Medicaid jobs in Wayne, NJCreate job alerts

Overview: SIGN-ON BONUS $5,000 FOR FULL-TIME At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities: The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and their delivery for factors specific to our patients/residents such as physical, cognitive, and socialization factors to ensure compliance with our high standards of care. *Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.*Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.*Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement. Qualifications: *Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered.*At least one year of long-term care nursing experience is required. Benefits: *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation to financially assist through unforeseen hardships *Diverse, Equitable, and Inclusive (DEI) workplace with DEI committee. DEI is a part of our company's DNA. Nursing Tuition Assistance Program We also offer several voluntary insurances such as: *Pet Insurance *Term and Whole Life Insurance *Short-term Disability *Hospital Indemnity *Personal Accident *Critical Illness Nursing Tuition Assistance Program Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service. Posted Salary Range: USD $85,000.00 - USD $90,000.00 /Yr. Bonus: USD $5,000.00

Job Description Primary Function: Responsible for supporting individuals with Autism and Developmental Disabilities in development of skills needed for greater independent functioning and community integration. Support will be provided to the individuals in the community in social and vocational activities as well as classroom-type settings. Essential Functions Include: • Prepare and lead meaningful groups to facilitate members personal, social, vocational and independent growth, • Assist members with following their daily activity schedule, • Develop and maintain relationships with community organizations, programs, businesses and employers to ensure ongoing connections for community inclusion and learning opportunities, • Work with Site Supervisor and plan recreational and activities of daily living outings, • Drive up to a 10-passenger van to transport members to and from program and/or community activities as needed, • Supervise members on community activities and ensure their safety, • Attend and participate in supervision sessions with Site Supervisor or Program Coordinator as scheduled, • Document program member's progress towards ISP goals and objectives according to DDD and Medicaid guidelines, • Work with Site Supervisor on review of members' progress and recommendations for new goals and objectives, • Other duties as assigned by Site Supervisor, Program Coordinator or Director of Day and Community Services, • Completes all assigned College of Direct Support and Relias trainings as assigned, • Attends all scheduled meetings as assigned, • Meets relevant continuing educational/training requirement, • Completes all required documentation/paperwork accurately and within established time frames Requirements: • High school diploma, • Minimum of one year experience preferred., • Valid driver's license, • Experience using electronic health record system preferred

Job Description "At Crane’s Mill we feel like a part of this big family, co workers treat each other with respect. I look forward to going to work and taking care of my patients.. it’s a home away from home." "People are very friendly to get along with." "Warm and inviting " "What makes it a great place to work at is the team, a core group of good people makes all the difference. A team that has good intentions for one and all. And is willing to go the extra mile that makes all the difference. Examples if there is an emergency ( Power outage, loss of water), all hands are on deck willing to help. If we’re hosting an event for the residents everyone chips in to make it a success." Those are real statements from real employees at Crane’s Mill. We hope you feel the same way once you experience what it is like to work here..... These are few of words that describes our Culture. Apply today and learn more! We have a new opportunity for a PRN MDS Coordinator - $45/hour! The MDS Coordinator will manage the overall process and tracking of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within the facility. Conducts MDS reviews to assure maximum allowable RUG categories. Integrating information for nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure proper reimbursement. Education/Training/Certifications: Graduate of an accredited School of Nursing with current licensure by the State Board of Nursing. Skill(s): Basic computer skills. Must have exceptional organization skills and the ability to multi-task. Experience: Two years long term care clinical experience is required. Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization, and case management is highly desired. LSMNJ is an Equal Opportunity Employer. Per diem Team Members still have access to some great benefits, such as: • On Demand Pay, • 403b, • Discount programs for Pet Insurance, Identity Theft Protection and More!

Job Description Join a Company That Puts People First! Registered Nurse – RN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture • Indeed’s Work Wellbeing Top 100 Company in 2024, • Paid Time Off Available, • Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!, • 24/7 Local support from operators and clinicians, • Aveanna has a tablet in each patient’s home allowing for electronic documentation, • Career Pathing with opportunities for skill advancement, • Weekly and/or Daily Pay, • Employee Stock Purchase Plan with 15% discount, • Employee Relief Fund We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Registered Nurses (RN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader. Qualifications • Must have and maintain an active, unencumbered license (RN) in the state in which the clinician will practice, • Compact licenses must be transferred to your state of residence within 90 days, • Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary., • TB skin test (current within last 12 months), • Six months prior hands-on nursing experience preferred but not required As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California

Job Description Join a Company That Puts People First! Registered Nurse – RN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture • Indeed’s Work Wellbeing Top 100 Company in 2024, • Paid Time Off Available, • Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!, • 24/7 Local support from operators and clinicians, • Aveanna has a tablet in each patient’s home allowing for electronic documentation, • Career Pathing with opportunities for skill advancement, • Weekly and/or Daily Pay, • Employee Stock Purchase Plan with 15% discount, • Employee Relief Fund We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Registered Nurses (RN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader. Qualifications • Must have and maintain an active, unencumbered license (RN) in the state in which the clinician will practice, • Compact licenses must be transferred to your state of residence within 90 days, • Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary., • TB skin test (current within last 12 months), • Six months prior hands-on nursing experience preferred but not required As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California

Job DescriptionBenefits: • Flexible schedule, • Opportunity for advancement Location: Multiple counties across NJ (home & community-based sessions) Schedule: Flexible opportunities Compensation: $90 to $100 per hour About Us We are a mission-driven behavioral health provider partnering with New Jerseys Childrens System of Care (CSOC) to deliver goal-oriented, strength-based therapy to youth and families in their homes and communities. Our team is compassionate, collaborative, and committed to creating lasting change. Your Role As an IIC Therapist, you will: • Provide individual and family therapy in the home or community setting, • Develop and implement clinically appropriate treatment plans based on assessments, • Support youth in building coping skills, resilience, and healthy relationships, • Collaborate with families, schools, and community supports to ensure continuity of care, • Maintain timely, accurate documentation in compliance with CSOC and Medicaid standardsWhat Were Looking For, • Active NJ clinical license: LCSW, LPC, LMFT, LSW, or LAC, • Masters degree in Social Work, Counseling, Marriage & Family Therapy, or related field, • Experience working with children, adolescents, and families, • Valid NJ drivers license, reliable transportation, and proof of insurance, • Strong communication skills, cultural competence, and a passion for empowering youthWhy Join Us? Flexible scheduling build a caseload that fits your life Competitive pay with opportunities for growth Supportive team culture clinical supervision & peer consultation Meaningful work make a real difference in the lives of NJ families

Job Description Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture • Indeed’s Work Wellbeing Top 100 Company in 2024, • Paid Time Off Available, • Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!, • 24/7 Local support from operators and clinicians, • Aveanna has a tablet in each patient’s home allowing for electronic documentation, • Career Pathing with opportunities for skill advancement, • Weekly and/or Daily Pay, • Employee Stock Purchase Plan with 15% discount, • Employee Relief Fund We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader. Qualifications • Must have and maintain an active, unencumbered license (LPN/LVN) in the state in which the clinician will practice, • Compact licenses must be transferred to your state of residence within 90 days, • Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary., • TB skin test (current within last 12 months), • Six months prior hands-on nursing experience preferred but not required As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California

Job Description Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture • Indeed’s Work Wellbeing Top 100 Company in 2024, • Paid Time Off Available, • Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!, • 24/7 Local support from operators and clinicians, • Aveanna has a tablet in each patient’s home allowing for electronic documentation, • Career Pathing with opportunities for skill advancement, • Weekly and/or Daily Pay, • Employee Stock Purchase Plan with 15% discount, • Employee Relief Fund We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader. Qualifications • Must have and maintain an active, unencumbered license (LPN/LVN) in the state in which the clinician will practice, • Compact licenses must be transferred to your state of residence within 90 days, • Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary., • TB skin test (current within last 12 months), • Six months prior hands-on nursing experience preferred but not required As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California

