Current jobs related to Ca Pert Senior Case Reviewer - Manhattan - New York City, NY
-
Registered Nurse for Utilization Review
2 weeks ago
Manhattan, Kansas, United States NuWest Travel Nursing Full timeNuWest Travel Nursing is currently seeking a Travel Nurse RN specializing in Utilization Review.Position OverviewThis role involves assessing patient care processes and ensuring optimal resource utilization. The selected candidate will engage in initial and concurrent status evaluations, manage denial cases, and perform Medical Necessity Determinations...
-
Junior Case Manager
2 months ago
Manhattan Beach, United States The Ryan Law Group Full timeJob DescriptionJob DescriptionWe are The Ryan Law Group, a full service Personal Injury law firm located in Manhattan Beach, CA. We are looking for a full-time Junior Case Manager with 6+ months of experience working at a Personal Injury law firm to join our growing team!Our office is located right at the intersection of Highland and Rosecrans in Manhattan...
-
AML Case Investigations Consultant
1 month ago
Manhattan, United States Michael Page Full timeContract Role located in Midtown New York City.6-Month Contract offering a competitive hourly pay rate. About Our Client Our client is part of one of the largest and most influential banks in the world. The NYC branch provides a range of financial services including corporate banking, trade finance, and investment banking, serving both domestic and...
-
Senior Civil Engineer
2 days ago
Manhattan Beach, California, United States City of Manhattan Beach, CA Full timeJob SummaryThe City of Manhattan Beach, CA is seeking a highly qualified Senior Civil Engineer to join our Public Works Department. As a key member of our team, you will be responsible for planning, coordinating, and participating in various engineering projects.Key ResponsibilitiesManage capital improvement projects from initial concept to completion, with...
-
Senior Medicaid Recertification Assistant
3 weeks ago
Manhattan, United States VNS Health Full timeOverview Contacts and assists VNS Health Plans members with Medicaid applications and recertification. Enters and updates member demographic information into the Recertification Tracking Tool. Identifies and investigates problematic recertification cases and presents for resolution. Works under general supervision. Compensation: $20.98 - $26.23...
-
Senior Transitional Care Assistant
2 months ago
Manhattan, United States VNS Health Full timeOverview As a Senior Transitional Care Assistant, you act as a navigator, educator and advocate, you will empower your clients with the knowledge and tools they need for seamless transitions of care. You’ll serve as a liaison between the client and the healthcare delivery team, while also providing administrative and customer service support. Compensation:...
-
Senior Transitional Care Assistant
2 months ago
Manhattan, United States VNS Health Full timeOverviewAs a Senior Transitional Care Assistant, you act as a navigator, educator and advocate, you will empower your clients with the knowledge and tools they need for seamless transitions of care. You’ll serve as a liaison between the client and the healthcare delivery team, while also providing administrative and customer service...
-
Senior Transitional Care Assistant
2 months ago
Manhattan, United States VNS Health Full timeOverview As a Senior Transitional Care Assistant, you act as a navigator, educator and advocate, you will empower your clients with the knowledge and tools they need for seamless transitions of care. You’ll serve as a liaison between the client and the healthcare delivery team, while also providingadministrative and customer service support. Compensation:...
-
Senior Transitional Care Assistant
2 months ago
Manhattan, United States VNS Health Full timeOverviewAs a Senior Transitional Care Assistant, you act as a navigator, educator and advocate, you will empower your clients with the knowledge and tools they need for seamless transitions of care. You’ll serve as a liaison between the client and the healthcare delivery team, while also providing administrative and customer service...
-
Registered Nurse
2 weeks ago
Manhattan Beach, California, United States HealthEcareers - Client Full timeHealthEcareers - Client is seeking a skilled Travel Nurse RN specializing in Case Management for an exciting opportunity.Position OverviewSpecialty: Case ManagementDiscipline: Registered Nurse (RN)Contract Duration: 13 weeksWeekly Hours: 40 hoursShift Type: 8 hours, flexibleEmployment Type: TravelThis rewarding travel nursing position offers a contract of 13...
-
Registered Nurse
6 days ago
Manhattan, Kansas, United States Ascension Health Full timeJob SummaryWe are seeking a skilled Registered Nurse to join our Utilization Management team at Ascension Via Christi Manhattan. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and ensuring that our patients receive the best possible outcomes.ResponsibilitiesProvide health care services regarding...
-
Caregiver Assistant
5 days ago
Manhattan Beach, California, United States Right at Home East County - San Diego, CA Full timeCare with CompassionAt Right at Home East County - San Diego, CA, we're dedicated to providing exceptional care to our clients. As a Caregiver Assistant, you'll play a vital role in delivering personalized support and companionship to seniors in their own homes.**What We Offer:*** Competitive hourly rate: up to $20.00 an hour DOE and shift schedule* Paid...
-
Caregiver Assistant
4 days ago
Manhattan Beach, California, United States Right at Home East County - San Diego, CA Full timeCare with CompassionAt Right at Home East County - San Diego, CA, we're dedicated to providing exceptional care to our clients. As a Caregiver Assistant, you'll play a vital role in delivering personalized support and companionship to seniors in their own homes.**What We Offer:*** Competitive hourly rate: up to $20.00 an hour DOE and shift schedule* Paid...
-
Senior Accountant
1 month ago
Manhattan, United States Michael Page Full timeRapidly growing entertainment business based in ManhattanAre looking for a Senior Accountant to join the team About Our Client A well known, rapidly growing entertainment business. Job Description The role will involve:Actively engage in the monthly and quarterly financial closesPerform all aspects of accounting functions in NetSuite on a...
