- University of New Mexico - Hospitals (Albuquerque, NM)
- …on Apply. FTE: 1.00 Full Time Shift: Days Position Summary: Responsible for the initial review , triage and assignment of patients to case managers and for the ... short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up ... Case Manager RN Sign-on Bonus and Relocation Reimbursement...will work in collaboration with clinical teams to achieve quality outcomes for patients within our local communities. As… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …social work, and case manager social work staff. Responsible for the initial review , triage and assignment of patients to case managers and for the ... short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up… more
- City of New York (New York, NY)
- …MAQC is recruiting for (1) one Principal Administrative Associate, who will function as a Medicaid Quality Control Case Review Supervisor who will: - ... Review the audit findings determined by the Quality Control Case Reviewers to...to assist the Quality Control Case Reviewers in their eligibility review findings.… more
- City of New York (New York, NY)
- …OQA & FI is recruiting for (1) one Principal Administrative Associate to function as a Quality Control Case Review Supervisor, who will: - Supervise and ... Assurance & Fiscal Integrity conducts complex internal audits and quality control reviews to identify areas of... Quality Assurance System (EQAS) or the State Case Review units. Provide guidance and clarification… more
- City of New York (New York, NY)
- …Administrative Associate II to function as a Quality Control Case Reviewer , who will: - Review POS, HRA One Viewer of imaged/scanned documents, ... to clarify and identify any variances, discrepancies or inadequate documentation discovered during the review of State Quality Control errors or in the EQAS… more
- Cayuse Holdings (Arlington, VA)
- …resolve the incidents. The CMA conducts Quality Assurance and Quality Control on cases and the case management process while supporting activities to ... **Overview** The Case Management Analyst (CMA) supports the client's cyber...solutions to ensure incident reporting life cycle success. + Quality Assurance/ Quality Control : + Track… more
- City of New York (New York, NY)
- …teams, and ensure the efficient delivery of quality control initiatives supporting decedent investigations, case management, field operations, ... Examiner (OCME) is seeking an experienced and highly motivated Quality Control Manager for the Division of...relevant to medicolegal death investigation. - Review case documentation, reports, and records for completeness, quality… 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
- New York State Civil Service (Albany, NY)
- …purpose of OSI's Quality Assurance Team is to ensure the highest quality review and quality control across OSI's function. Quality control ... reviews of case files, evidence, and reports improve the quality and thoroughness of OSI's investigations. The Investigative Counsel's perspectives would assist… more
- Billings Clinic (Billings, MT)
- …per protocols. (Environment of Care, Inventory, Laboratory Prep) * Records and reviews quality control data and case logs. Utilizes performance improvement ... principles to assess and improve quality . ( Quality /Regulatory, Quality Review , QC Data) * Assists with scheduling admissions, appointments, diagnostic… more
- ManpowerGroup (El Segundo, CA)
- …to inquiries via phone and email + Assist with special projects and perform administrative quality control reviews + Manage case dockets and update public ... access websites accordingly + Coordinate and review ballots, proofs of claim, and notices for court...and supportive team environment + Potential for promotion to Case Consultant within one year + Potential salary growth… more
- American Express (Sunrise, FL)
- …other financial crimes. How will you make an impact in this role? The GFCSU's Quality Control Review (QCR) Team performs ongoing monitoring of Anti-Money ... standards as well as internal procedural requirements. + Conduct quality control reviews of Financial Crime Compliance...non-material error is identified. + Close all cases after review is completed. This includes correcting any errors prior… 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 ... patient assessment and patient care and participate in program development and quality improvement initiatives. In their role. Case Managers, by applying… 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 ...for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred**… 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 ...for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred**… more
- Tenet Healthcare (Detroit, MI)
- …Works with Nursing and hospital leadership to ensure Patient Care Conferences and Complex Case Review processes are in place to promote timely and appropriate ... goals, and objectives; modifies procedures/protocols, as necessary. Monitors the quality and productivity of staff to ensure work is...education * Completes initial and annual competency and evaluation review on all case management staff *… 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 ...for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred**… more
- CSL Behring (King Of Prussia, PA)
- …including data privacy and governance standards. Drive continuous improvements in case quality and efficiency through operational benchmarking and implementation ... quality , and cost savings. Main responsibilities and accountabilities: ** Case Management Responsibilities:** + Oversee end-to-end case processing operations,… more
- Hartford HealthCare (Manchester, CT)
- …Region serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician and ... to payers for authorization of services provided and completes case review for claim reimbursement. * Reviews...compromise of rights to appropriate individual (s). * Identifies quality , infection control , utilization, and risk management… more