Job Description InfuCare Rx is a leading home infusion provider accredited by URAC and ACHC offering a specialized approach to caring for patients in need of IV therapy and specialty pharmacy services in the homecare setting. We have created an ethical, team oriented, and quality work environment for our employees that cultivates achievement and success. Job Summary: As a Revenue Cycle Specialist, you'll take charge of multiple facets of the pharmacy/infusion reimbursement process as you interact with insurance companies and patients to ensure accurate payment. You will have the experience of investigating irregularities and resolving problems when unforeseen roadblocks arise. This is a great opportunity for an experienced professional with a track record of filing claims, billing, appeals, reviews, customer service, problem resolution and overall revenue cycle management. With InfuCare Rx experiencing rapid growth, you'll join a fluid and evolving environment that will challenge your ability to adapt but will also reward you with ample opportunities while streamlining and improving processes. Candidates will be considered who have at least 2 years of infusion billing experience, have great customer service skills, the ability to learn/adapt, and who are excellent problem solvers. They will have the ability to lead, own the process, and be results oriented. Responsibilities and Duties: • Prepare and submit clean claims to assigned insurance companies, either electronically or by paper., • Follow up on all unpaid claims in a timely manner and prepare appeal or corrected claims to ensure payment., • Claims Submission to Medicare: preparing and submitting claims to Medicare using the appropriate coding and documentation., • Staying updated on Medicare regulations and policies to ensure compliance for billing., • Interacting with management, patients, and Medicare representatives to resolve issues., • Review EOBs and act appropriately., • Timely Receivables-Revenue Management and reporting., • Submit write-off requests; identify bad debt as necessary., • Identify all roadblocks which potentially could delay claims payment and be ready to discuss solutions with management., • Bill payor plus patient responsibility amounts accurately and in a timely manner., • Handle phone interaction with patients and insurance companies regarding billing and statement questions., • Interpret Contracts/Maintain Payor customer service relationships in order to produce accurate claims, validate reimbursement, and keep A/R to company standards., • Provide excellent customer service., • other duties as assigned" under job duties/responsibilities Skills/Abilities/Work Experience • Must have Home infusion experience, • Minimum of 5 years in Medicare billing required, • Strong knowledge of government insurance plans, managed care plans, HMO/PPOs, and patient billing, • Accurate and detail-oriented including ability to work under pressure., • Experience with Microsoft Office (Word/Excel)., • Communicates clearly and effectively in both oral and written communications., • Proven problem-solving and critical thinking skills., • Hands-on experience with a computerized billing system., • Experience with CPR+ Infusion Pharmacy software for billing highly preferred., • Ability to self-motivate and effectively solve complex problems through internal/external interaction., • Knowledgeable in Medicare and Medicaid guidelines for home infusion therapy., • Knowledge of infusion billing for commercial and Medicaid payers., • Working knowledge of infusion CPT, HCPCS and ICD-10 codes., • Electronic claim filing, • Medical Billing compliance proficiency Physical Demands: Required to stand, walk, sit, talk, and hear; required to use hands to operate vehicles and office equipment; must be able to occasionally lift and/or move up to 25 lbs; specific vision requirements for this job include: close, distance and peripheral vision, and the ability to adjust focus, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position without compromising patient care. InfuCare Rx is an equal opportunity employer. All employment decisions are made without regard to race, color, religion, national origin, military status, marital status, citizenship/immigration status, sex (including pregnancy and relation conditions, sexual orientation, or gender identity), age (40 and older), disability, genetic information (including employer requests for, or purchase use, or disclosure of genetic tests, genetic services, or family medical history), retaliation for filing a charge, reasonably opposing discrimination, or participating in a discrimination lawsuit, investigation, or proceeding. Background checks and drug screens are part of our hiring process. Affirmative Action/Equal Opportunity Employer, Minority/Female/Disabled/Veteran. Click here to view our Drug Testing Policy

Job Description Family Advisor – Contract-to-Perm | Hybrid | Up to $40/hr | No Experience Necessary Fairfield, NJ Join a mission-driven team supporting individuals with developmental disabilities. This role supervises Direct Support Professionals (DSPs), coordinates care, and ensures compliance with NJ DDD and Medicaid standards. Must-Have Traits * Analytical Thinking – assess behavior and data effectively * Empathy & Patience – support individuals with developmental challenges * Strong Communication – explain strategies clearly to families and teams * Problem-Solving – design effective intervention plans * Ethical Judgment – uphold professional standards Key Responsibilities * Lead and support DSPs, manage onboarding and training * Liaise with families and caregivers to meet client needs * Monitor service quality and regulatory compliance * Attend care plan meetings and implement improvements * Respond to urgent client needs and attend community events * Requirements * Must be 18+ and authorized to work in the U.S. * Valid driver’s license (if applicable) * Pass background checks, fingerprinting, and drug screening Pay Details: $35.00 to $45.00 per hour Search managed by: Ellen Slovikowsky Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: • The California Fair Chance Act, • Los Angeles City Fair Chance Ordinance, • Los Angeles County Fair Chance Ordinance for Employers, • San Francisco Fair Chance Ordinance Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Job Description Assistant Director, Day Program Services Start working to make a difference…. Life Opportunities Unlimited (LOU) is a premier boutique human service agency providing both residential and day program services for adults with developmental disabilities in Northern New Jersey. LOU is located in Ridgewood with programs in Northwest Bergen County: Allendale, Fair Lawn, Glen Rock, Haledon, Midland Park, Ridgewood, Township of Washington, and Waldwick. All of our locations are approximately 15 minutes from Passaic & Rockland Counties. LOU’s Residential and Day Programs are conveniently located nearby NJ Transit, Bus Routes and Train Stations. Core Functions: * Ensure adequate staffing in the program at all times * Establish efficient and effective transportation routes to and from residents' homes as well as activities in the community Responsibilities: * Responsible for all logistical aspects and operations of Life Opportunities Unlimited’s Day Program and the clients who participate in these programs * Work directly under the supervision of the Director of Day Program Services * Manage and supervise staff to ensure all policies, procedures, and staffing requirements set by upper management, New Jersey Division of Developmental Disabilities, and Medicaid are followed * Maintain all client and program records, including but not limited to each individual’s: progress notes, individual plans, facility records, and vehicle records * Assisting in the day program following the established budget guidelines * Responsible for all program facilities, vehicles, and assets * Work within the preset budget * Act as a liaison between the Central Office, Group Homes, Families/Guardians, and Support Coordinators * Collaborate with Support Coordinators, Job Coaches, Therapists, and all parties involved in each client’s life to meet their evolving needs * Attend all ISP meetings, company events, and organization-provided training sessions as directed * Treat all clients and fellow staff with dignity and respect * Complete ad hoc projects as necessary * Responsible for trainings and conducting regular staff meetings for all program staff * Maintain a positive and harmonious environment at all times * Responsible for creating efficient transportation schedules for program participants, and when necessary, physically transporting clients in a company vehicle * Responsible for managing staffs’ schedules, PTO approval, training staff, reviewing performance, etc. * Provide assistance in personal hygiene care, when necessary * Monitor and properly administer medication in accordance with training and procedures * Implement new skill development strategies for individual client growth * Advocate for participants’ self-expression and communication * Follow through on any and all established behavior plans * Cooperate with the licensee and Department staff in any inspection, inquiry, or investigation This is not an exhaustive list of the responsibilities of this position. Therefore, in this role, you are expected to do anything else deemed necessary for the betterment of the program and its participants. Join the LOU Team: We are committed to supporting our employees in their professional growth and career development. This commitment allows our teams to thrive in a passion-driven community that is focused on enriching the lives of our clients. We are looking for dedicated individuals that want to be an important part of building a better future for individuals with developmental disabilities. Staff stay at LOU for an average of 8 years. LOU is a great place for people to meet their professional goals and grow within the organization. You will be a successful team member if you are: * Creative and able to adjust accordingly * Organized and detail oriented * Patient, compassionate, and caring * Collaborative and communicate effectively with a team * Mission-motivated and result driven Requirements: * BS/BA or equivalent preferred but not required * 1-3 years of management or leadership experience * Must be 18 years or older * Strong computer skills * Successful administrative experience in a fast-paced environment * Prior experience with complex calendar management * Proficient in Microsoft Office (Word, PowerPoint, Excel) * Experience with Google Workspace (Gmail, Google Calendar, Google Drive, etc.) * Proven professional written and verbal communication skills * Strong analytical and problem-solving skills * Possess a valid New Jersey Driver’s License * Must be able to successfully complete all NJ Division of Developmental Disabilities mandated trainings within the first 120 days of employment * The requirements for checks of Criminal Background, Central Registry, Child Abuse Registry, and Drug Testing must be completed prior to working with any clients in the Day Program or Residential Program Benefits: * Health, Dental, Vision, Life Insurance, 401(k) Retirement Plan * Competitive Salary and Flexible Hours * Comprehensive Paid Training Programs including CPR and First Aid * PTO, Vacation, Sick Time, & Holiday Pay * Career Advancement Opportunities * Discount Perks* * Childcare * AAA * Vacation and entertainment * Cellular Plan *These perks could be subject to change without notice Schedule: Monday-Friday: 8AM-4PM Join our team and make a difference today!

