The Case Reviewer manages assigned caseloads to process financial eligibility determinations and redeterminations for New Hampshire Medicaid Long-Term Care. They are responsible for conducting virtual interviews, verifying documentation, and maintaining accurate records within state systems.
The investigator will conduct thorough investigations into allegations of abuse, neglect, and exploitation of endangered adults. Responsibilities include performing field interviews, documenting case activities, and facilitating referrals to community resources.
The Nurse Reviewer conducts provider compliance reviews to ensure adherence to state regulations and quality standards through onsite visits and documentation evaluation. They exercise independent judgment to identify deficiencies, recommend improvements, and maintain accurate records of findings.
The APS Lead Supervisor oversees and supports investigative staff to ensure the protection of endangered adults through effective risk assessment and case management. This role also focuses on staff development, quality assurance, and maintaining compliance with project requirements and service level agreements.
The Healthcare Investigator conducts thorough investigations into incidents involving Medicaid recipients and providers to ensure health, safety, and welfare standards are met. They are responsible for analyzing documentation, performing interviews, and preparing detailed summary reports for regulatory compliance.
The Antimicrobial Resistance Specialist will work to identify and evaluate various antimicrobial resistance data sources and collaborate with healthcare facilities to enhance antimicrobial stewardship programs. The role involves engaging with stakeholders to develop educational materials and assess facility practices in response to public health threats.
