Trabajos case manager rn en Bayonne, New JerseyCrear alertas

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health Title: RN, Case Manager Location: University Ave 1953 University Ave, Bronx, NY 10453 Washington Heights 4405 Broadway, New York, NY 10040 *Subject to adjustment based on clinic needs *Eligible candidates may receive a sign‑on bonus as part of the offer package. Role Description: In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for complex patients. This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ensuring effective team-based care. It is a field-based, in-person/on-site role, requiring strong relationships between patients, providers and care team members. Core Responsibilities: Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization. Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics. Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team. Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members. Collaborates patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression. Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings. Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits. Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care. Educate patients and families, empowering them in their care, and advocating for their needs. Document visits in electronic health record according to internal standards Other duties as assigned. What are we looking for? Fluency in Spanish or other languages spoken by people in the communities we serve, required Current RN license in assigned state is required; Bachelor degree in nursing preferred. Minimum of 6-8 years nursing experience. Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience 2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred. Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources. A flexible and positive attitude Comfort with ambiguity and change High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution. Access to reliable transportation and ability to travel throughout the communities OSH serves US work authorization Someone who embodies being Oaky What does being Oaky look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Why Oak Street Health? Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move! With over 200+ locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission. Oak Street Health Benefits: Mission-focused career impacting change and measurably improving health outcomes for Medicare patients Paid vacation, sick time, and investment/retirement 401K match options Health insurance, vision, and dental benefits Opportunities for leadership development and continuing education stipends New centers and flexible work environments Opportunities for high levels of responsibility and rapid advancement Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. Learn more at _ Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $72,627.00 - $155,538.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on _. We anticipate the application window for this opening will close on: 12/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Job DescriptionThe Manager, Utilization Management (UM) is responsible for providing strategic leadership and operational oversight for both inpatient and outpatient utilization management clinical teams, including prior authorization, concurrent review, and care coordination functions. This role is accountable for driving clinical quality outcomes, reducing medical loss ratio (MLR), decreasing avoidable admissions and readmissions, and aligning utilization management activities with organizational quality metrics and regulatory requirements. The Manager ensures appropriate utilization of healthcare services across the continuum of care, with a strong focus on proactive discharge planning, high risk population management, and interdisciplinary collaboration. This position partners closely with Case Management, High Risk Care Management, Pharmacy, Medical Directors, and Clinical Operations to develop clinical solutions that optimize patient outcomes while maintaining cost effective care delivery. This role also participates in a rotational management on call program, providing leadership support during after hours and weekend periods as needed. Essential Position Functions/Responsibilities: • Provide strategic and operational leadership for inpatient and outpatient utilization management teams, • Oversee Prior Authorization, Concurrent Review, and Inpatient Utilization functions, • Manage clinical staff across UM teams, • Establish departmental goals aligned with organizational strategic objectives, • Promote a culture of accountability, collaboration, and continuous improvement, • Ensure staff adherence to policies, procedures, and regulatory requirements, • Conduct performance evaluations, coaching, and professional development planning, • Maintain appropriate staffing models to support operational efficiency and service levels, • Monitor and analyze utilization data to identify trends, opportunities, and performance gaps, • Drive initiatives to reduce admissions, readmissions, and unnecessary utilization, • Implement strategies to reduce medical loss ratio (MLR) while maintaining quality outcomes, • Ensure alignment with clinical quality metrics and population health initiatives, • Oversee appropriate application of clinical criteria including MCG and payer guidelines, • Audit utilization decisions for clinical appropriateness and compliance, • Evaluate and improve workflows to enhance operational efficiency, • Monitor turnaround time, productivity, and key performance indicators, • Lead development and monitoring of utilization management programs, • Partner with Director of Pharmacy to develop clinical solutions and optimize medication utilization, • Collaborate with High Risk Care Management team to address complex populations, • Work closely with Medical Directors to support clinical decision making, • Coordinate and develop with Case Management leadership and Social Work Team alignment of organizational and departmental goals that full align with the SVP of Clinical Services, • Collaborate with Quality, Pharmacy, and Appeals teams, • Participate in Utilization Management Committee, • Ensure compliance with CMS, NCQA, State, Federal, and Department of Labor requirements, • Maintain regulatory readiness and audit preparedness, • Lead internal audits and quality improvement initiatives, • Develop and maintain policies, procedures, and standard operating procedures, • Participate in external and internal audits as subject matter expert, • Develop and monitor departmental KPIs, • Prepare weekly and monthly utilization reports, • Analyze utilization trends and financial impact, • Provide leadership reporting and recommendations, • Monitor turnaround times and productivity metrics, • Provide day to day operational oversight for inpatient and outpatient teams, • Monitor staffing productivity and workflow efficiency, • Implement process improvements and operational initiatives, • Support implementation of new programs and technologies, • Participate in strategic planning initiatives, • Participate in rotational management on call schedule, • Provide leadership coverage during evenings, weekends, and holidays, • Support escalation management and operational decision making Qualification Requirements: Skills, Knowledge, Abilities • Strong knowledge of Utilization Management principles, • Knowledge of MCG, CMS, NCQA, and regulatory requirements, • Understanding of Medicare, Medicaid, and Commercial payer guidelines, • Experience with care coordination and transitions of care, • Strong analytical and problem solving skills, • Excellent communication and leadership skills, • Ability to manage multiple priorities in a fast paced environment, • Strong organizational and time management skills, • Ability to lead change and drive performance improvement, • Experience with quality improvement initiatives, • Ability to build collaborative relationships across departments Training/Education: • Bachelor of Science in Nursing (BSN) required, • Master's degree in Nursing, Healthcare Administration, or related field preferred, • Active, unrestricted Registered Nurse (RN) license required Experience: • Minimum five (5) years of clinical experience required, • Minimum three (3) years of leadership or supervisory experience required, • Utilization Management experience in Managed Care required, • Inpatient Utilization Management experience preferred, • Prior Authorization experience preferred, • Experience managing interdisciplinary teams preferred

Job Description $15,000 Sign-On Bonus or Student Loan Assistance! MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. MJHS Home Care provides advanced clinical services and emotional support to patients recovering from illness, injury or surgery. With a comprehensive range of services supported by an integrated health system, patients can recover in the familiar surroundings of their home. The Home Care Planner is responsible for evaluating and establishing a plan of care for patients referred for home health services. The Home Care Planner will facilitate admission of referrals upon discharge from the hospital to a home care program that meets the needs of the patient and family members. As a key member of the business development and marketing team the Home Care Planner develops and maintains positive relationships with physicians, social workers, case managers and discharge planners within the medical center. • Meets the established Monthly Admission Targeted Goals, • Delivers exceptional customer service while sustaining established business relationships and actively cultivating new ones • Demonstrates flexibility within the role to effectively support the agency’s overall business objectives and goals, • Responds to the referral source (e.g. physician, social worker, case manager) in a timely manner when given a patient referral • Establishes a plan of care (POC) in collaboration with patient, physician and member of interdisciplinary health care team and arranges for all needed services • Works in conjunction and maintains consistent communication with discharge planning staff to identify problems that may impede the transition of the patient to home and assists with resolution as needed • Communicates agency admission criteria, reimbursement criteria and policies to patient/caregiver, members of the interdisciplinary health care team and other personnel as indicated • Evaluates referral needs that may align with additional MJHS products and services (Homefirst, Palliative Care, Hospice) • To identify and assess referrals received for the various MJHC clinical service programs (e.g. Heart Failure, COPD, Road to Recovery, Community Based Palliative Care) as deemed applicable • To identify and assess that the Home Health Face-to-Face documentation as mandated by the Centers for Medicare and Medicaid Services (CMS) are located in all Medicare patient’s medical record • Meets assigned e-learning and annual health assessment deadlinesMaintains clear, legible documentation that reflects adherence to Joint Commission standards, local, state and federal regulations and third party payer requirements in hospital and agency records; under the direct supervision of a HCP Manager and/or Director of Business Development • Current NYS RN license and registration, • Associates degree in nursing required; Bachelor’s degree in nursing preferred, • Must have a minimum of two years experience in home care nursing with proficiency in physical assessment and interviewing skills, • Must be client-service focused with excellent written and verbal communication skills, • Good critical thinking and problem solving skills plus the ability to work independently is essential

Overview: Patient Care Manager, RN Clinical Manager - FT - Mon-Fri - 8a-5p • Hospice RN Case Manager experience preferred Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams. We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery of high-quality, compliant hospice services. This leadership role involves managing clinical operations, coordinating care, and developing staff to uphold the highest standards of patient care and regulatory compliance. As a Hospice Patient Care Manager, You Will: • Oversee and direct patient care services to ensure the delivery of high-quality hospice care, • Manage visit scheduling, including reassigned, missed, declined, or rescheduled visits—making decisions based on clinical judgment and priority, • Triage incoming phone referrals and medical concerns in a timely, compassionate, and professional manner, • Lead or facilitate Interdisciplinary Group (IDG) meetings, including presenting patient updates, reviewing charts, coordinating care plans, and documenting minutes, • Serve as a mentor, trainer, and clinical support to associates, supporting development, performance, and compliance, • Ensure all care delivery meets federal, state, and local regulatory standards, as well as company policies and procedures, • Support performance improvement initiatives, quality assessments, and operational efficiencies within your location Compensation may vary within the salary range provided based on several factors, including but not limited to a candidate's geographic location, experience, education, skills, licensure, certifications, internal equity, and department equity. Gentiva provides associates with a comprehensive Total Rewards package, of which base pay is just one component. Salary Range: $100,000 - $115,000 Full-Time Employee Benefits • Medical, Dental & Vision, • Wellness Program & Resources, • 401(k) with Company Match, • Paid Time Off (PTO), • FMLA, ADA, and other federal and state-required leaves, • Short-Term & Long-Term Disability, • Health Savings Account (HSA) Contribution, • Mileage Reimbursement or Fleet Car Program, • Cell Phone Reimbursement (eligible roles), • Short-Term Incentive (eligible roles), • Tuition Reimbursement About You: Qualifications – What You’ll Bring: • Current RN license in the state of employment, • Graduate of an accredited nursing program, • Minimum of 3 years of direct patient care experience, including 2 years in a hospice or home-based care setting, • Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid, JCAHO, ACHC), • Knowledge and compassion for terminally ill patients and their families, • Ability to lead a diverse care team while adapting to the emotional and clinical needs of patients from various backgrounds, • Strong interpersonal, organizational, and leadership skills, • Competency in clinical documentation and technology systems Preferred Qualifications (Not Required): • Bachelor of Science in Nursing (BSN), • Previous leadership, team management, or supervisory experience in hospice or home health, • Familiarity with EMR systems and telehealth platforms, • Certification in Hospice and Palliative Nursing (CHPN) We Offer: Benefits for All Associates (Full-Time, Part-Time & Per Diem): • Competitive Pay, • 401(k) with Company Match, • Career Advancement Opportunities, • National & Local Recognition Programs, • Teammate Assistance Fund Additional Full-Time Benefits: • Medical, Dental, Vision Insurance, • Mileage Reimbursement or Fleet Vehicle Program, • Generous Paid Time Off + 7 Paid Holidays, • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care), • Education Support & Tuition Assistance (ASN to BSN, BSN to MSN), • Free Continuing Education Units (CEUs), • Company-paid Life & Long-Term Disability Insurance, • Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply today and help us lead the way in delivering hospice care that truly matters. Legalese: • This is a safety-sensitive position, • Employee must meet minimum requirements to be eligible for benefits, • Where applicable, employee must meet state specific requirements, • We are proud to be an EEO employer, • We maintain a drug-free workplace Location: Gentiva Hospice Our Company: At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Our nationwide reach is powered by a family of trusted brands that include: • Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon, • Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care, • Home health care: Heartland Home Health, • Advanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.

