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Job DescriptionAbout The Role The Medical Director will be responsible in providing support to our commercial and worker’s compensation self-funded clients seeking cost effective resolution of their member’s claims. Your interest and help leading and developing our team and maturing the program only makes the opportunity more rewarding. We have been in business for 25 years and leading by example you will help create a culture focused on service, support of quality healthcare service, and medical cost containment for the benefit of our clients and their members. Primary Responsibilities • Creates and updates medical policies and procedures in conjunction with associate medical directors and other clinical staff and assures consistency and compliance with generally accepted medical standards and guidelines., • Provides clinical support for all areas of Clinical Services., • Review medical files and make coverage and medical necessity determinations using good judgement combined with 3rd party and proprietary medical guidelines., • Identify, critique, and utilize criteria and resources such as national, state, and professional association guidelines and peer reviewed literature to support sound and objective decision making and rationales in reviews., • Advises team nurses on appropriateness of care and services through the care continuum including hospitals, skilled nursing facilities, and home care to ensure quality, cost-efficiency and continuity of care; Informs the UR Nurse of certification decisions within appropriate time frames as guided by URAC, ERISA or state regulations., • Supports training of the nurses and coordinator to improve their knowledge, independence, and understanding., • Serves as medical expert for care management and population health; reviews and evaluates cases with review nurses; ensures medical care provided meets the standards for acceptable medical care., • Reviews and resolves retro reviews, appeals and grievances related to medical quality of care and actively participates in the functioning of the plan’s grievance and appeals processes., • Along with the nurse supervisor and manager identify opportunities for improvement and collaborate to enhance team performance., • Makes appropriate outreach to community and academic based treating providers wanting to discuss cases., • Interacts telephonically and personally with employees/departments in order to maintain effective communication and support for and among departments, as well as a positive work atmosphere., • Opportunity to interact with sales and account management supporting client needs., • Collaborates with other departments i.e. Member Services, Provider Services, Claims and Contracting, to improve performance., • Attends departmental committees as assigned., • Performs other duties as required by the business., • Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.Essential Qualifications, • Board certified with an excellent understanding of the utilization and case management process., • 3 years’ experience working in a managed care environment supporting utilization management and case review with medical necessity determinations., • Case management and / or Population Health Management desirable., • 3 + years of prior clinical practice in either an office or hospital-based setting with boards from any of a wide range of Internal Medicine specialties so long as you are self-motivated to stay up to date on a broad range of medical services using resources such as mcg guidelines, specialty society guidelines, Up-To-Date and other resources to analyze existing cases., • Specialty training in addition to a first board certification highly desirable., • Current, unrestricted clinical license(s)., • Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties, in Internal Medicine or Pediatrics or a subspecialty of Internal Medicine or Pediatrics, is required for MD or DO reviewer., • Ability to communicate clearly and concisely, both verbally and in writing., • Knowledge of evidence-based medical guidelines (nationally recognized standards of health care), utilization management, quality improvement and other medical management functions., • Good interpersonal and communication skills to support the team approach., • Ability to work proficiently on a computer and knowledge of basic programs. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. Annual Salary Range: $200,000-$235,000 -bonus eligible The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity. *We are an Equal Opportunity Employer JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: recruiting@brightonhps.com Powered by JazzHR zFF9s2Wbxk

