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Audit Manager
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REMOTE OPTIONS, PHOENIX
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| The Audit Manager will report to the Inspector General. This position is responsible for the direct oversight of the Quality Assurance Nurse Investigations Unit as a highly skilled Registered Nurse with Utilization Review (UR) experience. This individual will provide assistance and guidance to subordinates, as well as, executive management, and support the Inspector General (IG) efforts on a variety of administrative and management issues, projects and initiatives, data analytics, related to investigations of healthcare fraud and program mismanagement. |
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CUSTOMER SERVICE REPRESENTATIVE 2
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PHOENIX
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| The purpose of this position is to research the claims database for employer information and insurance coverage in order to notify insurance carriers of new claims when this situation occurs. If employer’s information does not match insurance coverage in the claims database when a claim record is initially received and keyed in to the system, the insurance carrier or self-insured employer cannot be notified of the claim. |
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Legislative Policy Intern
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REMOTE OPTIONS, PHOENIX
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| Come join our team at the Land Department! |
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Health Care Compliance Officer - Long Term Care
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PHOENIX
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| Performs work corresponding to the activities within the Division of Public Health Licensing Services, Bureau of Long Term Care
Facilities Licensing. Assists with or determines the issuing of licenses to licensed facilities and providers, maintaining current licenses
by ensuring compliance with all applicable regulations. Conducts initial and annual recertification inspections of health care institutions
regulated by the Department to determine compliance with all applicable regulations. Review of quality systems by tracking documents,
corrective actions, and other quality data. Conducts investigations of the operation of a licensed facility or provider upon receiving a
complaint or of an unlicensed facility. Performing services that need regulation. Corresponds with the regulated community or with
regulatory bodies, responds to technical questions from licensees, develops standards, participates in rulemaking, and conducts
inspections. Performs, assists or reviews detailed investigative or inspection reports, statements of deficiencies, and correspondence
regarding changes in the status of a licensee’s license, or other types of legal orders. |
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Health Care Compliance Officer - Registered Nurse - Long Term Care
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PHOENIX
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| Performs work corresponding to the activities within the Division of Public Health Licensing Services, Bureau of Long Term Care Facilities Licensing. Assists with or determines the issuing of licenses to licensed facilities and providers, maintaining current licenses by ensuring compliance with all applicable regulations. Conducts initial and annual recertification inspections of health care institutions regulated by the Department to determine compliance with all applicable regulations. Review of quality systems by tracking documents, corrective actions, and other quality data. Conducts investigations of the operation of a licensed facility or provider upon receiving a complaint or of an unlicensed facility. Performing services that need regulation. Corresponds with the regulated community or with regulatory bodies, responds to technical questions from licensees, develops standards, participates in rulemaking, and conducts inspections. Performs, assists or reviews detailed investigative or inspection reports, statements of deficiencies, and correspondence regarding changes in the status of a licensee’s license, or other types of legal orders. |