• Medicaid Quality Control

    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: - ... of Quality Assurance & Fiscal Integrity, the Medicaid Quality Control Unit (MAQC)....case error finding methodology. - Train and update Quality Control staff on Medicaid more
    City of New York (10/04/25)
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  • Quality Control Case Reviewer

    City of New York (New York, NY)
    …standards. Within the Office of Quality Assurance & Fiscal Integrity, the Medicaid Quality Control Unit (MAQC) conducts complex internal audits and ... corrective action plans and/or training. MAQC also ensures the Medicaid programs' continuous adherence to state and federal regulations....one Principal Administrative Associate II to function as a Quality Control Case Reviewer, who… more
    City of New York (08/13/25)
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  • Legal Nurse: Investigate Medicaid

    New York State Civil Service (Syracuse, NY)
    …for Registered NursesThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse ... investigations related to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment,… 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)
    …for Registered NursesThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking experienced Registered Nurses to ... investigations related to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment,… more
    New York State Civil Service (09/12/25)
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  • Quality Control Case Review…

    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 ... FIA programs such as Food Stamps, Cash Assistance and Medicaid operate with a high level of accuracy and...guidance to Quality Control (QC) Case Reviewers...guidance to Quality Control (QC) Case Reviewers assigned to conduct… more
    City of New York (08/13/25)
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  • Quality Control - Coordinator 2

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …deadline issues that arise. + Assists the C3 in developing and maintaining the Medicaid Quality Control Manual, shared storage sites, pilot review forms ... various Medicaid systems. + Completes special eligibility quality control research projects as assigned by...appropriate sections when corrective action is required on a case review and log findings. Incumbent may also be… more
    Louisiana Department of State Civil Service (08/23/25)
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  • Quality Control Supervisor - SES

    MyFlorida (Tallahassee, FL)
    QUALITY CONTROL SUPERVISOR - SES - 60019570 Date: Oct 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 861863 Agency: Children and Families Working Title: QUALITY CONTROL SUPERVISOR - SES - 60019570 Pay Plan:… more
    MyFlorida (10/03/25)
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  • Case Manager

    City of New York (New York, NY)
    …responsible for providing various functions of eligibility determination, financial planning, case monitoring and other related services to Public Assistance cases. ... Specialist in the CAS Reasonable Accommodation Services unit, to function as a Case Manager, who will: - Handle the entire application process for all new… more
    City of New York (08/13/25)
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  • Case Manager - Adult Residential Services

    Equinox, Inc (Albany, NY)
    Case Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA) Job Type Full-time Description Equinox is a non-profit human ... Adults who have a mental health diagnosis and need 24/7 support to help control their symptoms Recovery Residence- Men who have both a mental illness and an… more
    Equinox, Inc (08/01/25)
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  • RN Case Manager - Emergency department

    PeaceHealth (Vancouver, WA)
    …+ Preferred: Certified Case Manager Skills + Discharge planning, case management, quality assurance/ quality improvement, clinical documentation and/or ... that every person receives safe, compassionate care; every time, every touch. As a RN Case Manager at Southwest Medical Center in Vancouver, WA, you'll be part of a… more
    PeaceHealth (09/27/25)
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  • Admissions & Infection Control RN…

    Guthrie (Cortland, NY)
    Begin your next chapter as an Admissions & Infection Control Coordinator at Guthrie Cortland Nursing and Rehabilitation Center - and earn up to a $25,000 Sign‑On ... with hospital partners, and help promote Guthrie's trusted reputation for compassionate, high‑ quality care. Why Choose Guthrie? + Up to $25,000 Sign‑On Bonus for… more
    Guthrie (09/19/25)
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  • Facility Financial Specialist

    Heritage Ministries (Conneautville, PA)
    …to complete all financial documents, explain billing procedures, and supervise the Medicaid process to ensure that the resident and/or responsible party fully ... the resident and/or responsible party. + Will assess when/if Medicaid assistance is needed. Explain the Medicaid ...and guidance until the process is completed and the case is opened. In cases, where there is no… more
    Heritage Ministries (08/29/25)
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  • Senior Eligibility Specialist III (COE)

    MyFlorida (Tampa, FL)
    …accuracy rates. EXAMPLES OF WORK PERFORMED: + Reviewing and analyzing data from quality control and monitoring sources to identify trends, address issues, and ... are identified, supporting continuous improvement and professional development. + Performing quality management system reviews, identifying case reading errors,… more
    MyFlorida (09/26/25)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    …efficiency. Create and revise procedures as necessary. - Direct the planning of data quality and control measures governing the Triage unit. Ensure that systems ... operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Office of Accountability Strategies (OAS), Compliance and Contract Monitoring… more
    City of New York (08/13/25)
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  • Investigation Specialist I

    MyFlorida (Orlando, FL)
    …through the Quality Management System, management evaluation reviews, and quality control reviews. + Reviews existing information when available, initiates ... SNAP (Food Assistance), D-SNAP (Disaster Food Assistance), TANF (Cash Assistance), and Medicaid programs by individuals or merchants. TO BE CONSIDERED FOR THIS… more
    MyFlorida (10/01/25)
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  • Housing Coordinator

    GMHC (New York, NY)
    …compliance with federal, state, and local regulations, employing a proactive approach to quality control . + Oversee the completion of required reports and ... advocacy, and effective management of client entitlements. + Guide and mentor case managers in delivering high- quality services, ensuring all client interactions… more
    GMHC (07/23/25)
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  • Health Services Representative

    MyFlorida (Fort Pierce, FL)
    …aspects of adherence such as transportation, obtaining needed medications, receiving Medicaid or private insurance, etc. Consults with public and private personnel, ... epidemiologists, ARMPS, infection control nurses, medical laboratory technologist, Technicians personnel and other...personnel and other health care providers to: (1) Stimulate case reporting, (2) Obtain information on treated cases or… more
    MyFlorida (10/04/25)
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  • Senior Data Analyst

    Fair Haven Community Health Care (New Haven, CT)
    …educate patients in healthy lifestyle choices. As we grow and are able to bring high- quality health care to more areas that need access, we continue to put our ... health and social well-being of the communities we serve through equitable, high quality , patient-centered care that is culturally responsive." For 53 years, we have… more
    Fair Haven Community Health Care (10/04/25)
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  • Social Work Administrator

    Iowa Department of Administrative Services (State Of Iowa, IA)
    …for administering the Area's social service programs, including child welfare case management services, child protective services, adoptions, licensing, and IV-E. ... Department's mission, goals and identified results; ensures that accountable and quality services are uniformly provided to clients; utilizes resources; develops and… more
    Iowa Department of Administrative Services (09/27/25)
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  • Registered Nurse 1 Psychiatric, (NY Helps),…

    New York State Civil Service (Buffalo, NY)
    …but are not limited to, nursing interventions and their documentation, case finding, health teaching/counseling and provision of supportive and/or restorative care. ... staff training, prepare clinical and administrative reports, maintain infection control standards, and function as a member of a...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any… more
    New York State Civil Service (09/13/25)
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