Job Description Overview Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for an Intake Coordinator to join our Intake team as we grow to be one of the top home infusion providers in the country. The Intake Coordinator will report to the General Manager and work in our location branch. Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of PharMerica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita. As a core member of the Intake team, you will have primary responsiblity for the timely clearance of new referrals. We will help you achieve your goals through continuous professional development and regular career progression discussions. Amerita’s intake coordinator are responsible for working in coordination with the sales and pharmacy teams process patient referrals and admissions in a timely manner. Intake coordinators must gather necessary patient information to create patient records and working with access operations to communicate insurance coverage to patients and referral sources. The Intake coordinators are often the first point of contact for patients and referrals sources and must create and maintain a positive, calm and supportive atmosphere; emphasizing personal interest and compassion for our patients. Schedule: Monday - Friday 9:00am - 5:30pm Saturday 10:00am - 4:00pm (every 3-4 weeks) (mid week flex day on Saturday) • Competitive Pay, • Health, Dental, Vision & Life Insurance, • Company-Paid Short & Long-Term Disability, • Flexible Schedules & Paid Time Off, • Tuition Reimbursement, • Employee Discount Program & DailyPay, • 401k, • Pet Insurance Responsibilities • Responsible for processing referrals received from referral sources., • Ensures that all required documentation has been received to process the referral timely, • Ensures Intake referral checklists are complete, • Enters patient demographic, clinical, and insurance and authorization information into the computer system, • Coordinates with other departments including Sales, Access and clinical staff regarding the status of the referrals and any authorization requirements and out of pocket cost required to be collected before delivery, • Ensures that insurance verification is completed and patient has accepted financial responsibility prior to initial shipment., • Completes documentation of progress notes in computer system, • Notifies patients/caregivers regarding insurance coverage and payment responsibilities, • Maintains confidentiality of patient and proprietary information., • Other duties as assigned Supervisory Responsibility: No Qualifications • High School Diploma/GED or equivalent required; Associate’s Degree or some college preferred, • Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies, • Knowledge of insurance verification and pre-certification procedures, • Understands the scope of services that Amerita can provide

Job DescriptionJob Posting TitleAssociate Director, Clinical/Medical Services (Registered Nurse)Job Description Associate Director, Clinical/Medical Services (Registered Nurse [RN]) Start working to make a difference…. Life Opportunities Unlimited (LOU) is a premier boutique human service agency providing both residential and day program services for adults with developmental disabilities in Northern New Jersey. LOU is located in Ridgewood with programs in Northwest Bergen County: Allendale, Fair Lawn, Glen Rock, Haledon, Midland Park, Ridgewood, Township of Washington, and Waldwick. All of our locations are approximately 15 minutes from Passaic & Rockland Counties. LOU’s Residential and Day Programs are conveniently located nearby NJ Transit, Bus Routes and Train Stations. Core Functions: * Review individual medical records and develop individual specialized trainings/curricula, in accordance with federal, state, and agency standards * Ensure accurate and satisfactory completion of all physician forms/prescriptions from community physicians Responsibilities: * Responsible for all administrative components of the medical needs of the individuals served by Life Opportunities Unlimited * Work directly under the supervision of the Director of Operations and Program Development * Manage and supervise staff to ensure all policies, procedures, and staffing requirements set by upper management, New Jersey Division of Developmental Disabilities, and Medicaid are followed * Maintain all medical records * Schedule and/or attend (as needed) medical appointments * Attend all ISP meetings, company events, and organization-provided training sessions as directed * Collaborate with Support Coordinators, Job Coaches, Therapists, and all parties involved in each client’s life to meet their evolving needs * Monitor and properly administer medication in accordance with training and procedures * Review program medication records and create action plans, as needed * Act as a liaison between the Central Office, Group Homes, Families/Guardians, and Support Coordinators * Treat all clients and fellow staff with dignity and respect * Complete ad hoc projects as necessary * Maintain a positive and harmonious environment at all times * Provide assistance in personal hygiene care, when necessary * Advocate for participants’ self-expression and communication * Cooperate with the licensee and Department staff in any inspection, inquiry, or investigation This is not an exhaustive list of the responsibilities of this position. Therefore, in this role you are expected to do anything else deemed necessary for the betterment of the program and its participants. Join the LOU Team: We are committed to supporting our employees in their professional growth and career development. This commitment allows our teams to thrive in a passion-driven community that is focused on enriching the lives of our clients. We are looking for dedicated individuals that want to be an important part of building a better future for individuals with developmental disabilities. Staff stay at LOU for an average of 8 years. LOU is a great place for people to meet their professional goals and grow within the organization. You will be a successful team member if you are: * Creative and able to adjust accordingly * Organized and detail-oriented * Patient, compassionate, and caring * Collaborative and communicate effectively with a team * Mission-motivated and results-driven Qualifications: * RN License Required * 1-3 years of management or leadership experience, preferred * Must be 21 years or older * Strong computer skills * Successful administrative experience in a fast-paced environment * Prior experience with complex calendar management * Proficient in Microsoft Office (Word, PowerPoint, Excel) * Experience with Google Workspace (Gmail, Google Calendar, Google Drive, etc.) * Proven professional written and verbal communication skills * Strong analytical and problem-solving skills * Possess a valid New Jersey Driver’s License * Must be able to successfully complete all NJ Division of Developmental Disabilities mandated trainings within the mandated timeframes * The requirements for checks of Criminal Background, Central Registry, Child Abuse Registry, and Drug Testing must be completed prior to working with any clients in the Day Program or Residential Program Benefits: * Health, Dental, Vision, Life Insurance, 401(k) Retirement Plan * Competitive Salary and Flexible Hours * Comprehensive Paid Training Programs including CPR and First Aid * PTO, Vacation, Sick Time, & Holiday Pay * Career Advancement Opportunities * Perks* * Childcare * AAA * Vacation and entertainment * Cellular Plan *These perks could be subject to change without notice Schedule: Monday - Friday: 9 AM - 5 PM Join our team and make a difference today! Include shift scheduleNot IncludedInclude budgeted hoursNot Included

