Health Services Reviewer - Albany - IPRO

Based in Albany, NY, working at the direction of the New York State Department of Health (NYSDOH), Office of Aging and Long-Term Care, this individual will conduct surveillance and investigation activities related to Intermediate Care Facilities for Intermediate Care facilities f ...

Job Title: · Health Service Reviewers (RN) · Pay (openings for each location/market): · Albany up to $52/hr · Central Islip up to $60/hr · Overview: · These RNs will be doing a mix of standard quality audits, complaint initiated investigations, and more. When they are onsite, the ...

Job Title: Health Service Reviewers (RN) · Pay (openings for each location/market): · Albany up to $52/hr · Central Islip up to $60/hr · Overview: These RNs will be doing a mix of standard quality audits, complaint initiated investigations, and more. When they are onsite, the am ...

Job Summary and Responsibilities This is a remote position As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case management staff and/or other health care professionals to meet regulatory requirements and, in accordance with ...

Provide support for the work of the Maternal Mortality Review Initiative which includes the Maternal Mortality Review Board (MMRB). Assist with collecting information for maternal mortality case ascertainment from multiple data sources. · ...

This is a 11 month opportunity on the Hourly-Based IT Services (HBITS) Contract at the State of New York. · 84 months of experience analyzing complex business processes and creating and reviewing test plans. · 84 months of experience documenting, communicating, and validating req ...

The candidate must develop an in-depth knowledge of the Supplemental Nutrition Assistance Program (SNAP) and gain an understanding of the federal and state regulations that govern the program.Develop a working knowledge of the SNAP Quality Control review process and objective; · ...

· Duties Description · 2 Positions Available · This position is needed to assist the Division of System Utilization & Review with numerous tasks within the division. This role will assist with audit support as well as general administrative support. · The duties include, but ar ...

Visiting Nurses Home Care is seeking an experienced Service Coordinator to assist the prospective participant to become a waiver participant and coordinates and monitors the provision of all services in the Service Plan for the Traumatic Brain Injury (TBI) Waiver and the Nursing ...

The Department of Motor Vehicles (DMV) is committed to being a model employer for people with disabilities. This Contract Management Specialist role involves approving and reviewing contract payments, executing NYS Procurement Law and other regulations, and managing procurement o ...

The Systems Compliance Auditor at Living Resources is responsible for evaluating and monitoring organizational systems, processes, and controls to ensure compliance with OPWDD and DOH regulations, · Evaluate system controls related to service delivery, billing, privacy, and data ...

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the p ...

+ Job summary · Dice is the leading career destination for tech experts at every stage of their careers. · ...

We offer a Public Health Dentist position. This role may include reviewing Medicaid prior approval requests, conducting audits and reviews of Medicaid providers to ensure compliance with program requirements. · ...

This is a medical billing position for a physicians practice. Providing efficient and timely follow up of delinquent and denied accounts from third party payers is an essential part of this role. · High school diploma or GED is required. · AAS degree is preferred. · Customer serv ...

This is a NY HELPS Position so no civil service exam is required. · Apply today at the Albany County Civil Service Portal. · ...

The OTDA Bureau of Financial Services seeks a Senior Accountant/Trainee to provide fiscal support in Upstate Field Unit. · Conduct claims reviews for state and federal reimbursement. · Complete SNAP Management evaluations. · ...

Temporary Senior Attorney position at the Office of Victim Services (OVS) under the direction of the General Counsel. · ...

Perform a Gap Assessment and External Quality Assessment Review to analyze the Internal Audit function's compliance with The IIA's International Professional Practices Framework and Code of Ethics. · Provide an analysis of whether OTDA's Internal Audit function conforms to The II ...

This title includes a traineeship opportunity under New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS) · ...

Perform landscape architectural design and project management duties to complete complex architectural projects for new and rehabilitation of building plans and designs. · ...