- 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
- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6388) Occupational Category Legal Salary Grade ... NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - New York...to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6393) Occupational Category Legal Salary Grade NS ... NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - AlbanyMedical AnalystReference...to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS… more
- City of New York (New York, NY)
- …Disability Review, Institutional Services, Hospital Eligibility, Month to Month Surplus, Quality Control and Resources. - Maintain liaison relationships with ... TITLE The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to...to implement a clearing house for the exchange of case information for Medicaid specialty units which… more
- 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 (New York, NY)
- …with correction and feedback based on the unit review to reduce or eliminate Quality Control errors. - Review computer error reports, checks for repetition of ... TITLE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to...operation. - Provide second-level sign-off approval for all adverse case actions to ensure that the cases are properly… 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 ... 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 (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
- WMCHealth (Suffern, NY)
- Case Manager (RN) Company: Good Samaritan Hospital City/State: Suffern, NY Category: Nursing/Nursing Management Department: Care Management Union: YES Union Name: ... Now External Applicant link Internal Applicant link Job Details: Summary: The Case Manager (RN) is responsible for implementing and supervising the day-to-day… more
- 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
- Cardinal Health (Albany, NY)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... a greater connection to the customer experience and better control of product success. Personalized service and creative solutions...+ Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,… more
- City of New York (New York, NY)
- …areas: Managed Care Client Services (MCCS), Recipient Restriction Program (RRP), and Comprehensive Medicaid Case Management (CMCM). These areas work with the New ... cost savings and productivity. - Oversee special projects and studies, including quality control activities, to identify and develop approaches to resolve… more
- 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
- 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 ... responsible for housing budget management, leasing compliance, and maintaining housing quality and census. ESSENTIAL JOB FUNCTIONS The following are mandatory… more
- Access: Supports For Living (New Paltz, NY)
- …cases to staff + Provide clinical direction and supervision to staff + Provide quality control and assure adherence to program regulations and guidelines + ... thereby enhancing quality , cost-effective outcomes. + Lead staff meetings, clinical case conferences, and other agency or program meetings, including case … more
- New York State Civil Service (Utica, 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
- Equinox, Inc (Albany, NY)
- …Quarterly Case Reviews and Functional Skills Assessments according to OMH, Medicaid and internal Quality Assurance standards. + Independently follows through ... 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
- Stony Brook University (Stony Brook, NY)
- …for clinical and reimbursement purposes and how these factors relate to the overall case mix index of the facility. + Assist with the development and implementation ... of Quality Assurance programs for the department. Establish and monitor...with families when necessary to obtain document requests by Medicaid . Assist in obtaining VA Awards letter when necessary… more
- Healthfirst (NY)
- …preauthorization of outpatient or inpatient services + Knowledge of utilization management/ quality management case philosophies and reporting requirements to NY ... to solve complex clinical problems + Allocate, monitor, and control resources while delegating and monitoring workloads + Develops...on an ongoing basis in order to maximize the quality of patient care while achieving effective medical cost… more
- City of New York (New York, NY)
- …diagnosed with HIV or AIDS. Among the services provided are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition ... included maximizing access to health care and improving the quality and availability of emergency or non-emergency housing. Many...criteria last year to include the provision of HASA case management services to all persons diagnosed with HIV.… more