Job Description Manager Responsibilities: Day to day operations of Business Office operations which includes the following key financial activities: · timely claim submission, · aged AR trending analysis · aged AR follow-up direction an prioritization, · customer service · cash posting and reconciliation · training & education · special projects · ensure accurate payer reimbursement · maintaining third party payer contracted rates in Meditech including Medicare and Medicaid · Keeping up to date with State and Federal billing and reimbursement changes · Constant Quality Improvement · Identifying charge capture opportunities as well as any other issues that Ancillary Departments may arise · Timely credit balance processing · Always maintaining HIPPA standards · Working with external vendors to expedite collections and transfer of information · Timekeeping and monitoring staff production, work quality Education/Experience Requirements • *High School education or GED, • Minimum 10 years Hospital or similar revenue cycle experience.

Job Description Job Summary: Responsible for the timely and accurate resolution of insurance claims, primarily for Medicare, Medicaid, and HMO plans. This role involves follow-up on claims from billing through final resolution, identifying and correcting errors, and ensuring prompt payment of outstanding accounts. Key Responsibilities: • Claim Follow-up:, • Monitor the progress of insurance claims from submission to payment, • Payers Include Medicare, Medicare HMO's, Medicaid and Medicaid HMO's, • Identify and resolve claim denials, rejections, and delays., • Follow up with insurance carriers to expedite claim payments., • Error Correction:, • Review daily electronic billing reports, paper claim submissions, and third-party confirmation reports for errors., • Make necessary corrections in the billing system to ensure accurate claims., • Medicare Claims:, • Process Medicare RTP claims and denial reports on a daily basis., • Ensure timely and accurate submission of Medicare credit balance quarterly reports., • Account Resolution:, • Research outstanding accounts and take appropriate action to secure prompt payment., • Analyze system-generated reports to identify accounts requiring research., • Document all resolution activities in the appropriate system and log., • Alert supervisors or managers of non-payment trends., • Contractual Allowance:, • Research partial payments to determine if the appropriate contractual allowance was calculated., • Initiate corrective action for miscalculated allowances, including collaboration with clinical departments., • Document results and alert supervisors or managers of trends., • Rejected and Denied Services:, • Research rejected or denied services and determine corrective action., • Complete corrective action using departmental procedures and policies., • Document results and alert supervisors or managers of non-payment trends., • Reporting:, • Complete productivity reports and submit to supervisors within the established timeframe., • Customer Service and Performance Improvement:, • Support the department's customer service and performance improvement goals., • Collaborate with other staff to enhance patient care and service., • Compliance:, • Experience: 1-3 years of experience in healthcare billing or Hospital billing., • Technical Skills: Proficiency in using billing systems and software., • Knowledge: Knowledge of Medicare, Medicaid, and HMO billing regulations.

Job Description Purpose of Role: We are seeking a Healthcare Litigation Associate Attorney with 4+ years of Healthcare, Commercial Litigation, and White-Collar Defense experience, including experience as a medical board litigation attorney, preferably a former NJ Deputy Attorney General who prosecuted on behalf of professional boards, including the Board of Medical Examiners. A clerkship with the Supreme Court or Appellate Court is a plus. This role will join our established Health Care practice group representing medical professionals in professional liability/medical malpractice and employment lawsuits. This is an exciting position that offers a competitive compensation package, located in our Roseland, NJ office. Responsibilities: • Handle healthcare litigation proceedings., • Draft pleadings, conduct discovery and responses, motions, briefs, etc., and represent clients in court and arbitration., • Provide legal advice to clients regarding their rights and obligations under relevant laws and regulations., • Develop and execute legal strategies., • Keep up to date with changes in relevant laws and regulations., • Take a lead role in certain healthcare matters., • Provide thorough factual and legal research and analysis., • Review regulatory analyses by junior attorneys., • Manage matters from commencement to final resolution., • Backup support other business units, such as Employment Law and Banking and Financial Services., • Identify legal and compliance issues and business risks and offer effective solutions tailored to the situations., • Identify and escalate to Department Chair as appropriate., • Demonstrate and apply knowledge of general commercial and healthcare law (such as HIPAA, Anti-Kickback, False Claims Act, state regulations, etc.), Medicare and Medicaid reimbursement and compliance issues; or managed care and health insurance regulatory matters, plus pharmacy-related experience., • Juris Doctorate degree from an accredited law school., • NJ bar required; NY admission preferred and otherwise must be obtained., • 4+ years' legal experience with demonstrated excellent working knowledge and primary focus in healthcare., • Prior experience working as a healthcare-centric prosecutor (former Deputy Attorney General or Assistant U.S. Attorney) a plus., • Strong preference for candidates with hospital, health system, 340B, or pharmacy experience., • Experience in advising clients on telemedicine, Medicare/Medicaid fraud, health reform issues., • Knowledge of confidentiality, informed consent, various bioethical issues., • Highly motivated with drive and ability to dig into the details, provide insight and drive decision-making., • Unquestionable integrity, ethics, and judgment., • Ability to communicate legal concepts and opinions in a digestible manner., • Exceptional communication, relationship building, mentorship, and influencing skills with proven abilities across a broad range of internal and external constituents., • Team player with a high level of self and cross-cultural awareness., • Highly intelligent and possesses intellectual curiosity to probe and understand complex business and legal issues and trends., • Adaptable nature, with the ability to reassess and adjust due to the evolving nature of the business.

Job Description Degree in Physical Therapy, active Physical Therapist license and 1+ year of Physical Therapy experience required. Applicants who do not meet these qualifications will not be considered. Provide specialized speech therapy services within a K-12 educational setting in Wayne, NJ. This contract assignment offers an opportunity to support students with Individualized Education Programs (IEPs) by delivering targeted sessions that promote communication development and academic success. Key Responsibilities: • Deliver speech therapy to a caseload of six students, each receiving two 30-minute sessions per week, • Utilize the Real Time IEP system to document and track student progress, • Collaborate with educators and support staff to integrate therapy goals within the classroom environment, • Maintain accurate records in compliance with educational standards and district policies, • Provide services approximately 4 hours per day across two days weekly at a single school location, • Certification and licensure as a Speech-Language Pathologist appropriate for school settings, • Experience working with students aged 3 and above within the public education or therapeutic environment, • Proficiency with IEP documentation systems, ideally Real Time, • Strong communication and collaboration skills to work effectively with students, families, and educational teams, • Opportunity to impact student outcomes directly within a supportive school community, • Part-time schedule flexibility (approximately 4 hours per day, 2 days per week) Professionals motivated to contribute meaningfully to student growth and speech development are encouraged to apply. Take the next step in your career by delivering high-quality therapeutic support in a dynamic school environment. Compensation for this position ranges from $47.18 to $77.18. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date.

