- Aequor (New York, NY)
- …in New York State Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance Experience in acute episodic ... Position Purpose:Provide case management and clinical services to employees within...electronic medical record keeping systems desirable BLS certification required Case Management and COHN-S and preferredMajor Responsibilities: Manage Short… more
- Rausch Sturm (Stamford, CT)
- …federal rules and regulations, and compliance standards.Essential Duties and Responsibilities:. Review of correspondence, and files to determine whether they are ... appropriate, review of answers, preparation of discovery and dispositive motions,...of federal, state, and local laws. Ability to analyze case law and provide recommendations.. Ability to draft legal… more
- Russell Tobin & Associates (Danbury, CT)
- …system bid specifications and scope of work, conceptual estimates, project business case presentations and project charters. Execute high quality low risk projects ... of staged project reviews, goal deliberation, detail design reviews, business case development collaboration, project commissioning and close out planning. Promote… more
- MetroPlus (New York, NY)
- …services and other resources to assist in goal achievement. Conduct Utilization Review for designated Case Management members for some diversionary levels ... to ensure member's compliance with aftercare. This position requires that most case management activities will be performed in field via community and facilities… more
- ICL (New York, NY)
- …to actual or potential health problems through such services as case finding, health teaching, and health counseling; nurses provide interventions supportive ... discharge from the medical respite.. Responsible for medication cart review . Provide feedback on review of the...for medication cart review . Provide feedback on review of the medication administration record (MAR). Ensure that… more
- Nesco Resource (New York, NY)
- …Process: One Round - Video Panel Interview Scope of Work: XSOAR use case development Configuration of the "Proactive Threat Hunting " module in XSOAR, where ... process intelligence collections in an automated fashion CTI Process Review Document and process creation and review ...Process Review Document and process creation and review to include outlines for process against industry standard… more
- MetroPlus (New York, NY)
- …industry best practices to enhance processes and drive system improvements. Review business requirements to ensure alignment with the program objectives. Create ... challenges Ability to collect and analyze data - use information to build a case for change A demonstrated track record of driving the organizational and operational… more
- Nesco Resource (New York, NY)
- …various fee structures, respond to proposal requests, and analyze client and case profitability, in addition to participating in other team projects and ... and process to better control and maintenance of budgets and client reporting. Review new matter openings and ensure creation of necessary budgets and reports in… more
- 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)
- …for (1) one Principal Administrative Associate II to function as a Quality Control Case Reviewer , who will: - Conduct the preliminary monthly review ... the review sample by conducting preliminary WMS inquiries and case review ; utilize reports to verify that sample is auditable; identifies inconsistencies,… 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)
- …Office of Constituent Services (OCS) is seeking (2) 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)
- …is recruiting 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 Medicaid liens pursuant to SSL-104b on cases involving Medical malpractice, mass medical torts, lead paint poisoning, traumatic brain injury, or other catastrophic or medically complex cases. - Consult Medicaid payment records, bills… 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)
- …information to ensure that data collected is complete, accurate and appropriate to the case under review . - Prepare manual budgets to replicate the actual ... Administrative Associate II to function as a Quality Control Case Reviewers, who will: - Be responsible for the...information in order to determine if discrepancies exist. - Review POS, HRA One Viewer of imaged/scanned documents, Welfare… 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
- 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)
- … 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
- 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 ... (3) 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
- Win (Women In Need) (New York, NY)
- Title of Position: Case Manager - WinWest Department: Social Services Reports to: Social Service Supervisor FLSA Status: Non-Exempt Pay Rate: Hourly $27.50 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 … more
