- CVS Health (Albany, NY)
- …within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical ... consists of working intensely as a telephonic Associate Manager, Case Management with staff and clients for fully and/or...a potential quality of care issue to a physician reviewer . - Identify and address quality issues and participates… more
- M&T Bank (Amherst, NY)
- …debtor(s), restrains accounts as appropriate by applying proper exemptions and preparing case file as appropriate. Processes complex legal papers, such as court ... orders and temporary restraining orders. **Primary Responsibilities:** + Monitor work flow and serve as liaison between assigned Item Processing & Deposit Services unit and management. + Provide training and coaching to assigned Item Processing & Deposit… more
- Graham Windham (Brooklyn, NY)
- …help managers better understand performance concerns and successes. + Support the incident review process, high risk case review , investigatory, and related ... data. The candidate will also have the ability to review , analyze, interpret and succinctly summarize information from diverse...additional planning. + Supervise at least one part time Case Record Reviewer , and potentially an additional… more
- City of New York (New York, NY)
- …and plan and develop new programs and policies. For quality assurance and evaluation, PAMS Case Review teams perform a close, structured review of documented ... utilize standardized QA PAMS instruments to evaluate both provider case practice and PAMS reviewer inter-rater reliability as part of the Team's internal quality… more
- City of New York (New York, NY)
- …investigations involving NYCHA. The selected candidate will manage a varied case docket involving investigations of fraud, corruption, mismanagement, and employee ... 7. Prepare written reports, memoranda, referrals and policy recommendations for review by supervisors. 8. Collaborate with other law enforcement and/or prosecutorial… more
- New York State Civil Service (Albany, NY)
- …(desktop and network support), cybersecurity, eDiscovery, application development, and case data management coordination.* Ensuring critical IT resources and secure ... and error-free. If needed, please include a cover page to provide the reviewer with any relevant context or background information.* Reference List: Submit a list… more
- City of New York (New York, NY)
- …of Data Integrity is responsible for the daily operational activities of the Case Review Specialists engaged in reviewing and updating child support cases. ... procedural guidelines. - Maintain and update status and statistical reports of unit's case review activities and output of work on a weekly basis for statistical… more
- Comunilife (Bronx, NY)
- …for these meetings + Conduct weekly supervisory conferences with each staff member of the case management teams to review case records and client's status ... looking for experience Clinical Social Workers to lead their case management team in programs in the Bronx and...Review and provide supervision in the development of case management service plans and ensure that reassessments are… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …case reviews and may require peer-to-peer discussions with providers regarding UM case review determinations. + Provides clinical expertise on ARD cases, ... case reviews and may require peer-to-peer discussions with providers regarding UM case review determinations. + Provides input into the utilization management… more
- City of New York (New York, NY)
- …appropriate service required in Aid to Continue Restoration. Conducts an Intensive review of Welfare Management System screens (including, All Change Actions Screen, ... Benefits Issuance Screen, Case Composition Screen, Budget History Screen, Recoupment Screen, Pending...Process Specialists for their Fair Hearing Tracking, Monitoring and Review Unit (FHTMRU) who will: - Process Aid-to-Continue directives,… more