Job DescriptionJob Overview As a Patient Liaison for a specialty pharmacy, you will serve as a key connection between the pharmacy, healthcare providers, and patients. Your primary responsibility will be to facilitate the timely processing, approval, and ensuring dispensing of prescribed medications. This role requires a blend of clinical knowledge, communication skills, and organizational and sales acumen. You will support patients referred from medical offices by assisting with prescription clarifications, benefits coordination, and addressing medication access issues. Additionally, you will cultivate strong relationships with prescribers and insurance providers to ensure seamless care and optimal outcomes for patients. You will act as a relationship manager for medical providers and their offices. You will proactively build and maintain trusted partnerships, encouraging them to refer new patients and strengthening ongoing collaboration to ensure positive outcomes for all parties. Responsibilities • Serve as a liaison between specialty pharmacies, prescribers, and insurance providers to ensure seamless access to prescribed medications and clarify any prescription-related needs., • Monitor market trends and competitor activity to adjust strategies, identify potential growth areas, and implement best practices for marketing and patient access., • Focus on sales/marketing efforts to promote the pharmacys services and secure referrals from providers, contributing to growth in patient enrollment and medication access., • Utilize sales strategies to target and expand market presence, identify new opportunities, and increase awareness of the pharmacys offerings among key stakeholders in the healthcare ecosystem., • Provide exceptional customer service, ensuring that both internal and external customers (patients, providers, pharmacy staff) receive timely and accurate support., • Maintain frequent communication with patients, providers, and pharmacies, clarifying prescription orders and resolving any issues., • Coordinate efforts with providers and specialty pharmacies to improve patient turnaround times and ensure optimal medication access., • Manage and prioritize multiple initiatives, resolving complex cases independently and efficiently, while maintaining a focus on customer satisfaction and outcomes., • Leverage marketing tactics, including digital communication, educational resources, and outreach, to effectively promote the pharmacys services and increase patient engagement.Seasonal Responsibilities: During immunization season (such as flu, RSV, covid, etc.) liaison is expected to do the following: • Manage and Coordinate Seasonal Immunization Clinics, • at store level/on site, • at community level (community centers, community drives, centralized location(s)), • Promote and manage marketing materials for immunization seasons, • Managing flyers and promotional materials, • Coordinate at doctor/physician offices, • Outreach to the community, • Coordinate with insurance carriers including Medicare and Medicaid for billing purposes Requirements, • Preferred experience in a health care setting, preferably within a specialty pharmacy environment., • Strong understanding of medication administration processes and patient care standards., • Familiarity with medical terminology related to pharmacy practices, medications and prior authorization process., • Previous experience as a pharmacy technician is highly desirable., • Excellent communication skills with the ability to build rapport with healthcare professionals and patients alike., • Ability to work independently and as part of a collaborative team focused on enhancing patient service., • Commitment to ongoing professional development in the field of specialty pharmacy.Qualifications:, • High School Diploma or GED required, • Associate or bachelors degree preferred, • 1+ years of pharmacy/medical work experience or related field, • Strong customer service, communication, and sales skills, • Proven ability to manage multiple accounts and projects independently, • Understanding of product and payer reimbursement landscapes, • Ability to work collaboratively with a variety of stakeholders, including medical offices, pharmacies, and insurance companies, • Valid drivers license required, • Must be willing and able to drive from office to office within the assigned area (TBD)Preferred Skills:, • Previous experience in sales, marketing, or customer relationship management within the healthcare industry, • Full Time, • On-siteSchedule:, • Monday to Friday, • 40 Hours weeklyPay Rate:, • Bi-weekly, • $22-30 hourly (based on experience)Benefits:, • Paid time Off, • Medical Insurance, • 401k (Matching), • Travel Stipend, • Bonus based on PerformanceLocation:

Job Description We are a boutique Durable Medical Equipment Company that supplies enteral nutrition formulas including medical foods for inborn errors of metabolism. We are seeking a remote experience medical biller collections specialist, preferably with a DME and enteral supplies background. Hearts Enteral is the sister company of our non-profit organization Compassion Works Medical. Our mission is to help fight the challenges of healthcare reimbursement for people who struggle with rare diseases and conditions that require enteral nutrition and medical foods to sustain and prolong their lives. The position is based on a 1099 (W-9) and not a W-2. There are full-time and part-time positions. Hearts Enteral DME is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex, religion, or national origin. MUST have 3 years minimum experience with medical billing with HCPCS codes and claims submissions. STRONG ATTENTION TO DETAIL A MUST JOB: Navigate between patients, healthcare providers, and insurance companies (also known as payers) to arrange for reimbursement of healthcare services. The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, and posting adjustments and collections of Medicare, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and an understanding of Medicare, and Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments based on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with the billing system to ensure all functionality is utilized for the utmost efficient processing of claims. MAJOR DUTIES & RESPONSIBILITIES: • Responsible for charge and payment entry within Electronic Health Records., • Responsible for correcting, completing, and processing claims for all payer codes;, • Analyze and interpret that claims are accurately sent to insurance companies;, • Perform follow-up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports;, • Process appeals online or via paper submission;, • Assist in reconciling deposit and patient collections;, • Assist with billing audit-related information;, • Process refund requests;, • Attend weekly meetings to streamline work performance and action plans;, • Communicate with the billing and credentialing coordinator to identify and resolve audit review issues;, • Identify trends, and carrier issues relating to billing and reimbursements. Report findings to the Team Lead and/or Supervisor;, • Research, record findings, and communicate effectively with the Manager to achieve optimum performance;, • Pursue and participate in education to remain current with changes in the Healthcare industry;, • Maintain patient confidence and protect medical office operations by keeping patient information confidential; HIPAA Compliance., • Contribute to team effort by accomplishing related results as needed;, • Promote effective working relations and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectives;, • Demonstrate respect and regard for the dignity of all patients, families, and fellow employees to ensure a professional, responsible, and courteous environment;, • Perform other duties as assigned to support Hearts Enteral's Mission, Vision, and Values. QUALIFICATION REQUIREMENTS: • Minimum of three years of related experience in medical billing or any collections industry. Preferred but not required in a DME industry., • STRONG ATTENTION TO DETAIL A MUST ***, • Previous experience with an Electronic Medical Record a plus, eClinical Works, Office Ally, Availity, Navinet, and all EMR-related experience preferred;, • Customer service driven, • Understanding of medical terminology and insurance laws/guidelines;, • Excellent organization and time management skills along with excellent oral and written communication skills;, • Strong team player;, • Ability to learn quickly, build and maintain long-term relationships, and work with minimal supervision;, • Strong written and verbal communication skills; strong analytical, organizational, and time management skills required EDUCATION and/or EXPERIENCE: High School Diploma equivalent required, Associate Degree preferred. Certified Biller and Coder strongly preferred. REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. LEADERSHIP RESPONSIBILITIES: No supervisory or direct people management responsibilities. May provide occasional work guidance, technical advice, and training staff. WORK COMPLEXITY/INDEPENDENT JUDGEMENT: Work tasks are often straightforward, routine, structured, and guided by established policies and procedures. Little, if any, independent judgment is required, outside of making basic choices in the selection and application of established methods. The job received frequent, ongoing supervision. PROBLEM-SOLVING: Decisions are made on routine matters affecting a few individuals and usually within the confines of the job's own department. Specific job activities and results are typically reviewed closely. There are limited requirements for developing new ideas or changes in methods, procedures, or services. COMMUNICATION/INTERACTIONS: Information sharing - gives and receives information such as options, technical direction, instructions and reporting results. Interactions are mostly with customers, own supervisors, and coworkers in their own and other departments. IMPACT OF DECISIONS: Follow rules and procedures. Decisions can have minimal or no impact on Hearts Enteral. Errors can be readily detected, usually by the employee, and, if made, would result in minor expense for correction. STRONG ATTENTION TO DETAIL: Attention to detail refers to the ability to notice and focus on the small elements and nuances that contribute to the overall quality of work. It involves being meticulous and thorough in tasks, ensuring accuracy, and avoiding mistakes. Owning up to mistakes is the biggest learning advantage. This skill is essential in our DME company. Key aspects of attention to detail include: • Accuracy: Ensuring that all information is correct, including numbers, facts, and data., • Thoroughness: Completing tasks fully, without overlooking any steps or components., • Consistency: Maintaining uniformity in style, formatting, and quality across projects., • Critical Thinking: Evaluating information critically to identify errors or inconsistencies. OTHER: THE POSITION STARTS ON A 3-MONTH PROBATION PERIOD WITH FULL OPPORTUNITIES FOR GROWTH ** Company DescriptionHearts Enteral DME is the sister company of our non-profit organization Compassion Works Medical. Our mission is to help fight the challenges of healthcare reimbursement for people who struggle with rare diseases and conditions that require enteral nutrition and medical foods to sustain and prolong their lives. Web. www,heartsenteral.com. Enteral DME is the sister company of our non-profit organization Compassion Works Medical. Our mission is to help fight the challenges of healthcare reimbursement for people who struggle with rare diseases and conditions that require enteral nutrition and medical foods to sustain and prolong their lives. Web. www,heartsenteral.com. .

