• Quality Control Case Review…

    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 (08/13/25)
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  • Case Review Specialist

    City of New York (New York, NY)
    …Support Services (OCSS) is recruiting four (4) Clerical Associate III's, functioning as Case Review Specialists, Under supervision of the Unit Supervisor of Data ... latitude for independent judgment, the Clerical Associate III, functioning as Case Review Specialist, is responsible for reviewing reports to correct and… more
    City of New York (07/26/25)
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  • Medicaid Quality Control Case Review…

    City of New York (New York, NY)
    …for (1) one Principal Administrative Associate, who will function as a Medicaid Quality Control Case Review Supervisor who will: - Review the audit findings ... review of completed assignments to ensure consistency in case error finding methodology. - Train and update Quality...capture the elements necessary to assist the Quality Control Case Reviewers in their eligibility review findings.… more
    City of New York (07/05/25)
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  • Workers Compensation Nurse Case Manager

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    …Workers' Compensation and other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care providers, employers, employees, ... About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Case Management services for Group Health and… more
    Brighton Health Plan Solutions, LLC (08/27/25)
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  • Case Resolution Specialist

    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 (08/13/25)
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  • RN/ Case Manager-MSH- Case…

    Mount Sinai Health System (New York, NY)
    …Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or ... limited to: a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
    Mount Sinai Health System (08/28/25)
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  • Registered Nurse / Case Manager (Remote)

    aptihealth (Clifton Park, NY)
    …+ Priding ourselves in being diverse and inclusive The Role The Registered Nurse Case Manager team at AptiHealth is pivotal to the success of our Case ... support to our patients and our providers. The RN Case Manager will assist with assessing patient case...scheduling/rescheduling with assigned prescriber based on clinical need + Review PMP and screen for controlled substance prescriptions +… more
    aptihealth (09/04/25)
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  • Case Manager Supervisor -(DHS) Casa Hope

    Comunilife (Queens, 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 ... Case Manager Supervisor -(DHS) Casa Hope Job Details...identify mutually agreed upon long and short-term goals. + Review and provide supervision in the development of service… more
    Comunilife (08/23/25)
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  • RN Case Manager - Assisted Living Memory…

    Rochester Presbyterian Home (Rochester, NY)
    …and appropriately communicated and documented in the medical record. + Maintain Case Management/Wellness Plan review /update schedule. Complete Case ... RN Case Manager - Assisted Living Creekstone Memory Care...chart audits, and overall individual service plan completion and review . + Observe signs and symptoms and report to… more
    Rochester Presbyterian Home (06/26/25)
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  • Case Management Team Leader

    City of New York (New York, NY)
    …is recruiting for one (1) Associate Benefits Opportunity Specialist II, to function as Case Management Team Leader, who will: - Monitor the workflow of BOS workers ... been closed for over sixty days; all Safety Net case reopens which have been closed regardless of date;...been closed regardless of date; and one-shot deals. - Review specific cases and authorize benefits as required. -… more
    City of New York (09/03/25)
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