medicaid quality control case review supervisor - New York

Job Summary · As a Supervisor in Concurrent Review, you will oversee the management and coordination of healthcare services to ensure high-quality care for our members. · Key Responsibilities · You will supervise staff responsible for assessing patients' needs, ensuring complianc ...

The challenges of affordable healthcare create new opportunities. · Key Responsibilities: · SUPERVISE STAFF · EVALUATE CARE QUALITY AND COMPLIANCE · CORESPOND WITH HOSPITAL STAFF · ...

We are seeking a Supervisor to lead our team in New York. The ideal candidate will have experience in managed care and utilization management. Key responsibilities include supervising staff, assessing member care needs, and ensuring compliance with regulations. · Provides quality ...

· Overview · The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. The ...

About MJHS · MJHS is a supportive community committed to excellence and providing high-quality health care services. · Comprehensive compensation and benefits · We foster collaboration and celebrate achievements for all employees. · ...

+ Supervise quality cost effective care to all members + Provides direct supervision of staff responsible for member care + Ensure appropriate staffing supports departmental agency services · ResponsibilitiesDirectly supervise staff responsible for managing coordinating member c ...

· Job Description · APPLICANTS MUST BE PERMANENT IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE · The DSS Accountability Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City Department of Social ...

The DSS Accountability Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City Department of Social Services (DSS) and ensuring that DSS complies with all statutory, · regulatory and contractual standards.Supervise ...

+ Provides quality cost-effective care to all members through direct supervision of staff responsible for management coordination of member's care incorporating interdisciplinary strategies medicare regulations medically accepted standards of care + Supervises assessment acute su ...

The DSS Accountability Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City Department of Social Services (DSS) and ensuring that DSS complies with all statutory, regulatory and contractual standards. · The unit ...

The Image Review Supervisor will support the manager in all required areas of the operation. · This would include production, quality, staff retention, · staff training/development and client relations.Oversee the collection, · processing and evaluation of information related to ...

The Fort Washington Men's Shelter is a temporary shelter which Project Renewal manages under a contract with the Department of Homeless Services and the Department of Health and Mental Hygiene.Comprehensive psychiatric, medical and case management services are provided to homeles ...

An award-winning public relations and marketing agency seeks a Billing Supervisor to lead billing operations in a fast-paced environment. · Oversight of day-to-day billing activities. · Supervision of billing staff. · ...

We are currently recruiting a Print Operator to join our dynamic Production Operations team in Edgewood. · Receive print requests from DDS Print Coordinator and Supervisor and print documents/jobs accordingly on cut-sheet and high-speed equipment. · ...

Job Title: Clinical Supervisor – Outpatient Services · Department: Argus Outpatient Programs · Reports To: Program Director · Location: Multiple Sites · Job Summary: · Under the direction of the Program Director, the Clinical Supervisor is responsible for overseeing clinical ope ...

Receive print requests from DDS Print Coordinator and Supervisor and print documents/jobs accordingly on cut-sheet and high-speed equipment. · ...

Coordinate information for development of new styles from concept to production via interaction with internal and external cross functional partners. · ...

The MST-CAN Lead Therapist is responsible for providing model adherent treatment to Families in our Multi Systemic Therapy- Child Abuse and Neglect (MST- CAN) program. · Carry caseload of approximately 4 MST-CAN cases. · Fulfill all OCFS, and ACS accountability requirements inclu ...

+ · ...

The Quality Assurance Coordinator prepares productivity and status reports, audits refunds to providers, reviews billing statements for accuracy, and processes refunds through Oracle. They also research overpayments activity and communicate with other functional areas of the Fund ...