- 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
- HomeWell Care Services (San Antonio, TX)
- …client representative. Each care plan shall include: Must have experienced with Medicaid clients dealing with MCO, United Health Care , Molina and Community ... Caregivers comply with the care plan. o Caregivers implement proper infection control practices. o Caregivers observe, recognize and immediately report changes in… more
- Loudoun County Government (Leesburg, VA)
- …to oversee, which could include Long Term Services and Supports, Training and Quality Control , Energy Assistance, Refugee Cash Assistance, or Public Benefits ... one of the fastest growing counties in the country, known for its excellent quality of life and strong economy, while embracing its historic presence. Located 35… more
- Office of the Indiana Attorney General (Indianapolis, IN)
- …Full-Time Remote Employment: Flexible/Hybrid Job Number: 202500065 Division: MFCU Section: Medicaid Fraud Control Unit (MFCU) Opening Date: 06/18/2025 FLSA: ... the direction of the Fraud Team Supervisor. The Indiana Medicaid Fraud Control Unit Investigator shall investigate...Management - Looks for ways to improve and promote quality . Demonstrates accurateness and thoroughness. Proven case … more
- ICL (New York, NY)
- …plan and revisions of case management plan as appropriate. 5. Assures that quality services, identified in the case management housing plan are delivered in ... development and implementation of the resident's comprehensive housing plan written by case management and service coordination plans and ensures that they are… more
- ICL (Brooklyn, NY)
- …the staff is evaluating the client's capabilities. Regularly directs the inspection of case records to evaluate the completeness and quality of treatment plans, ... and rehabilitative services provided by staff to clients to ensure the quality and that services meet or exceed regulatory guidelines. Provides counseling and… more
- Kaiser Permanente (Washington, DC)
- …outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care ... require corrective action. Assure follow up appointments and referrals to ambulatory case manager for high-risk patient population are scheduled and communicated to… more
- Ann & Robert H. Lurie Children's Hospital of Chicago (Chicago, IL)
- …local rules and regulations, accreditation standards, and Centers for Medicare and Medicaid Conditions of Participation relative to the practice of pharmacy. This ... accreditation standard; federal and local rules and regulations; the Centers for Medicaid and Medicare Conditions of Participation; USP Chapter <795>, Chapter <797>,… more
- ICL (Brooklyn, NY)
- …and formulates plan and prognosis, based on client's condition. Discusses case with psychiatrist, other treatment team members and other health professionals ... consultation or specialized health resources for treatment. Improves clinical staff quality of care through consultation with and education of interdisciplinary… more
- University Hospitals (Cleveland, OH)
- …The Pharmacy Support Liaison must have a strong knowledge of Medicare and Medicaid regulations and commercial insurer criteria for payment of home care services. ... Specialist, Clinic Based/Distributional Pharmacists, Central Intake RN's and the Document Control Specialist. What You Will Do Access care management documentation… more
- FC Compassus LLC (Chippewa Falls, WI)
- …needs and potential solutions to supervisor. Stays informed of current Medicare/ Medicaid regulations. Evaluates to ensure the effectiveness of educational content ... and delivery as evidenced by charts maintained to meet Medicare/ Medicaid regulations. Assists in the audit of records as requested to assess for compliance and… more
- 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
- Louisiana Department of State Civil Service (New Orleans, LA)
- …development through reviews as directed by agency policy, previous review findings, and quality control findings. + Interprets program policy to subordinates to ... MEDICAID ANALYST SUPERVISOR Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5006805) Apply ...in the unit. + Ensures that work production and quality meet state, regional, and national goals established by… 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
- Highmark Health (Dover, DE)
- …team of Case Manager Supervisors who are charged with promoting quality member outcomes, optimizing member benefits, and promoting effective use of resources. ... policies and procedures to support regulatory requirements related to Case Management. + Promote quality member outcomes...**Preferred** + 1 year in a home clinical or case management role + Medicare or Medicaid … more
- University of Colorado (Aurora, CO)
- ** Case Manager- Neurological Disorders (FND) Program** **Description** **University of Colorado | CU Anschutz Medical Campus** **School/College/Department/Unit Name: ... Medicine- Department of Psychiatry** **Job Title (Working and/or Official) Case Manager- Neurological Disorders (FND) Program.** **Position #00829872 - Requisition… more