Employee Vesting at 5 year work anniversary 403B Retirement plan thru Lincoln Financial Medical, Dental and Vision coverage start 60 days after start date Medical Coverage thru CIGNA Dental Coverage thru choice of Cigna PPO plan or AETNA DMO plan Vision coverage thru United Healthcare FREE Online RN

Employee Vesting at 5 year work anniversary 403B Retirement plan thru Lincoln Financial Medical, Dental and Vision coverage start 60 days after start date Medical Coverage thru CIGNA Dental Coverage thru choice of Cigna PPO plan or AETNA DMO plan Vision coverage thru United Healthcare FREE Online RN

Hospice RN Case Manager - with 15K New Hire Bonus and Pension This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume. Employee Vesting at 5 year work anniversary 403B Retirement plan thru Lincoln Financial Medic

Highly Regarded NYC MLTC Healthplan Hiring Bilingual Case Managers This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume.Salary: $100,000 - $115,000 per year A bit about us: We are an NYC based non-profit manag

SOUTH Brooklyn Hospice RN Case Manager - 15K New Hire Bonus, PENSION and 4 day work week This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume. As a key member of the business development and marketing team, th

Employee Vesting at 5 year work anniversary 403B Retirement plan thru Lincoln Financial Medical, Dental and Vision coverage start 60 days after start date Medical Coverage thru CIGNA Dental Coverage thru choice of Cigna PPO plan or AETNA DMO plan Vision coverage thru United Healthcare FREE Online RN

Field based Hospice RN Case Manager role offering 15K Sign on Bonus, Lucrative 6 figure salary, PENSION & 403B Retirement plan, FREE College Tuition, 4 weeks PTO This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your r

Manhattan Hospice RN Case Manager with PENSION, 403B and $10,000 Sign on Bonus! This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume. Why join us? Benefits/Perks: Generous accrued vacation days, Sick days Comp

Hospice RN Case Manager with 15K Hire Bonus and PENSION, Generous Benefits package This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume. Employee Vesting at 5 year work anniversary 403B Retirement plan thru Li

Job DescriptionDescription: Position Overview: Clinical Case Manager The Clinical Case Manager is responsible for ensuring the increased length of stay, higher levels of reimbursement, medication carve-outs, and authorization coverage throughout patient stays. The Clinical Case Manager reports to the Supervisor of Clinical Case Management. Key Results Area Puts forth best efforts to learn and understand full training provided upon onboarding. Maintain a skilled caseload of 77 patients per day or as established by Senior Leadership, post the 90-day probationary period. Maintains an average length of stay is 22+ for assigned clients. Maintains no more than 10 missing levels post 10 days of admission, with the goal to average 0. Maintains no more than 5 errors across caseload per 30 days on average. Reviews AR logs for accuracy and sends them out to clients on the first business day of the month for the previous month for all assigned clients. Attend all UR meetings per assignment to communicate level requirements and capture the nuances of patient care being provided by clients. Participate in 1:1 meeting with the Supervisor monthly. Remits on the due date, cover page, insurance required form, and complete clinical packet at each NRD to insurance. Follow up with insurance for determination on all NRDs within 72 business hours, to ensure the client does not incur provider liable days. Coordinate/submit all appeal requests to the appeals team, at times submitting appeals to the QIO/ Health plan directly to meet deadlines. Review and obtain carve-outs as outlined in the specified insurance contract or policy. Maintain the Guided Care program with patient details as required and skilled listing, to ensure the accuracy of the current caseload. Respond to client emails and requests by the end of business day. Maintain a high level of customer service and professionalism in all methods of communication. Communicates respectfully with colleagues and leadership. Collaborates with colleagues, helping and handling additional cases during downtime or a lull in individual caseload. Excellent attendance. Other duties as assigned. Evaluate and assess personal performance on a routine basis. Agree to uphold and practice company principles (GUIDE) in all work-related interactions. Requirements: -5+ years of experience in a healthcare environment. -Ideal candidate is a licensed nurse (RN, LPN) or licensed therapist (OT, OTA, PT, PTA, SLP) -Skilled Nursing, LTACH, Hospital experience preferred. -Independent and self-motivated. -Innovative and detail-oriented professional with strong research and organizational skills. -Thrives in a fast-paced, high-pressure environment. • Strong time management with a proven ability to meet deadlines., • Solid collaborative skills with team and clients., • Ability to work remotely and autonomously., • Ability to establish and maintain positive relationships., • Ability to communicate and exchange information and ideas so others will understand., • Demonstrate discretion, sensitivity, and ability to maintain confidentiality., • Quality camera to be used when joining internal and client meetings scheduled via Zoom, Teams, or other video meeting platforms. When participating focus on the matter at hand. Refrains from actively performing other duties even if work-related., • Joins scheduled client meetings timely, best practice 3 minutes before the meeting time, to ensure the best self and company representation., • Microsoft Office proficiency, with the aptitude to learn new programs.

Job Description ABOUT US: Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. Our name reflects our mission - Forza means "strength," representing the power of our team, and Care reflects our compassion for those we serve. ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative and risk mitigation solutions. Together, we're expanding our reach and strengthening our ability to deliver exceptional service across the workers' compensation industry. Learn more about ForzaCare and Ethos partnership here. JOB SUMMARY: As a Field Medical Case Manager at ForzaCare, you'll help injured workers navigate their recovery and return to work. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management. This role is ideal for licensed nurses or certified rehabilitation counselors. While prior experience in workers' compensation is strongly preferred, those who have it will find their background especially valuable in this role. KEY RESPONSIBILITIES: • Coordinate care between medical providers, employers, insurance carriers, and injured workers., • Attend appointments with the injured workers, which may include visiting employers and injured workers at their place of employment., • Develop, document, and monitor individualized recovery goals and return-to-work plans., • Provide consistent communication and detailed progress reports to clients and stakeholders., • Ensure all case management work meets or exceeds customer and compliance requirements., • Build and maintain strong relationships with clients, providers, and internal team members. QUALIFICATIONS: Education & Licensure: • Active Registered Nurse (RN) or Certified Rehabilitation Counselor (CRC) license with associated college degree is required., • Additional certifications such as CCM, CIRS, or other case management credentials are preferred., • Must comply with all state-specific licensure and certification requirements., • Prior experience in workers' compensation case management is strongly preferred., • Valid driver's license, reliable transportation, and auto insurance with ability to travel to appointments. Skills & Attributes: At ForzaCare, we look for professionals who embody our values and thrive in a collaborative, purpose-driven environment: • Motivated –You take pride in exceeding goals and continuously improving., • Organized – You can manage a fast-paced workload and multiple priorities with ease., • Collaborative – You communicate clearly and work well with diverse teams and stakeholders., • Committed – You uphold ForzaCare's mission to deliver high-quality, compassionate care and comply with all safety, ethical, and professional standards. ForzaCare is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic. Job Posted by ApplicantPro

Job Description NOW HIRING: RN TELEPHONIC CLINICAL CARE MANAGERS Longitudinal & Palliative Care Fully Remote Pay Rate: $50-55/hour 100% Work From Home Temporary Assignment Active New York State RN License REQUIRED We are seeking experienced Registered Nurses (RNs) for fully remote Telephonic Clinical Care Manager opportunities supporting Longitudinal and Palliative Care programs. This is an excellent opportunity for RNs with strong backgrounds in case management, care coordination, palliative care, and telephonic patient support. KEY RESPONSIBILITIES: • Provide telephonic clinical care management to assigned members, • Coordinate healthcare services and ongoing plans of care, • Complete comprehensive care management and disease-specific assessments, • Conduct patient outreach based on clinical needs and risk levels, • Provide patient education, health coaching, and treatment-plan support, • Identify and address social determinants of health (SDOH), • Connect members with appropriate healthcare and community resources, • Coordinate services including therapy, DME, behavioral health, and other clinical resources, • Identify and escalate patient safety concerns, • Participate in interdisciplinary team (IDT) meetings and case discussions, • Maintain accurate and timely clinical documentation QUALIFICATIONS: • Active New York State RN license – REQUIRED, • Longitudinal Care, Palliative Care, Hospice, and/or Case Management experience, • Strong care coordination and clinical assessment experience, • Knowledge of Medicare and Medicaid populations, • Telephonic care management experience strongly preferred, • Strong communication, patient advocacy, and problem-solving skills, • Ability to work independently in a fully remote environment $50-55/hour Fully Remote Active NYS RN License Required Interested or know a qualified RN? Send resumes directly to: GZIVALI@PHAXIS.COM #NowHiring #RNJobs #RegisteredNurse #RNCaseManager #CaseManagement #ClinicalCareManager #PalliativeCare #HospiceCare #LongitudinalCare #RemoteRN #RemoteNursing #TelephonicNurse #CareManagement #Medicare #Medicaid #HealthcareJobs #NewYorkRN

Job Description Duties: The Care Manager develops, facilitates, monitors, and communicates a care plan in partnership with the member, their family or significant other, primary caregiver, the primary and/or the attending physicians, and various providers. Using the assessments and interview done by the Assessment Nurse, the Care Manager identifies the risk factors, strengths, challenges, and service needs of the member as they strive to keep them safe and well in their community setting. Review and evaluate the assessment and UAS information for members in the MLTC and MAP lines of business. Develop a working relationship with the PCP to be able to contact and discuss the care of the member with them. Review assessment findings with the PCP to identify any concerns that have not been identified by the clinical team. Identify the risk factors and assign the risk category to the member. As part of Care Management team, develops a formal care plan for all services needed for the member, including the members disaster plan. Monitor the condition of all members at least monthly, typically by telephone but via face-to-face when necessary. Identify clinical issues that require immediate clinical assessment and/or treatment to reduce risk of unnecessary hospitalizations, ED visits or nursing home admissions. Identify opportunities to improve the quality of care by ensuring members receive needed preventative and chronic disease care. Prior approve request for additional services based on assessments and using evidence-based standards refer denial, reduction, or limitation of service request to Medical Director. Assist members with the coordination of services both within and outside networks as appropriate. Includes facilitating discharge from acute setting and alternate settings. Provides Care Coordination through continuum of care. Optimizes both the quality of care and the quality of life for the MetroPlusHealth members. Coordinate with Utilization Management (UM) department on concurrent and retrospective review. Follow up with assigned nurses for clinical updates to care plan. Document within two business days coordination notes and routine contacts with the members according to the level of risk assigned to them. Participate in team care planning meetings. Handles complains that can be resolved in one day Assists Customer Service and the UM department by providing records and materials needed for grievances from MLTC/MAP program members Speaks to members who are delinquent in their spend-down payments. Cooperates with all department within MetroPlusHealth Identifies members appropriate for specialty programs. Performs all MLTC/MAP management activities in compliance with all regulatory agency requirements. Provides information on all requests from Quality Management Department to be reviewed by the various Quality committees. Completes all other tasks assigned by MLTC Dept. Leadership. Participates in the department on call schedule/being on call, which is rotated amongst the care team. Skills: Five years minimum of clinical experience as a Registered Nurse. Leadership experience preferred. Experience with Care Coordination, Utilization review and discharge planning Computer literacy required. Two (2) to three (3) years clinical experience in certified home health agency (CHHA), Lombardi program and/or MLTC or MAP program Education: RN Licensed as a Registered Nurse in the State of New York required. Baccalaureate degree required. PRI and Screen certification within three months of employment is required. Master's Degree and Bilingual Spanish Certification in Case Management preferred. RN Licensed as a Registered Nurse in the State of New York required. Baccalaureate degree required. PRI and Screen certification within three months of employment is required. Masters Degree and Bilingual Spanish Certification in Case Management preferred. Bachelors Degree required; BSN preferred. Languages: English