Job Description Overview PharMerica is hiring a full-time Pharmacist in Uniondale, NY ! Join our closed-door pharmacy team where you’ll work in a non-retail environment, dedicated to meeting the pharmaceutical needs of long-term care and senior living clients. If you’re passionate about delivering exceptional service and high-quality care, we want to hear from you. Apply today and become part of a team committed to making a difference! Schedule: Monday-Thursday: 1pm-11:30pm Sunday: 9:30am-6pm Benefits and perks for you! • Medical, Dental, Vision insurance, • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare), • Tuition discounts & reimbursement, • 401(k), • Company Paid Time Off, • Shift Differential, • DailyPay, • Pet Insurance, • Employee wellness and discount programs *Benefits may vary by employment status Responsibilities How YOU will benefit: • Supportive team with room to work independently, • Ongoing training and career growth, • Advancement opportunities in a growing company, • Referral bonuses As a Pharmacist you will: • Evaluate physician medication orders for drug appropriateness, correct dosage, potential drug interactions, and proper route of administration., • Provide clinical recommendations to physicians and facility staff regarding medication therapy changes and optimizations., • Maintain up-to-date patient/resident profiles, including medical history, lab results, and current medications (prescription, OTC, and home remedies)., • Ensure laboratory tests required for monitoring high-risk medications are appropriately ordered, reviewed, and communicated to the healthcare team., • Collaborate with physicians, nurses, and other healthcare professionals to provide clinical and technical support., • Document all communications and clinical interventions in the patient’s medical record, including interactions with families and caregivers., • Implement and enforce policies and procedures for the safe procurement, storage, administration, and disposal of medications and biologicals., • Ensure compliance with all state and federal regulatory requirements related to pharmacy practice and medication management., • Report medication-related errors and adverse drug events to the Pharmacy Manager as required., • Educate and support facility/agency staff on safe and effective medication handling procedures., • Perform other pharmacy-related tasks and responsibilities as assigned. Qualifications Qualifications Required: • Bachelor’s Degree in Pharmacy, Pharm D preferred, • One year experience in long term care desired, • License/Certification(s): current and valid pharmacist license in the state of practice, • Knowledge of drug therapy guidelines, medication safety practices, and regulatory standards (CMS, DEA, FDA)., • Proficiency in electronic medical records and pharmacy information systems, • Strong clinical judgement, and effective written and verbal communication *Position will be posted for a minimum of 7 business day

Job Description Day Habilitation Specialist - Day Habilitation Program Help Others to ASPIRE HIGHER! When a group of families came together in 1957 to find services for their children with developmental disabilities, ACLD was born. Today, we are a leading not-for-profit agency employing 1200+ staff and providing over 70 program sites in Nassau and Suffolk. ACLD assists children, teens and adults in reaching the highest level of independence with the freedom to ASPIRE HIGHER in their hopes, dreams and accomplishments. We are currently seeking a few exceptional people who have a passion to create a meaningful impact in the lives of the amazing people we support. We have great opportunities for positive, motivated individuals to work in a day hab setting assisting adults diagnosed with intellectual/developmental disabilities in becoming self-sufficient and self-actualized. Get in on the ground floor and train for an entry level career in the healthcare/education field! In this position, you will: • Help program participants achieve/exceed their personal goals;, • Provide structure and emotional support;, • Assist in resolving behavioral issues;, • Help people supported with personal hygiene;, • Complete detailed, accurate documentation, • Transport the people supported to and from volunteer and pre-vocational activities using Agency vehicles. We require: • Clean, valid NYS Driver’s license, • High School diploma or equivalent, • Some experience working with the intellectually and developmentally disabled population preferred; but will train., • Complete within 6 months of hire and maintain required trainings in AMAP (Approved Medication Administration Personnel) and SCIP (Strategies for Crisis Intervention and Prevention)., • The ability to assist with lifting and transferring an adult person., • Prior experience as Caregiver, Care Assistant, Personal Assistant, Resident Assistant, Direct Care Worker, Nursing Assistant, Home Care Aide or Companion is a plus., • Ability to communicate and understand in English; both verbally and in writing. Locations: Bethpage, East Islip, Deer Park, Hauppauge, Levittown, Glen Cove and Westbury. Hours: Mon-Fri 8a - 4:30p or 8a - 3:45p Apply online at www.acld.org or text us for more information at 516 732-3979.. An EOE m/f/d/v Req #3871

Job Description Day Habilitation Specialist - Day Habilitation Program Help Others to ASPIRE HIGHER! When a group of families came together in 1957 to find services for their children with developmental disabilities, ACLD was born. Today, we are a leading not-for-profit agency employing 1200+ staff and providing over 70 program sites in Nassau and Suffolk. ACLD assists children, teens and adults in reaching the highest level of independence with the freedom to ASPIRE HIGHER in their hopes, dreams and accomplishments. We are currently seeking a few exceptional people who have a passion to create a meaningful impact in the lives of the amazing people we support. We have great opportunities for positive, motivated individuals to work in a day hab setting assisting adults diagnosed with intellectual/developmental disabilities in becoming self-sufficient and self-actualized. Get in on the ground floor and train for an entry level career in the healthcare/education field! In this position, you will: • Help program participants achieve/exceed their personal goals;, • Provide structure and emotional support;, • Assist in resolving behavioral issues;, • Help people supported with personal hygiene;, • Complete detailed, accurate documentation, • Transport the people supported to and from volunteer and pre-vocational activities using Agency vehicles. We require: • Clean, valid NYS Driver’s license, • High School diploma or equivalent, • Some experience working with the intellectually and developmentally disabled population preferred; but will train., • Complete within 6 months of hire and maintain required trainings in AMAP (Approved Medication Administration Personnel) and SCIP (Strategies for Crisis Intervention and Prevention)., • The ability to assist with lifting and transferring an adult person., • Prior experience as Caregiver, Care Assistant, Personal Assistant, Resident Assistant, Direct Care Worker, Nursing Assistant, Home Care Aide or Companion is a plus., • Ability to communicate and understand in English; both verbally and in writing. Schedule: Saturday-Sunday 8:00am-3:45pm Some programs/locations may have a differential in addition to the hourly rate. Apply online at www.acld.org or text us for more information at 516 732-3979. An EOE m/f/d/v Req #5000 Saturday-Sunday 8am-3:45pm 15.5

