- 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 (Syracuse, NY)
- …City Syracuse State NY Zip Code 13202 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Syracuse Medical AnalystReference No. MFCU_SYR_ ... 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
- 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …and innovate with similarly passionate professionals. Work with us to improve the quality of life throughout Georgia through partnerships with the US Centers for ... Disease Control and Prevention, Georgia Institute of Technology, and other...time frame. + Maintains focus on the provision of quality service in a rapid and efficient manner in… 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 (Orlando, FL)
- …WITH: + Minimum of 2 years (24 months) of experience reading/reviewing cases in the Quality Control System or Quality Management System (QMS) + Two or ... Quality Management is seeking a Government Operations Consultant II to join the Quality Control (QC) Team within the Florida DCF ESS Program Office. This is… more
- Elevance Health (Raleigh, NC)
- …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... as required by law._ The Delegated Care Management Monitor (Special Programs Case Manager II) is responsible for overseeing and monitoring healthcare services to… more
- New York State Civil Service (Brooklyn, NY)
- …medication education; symptoms management; psychiatric rehabilitation readiness determination; case management; crisis management; clinical support; mobile outreach; ... models that align with KPC and OMH mission and values to ensure high quality , patient-centered care. Duties include, but are not limited to:* Serving as a member… more
- Catholic Health Services (Rockville Centre, NY)
- …plans. Financial Performance + Deliver annual operating margins. + Optimize Medicare PDP and Medicaid case -mix index (CMI). + Reduce bad debt and denials through ... for the strategic leadership, operational excellence, financial performance, and clinical quality of three skilled nursing facilities (SNFs). This role drives… more
- City of New York (New York, NY)
- …results on SNAP error rates for agency decision-making. - Prepare periodic trend analysis on State Quality Control case and payment error rates and Case ... FIA programs such as Food Stamps, Cash Assistance and Medicaid operate with a high level of accuracy and...error rates by using various research methodologies to collect quality control data. Ensure that official Federal… more
- State of Colorado (Pueblo, CO)
- …Mental Health Hospital in Pueblo (CMHHIP) is a leading employer, provider of quality mental health services, and community partner. CMHHIP is a 24 hour behavioral ... of Nursing and hospital policy and procedure as well as Quality Assurance/Performance Improvement (QAPI) goals. Provide immediate crisis intervention in the… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …and foreign national management programs + Prepares, produces, disseminates, and conducts quality control over scheduled and unscheduled reports, summaries, and ... Division of Strategic Information (DSI) within the Centers for Medicare and Medicaid Services by identifying Foreign Intelligence Entity (FIE) threats to customer… 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
- CommonSpirit Health (Phoenix, AZ)
- …optimization of platforms used for care coordination, risk stratification, quality improvement, and payer-provider integration, ensuring alignment with the ... part in advancing the organization's ability to manage cost, improve care quality , and enhance patient and provider experience across government and commercial… more
- Trinity Health (Des Moines, IA)
- …and privileging processes. . Monitors personal metrics regarding appropriate patient case load, quality , safety, financial stewardship, patient satisfaction, ... . Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, medical records, billing and safety, environmental,… more
- Covenant Health Inc. (Crossville, TN)
- Overview Senior Risk Manager and Regulatory Specialist, Quality Managment Full Time, 80 Hours Per Pay Period, Day Shifts Cumberland Medical Center Overview: ... or regulatory agencies, all with the objective of maintaining patient safety, enhancing quality care, and minimizing loss to protect the assets of the facility. This… more
- Library of Congress (Washington, DC)
- …areas; culling, synthesizing, and tracking state policies; fact checking and other quality control ; building and maintaining a database of program authorizations ... Updating statistics in CRS reports or other general distribution products. Recommending quality control procedures and enhancements to CRS products. Locating,… more
- Rush Copley Medical Center (Aurora, IL)
- …is responsible for activities related to infection prevention, surveillance and control throughout the Rush Copley Medical Center. The Infection Preventionist ... internal personnel or departments and external agencies. Collaborates with the Director, Quality & Regulatory Affairs, and the Rush System Infection Prevention team… more
- Humana (Canton, IL)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... managers to ensure alignment and operational efficiency. + Identify members for specific case management and / or disease management activities. + Monitors case … more
- Elevance Health (Wilmington, NC)
- …for all tasks and job responsibilities. + Review all Care Plans and ISPs for quality control andprovide guidance to care managers on how to address Members' ... _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young… more