Job DescriptionJob Title: RN Care Manager -ED Job Location: New York, NY 10004 Job Duration: 3 Month (Possibility of extension) Shift time: 9AM to 5PM , Hybrid Pay - $65/hr. - $68/hr. on w2 Note: We have openings for Manhattan/ Brooklyn/ Bronx/ Queens (choose any location, shift, department as per experience) Position Overview: Role & Responsibilities: • Ensure compliance with regulatory requirements and participate in the rotating on-call schedule., • Document member contacts and care coordination activities within two business days., • Coordinate with Utilization Management and Quality Management teams., • Review additional service authorization requests and refer denials or reductions to the Medical Director when needed., • Coordinate care transitions, discharge planning, and services across in-network and out-of-network providers., • Assess member risks and identify clinical issues requiring timely intervention., • Develop and monitor individualized care plans in coordination with members, physicians, nurses, and other providers., • Review member assessments and UAS information for MLTC and MAP programs.Skills:, • Minimum of five (5) years of clinical experience as a Registered Nurse, • Leadership experience preferred, • Experience in: Care Coordination, Utilization Review, Discharge Planning, • Computer literacy required, • Bilingual Spanish Certification in Case Management Education & Licensure: • Licensed Registered Nurse (RN) in the State of New York (required), • Baccalaureate degree (required), • PRI and Screen certification required within three (3) months of employment, • Preferred Qualifications: Master’s Degree

Job DescriptionCARE DELIVERY MANAGER ( Managed Long Term Care experience required) Responsible for supporting the nursing standards of excellence with advance professional education to deliver high-quality care. **Strong background in community health/homecare, with solid management experience. Location: Wallerstein (Orientation in the Bronx) Setting: On-site Schedule: Monday - Friday 8:30am-5:00pm, (1 hour lunch) (FT) Contract Length: Temp to perm opportunity based on performance and business needs. Job Title: Care Delivery Manager Department: Care Delivery Reports To: Clinical / Center Service Director JOB PURPOSE: Responsible for supporting the nursing standards of excellence with advance professional education to deliver high-quality care. Serve the organization as a member of the management team, working alongside with all departments and employees to support and oversee the day-to-day operations. Provide guidance, and deliver best practices in achieving organization's objectives, goals, and mission. Cultivate an environment dedicated to improving experience, enhancing satisfaction and retention. Provides care coordination in a manner that is sensitive to age, gender, sexual orientation, cultural, linguistic, racial, ethnic, religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: • Review and ensure effective development and execution of personalized care plans that result in improved satisfaction & outcomes for all participants. • Facilitate and complete the process of Interdisciplinary Team (IDT) meetings, Service Delivery Requests (SDR) and other meetings. This includes completing the attestations, as needed. Support and collaborate with the Virtual IDT as needed. • Serve as a manager on call during non-operational hours of the physical sites and responsible for follow ups including follow up documentation and initiating grievances on participants/caregivers' behalf in timely manner. • Responsible for running necessary Clinical Delivery reports., • Participates and represents the Community Health Nurse (CHN) in all IDT JOB DESCRIPTION meetings, when required. • Balance and allocate staffing and related resources throughout the site and ensure adequate team assignments and coverage as a seamless operation. • Responsible for ongoing communication with IDT and necessary parties involved to coordinate care consistent with the participants' health care needs and goals to support in attaining and maintaining optimal health status. • Collaborate with clinicians to review UAS and the UAS analyzer system to ensure accuracy of their assessments. • Ensure all incidents are investigated and addressed accordingly. Ensure Level 2 investigation and documentation are completed in a timely manner according to the Organization's regulation. • Ensure documentation for participants are complete, accurate, including and not limited to enrollment, disenrollment, electronic/paper medical record, and any other clinical notes. • Review participants' charts for quality and address any deficiencies., • In collaboration with the Transitions in Care Team, provide care management services across sites and communicate with appropriate team members, facility, discharge planner, and home care coordinator when members are transitioned between care settings. • Coordinates, facilitates, and arranges for long-term care services in nursing homes, rehab facilities, etc. as needed. • Monitor care management activities, services, and members' responses to interventions to determine the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to meet needs and goals. • Ensure documentations are in accordance with the Organization's standards and federal/state regulations. • Maintain up-to-date knowledge about current health-related issues, procedures, evidence-based clinical practices guidelines, medications, and impacting health and practice standards. • Recommend and contribute to improvements in services, programs, policies, and procedures to ensure optimum care and services to members. • Collaborate with Human Resources Department (HR) in conducting Interviews, coaching and disciplinary action if needed. Assist in onboarding and professional development training of staff to ensure compliance with policies/procedures/regulations as well as developing a continuous learning environment focused on growth and continued advancement. Ensures appropriate regulatory compliance is effective and being met at all federal and state levels. • Evaluates the work performance and competency of direct reports. This includes ongoing informal feedback/counseling/support and completion of annual performance reviews. • Ensures that direct reports conduct their duties according to applicable rules and regulations as well as the organization's policies and procedures. • Investigate and resolve employee grievances and complaints., • Serve as the Director of Patient Services (DPS) for the LHCSA, as assigned., • Only act within the scope of the individual's authority to practice., • Meet a standardized set of competencies for the specific position description established by the PACE organization before working independently. • Acting member of the IDT., • All other duties as assigned. Schedule: 8:30AM – 5:00PM Weekly Hours: 37.5 QUALIFICATIONS: Education: • Degree from an NLN accredited nursing school (RN, BSN required or at least five (5+) years' experience in health care setting). • Successful completion of an accredited Nursing Program is required., • A Baccalaureate degree is highly desired., • Completed NYSED-approved infection control coursework., • A minimum of 8.0 education contact hours may include contact hours of mandatory training requirements such as infection control coursework. • Case Management Certification recommended within two (2) years of the employment. Experience: • Minimum of two (2+) years of administrative experience in a management capacity in a certified home health agency (CHHA), long-term home health care (LHCSA), acute care, medical-surgical, and/or critical care, nursing home experience, diagnostic & treatment clinic preferred. • Customer Service experience is required., • Managed long-term care insurance experience beneficial., • Minimum of one (1+) year of experience working with a frail or elderly population or, if the individual has less than one (1) year of experience but meets all other requirements, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring. • Supervisory experience is required. License: Current active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: • Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State in which the healthcare professional will perform the function. • Be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact. Language: Bilingual preferred. Physical Requirements Individuals must be able to sustain certain physical requirements essential to the job. This includes, but is not limited to: • Standing – Duration of up to 6 hours a day., • Sitting/Stationary positions – Sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods. • Lifting/Push/Pull – Up to 50 pounds of equipment, baggage, supplies, and ability to lift patients safely and using OSHA guidelines, etc. • Bending/Squatting – Must be able to safely bend or squat to care for patients, use medical supplies, etc. • Stairs/Steps/Walking/Climbing – Must be able to safely maneuver stairs, climb up/down, and walk to access work areas Position requires the individual to be able to travel, and walk between sites/locations and work areas throughout the day. • Agility/Fine Motor Skills - Must demonstrate agility and fine motor skills to operate and activate equipment, devices, instruments, and tools (ie. typing, use of medical supplies, equipment, etc.) • Sight/Visual Requirements – Must be able to visually assess patients, read orders type/write documentation, etc. with accuracy. • Audio Hearing and Motor Skills (language) Requirements – Must be able to listen attentively and document information from patients, community members, providers, etc., and intake information through audio processing with accuracy. In addition, must be able to speak comfortably and clearly with language motor skills for customers to understand the individual. • Cognitive Ability – Must be able to demonstrate good decision-making, reasonableness, cognitive ability, rational processing, and analysis to satisfy essential functions of the job. Disclaimer: Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.

Job Description Care Manager — Manhattan, NY Dot Cares, LLC Location: Manhattan, NY Job Type: Part-time, 1099 Independent Contractor Pay: Starting at $70/hour Work Setting: Field-based/in-person client visits throughout Manhattan, with some remote coordination and administrative work Growth Opportunity: Strong potential to transition to a full-time W-2 position as caseload and practice needs grow About Dot Cares Dot Cares is a client-centered aging life care and care management practice serving families throughout New York City, the Lower Hudson Valley, and Southern Connecticut. We help older adults and their families navigate the medical, social, logistical, and emotional complexities of aging, chronic illness, and major life transitions — serving as trusted advocates who coordinate resources and make sure nothing falls through the cracks. About the Role We're seeking an experienced Care Manager for clients throughout Manhattan. This is a hands-on lead role: you'll be the primary point of contact for assigned clients, families, and providers, driving the day-to-day work of each case — conducting assessments, developing care plans, attending medical appointments, advocating for clients, coordinating providers, communicating with families, and ensuring follow-through. A collaborative team is available for consultation and coverage, but this role requires someone comfortable owning their cases independently. Great fit for an experienced RN or social worker who enjoys building relationships, solving complex problems, and taking real ownership of their work. Key Responsibilities Assessment & Care Planning: Conduct comprehensive assessments (medical, functional, cognitive, emotional, psychosocial, environmental); develop and update individualized care plans; identify and proactively address risks. • Medical Advocacy: Attend appointments with clients when appropriate; advocate for their needs; help prepare questions; document and track referrals, testing, and follow-ups., • Care Coordination: Coordinate communication among physicians, specialists, therapists, agencies, and facilities; manage transitions between care settings; support discharge planning and close gaps in care., • Family Communication: Serve as a trusted point of contact; provide timely updates; help families navigate decisions on safety, independence, and living arrangements., • Aging in Place & Safety: Monitor client functioning and environment; identify concerns (falls, medication issues, isolation, caregiver strain); coordinate home care, transportation, equipment, and community resources., • Documentation: Maintain accurate, timely case notes and organized files; track outstanding tasks and deadlines; maintain confidentiality and professional boundaries. What We're Looking For Proactive, highly organized, and comfortable owning complex cases. A strong communicator with families and healthcare professionals. Compassionate but boundaried, resourceful in unfamiliar situations, able to juggle multiple clients, and diligent about documentation and follow-up. Qualifications Required: Active NY State license as RN or Licensed Social Worker (LSW, LMSW, or LCSW) • Experience in care management, case management, home health, hospice, hospital discharge planning, geriatrics, or social work, • Strong communication, organization, and relationship-building skills, • Ability to work independently across homes, medical offices, hospitals, and facilities, • Ability to travel reliably throughout Manhattan, • Professional liability/malpractice insurance appropriate to your license, • Strong computer and documentation skills Preferred: BSN (nursing) or MSW (social work) • Experience with older adults and complex medical/psychosocial needs, • Experience as a lead/primary case manager, • Background in aging-in-place, geriatric care management, or private-pay care management, • Familiarity with home care agencies, assisted living, skilled nursing, rehab, hospice, and community resources, • Experience coordinating complex hospital discharges Compensation & Growth Starting at $70/hour. Part-time, 1099 to start, with flexible scheduling and strong potential to grow into a full-time W-2 role as caseload expands. Collaborative team environment with consultation and coverage support. How to Apply Please email your resume and a brief note describing your care management or case management experience to office@dotcares.com. Please use the following subject line: Manhattan Care Manager — [Your Full Name] In your email, please also answer the following: What is your current professional license, and how many years of relevant care management or case management experience do you have? • Describe one complex client situation that you personally coordinated from beginning to end. What was your role, and what was the outcome?, • What do you believe is the most important responsibility of a lead Care Manager? Please do not send a generic cover letter. We are most interested in your direct experience, your approach to care management, and your ability to take ownership of a case. Dot Cares, LLC Connecting the dots. Supporting families. Improving care.