Job Description Day Habilitation Specialist - Bridges Levittown Help Others to ASPIRE HIGHER! When a group of families came together in 1957 to find services for their children with developmental disabilities, ACLD was born. Today, we are a leading not-for-profit agency employing 1200+ staff and providing over 70 program sites in Nassau and Suffolk. ACLD assists children, teens and adults in reaching the highest level of independence with the freedom to ASPIRE HIGHER in their hopes, dreams and accomplishments. We are currently seeking a few exceptional people who have a passion to create a meaningful impact in the lives of the amazing people we support. We have great opportunities for positive, motivated individuals to work in a day hab setting assisting adults diagnosed with intellectual/developmental disabilities in becoming self-sufficient and self-actualized. Get in on the ground floor and train for an entry level career in the healthcare/education field! In this position, you will: • Help program participants achieve/exceed their personal goals;, • Provide structure and emotional support;, • Assist in resolving behavioral issues;, • Help people supported with personal hygiene;, • Complete detailed, accurate documentation, • Transport the people supported to and from volunteer and pre-vocational activities using Agency vehicles. We require: • Clean, valid NYS Driver’s license, • High School diploma or equivalent plus 3 years of M R/DD experience OR Associate's or Bachelor's Degree OR 3 years related experience, • Must have flexibility to be reassigned to other programs and/or locations as needed, • Ability to communicate and understand in English; both verbally and in writing, • Complete within 6 months of hire and maintain required trainings in AMAP (Approved Medication Administration Personnel) and SCIP (Strategies for Crisis Intervention and Prevention)., • The ability to assist with lifting and transferring an adult person., • Prior experience as Caregiver, Care Assistant, Personal Assistant, Resident Assistant, Direct Care Worker, Nursing Assistant, Home Care Aide or Companion is a plus. Schedule: Mon-Fri 8am-3:45pm Apply online at www.acld.org or text us for more information at 516 732-3979. An EOE m/f/d/v Req #5154 Schedule- Mon- Fri 8am-3:45pm 38.75