-
Senior Accountant
4 days ago
Manhattan, United States Michael Page US Full timeIf you have experience working in Food & Beverage or CPG, and have been instrumental in preparing an organization for their audit, our client wants to speak to you! The role will involve: Preparing and reviewing financial statements and reports Maintaining and reconciling general ledger accounts Coordinating with external auditors to provide necessary...
-
Senior Accountant
6 days ago
Manhattan, United States Michael Page Full timeWell known Food & Beverage company based in ManhattanAre looking for a Senior Accountant to join their team About Our Client Well known and well established Food & Beverage Company based in the heart of Manhattan. This role will be based in office on a hybrid schedule (3 days/week), and has the potential to be converted permanent within 6 months. Job...
-
Caregiver Support Specialist
1 week ago
Manhattan Beach, California, United States Right at Home East County - San Diego, CA Full timeWe're seeking a compassionate and dedicated individual to join our team as a Home Care Assistant. As a Home Care Assistant, you will play a vital role in providing exceptional care and support to seniors in their own homes.Key Responsibilities:Provide personalized care and assistance to clients with daily living activities, such as bathing, dressing, and...
-
Senior Legal Recruiting Coordinator
2 months ago
Manhattan, United States Michael Page Full timeWe offer highly competitive salariesCompetitive Pay and Health-care Benefits from day 1 About Our Client Our client is a reputable law firm in Manhattan looking for a senior legal recruiting coordinator to join their team in the New York office. Job Description Work with the legal recruiting team, Senior Director, Legal Recruiting and other firm leadership...
-
Case Manager Continuing Care Social Worker
2 weeks ago
Manhattan Beach, California, United States Kaiser Full timeJob Summary:Kaiser Permanente is seeking a skilled Continuing Care Social Worker - Case Manager to join our team. As a key member of our healthcare team, you will play a critical role in coordinating patient care and developing comprehensive treatment plans to ensure optimal health outcomes.Key Responsibilities:Case Management: Develop and implement...
-
Senior Tax Consultant/CPA
3 weeks ago
Manhattan Beach, California, United States Jobot Full timeJob Overview:This position is hosted by Jobot. We are seeking a highly skilled Senior Tax Consultant with CPA certification to join our dynamic team.Compensation:Salary range: $100,000 - $200,000 annuallyAbout Us:At Jobot, we collaborate with individuals and small to mid-sized enterprises to create historical and projected financial statements, prepare...
Ca Pert Senior Case Reviewer
4 months ago
APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE.
The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with Agency policy and changes under welfare reform. This is accomplished through analyzing processes that are designed to ensure program compliance and foster uniform interpretation/application of policy.
OQI/ PERT is recruiting for (2) two Principal Administrative Associates, who will function as Senior Case Reviewers:
* Conduct legally mandated case reviews to comply with various lawsuit stipulations, settlements and agreements (Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc). Convert audit findings into reports that is presented to Family Independence Administration Operations.
* Meet with the Office of Legal Affairs, Policy and Procedures and FIA prior to publishing the final report. CA PERT auditors prepare lawsuit packets for each case in the audit for electronic transmission to NYC Corporation Counsel.
* Conduct case reviews of applications for cash assistance, Medicaid and/or SNAP benefits and cases recertified for ongoing assistance to measure timeliness of expedited SNAP requests, appropriate responses to no-food and non-food emergencies, appropriate handling of reasonable accommodation requests, correct employability assessments, correct determination of benefits, timely referrals for various social services (Homeless Diversion Unit, Office of Child Support Enforcement, Domestic Violence Unit, Customized Assistance Services, etc.).
* Monitor compliance with mandated deadlines of eligibility determinations of applications and recertification cases. Measure timeliness and adequacy of notices. Review Paperless Office System (POS) entries. Review Welfare Management System (WMS) information to determine if cases are coded appropriately, accurately and system generated output/coding based on case activity is correct.
* Observe on-site application and recertification interviews at FIA locations citywide to measure quality of service and accuracy of actions taken, the professional demeanor of interviewer, correctness of information relayed during customer interaction to determine whether appropriate action was taken.
* Participate in entrance and exit meetings with center and regional management to discuss the audit and facilitate corrective action plans.
* Perform other related process reviews as required.
Work Schedule: Monday to Friday 9 am to 5 pm.
Work Location: 4 World Trade Center
Minimum Qualifications
1. A baccalaureate degree from an accredited college and three years of satisfactory full-time progressively responsible clerical/administrative experience, one year of which must have been in an administrative capacity or supervising staff performing clerical/administrative work of more than moderate difficulty; or
2. An associate degree or 60 semester credits from an accredited college and four years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience described in "1" above; or
3. A four-year high school diploma or its educational equivalent approved by a State's department of education or a recognized accrediting organization and five years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience as described in "1" above;
4. Education and/or experience equivalent to "1", "2", or "3" above. However, all candidates must possess the one year of administrative or supervisory experience as described in "1" above. Education above the high school level may be substituted for the general clerical/administrative experience (but not for the one year of administrative or supervisory experience described in "1" above) at a rate of 30 semester credits from an accredited college for 6 months of experience up to a maximum of 3½ years.
55a Program
This position is also open to qualified persons with a disability who are eligible for the 55-a Program. Please indicate at the top of your resume and cover letter that you would like to be considered for the position through the 55-a Program.
Residency Requirement
New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.
Additional Information
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.