- Aequor (New York, NY)
- …as an occupational nursing professional Minimum experience of 1-3 years in case management, utilization review and/or quality assurance Experience in episodic ... services to employees within regulated scope of practice and disability case management.Experience/Education: MS/NP in nursing degree and current NP license in… more
- Eisai, Inc (Nutley, NJ)
- …partners to meet assigned timeframes and to assure consistency of case records and documentation.Responsible for evaluating, tracking, documenting and processing ... adverse event reports received for assigned product, including the timely review and distribution to co-marketing partners and Eisai affiliate offices.Evaluates the… more
- Novo Nordisk Inc. (Stamford, CT)
- …and/or as part of a global team and as aligned to a business case , goals and/or future aspirations. Contributes to a continually changing environment, supporting a ... good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records.; May be required to work company holidays and… 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)
- …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
- Centers Plan for Healthy Living (Queens, NY)
- Physical Therapy Reviewer Jamaica, Queens, NY, USA Req #1050 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ultimate healthcare ... their home to improve their quality of life. The Utilization Management Reviewer will assess and process Therapy authorization requests to determine medical… 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) (Brooklyn, NY)
- Title of Position: Case Manager Department: Transitional Housing Reports to: Social Service Supervisor FLSA Status: Non-Exempt Salary: $24.49 Positions reporting to ... this position: None Purpose of the Position The Case Manager is responsible for case management...the client's chart. + Conduct orientation with clients and review the facility rules, clients' rights and responsibilities, grievance/complaint… more
- City of New York (New York, NY)
- …five (5) Associate Benefits Opportunity Specialist-I's (ABOS-I's) to function as Case Management Supervisor. Under the direction of the Associate Benefits ... and its components (Application, Financial Planning, Employment Planning, Undercare, etc.). The Case Management Supervisor will: - Supervise a team of BOS workers… more
- Rising Ground (New York, NY)
- …staff that reflects the communities we serve. The goals of the Preventive 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) (Bronx, NY)
- Title of Position: Case Manager Department: Transitional Housing FLSA Status: Non-Exempt Reports to: Social Service Supervisor Salary: Up to $45,000/year 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
- Community Housing Innovations (Brooklyn, NY)
- …and service linkages to community-based organizations are in place. SUPERVISION + Review performance and productivity of Case Managers; provide constructive ... Case Manager Supervisor Job Details Job Location CHI...appropriate services per organizational principles and program requirements. + Review service and care plans to ensure plans are… 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. ... CAS Reasonable Accommodation Services unit, to function as a Case Manager, who will: - Handle the entire application...the request is formerly approved by HRA/CAS. - Collect, review and scan supporting documentation from the Head of… more