• 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 (11/05/25)
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  • Case Manager (RN)

    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
    WMCHealth (11/06/25)
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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 (10/31/25)
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  • Facility Financial Specialist

    Heritage Ministries (Greenhurst, NY)
    …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 (10/27/25)
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  • Medical Analyst: Legal Nurse, Fraud/Patient Abuse

    New York State Civil Service (New York, NY)
    …York State NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - AlbanyMedical AnalystReference No. MFCU_ALB_ ... Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking...to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS… more
    New York State Civil Service (11/19/25)
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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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  • 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 (10/22/25)
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  • Social Care Nutritional Counselor

    Educational Alliance, Inc. (New York, NY)
    …communities throughout Lower Manhattan. We provide New Yorkers with high- quality , transformational programs that enhance their well-being and socio-economic ... Nutritional Counselor provides individualized dietary guidance and education to NYS Medicaid participants to promote optimal health and manage medical conditions… more
    Educational Alliance, Inc. (11/18/25)
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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 (11/21/25)
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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 (11/13/25)
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  • Admissions RN Coordinator

    Guthrie (Cortland, NY)
    …Nursing and Rehabilitation Center is hiring a Full-Time RN Admissions & Infection Control Coordinator - and we're offering up to $25,000 in sign-on bonuses for ... through the admissions process, collaborate with hospital partners, and lead infection control efforts - all while helping uphold Guthrie's trusted reputation for… more
    Guthrie (09/19/25)
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  • Clinical Manager

    Sunrise Senior Living (Hicksville, NY)
    …+ Monitor all infections/ incidents of clients. Monitor compliance of all infection control policies. + Consult with physician when necessary to ensure and maintain ... safe, efficient, and quality client care. + Keep and maintain record of case assignments and case management. + Maintain clinical files electronically and/or… more
    Sunrise Senior Living (10/29/25)
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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 (11/12/25)
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  • CHW/Patient Connection Specialist

    Anthony Jordan Health Corp (Rochester, NY)
    …you can make a difference and significantly impact patients' quality of life, please consider ourCHW/Patient Connection Specialistopportunity. Requirements ... add direct value . Contribute to the efficiency and quality focus of Jordan Health teams. . Provide the.... One year of experience providing health education or case management, and familiar with psychiatric disorders, substance abuse,… more
    Anthony Jordan Health Corp (11/13/25)
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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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  • 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 (11/07/25)
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  • Clinical Navigation Team Mgr Care Mgmt

    Healthfirst (NY)
    …member** **satisfaction//incident management and regulations** **Knowledge of quality improvement methodologies** **Demonstrated professionalism and leadership ... **Adept at planning, organizing, and executing** **Knowledge of health insurance, Medicaid , Medicare and MLTCP** **Care management experience in a clinical managed… more
    Healthfirst (10/15/25)
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  • Health Insurance & Authorization Specialist I

    Highland Hospital (Rochester, NY)
    …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 (09/02/25)
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