Job DescriptionDescription: Under the direct supervision of the Chief Medical Officer, the Optometrist provides direct clinical care to patients at the health center. The Optometrist is a member of the Care Team with the purpose of providing evidenced-based and quality medical care to Zufall Health Center patients. Essential Functions, Duties, and Responsibilities • Provides eye care services for patients of Zufall Health, including but not limited to comprehensive eye examinations, diagnosis and management of ocular diseases, prescription of corrective lenses (if applicable), referral to ophthalmologists or other specialists when appropriate, and other duties as assigned. Ensures continuity and quality of patient care., • Leads and collaborates with assigned clinical support staff to deliver exceptional and accessible preventive, acute, and chronic eye care to a diverse patient population. Educates patients and families about eye health and vision care., • Participates in extended service hours including occasional evenings or weekends as scheduled. Adjusts availability as needed to support patient demand and clinic operations., • Assists patients in obtaining additional services such as low vision aids, specialty referrals, or surgical consultations. Works closely with the Chief Medical Officer to build relationships with external providers, optical labs, and vision care networks to enhance patient access and care coordination., • Participates in clinical quality improvement initiatives and peer chart reviews as assigned. Attends and contributes to regular medical staff and team meetings as deemed necessary by leadership., • Supports clinic operations by maintaining compliance with all applicable local, state, and federal regulations. Ensures that licensure, certifications, and continuing education requirements are current. Adheres to and helps refine clinical protocols and practice guidelines., • Participates in community outreach including vision screenings, health fairs, and educational workshops. Supports staff training, mentorship, and may precept optometry students or interns as needed., • Maintains professional affiliations and stays informed of advancements in optometric care, techniques, and public health concerns. To perform successfully, the individual must be able to perform the essential duties satisfactorily. The requirements below are representative of the knowledge, skill and ability required. • Doctor of Optometry (OD) degree from an accredited optometry school., • Strong verbal and written communication skills., • Ability to work effectively with a diverse range of patients and colleagues., • Flexibility and commitment to working variable hours as required to meet clinic needs., • Proficiency with EHR systems and general computer applications including Microsoft Word and Excel., • Bilingual and/or bicultural candidates are highly valued; ability to speak both English and Spanish strongly preferred., • Doctor of Optometry (OD) from a program accredited by the Accreditation Council on Optometric Education (ACOE)., • Active license to practice optometry in the state of New Jersey, in good standing., • Certification to use therapeutic pharmaceutical agents (TPA) as required by New Jersey regulations., • National Provider Identifier (NPI) and eligibility to participate in Medicare, Medicaid, and other health programs., • Current BLS certification; other certifications (e.g., Advanced Procedures, Low Vision) may be preferred depending on clinic scope., • Minimum 1 year of post-graduate clinical experience preferred; new graduates with strong clinical training may be considered.

Job Description Position Title: Occupational Therapist Program: Early Intervention Program Location: Northern and central, NJ Salary: $83.00 to $87.00 Hourly Status: Hourly (Choose your own hours) Benefits: Paid Sick Leave, 401K eligible after 500 hours worked Summary: Pillar Care Continuum is looking to hire multiple dedicated candidates for our Occupational Therapist (OT) in the Early Intervention Program. Which provides specialized therapeutic services to infants and toddlers (birth to age 3) with developmental delays, disabilities, or medical conditions. The OT works collaboratively with families, caregivers, and interdisciplinary teams to develop and implement individualized strategies to enhance children’s development and functional abilities. Key Responsibilities: • Conduct comprehensive developmental and functional assessments of motor, sensory, and adaptive skills., • Utilize standardized tools and clinical observations to identify areas of concern., • Develop individualized family service plans (IFSP) in collaboration with families and other team members., • Design and implement evidence-based therapeutic interventions to promote fine motor, sensory processing, self-help, and play skills., • Use age-appropriate and culturally sensitive approaches to support the child’s developmental goals., • Provide home- or community-based services as per program requirements., • Educate families and caregivers on strategies to support the child’s development during daily routines., • Empower families to integrate therapeutic practices into their natural environments., • Serve as a resource for developmental milestones and concerns., • Work closely with a multidisciplinary team, including speech therapists, physical therapists, developmental specialists, and case managers., • Coordinate services and share progress updates with team members to ensure cohesive care., • Participate in team meetings and IFSP reviews to update goals and strategies., • Maintain accurate and timely records of assessments, progress notes, and reports in compliance with state and federal guidelines., • Ensure all documentation aligns with program and funding source requirements (e.g., Medicaid, IDEA Part C)., • Adhere to ethical and legal standards of occupational therapy practice., • Stay current with research and advancements in early intervention and occupational therapy., • Bachelor’s, Master’s or Doctorate degree in Occupational Therapy from an accredited program., • Valid New Jersey Occupational Therapist license., • Certification by the National Board for Certification in Occupational Therapy (NBCOT)., • Preferred: Experience working in pediatric or early intervention settings., • Knowledge of IDEA Part C regulations and developmental milestones., • Strong interpersonal and communication skills., • Ability to work independently and within a team. Pillar Care Continuum is an Equal Opportunity Employer committed to fostering an inclusive and diverse workplace. We consider all qualified applicants without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic.

Analyst Medicaid Rebates East Hanover, NJ Start Date: 01/03/2022 End Date: 06/30/2022 Assist in the validation and adjudication of Medicaid invoices. Process knowledge and experience in Medicaid rebate processing is required.