Job Description The “TRUE HEALTH” is a for-profit healthcare organization with 7 health centers, providing primary care and preventative medicine in the following locations in Nassau County, Queens, and Brooklyn. As privately qualified health centers, we serve the individuals in our communities, providing enhanced services, expanded hours and reduced prescription pricing, while raising the level of care. We treat patients regardless of income, residency, or immigration status. The TRUE HEALTH offers a stable employment opportunity with a growing company, and competitive base compensation along with health and dental insurance, paid time off, 401-K with company match, paid holidays, employee discounts and much more. Our Mission The mission of TRUE HEALTH is to provide access to equitable, comprehensive, optimal healthcare by improving the overall wellness of all individuals in our communities and delivering high quality extensive patient centered care. Our Vision Creating healthier communities by transforming the health care system one person at a time. JOB TITLE: Nurse Practitioner REPORTS TO: Chief Medical Officer/Administrative Manager/Medical Director The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of this position. About the Role: The Family Nurse Practitioner (FNP) plays a crucial role in delivering comprehensive healthcare services to patients across various age groups and backgrounds. This position involves assessing, diagnosing, and managing a wide range of health conditions, ensuring that patients receive high-quality care tailored to their individual needs. The FNP will collaborate with a multidisciplinary team to develop treatment plans, provide patient education, and promote wellness within the community. Additionally, the role includes performing procedures such as chemotherapy administration and pain management, while prioritizing patient safety and comfort. Ultimately, the FNP is dedicated to improving patient outcomes and enhancing the overall health of the populations served at TRUE HEALTH locations in Hicksville, Brooklyn, and Great Neck. Minimum Qualifications: • Master's degree in Nursing with a specialization as a Family Nurse Practitioner., • Current and valid Nurse Practitioner license in the state of New York., • Certification as a Family Nurse Practitioner from a recognized certifying body. Preferred Qualifications: • Experience in a primary care or urgent care setting., • Familiarity with electronic health record (EHR) systems., • Bilingual skills to effectively communicate with diverse patient populations., • Minimum 1 year experience as NP, • Graduated from approved Nurse Practitioner Program., • Licensed as Nurse Practitioner in New York State., • Basic CPR (BCLS) certification required., • Specialty Certification Preferred., • Bilingual in English and Spanish or Creole preferred. Responsibilities: • Conduct comprehensive health assessments and physical examinations for patients of all ages., • Diagnose and manage acute and chronic health conditions, including prescribing medications and treatments., • Educate patients and their families on health management, disease prevention, and wellness strategies., • Collaborate with healthcare team members to develop and implement individualized care plans., • Perform necessary procedures, including chemotherapy administration and urgent care interventions, while ensuring patient safety., • Involved with direct patient physical assessment, education, and health planning., • Assists in the coordination of services with other disciplines and patient’s insurance plans., • Advocates for patient in arrangement of medically necessary services., • Communicates with community’s resources to ascertain adequate assistance for patients in need., • Refers patients to specialty services when necessary., • Consults with collaborating physician and other members of the health care team to establish plan of care., • Participate in LEAN and other activities necessary to implement the multi-disciplinary patient-centered medical home approach for the care of patients, • Maintains continuity of care by regular patient follow-up., • Participates in quality assurance process to assure optimal care delivery., • Provides comprehensive case management services that include emphasis on health promotion and disease prevention., • Monitors patient outcome in accordance with the practice protocols;, • Collaborates with staff nurses and nursing administrators with assessment and clinical decision in patient care planning., • Acts as a resource person for the nursing staff., • Conducts education in service on practice issues., • Other duties as assigned. Skills: The required skills of a Family Nurse Practitioner are essential for providing high-quality patient care on a daily basis. Proficiency in patient education allows the FNP to empower individuals to take charge of their health, while expertise in chemotherapy and pain management ensures that patients receive appropriate treatment for complex conditions. Critical care skills are utilized in urgent situations, enabling the FNP to respond effectively to emergencies. Strong communication and interpersonal skills foster collaboration with colleagues and build trust with patients, enhancing the overall care experience. Additionally, a commitment to patient safety is paramount, guiding all clinical decisions and practices to ensure the well-being of those served. SALARY: Commensurate with experience MORE INFORMATION: This is an exempt position. The TRUE HEALTH provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, gender, marital status, sexual preference, and orientation, or non-disqualifying physical or mental handicap/disability in each aspect of the human resources function. Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The TH shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

Job Description Day Habilitation Specialist - Day Habilitation Program Help Others to ASPIRE HIGHER! When a group of families came together in 1957 to find services for their children with developmental disabilities, ACLD was born. Today, we are a leading not-for-profit agency employing 1200+ staff and providing over 70 program sites in Nassau and Suffolk. ACLD assists children, teens and adults in reaching the highest level of independence with the freedom to ASPIRE HIGHER in their hopes, dreams and accomplishments. We are currently seeking a few exceptional people who have a passion to create a meaningful impact in the lives of the amazing people we support. We have great opportunities for positive, motivated individuals to work in a day hab setting assisting adults diagnosed with intellectual/developmental disabilities in becoming self-sufficient and self-actualized. Get in on the ground floor and train for an entry level career in the healthcare/education field! In this position, you will: • Help program participants achieve/exceed their personal goals;, • Provide structure and emotional support;, • Assist in resolving behavioral issues;, • Help people supported with personal hygiene;, • Complete detailed, accurate documentation, • Transport the people supported to and from volunteer and pre-vocational activities using Agency vehicles. We require: • Clean, valid NYS Driver’s license, • High School diploma or equivalent, • Some experience working with the intellectually and developmentally disabled population preferred; but will train., • Complete within 6 months of hire and maintain required trainings in AMAP (Approved Medication Administration Personnel) and SCIP (Strategies for Crisis Intervention and Prevention)., • The ability to assist with lifting and transferring an adult person., • Prior experience as Caregiver, Care Assistant, Personal Assistant, Resident Assistant, Direct Care Worker, Nursing Assistant, Home Care Aide or Companion is a plus., • Ability to communicate and understand in English; both verbally and in writing. Schedule: Thu/Fri 2:30p - 8:30p & Sat/Sun 8a - 3:45p Apply online at www.acld.org or text us for more information at 516 732-3979.. An EOE m/f/d/v Req #3860 Schedule: Sat & Sun 8am-3:45pm; Thurs/Fri 2:30pm-8:30pm 27.5 hours

