• StateJobsNY (Albany, NY)
    Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany Medical Analyst Reference No. MFCU_ALB_ MA_6393 Salary is $82,953 To be ... 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 3.0… more
    Upward (07/20/25)
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  • WMC Health Network (Suffern, NY)
    The Case Manager (RN) is responsible for implementing and supervising the day-to-day operations of the Case Management programs at Bon Secours Charity Health ... care. RESPONSIBILITIES: Oversees the patient assessment process within the Case Management department to identify pertinent/potential patient problems. Addresses… more
    Upward (07/05/25)
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  • Trillium Staffing (Quincy, MA)
    …to hire a motivated IT Senior Business Analyst to join its Medicaid Systems Development (MSD) team supporting MassHealth Applications. Money Follows the Person ... Architect and Release Management teams. He/she is responsible for enhancing the quality of IT products and services, analyzing data to inform business decisions,… more
    Upward (07/16/25)
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  • Wayne Health (Livonia, MI)
    …structured educational and therapeutic groups and individual treatment formats. Provides case management and care coordination to facilitate access to appropriate ... patient referrals for substance abuse treatment, accommodations for homeless patients, Medicaid , Medicare, SSI, SSD, bus cards, shelters and work therapy as… more
    Upward (07/14/25)
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  • Atlantic Health System (Morristown, NJ)
    …ensures, and supervises surgical team members and procedures to maintain quality services and efficient operations. PRINCIPAL ACCOUNTABILITIES: 1 Promotes and ... psychological, and spiritual support to patients, friends, and families. 3 Assures quality of care by adhering to therapeutic standards; measuring health outcomes… more
    Upward (07/19/25)
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  • MBI Health Services, LLC (Washington, DC)
    …real impact in your community? Join our dedicated home health team and provide high- quality care to clients in the comfort of their homes. Your expertise can change ... attention to prevent client from losing his or her Medicaid . Reports on changes and information necessary to modify...met. Coordinate care with other providers including EPD waiver case managers to incorporate client care to the PCSP.… more
    Upward (07/19/25)
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  • Sun River Health (Peekskill, NY)
    Job Description Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who see it, regardless of ... appointment data daily (ie no shows, cancellations, emergencies, payment source [ Medicaid , self-pay, etc.]) to accurately collect monthly dental statistics. Takes… more
    Upward (07/06/25)
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  • 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 (07/05/25)
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  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    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 (05/14/25)
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  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    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
    New York State Civil Service (06/13/25)
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  • Medicaid Unit Supervisor

    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 (05/14/25)
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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 (05/25/25)
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  • Medicaid Consultant

    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 (05/14/25)
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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 (05/14/25)
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  • Manager Case Management Long-term Care…

    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
    Highmark Health (06/27/25)
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  • Case Manager- Neurological Disorders (FND)…

    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
    University of Colorado (07/09/25)
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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 (05/14/25)
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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 (07/16/25)
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  • Case Manager I - Behavioral Health

    Billings Clinic (Billings, MT)
    You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and ... regional locations) and how we are recognized nationally for our exceptional quality . Your Benefits We provide a comprehensive and competitive benefits package to… more
    Billings Clinic (07/04/25)
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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 (05/03/25)
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