Job Description Director, Day Program Services Start working to make a difference…. Life Opportunities Unlimited (LOU) is a premier boutique human service agency providing both residential and day program services for adults with developmental disabilities in Northern New Jersey. LOU is located in Ridgewood with programs in Northwest Bergen County: Allendale, Fair Lawn, Glen Rock, Haledon, Midland Park, Ridgewood, Township of Washington, and Waldwick. All of our locations are approximately 15 minutes from Passaic & Rockland Counties. LOU’s Residential and Day Programs are conveniently located nearby NJ Transit, Bus Routes and Train Stations. Core Functions: * Ensure adequate staffing in the program at all times * Establish efficient and effective transportation routes to and from residents' homes as well as activities in the community Responsibilities: * Responsible for all aspects and operations of Life Opportunities Unlimited’s Day Program and the clients who participate in these programs * Work directly under the supervision of the Director of Operations and Program Development * Manage and supervise staff to ensure all policies, procedures, and staffing requirements set by upper management, New Jersey Division of Developmental Disabilities, and Medicaid are followed * Maintain all client and program records, including but not limited to each individual’s: progress notes, individual plans, facility records, and vehicle records * Develop a curriculum, design activity calendars, and ensure that the implementation of activities meet federal, state, and agency standards * Ensure that the program operates within the established budget guidelines * Solely responsible for all progress note documentation from any staff working in the program * Responsible for all program facilities, vehicles, and assets * Review operational reports and records, manage program budget, and develop long range goals and objectives * Gather data and generate summary reports to identify trends * Act as a liaison between the Central Office, Group Homes, Families/Guardians, and Support Coordinators * Collaborate with Support Coordinators, Job Coaches, Therapists, and all parties involved in each client’s life to meet their evolving needs * Attend all ISP meetings, company events, and organization-provided training sessions as directed * Treat all clients and fellow staff with dignity and respect * Complete ad hoc projects as necessary * Responsible for trainings and conducting regular staff meetings for all program staff * Maintain a positive and harmonious environment at all times * Responsible for creating efficient transportation schedules for program participants, and when necessary, physically transporting clients in a company vehicle * Provide assistance in personal hygiene care, when necessary * Monitor and properly administer medication in accordance with training and procedures * Implement new skill development strategies for individual client growth * Advocate for participants’ self-expression and communication * Follow through on any and all established behavior plans * Cooperate with the licensee and Department staff in any inspection, inquiry, or investigation This is not an exhaustive list of the responsibilities of this position. Therefore, in this role, you are expected to do anything else deemed necessary for the betterment of the program and its participants. Join the LOU Team: We are committed to supporting our employees in their professional growth and career development. This commitment allows our teams to thrive in a passion-driven community that is focused on enriching the lives of our clients. We are looking for dedicated individuals that want to be an important part of building a better future for individuals with developmental disabilities. Staff stay at LOU for an average of 8 years. LOU is a great place for people to meet their professional goals and grow within the organization. You will be a successful team member if you are: * Creative and able to adjust accordingly * Organized and detail oriented * Patient, compassionate, and caring * Collaborative and communicate effectively with a team * Mission-motivated and result driven Requirements: * BS/BA or equivalent is required * 1-3 years of management or leadership experience * Must be 18 years or older * Strong computer skills * Successful administrative experience in a fast-paced environment * Prior experience with complex calendar management * Proficient in Microsoft Office (Word, PowerPoint, Excel) * Experience with Google Workspace (Gmail, Google Calendar, Google Drive, etc.) * Proven professional written and verbal communication skills * Strong analytical and problem-solving skills * Possess a valid New Jersey Driver’s License * Must be able to successfully complete all NJ Division of Developmental Disabilities mandated trainings within the first 120 days of employment * The requirements for checks of Criminal Background, Central Registry, Child Abuse Registry, and Drug Testing must be completed prior to working with any clients in the Day Program or Residential Program Benefits: * Health, Dental, Vision, Life Insurance, 401(k) Retirement Plan * Competitive Salary and Flexible Hours * Comprehensive Paid Training Programs including CPR and First Aid * PTO, Vacation, Sick Time, & Holiday Pay * Career Advancement Opportunities * Discount Perks* * Childcare * AAA * Vacation and entertainment * Cellular Plan *These perks could be subject to change without notice Schedule: Monday-Friday: 8AM - 4PM Join our team and make a difference today!

Job Description Daughters of Israel is a non-profit skilled nursing facility. We are currently seeking a Director of Social Services to oversee and ensure that the medically related emotional and social needs of the residents are met on an individual basis. Responsibilities: • Oversee all aspectes related to the social services department to ensure all the emotional and social needs to the residents/patients are met., • Work with the IDT team to develop and implement policies and procedures for the identification of medically related social and emotional needs of the patient/resident., • Participate in planning, development and implementation of care plans, resident assessments, and discharge planning., • Interview patient/resident/families as necessary and in a private setting. Involve the patient/resident/family in planning objectives and goals for the patient/resident. Develop preliminary and comprehensive assessments of social service needs of each patient/resident., • Assist and develop a written plan of care for each resident that identifies social problems/needs of the patient/resident and the goals to be accomplished for each problem/need area., • Refer resident/patient/family to appropriate social service programs, as needed., • Review Advance Directives with patients/residents, provide information on Advance directives and care plan accordingly., • Participate in regularly scheduled Utilization Reviews of residents/patients and review discharge plans and barriers to discharge., • Perform administrative requirements such as completing necessary reports, approval of payroll and scheduling, etc., • Provide case management and information to the resident/patient/families as to Medicare/Medicaid and other financial assistance programs available to the resident/patient and refer to business office when appropriate., • Maintain a quality working relationship with the medical professionals and other health related facilities and organizations that work with DOI during the admission and discharge process. Licensed Clinical Social Worker (LCSW) preferred. LMSW and MSW will be considered depending on years of management/director experience. Direct management experience in long term / short term rehabilitation environment required Benefits: • 401(k), • Dental insurance, • Flexible spending account, • Health insurance, • Life insurance, • Paid time off, • Retirement plan, • Licensed Clinical Social Worker New Jersey (Required) Work Location: In person Company DescriptionDaughters of Israel is a multi-faceted, state-of-the-art, skilled nursing facility offering the most modern and comprehensive services available. We offer a full continuum of care, from short-term rehabilitation for sub-acute care and temporary respite stays, to long-term skilled nursing and memory care, as well as a broad array of specialty programs and services. Our team of skilled and dedicated professionals deliver the highest quality of care to close to 125 residents, which includes a full array of nursing care as well as social and recreational programming.Daughters of Israel is a multi-faceted, state-of-the-art, skilled nursing facility offering the most modern and comprehensive services available. We offer a full continuum of care, from short-term rehabilitation for sub-acute care and temporary respite stays, to long-term skilled nursing and memory care, as well as a broad array of specialty programs and services. Our team of skilled and dedicated professionals deliver the highest quality of care to close to 125 residents, which includes a full array of nursing care as well as social and recreational programming.

Job Description Purpose of Role: We’re hiring a Full-time Corporate Paralegal for our Healthcare Practice Group in our Roseland, NJ office. If you have a strong work ethic, excel in problem-solving, and thrive in a fast-paced environment, this role is ideal for you. You will play a pivotal role in supporting our healthcare team, ensuring meticulous preparation of legal documents, and facilitating seamless operations across various responsibilities, from transactional closings to entity formations and regulatory compliance. Responsibilities: • Assist in the preparation and filing of corporate documents, including UCC Financing Statements, Articles of Incorporation/Organization, bylaws, operating agreements, and annual reports., • Support corporate attorneys in handling healthcare mergers and acquisitions (M&A), joint ventures, affiliations, corporate restructurings, and dissolutions in compliance with healthcare regulations., • Conduct due diligence for corporate healthcare transactions, including reviewing business licenses, Medicare/Medicaid enrollment, Stark Law and Anti-Kickback Statute compliance, and state-specific healthcare licensing requirements., • Assist with healthcare entity formations, state licensing, and regulatory filings, including applications with the Department of Health, CMS, and state professional boards., • Coordinate with clients, attorneys, and healthcare regulatory bodies to ensure timely processing of legal documents., • Maintain and organize corporate minute books, stock certificates, professional entity records, and healthcare governance documents., • Prepare and review healthcare-related contracts, including employment agreements, management services agreements, operating agreements, and business associate agreements (BAAs)., • Conduct legal research and compile information related to healthcare compliance, HIPAA, Stark Law, and Anti-Kickback Statute regulations., • Manage data rooms, track case progress for corporate transactions, and assist in closing healthcare-related deals., • Assist in client correspondence, notarization, and document execution, ensuring compliance with state and federal healthcare regulations., • Utilize MS Office Suite and other tools for document preparation, presentations, and case management., • Bachelor’s degree or Paralegal certificate from an accredited program., • Minimum of 5+ years of experience as a corporate paralegal, preferably in a law firm setting, with a focus on Corporate M&A and Healthcare transactions (including contracts, corporate entities, and regulatory compliance)., • Experience with healthcare transactions, regulatory filings, and compliance matters is highly preferred., • Proficiency in MS Word, Excel, Adobe (specifically Kofax), and document management software., • Strong organizational skills with a keen attention to detail., • Excellent written and verbal communication skills., • Ability to prioritize tasks and work effectively under pressure to meet deadlines., • Team player with the ability to collaborate effectively with attorneys and support staff., • Familiarity with healthcare laws, including HIPAA, Stark Law, Anti-Kickback Statute, and Medicare/Medicaid regulations, is a plus.

