- 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)
- …& FI is recruiting for one (1) Principal Administrative Associate III to function as a Quality Control Case Review Supervisor who will: - Supervise and ... provide guidance to Quality Control (QC) Case Reviewers... Quality Assurance System (EQAS) or the State Case Review units. Provide guidance and clarification… more
- City of New York (New York, NY)
- …and procedures necessary for the audit review and share documents with the Quality Control Case Review Supervisor to ensure the appropriateness ... contradictions between state policies and agency procedures. Report all findings to the Quality Control Case Review Supervisor. - Prepare case … more
- City of New York (New York, NY)
- …Principal Administrative Associates II to function as a Quality Control Case Reviewers, who will: - Review POS, HRA One Viewer of imaged/scanned ... to clarify and identify any variances, discrepancies or inadequate documentation discovered during the review of State Quality Control errors or in the EQAS… more
- American Express (Phoenix, AZ)
- …financing, credit card fraud, identity theft, and other financial crimes. The GFCSU's Quality Control Review (QCR) Team performs ongoing monitoring of ... you make an impact in this role?** + 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
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Works with LDH in identifying reporting/statistical needs in relation to Medicaid eligibility quality control review of cases. + Gathers quantifiable ... appropriate sections when corrective action is required on a case review and log findings. Incumbent may...identifying reporting/statistical needs in relation to the Medicaid Eligibility Quality Control review of cases.… 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
- Cedars-Sinai (Marina Del Rey, CA)
- …care and treatment for appropriateness against screening criteria and for infection control , quality services for continued stay and through discharge. Plans ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We were also...You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient… more
- Fedcap (New York, NY)
- …compliance and completion of wellness plans. + Review individual plans, case notes, and document imaging to ensure quality , accuracy, and thoroughness. ... agencies, and travel to multi-work sites. + to implement and adhere to internal quality control mechanisms. + be highly organized and detail oriented. + to… more