• 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 (10/04/25)
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  • Legal Nurse: Investigate Medicaid

    New York State Civil Service (New York, NY)
    …for Registered NursesThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking experienced Registered Nurses to ... investigations related to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment,… more
    New York State Civil Service (10/15/25)
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  • Case Manager - Adult Residential Services

    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
    Equinox, Inc (10/31/25)
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  • RN Case Manager - Care Management

    PeaceHealth (Vancouver, WA)
    …+ Preferred: Certified Case Manager Skills + Discharge planning, case management, quality assurance/ quality improvement, clinical documentation and/or ... **Description** PeaceHealth is seeking an experienced RN Case Manager for a per diem role in...and written communication with everyone. Maintain knowledge of CMS, Medicaid , and regulatory agency standards, Department of Health (DOH),… more
    PeaceHealth (10/23/25)
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  • Admissions & Infection Control RN…

    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
    Guthrie (09/19/25)
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  • Facility Financial Specialist

    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
    Heritage Ministries (10/27/25)
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  • Healthcare Data Analyst I - Quality

    Billings Clinic (Billings, MT)
    …initiatives for quality improvement, patient safety, and infection prevention and control . * Works in concert with leaders across the organization in explaining, ... * Responsible for establishing, validating, and maintaining the integrity of quality monitoring tools, data collection methods, case definitions, databases,… more
    Billings Clinic (10/08/25)
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  • Deputy Director of EISG: Position for Expr. IT…

    New York State Civil Service (Albany, NY)
    …Albany State NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany-areaDeputy Director, Electronic Investigative ... online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced IT… more
    New York State Civil Service (10/10/25)
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  • Housing Coordinator

    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
    GMHC (10/22/25)
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  • Eligibility Specialist II

    MyFlorida (Belle Glade, FL)
    …ensures corrections are completed accurately and timely. + Reviews and analyzes data from quality control and all monitoring sources and provides training in the ... for food stamps, Medicaid , and cash assistance. Typical duties: + Performs quality management system reviews as assigned. + Reviews case reading errors with… more
    MyFlorida (10/30/25)
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