Job DescriptionSalary: Billing Specialist Location:127 Pine Street, Montclair, New Jersey 07042 Job Type:Full-Time/Exempt Reports To:Chief Executive Officer/Chief Financial Officer Job Summary This position is responsible for ensuring the accurate and timely processing of patient claims, insurance reimbursements, and financial records. The ideal candidate will have experience in healthcare billing, insurance verification, and compliance with medical billing regulations. Key Responsibilities • Prepare and submit insurance claims for treatment services rendered., • Verify patient insurance coverage and eligibility before service delivery., • Ensure accurate coding and documentation for billing compliance., • Process and track payments from insurance providers, patients, and third-party payers., • Reconcile accounts, identify discrepancies, and follow up on outstanding balances., • Communicate with insurance companies to resolve denied or delayed claims., • Maintain patient financial records, ensuring confidentiality and accuracy., • Assist patients and families with billing inquiries and payment arrangements., • Stay up to date with healthcare billing regulations, including Medicaid, Medicare, and private insurance policies., • Associate or bachelors degree in accounting, Finance, Healthcare Administration, or a related field., • Minimum of 2 years of experience in medical billing, preferably in a behavioral health or treatment center setting., • Knowledge of insurance claim processes, CPT and ICD-10 coding, and HIPAA regulations., • Experience with electronic billing systems and medical billing software., • Strong analytical skills and attention to detail., • Excellent communication and customer service skills., • Competitive salary based on experience., • Health, dental, and vision insurance., • Paid time off and holidays., • Professional development and training opportunities., • A supportive and mission-driven work environment.

Job Summary: We are seeking a detail-oriented and analytical Healthcare Business Analyst to join our team.The ideal candidate will bridge the gap between business needs and healthcare technology solutions, driving data-informed decisions and process improvements.You will analyze healthcare operation

The perfect candidate will possess extensive experience with Excel, Power BI, Tableau, and SQL, and familiarity with Oracle databases, data mining, and ETL processes is highly preferred.You'll be instrumental in conducting data analyses, generating reports, and enhancing processes through insightful

Job Title: Remote Stock & Options Trader (No Experience Required).Remote – Work from Home or Anywhere.Looking to earn income from home with flexible hours? Maverick Trading funds and supports stock and options traders using firm capital.Start part-time, scale into full-time.No previous tra

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

JOB TITLE Front Desk Receptionist/Student Counselor (Full Time) JOB DURATION Full Time Contract to Hire JOB LOCATION On Site Edison, NJ JOB TIME 9:00 AM to 6:00 PM IST Answer, screen and transfer inbound phone calls Receive and direct visitors and clients General clerical duties including photocopyi

We’re a fast-growing construction services company built on integrity, teamwork, and a commitment to excellence.Our work makes a difference in people’s lives every day, and we’re looking for a Project Manager who shares our passion for delivering quality and building lasting relationships.As a

Assistant Project Manager – Construction.A growing construction firm based in northern New Jersey is seeking a full-time.The role involves assisting in managing construction projects across various sectors, including commercial, residential, and public work.Ideal candidates will have prior experie

We're on the hunt for curious, motivated individuals to test and review online money-making opportunities featured on FinanceBuzz.If you enjoy discovering new platforms and sharing your experience, this flexible gig could be perfect for you.Qualifications, skills, and all relevant experience needed

CGMP Implementation Project Management.Project Management Program Duration: 9-12 Months Location: East Hannover, NJ (Hybrid) (3x in Office).This project involves the management and execution of approx.Good Manufacturing Practices (cGMP) for implementation.The timeline for completion is critical, wit

Looking for extra income but not sure where to start? We’re hiring people to explore and review online side hustles listed by FinanceBuzz.No experience needed – just a willingness to try out different platforms and report your findings.Not sure what skills you will need for this opportunity Simp

We opened our agency in 2021 and are proud to be a growing, multicultural team based in Atco, NJ.With English and Spanish spoken in the office, we're committed to serving our diverse community while building a supportive and inclusive workplace.We love to have fun as a team-whether we're grabbing lu

Focus on the core content of the job post.Remove all extra metadata from the top of the page.Delete hanging information like department, location, job_id, requisition_id, and others.Remove any extra mentions of description, job details, job post, etc.At the top of the page, remove obvious/redundant

PCM Lead for Confections Cluster.Are You Ready to Make It Happen at Mondel?z International? Join our Mission to Lead the Future of Snacking.Do you have a passion for sweet success? This is your chance to drive impact at the heart of our most beloved treats.As the PCM Lead for the Confections cluster

Call Center / Remote] - Anywhere in U.Competitive pay / Health, dental & vision / 401k matching / PTO - As a Customer Service Rep at Beyond Finance, you will: Assist customers with inquiries and complaints via phone, email, and chat: Provide excellent customer service by actively listening, showing

Are you the type of person who thrives on organization, follow-through, and keeping all the moving parts in sync? Do you enjoy supporting a team, owning daily operations, and playing a key role in bringing beautiful spaces to life?.We're Kitchen & Bath Tune-Up of Bloomfield, NJ a fast-growing, fami

Located in: Montville, New Jersey 07045.Position Summary: Performs a variety of front desk activities (answering phones/greeting patients) that support the Center and professional staff and performs a variety of essential services (checking-in, checking-out, etc.The duties include, but are not limit

Full Time Administrative Assistant.MHA promotes mental health and total wellness for individuals facing challenges associated with mental illness and addiction recovery.We increase community awareness while enhancing mental well-being through advocacy, education, prevention, treatment, and services.

Project Manager Duration: 12+ Months Location: Hybrid Onsite in Parsippany, NJ.They will be working with a vendor to upgrade Oracle EBS in the WHR AWS cloud from the current version of EBS application to 11.Need someone with senior level experience.

American Family Care (AFC) is one of the largest primary and urgent care companies in the U.Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine.Each location is equipped with an onsite lab and in-house x-ray c

Medical Assistant/Receptionist.ADP is hiring a Medical Assistant/Receptionist.In this position you will assist the physician/nurse practitioner/nursing staff in the Health & Wellness Center with the examination or treatment of patients and handle front desk receptionist responsibilities.At ADP we ar

We are looking for an Administrative Assistant to join our team as we grow to be one of the top home infusion providers in the country.The Administrative Assistant will report to the General Manager and work in our location branch.Amerita is an entrepreneurial-founded company and a wholly owned subs

Assistant Project Manager Residential Construction.My client is a forward thinking and progressive GC with an eye for top talent and a support structure that allows them to continually grow the business into a top-rated and top-performing company.They structure themselves for growth which allows inc