- InnovaCare Health (Orlando, FL)
- …writing reports, and responding to correspondence. Skill in developing and maintaining medical quality assurance and quality control standards. Skill in ... medicine to provide primary patient care. Work closely with Practice Administrator & Case Manager to ensure comprehensive delivery of services and quality … more
- 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
- 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...appropriate time frame. Maintains focus on the provision of quality service in a rapid and efficient manner in… 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
- Dartmouth Health (Lebanon, NH)
- …Commission, Occupational Safety and Health Administration (OSHA), Center for Medicare and Medicaid Services (CMS), Centers for Disease Control and Prevention ... prevention and control problems or questions and conducts outbreak and/or case investigations. * Reviews laboratory reports and clinical data to identify and… 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
- Elevance Health (Charlotte, 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
- 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
- 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
- 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
- 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
- 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
