• Medicaid Quality Control…

    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
    City of New York (07/05/25)
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  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    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 (05/14/25)
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  • Medicaid Unit Supervisor

    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 (05/14/25)
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  • Quality Control Case Reviewer

    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 (05/25/25)
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  • Medicaid Consultant

    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 (05/14/25)
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  • Quality Control Case Review…

    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
    City of New York (05/14/25)
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  • Case Manager

    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
    City of New York (05/14/25)
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  • Case Manager (RN)

    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
    WMCHealth (07/16/25)
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  • Executive Director, Office of Mail Renewal (OMR),…

    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
    City of New York (05/14/25)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    …efficiency. Create and revise procedures as necessary. - Direct the planning of data quality and control measures governing the Triage unit. Ensure that systems ... operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Office of Accountability Strategies (OAS), Compliance and Contract Monitoring… more
    City of New York (05/14/25)
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