Job DescriptionPosition: RN Case Manager Employment Type: Full-Time Work Structure: Hybrid – Field + Remote Territory: Queens, NY Are you an experienced Registered Nurse looking to make a meaningful impact through care coordination and community-based nursing? We’re partnering with a mission-driven healthcare organization to offer a Hybrid RN Case Manager opportunity serving members throughout Queens. This role combines field-based nursing with remote care management, giving you the opportunity to support older adults and individuals with disabilities while promoting safe, independent living. Position Overview: The RN Case Manager is responsible for providing comprehensive care coordination, including in-home assessments, care planning, advocacy, service authorization, and ongoing monitoring to ensure members receive the appropriate services based on their individual health and functional needs. Responsibilities Include: • Conduct in-home assessments and monitor members' health, functional, cognitive, and environmental needs., • Develop and implement individualized, patient-centered service plans., • Coordinate care across hospitals, nursing facilities, home care, and other healthcare settings., • Authorize covered services and ensure services are appropriate and cost-effective., • Collaborate with members, families, caregivers, physicians, and interdisciplinary teams., • Advocate for members and help them maintain the most independent living situation possible., • Complete required care management documentation, assessments, and re certifications., • Coordinate safe and appropriate discharge plans., • Identify members with complex care needs and participate in intensive care management discussions., • Respond to member requests, grievances, and care management needs within required time frames., • Connect members with appropriate community and state resources. Qualifications: • Current, unrestricted New York State RN license required., • Associate's Degree in Nursing from an accredited nursing program required., • Bachelor's Degree in Nursing preferred., • Minimum 2 years of RN experience required., • Clinical experience in geriatrics and/or Managed Long-Term Care (MLTC) preferred., • Strong assessment, critical thinking, decision-making, and problem-solving skills., • Strong organizational and time-management abilities., • Ability to work independently and collaboratively with a multidisciplinary team., • Bilingual speaking and writing skills preferred. Important Details: Field Schedule: Approximately 6 home visits completed in 1 day Remote Work: Care coordination, documentation, member follow-ups, and care planning Training Location: Queens Office Travel: Over 50% mobile; regular travel throughout the assigned territory Driver Requirement: Valid driver's license, personal vehicle, and verifiable auto insurance required Salary: $100,000–$135,000 per year, based on education, training and experience Benefits: Health, dental, vision, retirement plan, paid time off, professional development, and employee wellness programs Certification: Case Management Certification preferred Immediate Opportunity! Ready to take your nursing career beyond the bedside? Apply today and make a difference by helping members receive the care, services, and support they need to live safely and independently in their communities! #PHC #PHCPermZipFor workers in the United States, PrideGlobal and it's affiliates offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, pet insurance and employee discounts with preferred vendors. Equal Employment Opportunity PrideGlobal and it's affiliates are an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law. Fair Chance Employment PrideGlobal and it's affiliates are a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation. Only applicable for Kentucky positions: For this type of employment, state law requires a criminal record check as a condition of employment. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793.\nCompany Description Pride Health is Pride Global's healthcare staffing, providing recruitment solutions for healthcare professionals and the industry at large since 2010. Pride Health delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds. Our expert staff provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment full of trust and loyalty. Pride Health is Pride Global's healthcare staffing, providing recruitment solutions for healthcare professionals and the industry at large since 2010. \r\n\r\nPride Health delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds. Our expert staff provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment full of trust and loyalty.

Job Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Clinical Documentation Integrity (CDI) Leader Type: Contract Compensation: $84/hour Location: Remote Role Responsibilities • Lead clinical documentation integrity programs for inpatient and outpatient settings. Oversee concurrent and retrospective review workflows., • Evaluate AI-generated clinical documentation improvement suggestions for accuracy and compliance. Ensure alignment with clinical standards., • Conduct and review clinical documentation to capture diagnoses, procedures, severity of illness, and risk of mortality accurately., • Develop and manage physician query processes following AHIMA and ACDIS guidelines., • Monitor CDI program KPIs, including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy., • Collaborate with coding, compliance, and clinical teams to address documentation gaps and improve query processes. Provide education on best practices. Qualifications Must-Have • 5+ years of experience in clinical documentation integrity or improvement, with 2+ years in a manager or leadership role., • Deep knowledge of MS-DRG methodology, CC/MCC hierarchies, and ICD-10-CM/PCS coding guidelines., • Expertise in physician query management per AHIMA and ACDIS compliant query standards., • Strong clinical background with the ability to interpret medical records and clinical documentation., • Proficiency with CDI software platforms (3M, Nuance, Optum360, or equivalent) and EHR systems., • Exceptional written and verbal English communication skills., • High attention to detail with the ability to critically evaluate clinical documentation and AI-generated outputs., • Comfortable working independently in a fully remote environment. Preferred • CCDS (Certified Clinical Documentation Specialist) or CDIP (Clinical Documentation Improvement Practitioner) credential., • Experience with HCC risk adjustment and outpatient CDI programs., • Background in RN, RHIA, CCS, or similar clinical or coding credential., • Familiarity with AI-assisted CDI tools (e.g., Nuance DAX, 3M MModal) and comfort evaluating AI-generated* clinical content., • Experience presenting CDI performance metrics to clinical and executive leadership. Application Process (Takes 20–30 mins to complete) • Upload resume, • AI interview based on your resume, • Submit form Resources & Support • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome, • For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job Description About This Opportunity Judit Inc. is hiring on behalf of one of our healthcare clients, an accredited home health care agency. They provide skilled nursing, rehabilitation, post-surgical, chronic and pediatric care to patients in their homes across the New York City area. This is a temporary, contract position: you'll be employed by Judit Inc. and work directly alongside our client's clinical team. The description below is our client's overview of the background, skills, and experience they're looking for. If you meet most, but not all, of these, we still want to hear from you. Your Judit recruiter will walk you through the day-to-day work, schedule, pay, and contract length before anything moves forward. Home Care services are provided in all 5 NYC boroughs, Nassau and Suffolk Counties What you'll do As a Home Health Occupational Therapist, you'll help patients rebuild the skills they need for everyday life in their own homes, such as eating, dressing and self-care. You'll focus on upper-extremity function and fine motor skills. You'll also assess each home for safety and recommend changes so patients can live as independently as possible. • Evaluate patients' ability to perform activities of daily living (ADLs) in the home, • Develop an individualized occupational therapy plan of care with measurable goals, following physician orders, • Provide treatment focused on upper-extremity strength, coordination and the fine motor skills used in daily tasks, • Assess the home for safety and recommend modifications and adaptive equipment, • Train patients and caregivers on adaptive techniques, equipment and home programs, • Reassess progress, update goals and communicate changes to the physician and care team, • Coordinate with the RN case manager, physical and speech therapists, and home health aides, • Complete accurate, timely visit documentation What you'll bring • Active New York State Occupational Therapist license and current registration, • Degree in Occupational Therapy from an accredited program, • 1 year of occupational therapy experience Nice to have • Home health or post-acute rehabilitation experience, • Experience with older adults, chronic conditions or pediatric patients, • Experience with electronic health records Work details • Visits take place in patients' homes across the New York City area, with travel between visits, • You'll need to travel between homes, use stairs or walk-up buildings, and physically assist patients during functional tasks, with or without reasonable accommodation, • Your Judit recruiter will review caseload, schedule, pay and contract length with you

Job Description About This Opportunity Judit Inc. is hiring on behalf of one of our healthcare clients, an accredited home health care agency. They provide skilled nursing, rehabilitation, post-surgical, chronic and pediatric care to patients in their homes across the New York City area. This is a temporary, contract position: you'll be employed by Judit Inc. and work directly alongside our client's clinical team. The description below is our client's overview of the background, skills, and experience they're looking for. If you meet most, but not all, of these, we still want to hear from you. Your Judit recruiter will walk you through the day-to-day work, schedule, pay, and contract length before anything moves forward. Home Care services are provided in all 5 NYC boroughs, Nassau and Suffolk Counties What you'll do As a Home Health Physical Therapist, you'll help patients regain function after surgery, illness or injury, or while managing a chronic condition, in their own homes. You'll evaluate each patient's functional limitations and deliver skilled treatment. You'll also set up a safe maintenance program that patients and families can continue on their own. • Evaluate patients' mobility, safety, range of motion, strength and balance in the home setting, • Develop an individualized physical therapy plan of care with measurable goals, following physician orders, • Provide skilled interventions, including therapeutic exercise, gait and transfer training, and fall prevention, • Recommend and train patients on assistive devices and home safety modifications, • Establish a safe, effective home exercise and maintenance program, and teach it to patients and caregivers, • Reassess progress, update goals and communicate changes to the physician and care team, • Coordinate with the RN case manager, occupational and speech therapists, and home health aides, • Complete accurate, timely visit documentation What you'll bring • Active New York State Physical Therapist license and current registration, • Degree in Physical Therapy from an accredited program, • 1 year of physical therapy experience Nice to have • Home health or post-acute rehabilitation experience, • Experience with older adults, post-surgical orthopedic patients or pediatric patients, • Experience with electronic health records Work details • Visits take place in patients' homes across the New York City area, with travel between visits, • You'll need to travel between homes, use stairs or walk-up buildings, and physically assist patients with transfers and mobility, with or without reasonable accommodation, • Your Judit recruiter will review caseload, schedule, pay and contract length with you

Job DescriptionBenefits/Perks • Flexible Scheduling, • Competitive Compensation, • 401(k), Medical and Dental Coverage Job Summary We are seeking a Case Manager and Companion to join our team! In this role, you will be working for a private family office in Manhattan, providing in home care and companionship to a young woman with mental health challenges. Responsibilities include management of health care plan and needs, including communication with her healthcare team; creating sustainable lifestyle habits and enforcing them with daily encouragement; communicating on her behalf to financial institutions and legal team; coaching her through every day challenges and seasons of life; staying in close communication with her family and caretakers; building a simple budget and action plan to help her understand her needs to sustain her lifestyle; general life maintenance including helping pay bills, get groceries, plan for vacations, and maintain a happy life. The ideal candidate is patient, compassionate, and reliable with a background in coaching or helping similarly challenged individuals. Responsibilities • Providing companionship and conversation, • Assist with organization and planning of day to day activities as well as longer term planning, • Help client develop a life plan to gain more independence, • Manage and monitor medication levels and refills, • Manage appointments and care across medical providers, • Daily encouragement to move tasks and habits in a positive direction, • Communicating with medical care team and family on clients status and needs, • Light housekeeping activities when needed (mostly organization and helping develop good habits and routines), • Occasional travel with client may be required (less than 3 wks/year) Qualifications • 5+ years experience as a Companion, Social Worker, Mental Health Counselor, RN or similar role., • Psychiatric experience preferred, • First aid and CPR certified, • Ability to adhere to all health and safety guidelines, • Excellent communication and interpersonal skills, • Tolerant of cats, • Compassionate, respectful, ethical, patient, • Ability to be "on call" in emergency situations

Job DescriptionCare Delivery Manager Job Summary We are seeking an experienced Registered Nurse Manager to oversee clinical operations, care coordination, and nursing staff while ensuring high-quality, person-centered care. This role works closely with interdisciplinary teams, leadership, participants, and caregivers to promote positive outcomes, regulatory compliance, staff development, and overall patient satisfaction. Key Responsibilities • Oversee daily clinical operations, staffing, assignments, and resource allocation., • Develop, implement, and monitor individualized care plans to support positive outcomes., • Lead and participate in Interdisciplinary Team (IDT) meetings and care coordination activities., • Coordinate transitions of care, including hospital discharges, rehabilitation, nursing home, and home care services., • Monitor clinical documentation, medical records, care plans, and quality standards for accuracy and compliance., • Review clinical assessments and charts to identify and address deficiencies., • Investigate and follow up on incidents, grievances, and participant concerns in accordance with regulations., • Collaborate with providers, clinicians, facilities, caregivers, and other members of the care team., • Supervise, coach, evaluate, and support nursing staff and other direct reports., • Assist with interviewing, onboarding, training, performance management, and professional development., • Promote evidence-based clinical practices and continuous quality improvement., • Ensure compliance with organizational policies and applicable federal and New York State regulations., • Serve as a member of the management and interdisciplinary teams and provide leadership support as needed.Schedule Monday–Friday | 8:30 AM–5:00 PM 37.5 hours per week Qualifications • Current, active, unrestricted New York State RN license required., • Graduate of an accredited nursing program; BSN preferred., • Minimum 2 years of healthcare management/supervisory experience., • Experience in home health, long-term care, acute care, medical-surgical, critical care, nursing home, or similar settings preferred., • Minimum 1 year of experience working with frail or elderly populations preferred., • Strong care coordination, leadership, communication, and customer service skills., • Experience with long-term care insurance is a plus., • Case Management Certification is preferred and may be required within two years of employment., • Bilingual skills preferred., • Must meet all applicable organizational, regulatory, immunization, and health requirements.Ideal Candidate The ideal candidate is a strong clinical leader and team builder who is passionate about improving patient outcomes, developing staff, coordinating complex care, and creating a positive experience for patients and families.

