- 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
- Louisiana Department of State Civil Service (Lake Charles, LA)
- …with state and federal policies, support staff with complex cases, monitor case quality , provide in-service training, and handle reviews, investigations, and ... Medicaid Analyst Supervisorto lead a team of Medicaid Analysts and ensure high- quality , accurate service...as directed by agency policy, previous review findings, and quality control findings. + Interprets program policy… 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
- TEKsystems (Montgomery, AL)
- …to report to the MES Associate Director and be the AMMP lead for all quality assurance and testing aspects of Medicaid Enterprise System (MES) program. Specific ... Description The Alabama Medicaid Agency (AMA) has embarked on a major... enterprise and organizational change management. To oversee the quality and testing efforts, AMA has established an Enterprise… more
- 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
- 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
- State of Minnesota (St. Paul, MN)
- …activities across the Program Integrity Oversight Division (PIO) by planning and coordinating quality assurance (QA), quality control (QC), and quality ... **Working Title: Quality Management Lead** **Job Class: Human Services Program...processes. + Oversee the collection, gathering, and compilation of case management data. + Coordinate the review and analysis… more
- 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 (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
- 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
- MyFlorida (Lauderdale Lakes, FL)
- …ensures corrections are completed accurately and timely. + Reviews and analyzes data from quality control and all monitoring sources and provides training in the ... for food stamps, Medicaid , and cash assistance. Typical duties: + Performs quality management system reviews as assigned. + Reviews case reading errors with… more
- 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
- State of Colorado (Pueblo, CO)
- …Colorado Mental Health Hospital in Pueblo (CMHHIP) is a leading employer, provider of quality mental health services, and a community partner. CMHHIP is a 24 hour ... and prepares nursing personnel for onsite surveys, monitors documentation, and ensures quality of care is rendered according to the State Board of Nursing… more
- Houston Methodist (Katy, TX)
- …including RAC, MAC, CERT, PERM, TPE, and commercial payer audits. + Oversee case intake, documentation collection, quality review, and timely submission. + Track ... cash collections, denials, avoidable write-offs, staff productivity and work quality and credit balances. The manager position responsibilities include managing… more
- State of Colorado (Pueblo, CO)
- …Colorado Mental Health Hospital in Pueblo (CMHHIP) is a leading employer, provider of quality mental health services, and a community partner. CMHHIP is a 24 hour ... and prepares nursing personnel for onsite surveys, monitors documentation, and ensures quality of care is rendered according to the State Board of Nursing… more
- 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 (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
- State of Colorado (Pueblo, CO)
- …Colorado Mental Health Hospital in Pueblo (CMHHIP) is a leading employer, provider of quality mental health services, and a community partner. CMHHIP is a 24 hour ... and chooses appropriate community placements and treatment programs + Provides case management by making appropriate referrals to community agencies, networking and… more
- State of Colorado (Pueblo, CO)
- …Colorado Mental Health Hospital in Pueblo (CMHHIP) is a leading employer, provider of quality mental health services, and a community partner. CMHHIP is a 24 hour ... Nurse to prepare nursing personnel for onsite surveys, documentation requirements, and ensures quality of care is rendered according to the State Board of Nursing,… more