …patient confidentiality). Conducts ongoing quality monitoring including identification of quality , risk management and infection control issues and reports ... Case Manager - RN Company: HealthAlliance Hospital City/State:...familiarity with the laws, regulations, and interpretation of utilization review and discharge planning. Remains up to date on… more
- Guthrie (Corning, NY)
- …assigned. Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs). ... Position Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the patient's… more
- Travelers Insurance Company (Albany, NY)
- …Utilize evaluation documentation tools in accordance with department guidelines. + Proactively review Evaluation Tool for adherence to quality standards and ... claims and E&O claims involving Life Sciences insureds. Provides quality claim handling throughout the claim life cycle (customer...of policy information to facts or allegations of each case . + Consult with Manager on use of Claim… more
- Travelers Insurance Company (Melville, NY)
- …+ Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis. + Utilize diary management system to ensure that ... and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim life cycle (customer...of policy information to facts or allegations of each case . + Work with Manager on use of Claim… more
- BronxCare Health System (Bronx, NY)
- …and its employees. - Contributes to and participates in the Performance/ Quality Improvement activities of the assigned department. Contribution and participation ... risk management and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and… more
- Cardinal Health (Albany, NY)
- …have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through ... with high volume production teams with an emphasis on quality + Intermediate to advanced computer skills and proficiency...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Albany, NY)
- …have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through ... with high volume production teams with an emphasis on quality * Intermediate to advanced computer skills and proficiency...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- City of New York (New York, NY)
- …and receive the appropriate number of hours of care per day. - Evaluate and review case records including M11-q to ensure that the physician has completed, and ... medical and/or social need for home care services. The Case manager is responsible for all critical eligibility determinations...(1) Caseworker to function as Field Monitor for HCSP's Quality Assurance Unit, who will: - Provide mandated social… more
- City of New York (New York, NY)
- …Program and Job Description: The New York City (NYC) Bureau of Tuberculosis Control (BTBC) is committed to preventing the spread of tuberculosis (TB) and eliminating ... TB and their families, these activities support effective TB prevention and control . The Office of Surveillance and Epidemiology conducts surveillance of suspected… more
- City of New York (New York, NY)
- …2024 To: November 26, 2024. The New York City (NYC) Bureau of Tuberculosis Control (BTBC) is committed to preventing the spread of tuberculosis (TB) and eliminating ... their families, these activities support effective TB prevention and control . The Office of Surveillance is seeking a Public...confirmed or suspected TB are reported and assigned for case management. DUTIES WILL INCLUDE BUT NOT BE LIMITED… more