Job DescriptionCare Delivery Manager - Brooklyn, NY (Onsite) Contract - Mon-Fri 08:30am-05:00pm - $63.50-73.50 Per HR Title: Care Delivery Manager Location: Brooklyn, NY (Onsite) Employment Type: Contract - Mon-Fri 08:30am-05:00pm Compensation: Pay Range: $63.50-73.50 Per HR Description: • This position involves managing care delivery in a healthcare setting, focusing on high-quality standards and coordination. The role is contract-based, located in Brooklyn, NY with weekday shifts. Responsibilities include overseeing operations, coordinating care plans, and ensuring compliance with healthcare regulations. Requirements: • Degree from an NLN accredited nursing school (RN, BSN required)., • Minimum of two years of administrative experience in a healthcare management capacity., • Current active and unrestricted license and registration in New York State as a Registered Nurse., • Supervisory experience required., • Experience working with frail or elderly populations preferred., • Customer Service experience is required., • Managed long-term care insurance experience beneficial. Qualifications: • A Baccalaureate degree is highly desired., • Completed NYSED-approved infection control coursework., • Minimum of 8.0 education contact hours, including mandatory training requirements., • Case Management Certification recommended within two years of employment., • Experience in CHHA, LHCSA, acute care, medical-surgical, or critical care settings preferred. Contact Authorization: By applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Message and data rates may apply for texts. Carriers are not liable for delayed or undelivered messages. You can access our privacy policy here https://www.mitchellmartin.com/privacy-policy Benefits: Learn more about our benefits offerings here https://www.mitchellmartin.com/careers/benefits-perks Onboarding Expectations: Learn more about our Onboarding Process here https://youtu.be/rjV_NFYjyY4 EEO Statement: Learn more about our EEO policy here https://www.mitchellmartin.com/eoe-statement Please email: divine.tan@hcmmi.com

Job DescriptionWork Schedule: Contract, Full time Hours Per Week:35 hours Days: Monday, Tuesday, Wednesday, Thursday, Friday Shift time:9am - 5pm Work location: Hybrid, zip code 10004 We are seeking an experienced Registered Nurse Care Manager to support care coordination for members enrolled in managed long-term care programs. This role is ideal for an RN with strong experience in care management, utilization review, discharge planning, and community-based healthcare. Key Responsibilities • Review member assessments and UAS information for MLTC and MAP programs., • Develop comprehensive, individualized care plans based on member needs and identified risks., • Collaborate with primary care physicians, nurses, caregivers, and other healthcare providers., • Monitor member conditions and identify issues requiring timely clinical intervention., • Coordinate services across the continuum of care, including transitions and discharge planning., • Help reduce unnecessary hospitalizations, emergency department visits, and nursing home admissions., • Partner with Utilization Management on concurrent and retrospective reviews., • Ensure members receive appropriate preventive and chronic disease care., • Maintain timely and accurate care management documentation., • Participate in interdisciplinary care planning and a rotating on-call schedule., • Ensure care management activities meet applicable MLTC/MAP regulatory requirements. Key Qualifications • Active New York State Registered Nurse license required., • Bachelor's degree required; BSN preferred., • Minimum 5 years of clinical RN experience., • 2 to 3 years of experience in CHHA, Lombardi, MLTC and/or MAP programs., • Experience with care coordination, utilization review, and discharge planning., • PRI and Screen certification required within three months of employment., • Strong computer and clinical documentation skills., • Leadership experience preferred., • Master's degree, Case Management certification, and bilingual Spanish skills are preferred. For a more detailed job description and to apply, visit: https://lnkd.in/dCRkZCqN We’re always on the lookout for talented professionals. Send your resume and cover letter to resumes@atriaconsulting.com to join our talent pool and be among the first to hear about new job opportunities.

Job Description Duties: This is the pay range that reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. if applicable]. The primary goal of the Care Manager is to optimize members health care and delivery of care experience with expected cost savings due to improved quality of care. This is accomplished through engagement and understanding of the members needs, environment, providers, support system and optimization of services available to them. Care Manager is expected to assess and evaluate members needs, be a creative, efficient, and resourceful problem solver. In collaboration with the members care team, a plan of care with individualized goals and interventions is developed, implemented and outcomes evaluated Skills: Five years minimum of clinical experience as a Registered Nurse. Leadership experience preferred. Experience with Care Coordination, Utilization review and discharge planning Computer literacy required. Minimum 2 years prior experience in a health care setting, Care Management, or Managed Care setting required Ability to proficiently read and interpret medical records, claims data, pharmacy, lab reports and prescriptions required Ability to work closely with member and caregiver Education: RN Licensed as a Registered Nurse in the State of New York required. Baccalaureate degree required. PRI and Screen certification within three months of employment is required. Masters Degree and Bilingual Spanish Certification in Case Management preferred. Registered Nurse with current NYS license Bachelors Degree required Languages: English: Read, Write, Speak Skills: Required Healthcare Managementrn License managed Care Minimum Degree Required: Bachelor's Degree Schedule Notes: Work Schedule: Full time Hours Per Week: 35 Days: Monday, Tuesday, Wednesday, Thursday, Friday Shift time: 9am - 5pm Work location: Hybrid Patient Facing: No Minimum education level: Graduate Language competencies: English License/Registration required: Yes

Job Description NOW HIRING: REGISTERED NURSES – REMOTE HOSPICE, PALLIATIVE & LONGITUDINAL CARE 100% REMOTE – WORK FROM HOME Pay: $50–$55/hr Contract can go perm Active New York State RN License REQUIRED We are seeking experienced Registered Nurses for fully remote Telephonic Clinical Care Manager opportunities supporting Longitudinal and Palliative Care programs. This is an excellent opportunity for RNs with strong backgrounds in Case Management, Care Coordination, Palliative Care, Hospice, and Telephonic Patient Support. KEY RESPONSIBILITIES • Provide telephonic clinical care management to assigned members, • Coordinate healthcare services and ongoing plans of care, • Complete comprehensive care management and disease-specific assessments, • Conduct patient outreach based on clinical needs and risk levels, • Provide patient education, health coaching, and treatment-plan support, • Identify and address social determinants of health (SDOH), • Connect members with appropriate healthcare and community resources, • Coordinate services including therapy, DME, behavioral health, and other clinical resources, • Identify and escalate patient safety concerns, • Participate in interdisciplinary team meetings and case discussions, • Maintain accurate and timely clinical documentation QUALIFICATIONS • Active New York State RN license – REQUIRED, • Longitudinal Care, Palliative Care, Hospice, and/or Case Management experience, • Strong care coordination and clinical assessment experience, • Knowledge of Medicare and Medicaid populations, • Telephonic care management experience strongly preferred, • Strong communication, patient advocacy, and problem-solving skills, • Ability to work independently in a fully remote environment $50–$55/hr Fully Remote Active NYS RN License Required Interested or know a qualified RN? Send resumes directly to: mfesinstine@phaxis.com #NowHiring #RNJobs #RegisteredNurse #RNCaseManager #CaseManagement #ClinicalCareManager #PalliativeCare #HospiceCare #LongitudinalCare #RemoteRN #RemoteNursing #TelephonicNurse #CareManagement #Medicare #Medicaid #HealthcareJobs #NewYorkRN

Job Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Clinical Documentation Integrity (CDI) Leader Type: Contract Compensation: $84/hour Location: Remote Role Responsibilities • Lead clinical documentation integrity programs for inpatient and outpatient settings. Oversee concurrent and retrospective review workflows., • Evaluate AI-generated clinical documentation improvement suggestions for accuracy and compliance. Ensure alignment with clinical standards., • Conduct and review clinical documentation to capture diagnoses, procedures, severity of illness, and risk of mortality accurately., • Develop and manage physician query processes following AHIMA and ACDIS guidelines., • Monitor CDI program KPIs, including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy., • Collaborate with coding, compliance, and clinical teams to address documentation gaps and improve query processes. Provide education on best practices. Qualifications Must-Have • 5+ years of experience in clinical documentation integrity or improvement, with 2+ years in a manager or leadership role., • Deep knowledge of MS-DRG methodology, CC/MCC hierarchies, and ICD-10-CM/PCS coding guidelines., • Expertise in physician query management per AHIMA and ACDIS compliant query standards., • Strong clinical background with the ability to interpret medical records and clinical documentation., • Proficiency with CDI software platforms (3M, Nuance, Optum360, or equivalent) and EHR systems., • Exceptional written and verbal English communication skills., • High attention to detail with the ability to critically evaluate clinical documentation and AI-generated outputs., • Comfortable working independently in a fully remote environment. Preferred • CCDS (Certified Clinical Documentation Specialist) or CDIP (Clinical Documentation Improvement Practitioner) credential., • Experience with HCC risk adjustment and outpatient CDI programs., • Background in RN, RHIA, CCS, or similar clinical or coding credential., • Familiarity with AI-assisted CDI tools (e.g., Nuance DAX, 3M MModal) and comfort evaluating AI-generated* clinical content., • Experience presenting CDI performance metrics to clinical and executive leadership. Application Process (Takes 20–30 mins to complete) • Upload resume, • AI interview based on your resume, • Submit form Resources & Support • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome, • For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionPosition: RN Case Manager Employment Type: Full-Time Work Structure: Hybrid – Field + Remote Territory: Bronx, NY Are you an experienced Registered Nurse looking to make a meaningful impact through care coordination and community-based nursing? We’re partnering with a mission-driven healthcare organization to offer a Hybrid RN Case Manager opportunity serving members throughout Brooklyn. This role combines field-based nursing with remote care management, giving you the opportunity to support older adults and individuals with disabilities while promoting safe, independent living. Position Overview: The RN Case Manager is responsible for providing comprehensive care coordination, including in-home assessments, care planning, advocacy, service authorization, and ongoing monitoring to ensure members receive the appropriate services based on their individual health and functional needs. Responsibilities Include: • Conduct in-home assessments and monitor members' health, functional, cognitive, and environmental needs., • Develop and implement individualized, patient-centered service plans., • Coordinate care across hospitals, nursing facilities, home care, and other healthcare settings., • Authorize covered services and ensure services are appropriate and cost-effective., • Collaborate with members, families, caregivers, physicians, and interdisciplinary teams., • Advocate for members and help them maintain the most independent living situation possible., • Complete required care management documentation, assessments, and re certifications., • Coordinate safe and appropriate discharge plans., • Identify members with complex care needs and participate in intensive care management discussions., • Respond to member requests, grievances, and care management needs within required time frames., • Connect members with appropriate community and state resources. Qualifications: • Current, unrestricted New York State RN license required., • Associate's Degree in Nursing from an accredited nursing program required., • Bachelor's Degree in Nursing preferred., • Minimum 2 years of RN experience required., • Clinical experience in geriatrics and/or Managed Long-Term Care (MLTC) preferred., • Strong assessment, critical thinking, decision-making, and problem-solving skills., • Strong organizational and time-management abilities., • Ability to work independently and collaboratively with a multidisciplinary team., • Bilingual speaking and writing skills preferred. Important Details: Field Schedule: Approximately 6 home visits completed in 1 day Remote Work: Care coordination, documentation, member follow-ups, and care planning Training Location: Brooklyn Office Travel: Over 50% mobile; regular travel throughout the assigned territory Driver Requirement: Valid driver's license, personal vehicle, and verifiable auto insurance required Salary: $100,000–$135,000 per year, based on education, training and experience Benefits: Health, dental, vision, retirement plan, paid time off, professional development, and employee wellness programs Certification: Case Management Certification preferred Immediate Opportunity! Ready to take your nursing career beyond the bedside? Apply today and make a difference by helping members receive the care, services, and support they need to live safely and independently in their communities! #PHC #PHCPermZip

