• 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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  • Quality Control Case Reviewer

    City of New York (New York, NY)
    …of Social Services (DSS) and Department of Homeless Services (DHS). Within DSS-AO, the Medicaid Quality Control Unit (MAQC) conducts complex internal audits ... 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 (10/08/25)
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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 (10/08/25)
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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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  • 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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  • Deputy Director of EISG: Position for Expr. IT…

    New York State Civil Service (Albany, NY)
    …Albany State NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany-areaDeputy Director, Electronic Investigative ... online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced IT… more
    New York State Civil Service (10/10/25)
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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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  • 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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  • 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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  • Registered Nurse 1 Psychiatric (NY Helps),…

    New York State Civil Service (New York, 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 (08/14/25)
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  • Pharmacist, Utilization Management (UM) Remote

    Molina Healthcare (Yonkers, NY)
    …prescribers, pharmacies and/or members. + Develops, implements and maintains pharmacy cost control and quality initiatives under the direction of leadership. + ... Monitors drug utilization and assists leadership team in understanding quality and cost control issues related to...changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary… more
    Molina Healthcare (09/25/25)
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  • Assistant Deputy Commissioner Of Field Operations

    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
    City of New York (08/13/25)
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  • Senior Program Analyst, Bureau of Hepatitis, HIV,…

    City of New York (New York, NY)
    Job Description The Division of Disease Control 's mission is to safeguard the health of New Yorkers through identification, surveillance, treatment, control , and ... sample of HIV-diagnosed adults, including those not receiving HIV care, from HIV case surveillance registries in 23 sate and metropolitan areas, including New York… more
    City of New York (08/13/25)
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  • Manager, Dental Operations

    Callen-Lorde Community Health Center (New York, NY)
    …is a human right. Our Mission Callen-Lorde Community Health Center provides sensitive, quality health care and related services targeted to New York's lesbian, gay, ... fiscal responsibility and cost-effectiveness. + Support budgeting, forecasting, and cost- control strategies with the Director of Dentistry. Patient Experience &… more
    Callen-Lorde Community Health Center (10/04/25)
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  • Health Insurance & Authorization Specialist I

    Highland Hospital (Rochester, NY)
    …he Health Insurance and Authorization Specialist is responsible to assess and perform quality control function for all preadmission visits on surgical inpatient, ... for out-of-network payers, refers our self-pay patients to Financial Case Management (FCM) for Medicaid assessment or...patients to Financial Case Management (FCM) for Medicaid assessment or Financial Assistance, reviews and validates MSP… more
    Highland Hospital (10/04/25)
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  • Computer Transmission Specialist

    City of New York (New York, NY)
    …submission, error correction and problem resolution and run completion verification and quality control of all production and pre-production applications run ... including a variety of client eligibility and recertification systems, case management systems, housing systems, employment/work engagement services, revenue… more
    City of New York (09/06/25)
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  • Program Manager - Adult Residential Services

    Equinox, Inc (Albany, NY)
    …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 ... selection of residents; compliance with OMH certification requirements and Medicaid documentation requirements; financial oversight within the program; facilities… more
    Equinox, Inc (08/28/25)
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  • Program Manager - Center of Excellence…

    Albany Medical Center (Albany, NY)
    …Alzheimer's Disease to make a significant regional impact on delivering high quality specialized care for patients with Alzheimer's disease and other related ... in public health, with particular emphasis on Alzheimer's disease prevention and control . + Investigate and interpret pre-award and post-award grant guidelines with… more
    Albany Medical Center (08/25/25)
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