• CA Pert Senior Case Reviewer

    City of New York (New York, NY)
    …of applications and recertification cases. Measure timeliness and adequacy of notices. Review Paperless Office System (POS) entries. Review Welfare ... legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with… more
    City of New York (08/13/25)
    - Related Jobs
  • Utilization Manager Reviewer , RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address member ... and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well… more
    Excellus BlueCross BlueShield (08/23/25)
    - Related Jobs
  • Technical Reviewer

    City of New York (New York, NY)
    …and wastewater utility in the country, with nearly 6,000 employees. DEP's water supply system is comprised of 19 reservoirs and 3 controlled lakes throughout the ... system 's 2,000 square mile watershed that extends 125 miles...NYCDOB regulations. Specifically, the candidate will perform a detailed review of all DEP regulatory notifications, applications, and workplace… more
    City of New York (07/23/25)
    - Related Jobs
  • Patient Access Reviewer

    Catholic Health Services (Bethpage, NY)
    …accurate demographics and insurance information are entered into the Hospital Information System as well as scheduling in EPIC. Responsible for ordering tests and ... skills and internet skills are required. Ability to navigate from one software system to another efficiently. Thorough knowledge of Patient Access and ability to… more
    Catholic Health Services (07/23/25)
    - Related Jobs
  • Registered Nurse Quality & Patient Safety…

    Catholic Health (Buffalo, NY)
    …to travel to various buildings and departments within the Catholic Health System + Must possess strong interpersonal skills necessary to work with medical ... staff, case management, patient care services, ancillary and support departments + Strong critical thinking, analytical and problem solving skills WORKING CONDITIONS + Must be flexible and demonstrate ability to adapt to stressful work environment REQNUMBER:… more
    Catholic Health (07/19/25)
    - Related Jobs
  • System Vice Chair Clinical Operations…

    Mount Sinai Health System (New York, NY)
    …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... **Job Description** The Department of Medicine within our 7-hospital health system -which includes a significant inpatient presence as well as a broad ambulatory… more
    Mount Sinai Health System (08/08/25)
    - Related Jobs
  • Coordinator- Patient Rep/Patient…

    Mount Sinai Health System (New York, NY)
    …internal systems and drafting formal grievance responses for leadership review and approval. + Documents problems identified, services provided, and action taken ... Management, Quality and key clinical leaders in facilitating a review and response to patient grievances. + Participates in...System is one of the largest academic medical systems in the New York metro area, with more… more
    Mount Sinai Health System (08/22/25)
    - Related Jobs
  • Process Improvement Manager I-Health System

    Mount Sinai Health System (New York, NY)
    **Job Description** **Process Improvement Manager I-Health System Operations -Corporate-Full-Time Days-Hybrid** The Health Systems and Process Improvement (HSPI) ... tools and methodologies + Manages and continuously improves performance review forums and tools, such as monthly business reviews...System is one of the largest academic medical systems in the New York metro area, with more… more
    Mount Sinai Health System (07/03/25)
    - Related Jobs
  • Senior Principal Systems Architecture…

    BAE Systems (Endicott, NY)
    …**_System Architecture & Design Engineer_** BAE Systems wants your Systems Engineering talent to develop complex system architectures and perform ... software, and programmable logic interfaces and functionality. 4. Prepare and/or review documentation for system designs and architectures in accordance… more
    BAE Systems (08/14/25)
    - Related Jobs
  • Senior Principal Systems Engineer

    BAE Systems (Endicott, NY)
    Systems Engineer - (Endicott, NY)_** BAE Systems wants your Systems Engineering talent to develop complex system architectures and perform system ... software, and programmable logic interfaces and functionality. 4. Prepare and/or review documentation for system designs and architectures in accordance… more
    BAE Systems (08/13/25)
    - Related Jobs