Job DescriptionPosition Summary The Home Care Intake Specialist serves as the first point of contact for patients, families, referral sources, and payers seeking home care services. This role is responsible for managing the end-to-end intake process — from initial referral through authorization and case setup — while ensuring compliance with New York State Department of Health regulations, Medicaid/managed care requirements, and agency policies. The ideal candidate is highly organized, detail-oriented, and skilled at coordinating across clinical, administrative, and insurance teams. Key Responsibilities Referral & Intake Processing • Receive and process referrals from hospitals, physicians, discharge planners, managed care organizations (MCOs), and self-referrals, • Collect and review all necessary intake documentation, including physician orders, medical records, insurance information, and demographic data, • Enter patient information accurately into the agency's Electronic Health Record (EHR) / intake system, • Determine patient eligibility for home care services based on payer requirements and NYS DOH criteria, • Screen referrals for appropriate level of care: CHHA, LHCSA, or private duty nursing, • Communicate intake status updates to referral sources, families, and clinical supervisors in a timely manner Qualifications Required • High school diploma or GED required; Associate's or Bachelor's degree in Health Administration, Social Work, Nursing, or related field preferred, • Minimum 1-2 years of experience in home care intake, hospital discharge planning, or healthcare admissions, • Working knowledge of NYS Medicaid, MLTC managed care plans, Medicare, and private insurance, • Familiarity with home care service types: CHHA, LHCSA, and Private Duty Nursing, • Proficiency with EHR/intake software and Microsoft Office Suite (Word, Excel, Outlook), • Excellent verbal and written communication skills, • Strong organizational skills and ability to manage multiple referrals simultaneously in a fast-paced environment Compensation & Benefits • Competitive salary: $26-28/hrs. (based on experience), • Bonus program: subject to the number of intakes achieved for the month, • Health benefits contribution, • Volunteer dental and vision insurance, • Paid time off and holidays, • 401(k) or retirement plan, • Training provided on NYS home care regulations and payer requirements Monday- Friday 9 AM-5 PM

Job DescriptionSenior Home Care Sales Executive Responsibilities: • Drive referral growth by developing relationships with hospital discharge staff including social workers and RN case managers, area Rehabs and Physicians., • Represent the agency at community and healthcare events, • Work closely with branch administration and clinical operations to ensure patient/client satisfaction Requirements • Established referral relationships for home care patients. Private pay preferred., • 2+ years home care sales, • Strong communication, relationship-building, and organizational skills, • Experience working with sales CRM software Compensation: • Base salary plus significant commission, • Benefits, PTO, mileage reimbursement Benefits • Health Care Plan (Medical, Dental & Vision), • Retirement Plan (401k, IRA), • Life Insurance (Basic, Voluntary & AD&D), • Paid Time Off (Vacation, Sick & Public Holidays), • Family Leave (Maternity, Paternity), • Short Term & Long Term Disability, • Training & Development, • Work From Home

We’re looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.

If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work from home part time opportunities — this is your chance!. Most research studies are conducted remotely from home, though some may be in-pers

If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work from home opportunities — this is your chance!. Most research studies are conducted remotely from home, though some may be in-person.

If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work from home part time opportunities — this is your chance!. Most research studies are conducted remotely from home, though some may be in-pers

If the idea of getting paid to voice your opinions, test products, and contribute to market innovation appeals to you - and you're looking for flexible, work from home opportunities — this is your chance!. Most research studies are conducted remotely from home, though some may be in-person.

The American Survey is seeking participants to provide feedback through online surveys.You’ll complete questionnaires on different topics and get rewarded for your time.Upon completion, you’ll receive $1000 directly via CashApp.Open to anyone 18+ with internet access.

No commute needed should you choose to work from home remotely. If you are a call center representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income. Work part-time from home and earn up to $750 per week.