Job Description Job Title: Provider - Nurse Practitioner or Physician Assistant We’re growing, and our newest clinic in Hoboken is opening soon! We are looking for a compassionate, driven Provider (NP or PA) who is ready to master the Tolerance Induction Program (TIP). For years, families have traveled across the country to find us; now, as we continue to grow, we are bringing our life-changing food allergy treatment closer to them. This isn't just about managing symptoms; it’s about giving children the chance to live without fear. Be part of the team that turns "impossible" into "remission." Training & Development: No prior experience in food allergy care is necessary. To ensure you feel fully supported and equipped to care for our patients, all new hires participate in a structured, immersive initial training program at our Long Beach, CA location. This training is designed to build your clinical confidence and expertise from day one. Who Are We Looking For? We’re seeking a Provider (NP or PA) to help launch our newest clinic. This role focuses on pediatric allergy treatment, requiring someone compassionate, highly skilled, and ready to provide exceptional patient care in a fast-paced clinical environment. Duties and Responsibilities: Patient Care Complete all assigned patient visit preparation and clarifications accurately and timely according to the prep schedule Ensure accurate chart preparation and maintain a strong understanding of all appointment types scheduled. Demonstrate accurate preparation of charts Demonstrate and maintain a strong understanding of Challenge Visits Maintain a physical presence in the clinic during clinic hours Be available to serve as back up in emergency situations Manage and stabilize grade 1, 2, 3 reactions Answer, triage and escalate questions, concerns, and reactions Demonstrate strong understanding TIP and provide TIP based education Ensure they are keeping up with up to date TIP information and protocols On-Call Coverage Provider on call or Call assist/support will rotate into the Command Center Collaborate with Escalation leads/ Logistics MD to ensure necessary follow up Complete escalation case write ups and present during daily Escalation Rounds; complete follow ups/resolution to patient cases presented Answer, triage and escalate questions, concerns, and reactions Complete rotating call requirements Manage and stabilize grade 1, 2, 3 reactions Excellence Provide excellent customer service through effective communication and collaboration with all patients, visitors, and employees Provide accurate information to patient families with regards to individualized plans and current condition Treat all patients and parents with respect and strive to connect them to resources to resolve their questions Represent the clinic at off-site community events, health fairs, and corporate wellness programs to promote services and build local partnerships. Lead a positive working relationship with staff and patients Quickly adapt and integrate practice changes as needed Function on all platforms and technology systems associated with the job Integrate constructive feedback from leaders and peers Provide clear hand off to colleagues with accurate information on patient status Promptly address performance concerns with Pod Lead and/or Provider manager(s). Foster an environment for learning and continued improvement Other duties as assigned. Qualifications: Graduate of an accredited Nurse Practitioner or Physician Assistant School Current New Jersey NP and RN or PA License National Provider Identification Number (NPI) PA or NP Certifications, preferred BLS, PALS and ACLS Certification Familiarity with medications and dosages, knowledge on how to draw medications/reconstitution, and IV placement required. Proficiency with office software applications, such as Microsoft Office and Google Suite, and previous EMR experience

Job DescriptionCompany Description At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to the market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us! Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA. Job Description The Field Access Manager (FAM) will act as the main point of contact at designated accounts providing account management support to Healthcare Professionals (HCPs) and their staff on behalf of patients who are prescribed a product for approved indications. As a part of this strategy, the FAM will provide on-going education to accounts regarding the Patient Services program, the regional payer landscape, and pharmacy channel access. The FAM will help coordinate pull-through efforts for patients who have been prescribed the product, irrespective of channel (HUB, specialty pharmacy, etc.), provided proper HIPAA consent has been secured from the patient. The FAM will be expected to be the primary face of the Patient Services platforms within designated HCP offices. The FAM is also responsible for partnering with internal and external stakeholders to optimize access to the product for patients. ESSENTIAL DUTIES AND RESPONSIBILITIES: • Expand advocacy within HCP offices and equip the staff, through education, to navigate the access and payer approval process, identify access barriers that the HCP must act on to overcome, and highlight HCP actions that support patient access to therapy., • Offer educational resources to support the entire patient’s journey by optimizing processes for prior authorizations/appeals/specialty pharmacy and addressing access issues., • Coordinate utilization of the patient service platform to seamlessly support the customer and patient when office chooses the HUB or SP as their ideal path to approved therapy., • Coordinate annual pharmacy reauthorizations at designated accounts to ensure timely reauthorization and continuation of therapy is maintained., • Work cross functionally and collaboratively with partners in Sales, Market Access, Patient Services, Strategic Accounts and more to act as a process and payer expert. The FAM will help identify and address time sensitive market development and implementation efforts to remove access barriers to the product for appropriate patients, while optimizing adherence., • Build and execute a strategic business plan to meet the needs of top accounts and ensure successful implementation of market access initiatives., • Obtain and maintain knowledge and understanding of payer landscape, including specialty pharmacy and utilization management criteria, on a national, regional and local level so that you can act as a process and payer expert., • Continuously strive to understand the alignment of Payer/PBM/SP and how national/regional pharmacy drug formularies impact market access in their designated geography., • Assist in providing appropriate field insights to ensure support of all access and patient/payer support programs and resources offered by the company’s Patient Support Programs., • Anticipate, navigate and address individual account and patient access issues that arise by partnering with all appropriate stakeholders., • Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias., • All other duties as assigned. #LI-CG1 Qualifications MINIMUM KNOWLEDGE, SKILLS AND ABILITIES: The requirements below represent the experience, education, knowledge, skills, and abilities needed for this role. • Bachelor’s degree required; Healthcare degree advantageous, including MS, RN, PA, PharmD, or similar advanced healthcare/scientific degree., • 10+ years in pharmaceutical industry with experience in payer policy and patient access., • 5+ years of experience in benefit verifications and/or prior-authorization requirements or equivalent experience in patient access., • Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with experience in Medicare Parts B & D., • Knowledge and understanding of specialty markets, HUB/reimbursement services and patient access programs., • Strong understanding of specialty product access/reimbursement processes including Patient Support Services programs., • Strong analytical skills to assess market dynamics, competitor activity, and continuous diabetes monitoring trends. Ability to gather and interpret data to guide regional strategy, including understanding the role of HUB and patient claims data., • Knowledge of Integrated Delivery Network/Integrated Health Systems., • Strong understanding of Microsoft applications and the ability to conduct virtual engagements via Microsoft Teams., • Ability to manage multiple priorities with excellent organizational and problem-solving skills with a high level of initiative and independence., • Proven success in working in a cross functional environment., • Ability to conduct impactful educational presentations., • Strong knowledge of Veeva systems. PREFERRED QUALIFICATIONS: • Bachelor’s degree required; Advanced Degree preferred., • Pediatric Endocrinology and/or Endocrinology experience preferred., • Previous launch experience in Access/Reimbursement role, • Previous experience in other functions within the biopharmaceutical industry a plus (e.g. product marketing, managed care, field sales, case management or large healthcare practice experience). Additional Information OUR CULTURAL BELIEFS Patient Minded - I act with the patient’s best interest in mind. Client Delight - I own every client experience and its impact on results. Take Action - I am empowered and hold myself accountable. Grow Talent - I own my development and invest in the development of others. Win Together - I passionately connect with anyone, anywhere, anytime to achieve results. Communication Matters - I speak up to create transparent, thoughtful and timely dialogue. Embrace Diversity - I create an environment of awareness and respect. Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA. EVERSANA is committed to providing competitive salaries and benefits for all employees. If this job posting includes a base salary range, it represents the low and high end of the salary range for this position and is not applicable to locations outside of the U.S. Compensation will be determined based on relevant experience, other job-related qualifications/skills, and geographic location (to account for comparative cost of living). This role is eligible for hire in select U.S. locations based on business and operational considerations. For a full list of locations, visit eversana.com/careers. More information about EVERSANA’s benefits package can be found at eversana.com/careers. EVERSANA reserves the right to modify this base salary range and benefits at any time. From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at applicantsupport@eversana.com. Follow us on LinkedIn | Twitter

Job Description About This Opportunity Judit Inc. is hiring on behalf of one of our healthcare clients, an accredited home health care agency. They provide skilled nursing, rehabilitation, post-surgical, chronic and pediatric care to patients in their homes across the New York City area. This is a temporary, contract position: you'll be employed by Judit Inc. and work directly alongside our client's clinical team. The description below is our client's overview of the background, skills, and experience they're looking for. If you meet most, but not all, of these, we still want to hear from you. Your Judit recruiter will walk you through the day-to-day work, schedule, pay, and contract length before anything moves forward. Home Care services are provided in all 5 NYC boroughs, Nassau and Suffolk Counties What you'll do As a Home Health Speech-Language Pathologist, you'll treat patients with speech, language, cognitive-communication and swallowing difficulties in their own homes. You'll help patients communicate and eat more safely and independently, and you'll teach families how to support them between visits. Your caseload may include adults recovering from illness and children with language delays. • Evaluate expressive and receptive language, speech, cognitive-communication and swallowing (dysphagia), • Develop an individualized speech-language plan of care with measurable goals, following physician orders, • Provide treatment to improve communication and swallowing needed for daily activities, such as talking on the phone, eating and managing oral secretions, • Recommend safe swallowing strategies and train patients and caregivers to use them, • Reassess progress, update goals and communicate changes to the physician and care team, • Coordinate with the RN case manager, physical and occupational therapists, and home health aides, • Complete accurate, timely visit documentation What you'll bring • Active New York State Speech-Language Pathologist license and current registration, • Certificate of Clinical Competence (CCC-SLP) from the American Speech-Language-Hearing Association, • Master's degree in Speech-Language Pathology from an accredited program, • 1 year of speech-language pathology experience Nice to have • Home health, skilled nursing or rehabilitation experience, • Dysphagia management experience, • Pediatric language development experience Work details • Visits take place in patients' homes across the New York City area, with travel between visits, • You'll need to travel between homes and use stairs or walk-up buildings, with or without reasonable accommodation, • Your Judit recruiter will review caseload, schedule, pay and contract length with you

Job Description Job Summary Works as part of a dedicated team, the Social Work Case Manager (SW CM) coordinates the care and service of selected patient populations through the acute care episode, across the continuum. Essential Functions Ø Works collaboratively with an RN and interdisciplinary teams, both internal and external to the organization, to improve patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve desired clinical, financial, and resource outcomes. Ø Skills needed include excellent written/verbal communication skills, critical thinking skills, creative problem solving, proficient organization and planning. Ø Must be self-directed, and have the ability to tolerate frequent interruptions and a demanding work load. Knowledge of funding, resources, services, clinical standards, and outcomes is preferred. Ø Oversees process/procedure of notification for Medicare and Medicare Managed Care beneficiary’s rights per CMS regulations inclusive of but not limited to: Notification of Hospital Discharge Appeal Rights, Condition Code 44, Election of Lifetime Reserve Days, Medicare Outpatient Observation Notice, and Hospital Issued Notice of Non-coverage. Ø Assesses for and plans for appropriate discharges. Ø Achieves communication and coordination between members of the health care team involving the patient/designee in the decision-making process in order to minimize fragmentation in services. Ø Communicates effectively with patients, families, visitors, co-workers, physicians and external providers, treating all with dignity and respect. Ø Ability to compassionately perform during a crisis and unpleasant situations. Ø Presents to patient and/or designee a list of provider choices for use in transition planning, ensuring that federal regulations are met regarding patient choice and the complete and accurate documentation of such. Ø Knowledgeable in assessment and execution of PASSR, EARC PAS criteria. Ø Assessment of and assisting families with end-of life issues, holding family meetings, Involvement with Palliative Care Team and Ethics Committee. Ø Knowledge of and ability to organize Outpatient Hemodialysis processes. Ø Is proactive, with the team, to achieve desired clinical, financial, and resource outcomes. Actively participates in compliance with The Joint Commission standards, processing the AR cycle, fiscal stability and length of stay efforts of the Hospital. Ø Respects each patient's right to privacy and confidentiality by complying with HIPAA regulations/law. Ø Ability to assess and assist patients with medical, psychological, financial and social needs. Ø Advocate for difficult to place patients which include: abandoned elderly, long term ventilator patients, under/uninsured patients, and patients with extensive medical, social and/or psychological needs. Ø Facilitates timely and appropriate patient care delivery and hospital resource utilization by performing, among other duties Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Minimum Education/Certifications Master’s Degree and LSW, MSW, LCSW required Minimum Work Experience Five year’s acute care clinical experience preferred. Position Type/Expected Hours of Work: Five year’s acute care clinical experience preferred.

JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required., • Facilitates comprehensive waiver enrollment and disenrollment processes., • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals., • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly., • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care., • Assesses for medical necessity and authorizes all appropriate waiver services., • Evaluates covered benefits and advises appropriately regarding funding sources., • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration., • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts., • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns., • Identifies critical incidents and develops prevention plans to assure member health and welfare., • May provide consultation, resources and recommendations to peers as needed., • Care manager RNs may be assigned complex member cases and medication regimens., • Care manager RNs may conduct medication reconciliation as needed., • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years of experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience., • Registered Nurse (RN). License must be active and unrestricted in state of practice (NY)., • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements)., • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law., • Ability to operate proactively and demonstrate detail-oriented work., • Demonstrated knowledge of community resources., • Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations., • Ability to work independently, with minimal supervision and demonstrate self-motivation., • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations., • Ability to develop and maintain professional relationships., • Time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change., • Problem-solving skills., • Strong verbal and written communication skills., • Microsoft Office suite/applicable software program(s) proficiency., • In some states, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications • Certified Case Manager (CCM), • Experience working with populations that receive waiver services., • Bilingual - Spanish, Cantonese or Mandarin To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will be assisting members with Medicaid and Medicare benefits. This position may require home visits if needed for care plan review and signature. This position supports members that reside in Brooklyn, Queens, Bronx, Manhattan, Westchester and Long Island. Essential Job Duties • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required., • Facilitates comprehensive waiver enrollment and disenrollment processes., • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals., • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly., • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care., • Assesses for medical necessity and authorizes all appropriate waiver services., • Evaluates covered benefits and advises appropriately regarding funding sources., • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration., • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts., • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns., • Identifies critical incidents and develops prevention plans to assure member health and welfare., • May provide consultation, resources and recommendations to peers as needed., • Care manager RNs may be assigned complex member cases and medication regimens., • Care manager RNs may conduct medication reconciliation as needed., • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years of experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience., • Registered Nurse (RN). License must be active and unrestricted in state of practice., • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements)., • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law., • Ability to operate proactively and demonstrate detail-oriented work., • Demonstrated knowledge of community resources., • Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations., • Ability to work independently, with minimal supervision and demonstrate self-motivation., • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations., • Ability to develop and maintain professional relationships., • Time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change., • Problem-solving skills., • Strong verbal and written communication skills., • Microsoft Office suite/applicable software program(s) proficiency., • In some states, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications • Certified Case Manager (CCM)., • Experience working with populations that receive long term services and support (LTSS)., • Medicaid and Medicare insurance coverage experience preferred., • Someone who speaks Chinese or any dialect would be a strong plus. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Description Job Summary Provides support for the completion of the Community Health Assessment (CHA) - formerly the UAS (Uniform Assessment System), initial assessments and reassessments based on New York state requirements, guidelines, and training provided by the company and/or outside resources. Completes enrollment paperwork materials required to appropriately process member applications for enrollment and CHA tasking tool in alignment with guidelines and training provided by the company and/or outside resources. Facilitates correction and revision of CHA paperwork and tasking tool documentation based on review and feedback provided through quality/review process. This position is member facing and requires visits to members at their home or facility. Job Duties • Completes approved New York State initial assessment tool and/or clinical reassessment used to define eligibility for community-based long-term care services for members., • Completes enrollment paperwork, progress notes and tasking tool in member homes to assist in determining eligibility for services; reviews all data collected for accuracy and completion prior to submission., • Charts all contacts and findings within appropriate tool and form per policy and procedure and within established deadlines., • Attends training and continuing education sessions focused on the proper completion of Comprehensive Health Assessment (CHA) documentation, enrollment paperwork, and tasking tool., • Focuses on continuous improvement and quality excellence in the completion of all materials associated with the initial enrollment/continued enrollment of members in the plan., • Supports initiatives of the quality assessment and performance improvement committee., • Performs daily local travel in the assigned local territories (based upon state/contractual requirements). Job Qualifications Required Qualification: • At least two years of clinical experience in managed care - including case management and home visit experience, or equivalent combination of relevant education and experience., • Registered Nurse (RN). License must be active and unrestricted in state of practice., • Must reside in the state of New York or neighboring states (NJ, CT, parts of PA). Must have a NY state government ID., • Trained and knowledgeable in the New York Uniform Assessment System (UAS)., • Must be able to travel to multiple boroughs via car or commuting public transportation., • Understands and applies principles of care management and person-centered planning., • Solid assessment skills., • Understands and applies coverage guidelines and benefit limitations., • Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses., • Understands and adapts appropriately to issues related to member communication, cognitive or other barriers., • Organizational skills, and ability to prioritize and follow through on multiple projects in a timely manner., • Effective verbal and written communication skills., • Microsoft Office suite and applicable software programs proficiency. Preferred Qualification: • Certified Case Manager (CCM) or Chronic Care Professional (CCP)., • Home care or long-term care experience., • Community support service experience accessing and using durable medical equipment (DME)., • Experience in utilization review, concurrent review and/or risk management., • Bilingual or multi-lingual., • Ability to commute as needed to meet with members in person at their home or facility. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $24 - $56.17 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

FlexCare is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in New York, NY. Shift: 5x8 hr days Start Date: 11/02/2026 Duration: 13 weeks Pay: $2596.48 / Week Profession: RN Requirements: BLS Desired Start Date: 2026-11-02 Facility Type: Level I Trauma/Level I Pediatric Trauma and Teaching Facility Assignment Type: Travel Estimated Pay Package: $2596.48 Why Clinicians Choose FlexCare Less hassle, more control: one recruiter, transparent pay, and concierge-level support that anticipates your needs. Start faster, stay supported, and keep working where and the way you want. That's why 300,000+ clinicians choose FlexCare. Benefits Of Working With Us • Single Point of Contact for All You Need, • Priority job access, • Peace of mind with first offer = best offer guarantee, • Clinical Support, • Extra ways to earn through bonuses FlexCare's robust benefits package for all travel assignments includes: • Medical, Dental, and Vision Insurance, • Flexible Spending Account and Dependent Care Flexible Spending Account, • 401k with employer matching About FlexCare: FlexCare is an award-winning nationwide leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S. Since 2006, FlexCare has been committed to helping address critical personnel needs in healthcare, ensuring facilities have access to the best clinical talent to meet patient needs while unlocking career opportunities for travel clinicians and supporting them to provide the highest level of patient care possible. For clinicians, we open doors to rewarding travel assignments with top facilities nationwide, backed by dedicated support every step of the way. For healthcare facilities, we provide access to exceptional talent when and where they need it most. We are more than a staffing agency – we're a trusted healthcare partner who builds meaningful relationships to improve lives, advance careers, and set the standard for excellence in healthcare talent management. What Makes FlexCare Different: • Single Point of Contact for All You Need: Our clinicians always have a dedicated recruiter who handles everything, saving them time, reducing their stress, and building lasting relationships., • Fast-Track to Travel Platform: Our platform offers our clinicians an all-in-one hub for finding assignments, managing credentials, and streamlining their travel careers., • Pay Package Peace of Mind: We present our clinicians with the best offer, up front. Eliminating the back-and-forth and uncertainty, and ultimately placing them into an assignment, faster., • Award-Winning Team That Goes Above & Beyond: Our clinicians have an entire team of healthcare experts, ranked top in the industry, to support their success, from payroll to clinical support to compliance. FlexCare pushes beyond healthcare staffing through our high-touch, high-results approach. We’re leaders in healthcare talent management who focus on what matters most - matching the right clinicians with the right facilities to deliver quality patient care. FlexCare's robust benefits package for all travel assignments includes: • Medical, Dental, and Vision Insurance, • Flexible Spending Account and Dependent Care Flexible Spending Account, • 401k with employer matching

Job Title: RN Nurse Care Manager – Hybrid (Brooklyn, NY) Location: Brooklyn, NY Training: 4 months training in Brooklyn, Office Work Model: Hybrid – field visits + remote work Job Type: FTE/Permanent Languages: Spanish or Cantonese/mandarin or Russian preferred Work Schedule & Structure Hybrid role: Field + Remote Field work: ~6+ home visits completed in (Brooklyn territory) Remote work: Care coordination, documentation, and follow-ups Training location: Brooklyn office Orientation: Bronx About the Role We are seeking a Registered Nurse (RN) Care Manager for a hybrid position supporting older adults and individuals with complex healthcare needs. This role combines limited field work with remote care coordination, offering strong work-life balance while making a meaningful impact in the community. What You’ll Do • Conduct in-home assessments to evaluate members’ clinical, functional, and social needs, • Develop and manage individualized care plans in collaboration with physicians and interdisciplinary teams, • Coordinate care across home care, hospital, rehabilitation, and long-term care settings, • Complete approximately 6 home visits per week within Brooklyn, • Monitor patient progress and adjust care plans to ensure optimal outcomes, • Support safe discharge planning and reduce hospital readmissions, • Communicate with members, families, caregivers, and providers, • Maintain accurate and timely documentation in compliance with guidelines Qualifications • Active, unrestricted RN license in New York, • Associate’s degree in nursing required (BSN preferred), • Minimum 3 years of RN experience, • Experience in MLTC, home care, geriatrics, or case management preferred, • Strong communication, organizational, and critical thinking skills, • Ability to work independently in a hybrid environment, • Bilingual skills are a plus What We Offer Competitive salary: $100K – $130K per annum Benefits: Dental, Vision, life, PTO, Retirement plan etc. Hybrid schedule Supportive, mission-driven team Opportunity to make a direct impact in patients’ lives Apply Now If you’re a compassionate RN looking for flexibility and meaningful community-based work, we encourage you to apply today. Benefits Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. Equal Employment Opportunity Pride Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law. Fair Chance Employment Pride Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Pride Health is hiring a Case Manager to support our client's healthcare facility in Brooklyn, NY. Job Details: Schedule: Sunday – Thursday, 11:00am – 7:00pm Location: Brooklyn, NY 11207 Job Type: Local contract Contract Length: 13 weeks with potential extension Pay Range: $26.00 to $28.00/hour* *Pay offered is based on experience, expertise, credentialing, and education. Job Duties: • Provide case management to assigned caseload, • Develop and monitor individual service plans in conjunction with agency consumers, • Assist agency consumers with accessing needed community services (medical, psychological, substance abuse, vocational, food, clothing, etc.) through the development of a referral network, referral and follow up, • Assist agency consumers with problem solving and crisis intervention, • Accompany agency consumers on medical, psychiatric, and public benefit appointments, as necessary, • Act as advocate for consumer as appropriate; encourage and support self- advocacy, • Identification of any problems in daily living skills; hands on assistance and/or referral in addressing problems in daily living skills, • Maintenance of a strong working relationship with all therapeutic support services to ensure the best quality of care, • Documentation of all services in compliance with agency standards, • Work as a member of the social service team in the development of off-site recreation, socialization, educational and skill building activities with a view towards community inclusion and integration, • Liaison to community-based services and groups including civic, social service government, and business organizations, • Participate in ongoing individual and group supervision, team meetings, case conferences, division meetings and trainings Education Requirements: • Education: Bachelor’s degree in human services or related field required, • Master’s degree in human services or related field preferred, • Years of experience: Two years’ experience with individuals with mental illness, substance abuse issues, Crisis /Residential/Respite 24 hr centers, and/or a history of homelessness required, • Skills/Specialties/Technology: Working knowledge of various computer programs including e-mail, Microsoft Word, Excel, PowerPoint and Windows Operating System #INDNYOPWDD #LI-DB2 #PHCOPWDDZip Interested? Apply Today! For workers in the United States, PrideGlobal and it's affiliates offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, pet insurance and employee discounts with preferred vendors. Equal Employment Opportunity PrideGlobal and it's affiliates are an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law. Fair Chance Employment PrideGlobal and it's affiliates are a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation. Only applicable for Kentucky positions: For this type of employment, state law requires a criminal record check as a condition of employment. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793

