• Aveanna Healthcare (Oakland, CA)
    …Ensure adherence to State, Federal, Local and Aveanna policies and procedures?? Quality assurance of clinical documentation Care coordination with ancillary ... RN Case Manager - Clinical Supervisor ? Aveanna Healthcare is...enhance?the level of clinical expertise of staff to provide safe?and? quality nursing care?for our patients?? Review physicians orders and… more
    Upward (08/02/25)
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  • RELI GROUP INC (Baltimore, MD)
    …for all required deliverables including Project Work Plan, Monthly Progress Reports, Quality Assurance Plan, and Executive Briefing Materials Maintain strong ... Summary: RELI Group is seeking a highly skilled Program Manager to lead the execution of the Information Security...metrics, and coordination across multiple sub-teams Provide direction and quality assurance for compliance with CMS Technical… more
    Upward (07/31/25)
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  • Executive Care (Leesburg, VA)
    …healthcare or related field. Experience working with healthcare/home healthcare standards and quality assurance or risk management. Working knowledge of Virginia ... Bonus based on performance Position Summary: As the Office Manager of GENISCi operating as Executive Home Care, you...closely with the CEO and clinical staff to support quality assurance initiatives and audits Coordinate with… more
    Upward (08/06/25)
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  • LEL Home Services (Indianapolis, IN)
    …community and at home office) Classification : Full-time; non-exempt Summary : A Program Manager works as a quality assurance liaison with Individuals, ... Program Manager Reports to : Regional Director Setting :...assessing the Individual's risks and assuring a plan Process quality assurance , complaint, incident and change of… more
    Upward (08/01/25)
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  • Knox Community Hospital (Mount Vernon, OH)
    …Assist in identifying staff training needs to support quality assurance performance improvement; Communicates and Informs Operations Manager , Director, and ... and retrospective reviews of patient records to abstract data for core measures and quality indicators; Assist Operations Manager by participating in the DPSC … more
    Upward (07/31/25)
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  • Home Care Evolution (Vienna, VA)
    …you a Licensed Practical Nurse (LPN) with a passion for patient care, coordination, and quality assurance in home health? Join our growing team at Virginia Home ... our clinical operations by coordinating patient care, assisting with quality assurance activities, and ensuring compliance with...and promptly report clinical changes to the RN Case Manager or Director of Nursing. Support and participate in… more
    Upward (08/04/25)
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  • Manager , Quality Assurance

    Humana (Lansing, MI)
    …part of our caring community and help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team Manager ) who ... assist with monitoring day-to-day operational activities with AAAs. The Manager , Quality Assurance works within...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid more
    Humana (10/01/25)
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  • Medicaid Program Manager 1 - Demi

    Staffing Solutions Organization (Albany, NY)
    …**Division of Eligibility & Marketplace Integration (DEMI)** **Bureau of System Quality Assurance and Business Requirements - Eligibility Systems Modernization ... reflection of our clients and the people they serve. ** Medicaid Program Manager 1 in Albany, NY**...change management support for the rollout of the new Medicaid eligibility system designed for New York's Complex … more
    Staffing Solutions Organization (09/16/25)
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  • Home Health Manager , Quality

    Humana (Miramar, FL)
    **Become a part of our caring community and help us put health first** The Manager , Quality Assurance develops and implements programs to establish and ... quality of care given to patients. The Manager , Quality Assurance works within...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid more
    Humana (10/01/25)
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  • Legal Nurse: Investigate Medicaid

    New York State Civil Service (Syracuse, NY)
    …investigations related to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, ... No Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud/Patient Abuse (6401) Occupational Category Legal Salary Grade NS Bargaining… more
    New York State Civil Service (09/12/25)
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  • Legal Nurse: Investigate Medicaid

    New York State Civil Service (New York, NY)
    …investigations related to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, ... No Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud/Patient Abuse (6400) Occupational Category Legal Salary Grade NS Bargaining… more
    New York State Civil Service (09/12/25)
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  • Quality Assurance Coordinator

    Aveanna Healthcare (Long Beach, CA)
    Quality Assurance Coordinator ApplyRefer a FriendBack Job Details Requisition #: 207776 Location: Long Beach, CA 90803 Category: Administrative/Clerical Salary: ... $21.00 - $23.00 per hour Position Details Position Overview The Quality Assurance Coordinator assists in maintaining client files, care provider files,… more
    Aveanna Healthcare (09/03/25)
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  • Clinical Quality Manager

    Bon Secours Mercy Health (Cincinnati, OH)
    …in managed security service provider (MSSP), National Committee for Quality Assurance (NCQA), Centers for Medicare & Medicaid Services (CMS), Healthcare ... based contracts and gap closure work. This Population Health Clinical Quality Manager will support the Medicare Shared Savings Program (MSSP) value-based care… more
    Bon Secours Mercy Health (10/03/25)
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  • Autism Clinical Manager

    State of Massachusetts (Boston, MA)
    …assistance, and administrative oversight necessary to ensure all CMS quality assurance systems are observed. The Autism Clinical Manager conducts eligibility ... Waiver program, funded through the Centers for Medicare and Medicaid (CMS), provides in home behavioral services for young...and needs assessment. - Assist in designing and implementing quality assurance measures as they relate to… more
    State of Massachusetts (09/07/25)
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  • Field Care Manager , ARTS

    Humana (Richmond, VA)
    …for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA). **Use your skills to make an impact** **Required ... and help us put health first** The ARTS Care Manager (Field Care Manager , Behavioral Health 2)...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid more
    Humana (09/30/25)
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  • Utilization Management Manager

    State of Indiana (Indianapolis, IN)
    …of utilization review, clinically appropriate care and risk management for the purpose of quality assurance in Indiana Medicaid . In this role, you will ... Utilization Management Manager Date Posted: Sep 26, 2025 Requisition ID:...this knowledge in developing partnerships to ensure high-level of quality in Medicaid programs. Travel is required.… more
    State of Indiana (09/26/25)
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  • Assistant Program Manager of Adult Day…

    Service Source (Springfield, VA)
    …standard operating procedures all assigned documentation, attendance rosters, etc. + Perform quality assurance of data, quarterly reports, etc. to ensure ... Assistant Program Manager - Adult Day Program Burke, VA |...active engagement and inclusion for participants Ensure compliance with Medicaid , Licensing, CARF, and company standards Assist with documentation,… more
    Service Source (09/10/25)
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  • Project Manager II

    Cayuse Holdings (Austin, TX)
    …system integration and project delivery experience. Experience working with external vendors and/or Quality Assurance efforts a plus. + 7 Required Experience in ... **Overview** **_JOB TITLE:_** Project Manager II **_CAYUSE COMPANY:_** Cayuse Civil Services, LLC...transition and vendor management. + 7 Required Experience with Medicaid Enterprise Systems, including Medicaid Management Information… more
    Cayuse Holdings (09/30/25)
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  • Field Care Manager , Behavioral Health

    Humana (Springfield, IL)
    …Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA). + Other job duties as assigned **Use your skills to ... and help us put health first** The Field Care Manager , Behavioral Health performs primarily face to face and...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid more
    Humana (08/29/25)
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  • Public Health Services Manager B-SES

    MyFlorida (Quincy, FL)
    …Ensures all staff complete required training and are offered additional training. Ensures quality assurance activities are met and in compliance with local, ... PUBLIC HEALTH SERVICES MANAGER B-SES - 64028011 Date: Oct 3, 2025...closely with direct reports in monitoring and ensuring that quality assurance activities are met and in… more
    MyFlorida (10/04/25)
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