- 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
- 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
- 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
- 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
- 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
- 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
- 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
- New York State Civil Service (Utica, 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 (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
- 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
- City of New York (New York, NY)
- Job Description The Division of Disease Control 's mission is to safeguard the health of New Yorkers through identification, surveillance, treatment, control , and ... sample of HIV-diagnosed adults, including those not receiving HIV care, from HIV case surveillance registries in 23 sate and metropolitan areas, including New York… more
- City of New York (New York, NY)
- …medical situation that will enhance their well-being. HASA provides intensive case management, rental assistance, emergency and non-emergency housing, and assistance ... with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides vocational services that prepare clients for… more
- Humana (Albany, NY)
- …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 ... and manage data lake solutions pertaining to the use case implementations (Data Lake Storage, Databricks Delta). + Automate...years of experience with CI/CD tools, pipelines, and version control systems (eg, Azure DevOps, Github) + 3+ years… more
- Highland Hospital (Rochester, NY)
- …Health Insurance and Authorization Specialist is responsible to assess and perform quality control function for all preadmission visits on surgical inpatient, ... for out-of-network payers, refers our self-pay patients to Financial Case Management (FCM) for Medicaid assessment or...patients to Financial Case Management (FCM) for Medicaid assessment or Financial Assistance, reviews and validates MSP… more
- City of New York (New York, NY)
- …submission, error correction and problem resolution and run completion verification and quality control of all production and pre-production applications run ... including a variety of client eligibility and recertification systems, case management systems, housing systems, employment/work engagement services, revenue… more