- 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
- Always Best Care Senior Services (Midlothian, VA)
- …to clients in their homes, helping them maintain their independence and improve their quality of life. Compensation & Benefits: - Hourly salary of $12.41 per hour - ... changes in clients' conditions - Adhere to all safety and infection control protocols - Communicate effectively with clients, their families, and healthcare… 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
- 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 (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
- 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
- Ascension Health (Indianapolis, IN)
- …service level determination, and complaint management to achieve performance and quality control objectives. + Provide specialized expertise, ensure resource ... **Details** + **Department: Case Management- Central Region** + **Hospital: Ascension St....Preferences** + Strong understanding of: + Discharge planning + Medicare/ Medicaid regulations + Utilization review and management + Behavioral… more
- 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
- 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: ... Apply Now External Applicant link Internal Applicant link Job Details: The Case Manager (RN) is responsible for implementing and supervising the day-to-day… more
- 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
- 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
- PeaceHealth (Vancouver, WA)
- …+ Preferred: Certified Case Manager Skills + Discharge planning, case management, quality assurance/ quality improvement, clinical documentation and/or ... every person receives safe, compassionate care; every time, every touch. As a **RN Case Manager** at Southwest Medical Center in Vancouver, WA, you'll be part of a… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …review, discharge planning, resource utilization, and utilization review. Assures quality , cost-effective care for the identified patient population. Essential to ... + Follow all safety precautions, including universal precautions and infection control procedures. + Promote effective and efficient utilization of clinical… more
- City of New York (New York, NY)
- …areas: Managed Care Client Services (MCCS), Recipient Restriction Program (RRP), and Comprehensive Medicaid Case Management (CMCM). These areas work with the New ... cost savings and productivity. - Oversee special projects and studies, including quality control activities, to identify and develop approaches to resolve… more
- Heritage Ministries (Conneautville, PA)
- …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
- MyFlorida (Orlando, FL)
- …position requires the coordination of operational management improvements as a result of Quality Assurance and Quality Control activities. The specialist is ... SNAP (Food Assistance), D-SNAP (Disaster Food Assistance), TANF (Cash Assistance), and Medicaid programs by individuals or merchants. TO BE CONSIDERED FOR THIS… more