• Case Reviewer (NP/PA) - Ortho Surgery

    Elevance Health (New York, NY)
    **Case Reviewer (NP/PA)** **Carelon Medical Benefit Management** **Orthopedic Surgery** **Virtual:** This role enables associates to work virtually full-time, with ... unless an accommodation is granted as required by law._ The **Case Reviewer ** is responsible for conducting pre-authorization, out of network and appropriateness of… more
    Elevance Health (08/13/25)
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  • Senior Design Reviewer (Sustainability)

    City of New York (New York, NY)
    …Department of Design & Construction, Public Buildings Division seeks a Sr. Design Reviewer to join the Sustainability Unit. The selected candidate will serve as one ... include: project scope development; design, construction, and post-construction technical review for both sustainability and resiliency; LEED compliance strategies;… more
    City of New York (06/04/25)
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  • Senior Design Reviewer (Sustainability)

    City of New York (New York, NY)
    …Department of Design & Construction, Public Buildings Division seeks a Sr. Design Reviewer to join the Sustainability Unit. The selected candidate will serve as one ... include: project scope development; design, construction, and post-construction technical review for both sustainability and resiliency; LEED compliance strategies;… more
    City of New York (06/04/25)
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  • Quality Control Case Reviewer

    City of New York (New York, NY)
    …Quality Control Case Reviewer , who will: - Conduct the preliminary monthly review of MICSA and HCSP cases selected from a sample of activated, recertified, ... Query (SOLQ) databases. - Ensure the accuracy of the review sample by conducting preliminary WMS inquiries and case... sample by conducting preliminary WMS inquiries and case review ; utilize reports to verify that sample is auditable;… more
    City of New York (08/13/25)
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  • New Admissions Nurse Reviewer

    City of New York (New York, NY)
    …standards for children in foster care. The New Admissions Focused (NAF) Nurse Reviewer will be responsible for: 1. Scheduling and conducting NAF medical audits/case ... 5 boroughs 2. Participating in all post medical record review quality monitoring and corrective action processes 3. Conducting...activities related to the MRAM Medical Audit process - Review initial medical services for children newly admitted to… more
    City of New York (08/08/25)
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  • NCA Pert Case Reviewer

    City of New York (New York, NY)
    …identify areas of programmatic deficiencies. Within that area is the Process Evaluation Review Team (PERT). The unit analyzes error trends and determines the need ... one Principal Administrative Associate II to function as a NCA PERT Case Reviewer , who will: - Conduct NCA Supplemental Nutrition Assistance (SNAP) case reviews.… more
    City of New York (08/13/25)
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  • CA Pert Sr Case Reviewer

    City of New York (New York, NY)
    …(DSS) and Department of Homeless Services (DHS). Within DSS-AO, the Process Evaluation Review Team (PERT) was created as an independent unit within the Office of ... compliance and foster uniform interpretation/application of policy. PERT auditors review cases, monitor application and recertification interviews, check for… more
    City of New York (08/13/25)
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  • Audit Reviewer

    City of New York (New York, NY)
    …Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for ... one (1) Accountant II, to function as an Audit Reviewer in the Home Care Contract Management Services Unit,...Home Care Contract Management Services Unit, who will: - Review audit reports for accuracy and compliance with prescribed… more
    City of New York (08/13/25)
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  • Senior Case Reviewer

    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 ... Administrative Associate, who will function as a Senior Case Reviewer who will: - Conduct legally mandated case reviews...recertification cases. Measure timeliness and adequacy of notices. - Review Paperless Office System (POS) entries. Review more
    City of New York (08/09/25)
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  • Project Reviewer

    City of New York (New York, NY)
    …Project Manager III, the Associate Project Manager I will serve as Project Reviewer and will review designs for subsurface sewage treatment system, sewer ... under Filtration Avoidance Determination (FAD) deliverables. - Providing comments for public review of draft regulations for local, state and federal agencies. (This… more
    City of New York (08/15/25)
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