Job Description WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We believe in going the extra mile and aim to make a genuine difference in our participants’ lives. The Home Care Coordinator plays a vital role by conducting in-home care assessments, setting the framework for our home care team to help our participants thrive. Reporting to the Home Care Manager, the Home Care Coordinator focuses on arranging, assessing, and overseeing personal care in participants’ homes. This role is different because the Home Care Coordinator at WelbeHealth: • Enjoys a flexible workday, • Works a hybrid schedule, combining remote work with required onsite presence for interdisciplinary team (IDT) meetings and home assessments, • Collaborates closely with a supportive home care team and IDT, fostering partnership and teamwork to deliver exceptional participant care We care about our team members. That’s why we offer: • Medical insurance coverage (Medical, Dental, Vision), • Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days, • 401K savings + match, • Comprehensive compensation package including base pay and bonus, • And additional benefits! On the day-to-day, you will: • Coordinate incoming calls related to participants, Physicians, and agency services regarding Physician orders, participant questions, and referrals, • Communicate with participants by phone and coordinate effectively with nursing, therapy, aides, social services, and physicians regarding schedule changes, test results, and other related updates, • Collaborate with Home Care Services staff to track and monitor home care delivery and scheduling hours, • Partner with the Marketing team to support the enrollment of prospective participants into the program, • Assist with staffing and scheduling activities, soliciting, and manager input, • Participate in end-of-life care, coordination, and support Job requirements include: • Active, unrestricted Registered Nurse (RN) license in the state of New Jersey required, • Bachelor’s degree preferred, • Minimum of three (3) years of case management or nursing experience in a clinical or home setting with a frail or elderly population, • Nursing knowledge and training necessary to treat frail, elderly participants and care for complicated clinical conditions preferred We are seeking a Home Care Coordinator that ideally has care planning and management experience in a home care environment. If you’re ready to join a team that values both its participants and team members, we’d love to hear from you! Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications. Compensation Offering $90,281—$119,171 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com

FlexCare is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in New York, NY. Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2596.48 / Week Profession: RN Requirements: BLS Desired Start Date: 2026-11-02 Facility Type: Level I Trauma/Level I Pediatric Trauma and Teaching Facility Assignment Type: Travel Estimated Pay Package: $2596.48 Why Clinicians Choose FlexCare Less hassle, more control: one recruiter, transparent pay, and concierge-level support that anticipates your needs. Start faster, stay supported, and keep working where and the way you want. That's why 300,000+ clinicians choose FlexCare. Benefits Of Working With Us • Single Point of Contact for All You Need, • Priority job access, • Peace of mind with first offer = best offer guarantee, • Clinical Support, • Extra ways to earn through bonuses FlexCare's robust benefits package for all travel assignments includes: • Medical, Dental, and Vision Insurance, • Flexible Spending Account and Dependent Care Flexible Spending Account, • 401k with employer matching About FlexCare: FlexCare is an award-winning nationwide leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S. Since 2006, FlexCare has been committed to helping address critical personnel needs in healthcare, ensuring facilities have access to the best clinical talent to meet patient needs while unlocking career opportunities for travel clinicians and supporting them to provide the highest level of patient care possible. For clinicians, we open doors to rewarding travel assignments with top facilities nationwide, backed by dedicated support every step of the way. For healthcare facilities, we provide access to exceptional talent when and where they need it most. We are more than a staffing agency – we're a trusted healthcare partner who builds meaningful relationships to improve lives, advance careers, and set the standard for excellence in healthcare talent management. What Makes FlexCare Different: • Single Point of Contact for All You Need: Our clinicians always have a dedicated recruiter who handles everything, saving them time, reducing their stress, and building lasting relationships., • Fast-Track to Travel Platform: Our platform offers our clinicians an all-in-one hub for finding assignments, managing credentials, and streamlining their travel careers., • Pay Package Peace of Mind: We present our clinicians with the best offer, up front. Eliminating the back-and-forth and uncertainty, and ultimately placing them into an assignment, faster., • Award-Winning Team That Goes Above & Beyond: Our clinicians have an entire team of healthcare experts, ranked top in the industry, to support their success, from payroll to clinical support to compliance. FlexCare pushes beyond healthcare staffing through our high-touch, high-results approach. We’re leaders in healthcare talent management who focus on what matters most - matching the right clinicians with the right facilities to deliver quality patient care. FlexCare's robust benefits package for all travel assignments includes: • Medical, Dental, and Vision Insurance, • Flexible Spending Account and Dependent Care Flexible Spending Account, • 401k with employer matching

Explore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care, we support patients and provide comfort through each stage of their health journey, while building trusted relationships along the way. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As an RN Case Manager, you'll coordinate compassionate, individualized hospice care by assessing patients, partnering with the interdisciplinary care team, and developing plans that support each patient's needs. Primary Responsibilities: • Performs patient assessments and collaborates with the care team to develop and implement a plan of care, • Makes referrals to other hospice care disciplines as needed or documents rationale for not doing so, • Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies, • Records pain/symptom management changes/outcomes as appropriate, • Teaches patients, families, and caregivers appropriate patient care techniques, • Regularly communicates with clinical manager and care team, • Performs on-call responsibilities and on-call services to patients/families as assigned, • Other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Current RN license, specific to the state(s) you are assigned to work, • 1+ year of nursing experience, • Current CPR certification, • Valid driver's license, reliable transportation and liability insurance Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,540 to $137,310 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives. UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will be assisting members with Medicaid and Medicare benefits. This position may require home visits if needed for care plan review and signature. This position supports members that reside in Brooklyn, Queens, Bronx, Manhattan, Westchester and Long Island. Essential Job Duties - Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. - Facilitates comprehensive waiver enrollment and disenrollment processes. - Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. - Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. - Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. - Assesses for medical necessity and authorizes all appropriate waiver services. - Evaluates covered benefits and advises appropriately regarding funding sources. - Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. - Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. - Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. - Identifies critical incidents and develops prevention plans to assure member health and welfare. - May provide consultation, resources and recommendations to peers as needed. - Care manager RNs may be assigned complex member cases and medication regimens. - Care manager RNs may conduct medication reconciliation as needed. - 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications - At least 2 years of experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. - Registered Nurse (RN). License must be active and unrestricted in state of practice. - In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). - Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. - Ability to operate proactively and demonstrate detail-oriented work. - Demonstrated knowledge of community resources. - Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations. - Ability to work independently, with minimal supervision and demonstrate self-motivation. - Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. - Ability to develop and maintain professional relationships. - Time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. - Problem-solving skills. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency. - In some states, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications - Certified Case Manager (CCM). - Experience working with populations that receive long term services and support (LTSS). - Medicaid and Medicare insurance coverage experience preferred. - Someone who speaks Chinese or any dialect would be a strong plus. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Description Job Summary Provides support for the completion of the Community Health Assessment (CHA) - formerly the UAS (Uniform Assessment System), initial assessments and reassessments based on New York state requirements, guidelines, and training provided by the company and/or outside resources. Completes enrollment paperwork materials required to appropriately process member applications for enrollment and CHA tasking tool in alignment with guidelines and training provided by the company and/or outside resources. Facilitates correction and revision of CHA paperwork and tasking tool documentation based on review and feedback provided through quality/review process. This position is member facing and requires visits to members at their home or facility. Job Duties - Completes approved New York State initial assessment tool and/or clinical reassessment used to define eligibility for community-based long-term care services for members. - Completes enrollment paperwork, progress notes and tasking tool in member homes to assist in determining eligibility for services; reviews all data collected for accuracy and completion prior to submission. - Charts all contacts and findings within appropriate tool and form per policy and procedure and within established deadlines. - Attends training and continuing education sessions focused on the proper completion of Comprehensive Health Assessment (CHA) documentation, enrollment paperwork, and tasking tool. - Focuses on continuous improvement and quality excellence in the completion of all materials associated with the initial enrollment/continued enrollment of members in the plan. - Supports initiatives of the quality assessment and performance improvement committee. - Performs daily local travel in the assigned local territories (based upon state/contractual requirements). Job Qualifications Required Qualification: - At least two years of clinical experience in managed care - including case management and home visit experience, or equivalent combination of relevant education and experience. - Registered Nurse (RN). License must be active and unrestricted in state of practice. - Must reside in the state of New York or neighboring states (NJ, CT, parts of PA). Must have a NY state government ID. - Trained and knowledgeable in the New York Uniform Assessment System (UAS). - Must be able to travel to multiple boroughs via car or commuting public transportation. - Understands and applies principles of care management and person-centered planning. - Solid assessment skills. - Understands and applies coverage guidelines and benefit limitations. - Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses. - Understands and adapts appropriately to issues related to member communication, cognitive or other barriers. - Organizational skills, and ability to prioritize and follow through on multiple projects in a timely manner. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. Preferred Qualification: - Certified Case Manager (CCM) or Chronic Care Professional (CCP). - Home care or long-term care experience. - Community support service experience accessing and using durable medical equipment (DME). - Experience in utilization review, concurrent review and/or risk management. - Bilingual or multi-lingual. - Ability to commute as needed to meet with members in person at their home or facility. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $24 - $56.17 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. - Facilitates comprehensive waiver enrollment and disenrollment processes. - Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. - Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. - Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. - Assesses for medical necessity and authorizes all appropriate waiver services. - Evaluates covered benefits and advises appropriately regarding funding sources. - Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. - Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. - Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. - Identifies critical incidents and develops prevention plans to assure member health and welfare. - May provide consultation, resources and recommendations to peers as needed. - Care manager RNs may be assigned complex member cases and medication regimens. - Care manager RNs may conduct medication reconciliation as needed. - 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications - At least 2 years of experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. - Registered Nurse (RN). License must be active and unrestricted in state of practice (NY). - In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). - Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. - Ability to operate proactively and demonstrate detail-oriented work. - Demonstrated knowledge of community resources. - Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations. - Ability to work independently, with minimal supervision and demonstrate self-motivation. - Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. - Ability to develop and maintain professional relationships. - Time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. - Problem-solving skills. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency. - In some states, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications - Certified Case Manager (CCM) - Experience working with populations that receive waiver services. - Bilingual - Spanish, Cantonese or Mandarin To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.