- City of New York (New York, NY)
- …findings. OQA&FI is recruiting for (1) one Principal Administrative Associate II to function as a Quality Control Case Reviewer , who will: - Ensure the ... procedures necessary for the audit review and share documents with the Quality Control Case Review Supervisor to ensure the appropriateness of the… more
- 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)
- …Principal Administrative Associates 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
- State of Minnesota (St. Paul, MN)
- **Working Title: Supplemental Nutrition Assistance Program (SNAP) Quality Control Reviewer ** **Job Class: Auditor Senior** **Agency: Children Youth & ... multiple vacancies*_ As a Supplemental Nutrition Assistance Program (SNAP) Quality Control Reviewer , you will...of case accuracy. + Follow established SNAP quality control audit practices and utilize audit… 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 ... Administrative Associate II to function as a NCA PERT Case Reviewer , who will: - Conduct NCA...interaction and determine whether appropriate action was taken. - Review case file information, Paperless Office System… more
- Kelly Services (Plainsboro, NJ)
- … intake to submission of Individual Case Safety Reports (ICSRs) * Extensive quality control of ICSRs to ensure compliance to internal and external health ... **Pharmacovigilance QC Reviewer II** Location: Plainsboro, NJ Schedule: Hybrid role...preferred * Experience Level: 3+ Years of in Pharmacovigilance Case Processing * Analytical thinker with proficiency working with… more
- US Tech Solutions (Plainsboro, NJ)
- … intake to submission of Individual Case Safety Reports (ICSRs) * Extensive quality control of ICSRs to ensure compliance to internal and external health ... **MUST HAVES:** 1. Health care provider degree 2. In-depth PV case handling from case intake to submission of Individual Case Safety Reports (ICSRs) 3.… more
- ManpowerGroup (Columbia, SC)
- …procedures. + Communicate determinations clearly and accurately to members and providers. ✔ ** Quality Control & Training (10%)** + Participate in corporate ... with members and healthcare providers. **Key Responsibilities** ✔ **Medical Review & Utilization Management (80%)** + Perform medical reviews...quality control initiatives. + Complete required training and support team-based… more
- Xcelerate Solutions (Washington, DC)
- …investigations and adjudication recommendations. + Perform as contractor Team Lead + Perform Quality Control (QC) case reviews + Identify additional training ... Personnel Security Program Managers (PSPM) in performing BIs and adjudication case work in support of security and suitability investigations and adjudications… more
- Wittenberg Weiner Consulting LLC (Santa Fe, NM)
- …to detail and adherence to FEMA guidelines. Audit and Quality Control Claims Specialist will objectively review , investigate, process, and evaluate claims ... and provide comprehensive recommendations for maximum compensation determinations. + Quality Control staff shall notify the Claims Reviewer of any items in… more
- Stanford Health Care (Palo Alto, CA)
- …and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the ... and patient care and participate in program development and quality improvement initiatives. In their role, Case ...including the principles and practices of discharge planning, utilization review , and quality assurance / improvement +… more
- System One (Sacramento, CA)
- …money management. + Thoroughness and accuracy with data collection, entry and quality control in a web-based database. + Patience/tolerance and tact/diplomacy. ... + Self-motivated and accountable for work time and other agency resources. + Quality control : demonstrates accuracy and thoroughness, monitors own work to ensure… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work department, ... integrated, interprofessional department which supports caregivers to provide the highest quality , most clinically appropriate care to patients and while promoting… more
- Entergy (Hot Springs, AR)
- …1. Provides guidance in the various disciplines of project management and control by applying fundamental schedule and cost control techniques. 2. ... Entergy's SGP and project management standards; serves as a SGP Gate Reviewer . 3. Conducts training on the Entergy SGP, project management standards/implementation… more
- The Arora Group (Bethesda, MD)
- …multidisciplinary team of clinicians to develop timeline protocols and high quality , affordable health care for selected case -managed patients and ... Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse...services. + Utilize communication and available resources to promote quality and cost-effective outcomes, across the continuum of care.… more
- HCA Healthcare (Tallahassee, FL)
- …provision of services necessary to meet identified needs + Actively seeks ways to control costs without compromising patient safety, quality of care or the ... Chain of Command timely + Actively seeks ways to control costs without compromising patient safety, quality ...required within 30 days of start + Certification in Case Management, Nursing, or Utilization Review , preferred… more
- HCA Healthcare (Gainesville, FL)
- …with physicians, patient/family, hospital staff, and outside agencies. + Seeks ways to control costs without compromising patient safety, quality of care, or the ... care. The Observation RN CM coordinates activities that promote quality outcomes and patient throughput while supporting a balance...growth, we encourage you to apply for our RN Case Manager Observation opening. We promptly review … more
- US Courts (Washington, DC)
- …proceedings. Assign case numbers. Receive and docket terminating documents. Perform quality control on attorney-docketed entries. Accept, review and ... Summary Case Administrators perform various functions and are responsible...file inquires, docket sheets, and other file request information. Review new appeals for jurisdiction and initial docketing issues.… more
- HCA Healthcare (Englewood, CO)
- …physicians, patient/family, hospital staff, and outside agencies. + Actively seeks ways to control costs without compromising patient safety, quality of care, or ... team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance...path, we encourage you to apply for our RN Case Manager PRN opening. We review all… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking full time **Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... upon the department No weekends or holidays **Positon Summary:** Provides case management, care coordination and discharge/disposition planning for inpatient and… more