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Summary of Job Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products. Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry peers. Provide guidance to the Fraud Investigators on SIU investigations and issues. Assist with anti-fraud training sessions and public speaking engagements. Responsibilities • Investigate complex cases of reported fraud involving the Company’s Medicaid healthcare product., • Develop leads from various sources to review for suspect activity., • Review claim files and develop action plans for the investigation., • Conduct highly comprehensive interviews/interrogations with providers., • Conduct medical record assessments, and CPT coding issues., • Provide guidance and mentor to the Fraud Investigators., • Answer and respond to SIU Fraud Hotline cases when assigned based on schedule., • Triage complaints that come to the SIU and follow through on resolution., • Participate in meetings with providers, attorneys, law enforcement on a case-by-case basis as needed., • Attend training, conferences, webinars to keep up to date on current trends and schemes of Fraud, Waste & Abuse., • May assist with fraud awareness training sessions and public speaking engagements., • Establish and maintain relationships with law enforcement (HHS-OIG, FBI), regulatory agencies (i.e DFS, MEDIC, OMIG, MFCU, NYS OAG), and with industry peers., • Refer cases to law enforcement or regulatory agencies as needed., • Periodically meet with representatives from law enforcement and regulatory agencies to keep updated on current trends., • Handle and respond to Requests for Information (RFI) from law enforcement and regulatory agencies., • Perform other duties as directed, assigned, or required. Qualifications • Bachelor’s degree in criminal justice or related field., • AHFI and/or CFE certification (Preferred., • 4 – 6+ years of relevant, professional work experience (Required), • Additional experience/specialized training may be considered in lieu of a bachelor’s degree (Required), • Professional investigation experience in economic or insurance related matters (Required), • Experience in insurance claims investigation or law enforcement (Preferred), • Strong knowledge of CPT and ICD9-CM coding, medical terminology, and treatment options (Required), • Proficiency in MS Office - Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc. (Required), • Strong communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences (Required), • Attention to detail, critical thinking and problem-solving skills (Required), • Ability to monitor and review information from materials, events, or the environment, to detect or assess problems (Required)

Counselor | CASAC/CASAC-T, LMHC, LMSW, LMHC-D, LMFT, CRC Islip, NY Salary: $45K - $75K/yr commensurate with education & experience Recognized as a 2025 Top Workplace by City & State New York! Exciting. High-energy. Rewarding. Imagine joining a vibrant team where your passion fuels positive change every day! At Outreach, we’re not just a leading health and human services provider in NYC and Long Island—we’re a community of enthusiastic professionals who thrive on meaningful work, exceptional benefits, and endless opportunities for growth. Recognized as one of the “Best Companies to Work for in New York” nine times since 2010, we offer a dynamic career ladder, student loan forgiveness programs, and a diverse, inclusive workplace where your impact resonates with clients and communities alike. Ready to love what you do? Take the next step with Outreach. The Counselor is responsible for the delivery of direct services in a substance abuse treatment setting, as well as representing Outreach to outside agencies in a professional manner in order to increase referrals. This role is dually responsible for recruitment and engagement of clients in need of treatment, maintaining communication with outside referral sources and direct services, and assessing for treatment in the community. In this role, you will: • Clinical Care: Conduct intakes, assessments, and individual/group/family counseling., • Case Management: Manage treatment plans, referrals, and high-volume caseloads., • Compliance: Maintain strict Medicaid documentation, toxicology testing, and ethical standards., • Liaison: Coordinate with courts, probation, CPS, and multidisciplinary teams., • 100% Employer-paid Pension Plan – Paid at 5% of earnings after 1 full year of service (or once employee reaches 1000 hours w/in a year); increases to 8% from years 5 – 9; 10% from years 10 – 14; and 12% after 15 years, • Medical (ONLY 15% Employee contribution) – All employee out of pocket covered by MERP plan – *No Out of Pocket Employee Responsibility!, • Dental (100% employer contribution – No employee payroll cost), • Optional Vision - 100% employee paid, • 403(b) – Employee contributions to supplement Employer-paid Pension Plan, • Basic Life Insurance/AD&D – 100% Employer paid, • Short-term disability – Basic NYSDBL handled through our carrier for employee convenience, • Long Term Disability – 100% Employer paid, • One of the following: LMSW, LMHC, LCSW, LMFT (or CASAC/CASAC-T)., • Bilingual Spanish (Up to $4,000 Bonus)., • Experience working in 822 clinics, as well as community outreach preferred, • Ability to work effectively in collaboration with diverse groups of people Counselor: Want to learn more? Click here: Outreach is an Equal Opportunity Employer. We prohibit discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected characteristic. This policy applies to all employment practices including hiring, promotion, termination, and training.

Capital District Psychiatric Center (CDPC) is currently hiring a Licensed Psychologist for their Albany Outpatient Clinic located on their main campus at 75 New Scotland Avenue in Albany, NY. CDPC, a Joint Commission accredited Office of Mental Health (OMH) facility, provides inpatient and outpatient treatment and rehabilitation to adults who have been diagnosed with serious mental illness, outpatient treatment services for children and adolescents diagnosed with serious emotional disturbances, and operates adult community residences in the Albany/Capital District area. CDPC is committed to supporting underserved individuals, organizations, and communities along with activities and initiatives to reduce disparities in access, quality, and treatment for underserved populations. Psychologists assigned to CDPC’s Outpatient Clinic function as part of an interdisciplinary team. Tasks include: • Conducting therapy with individuals who present with a variety of symptoms and diagnoses, • Facilitating group therapies such as DBT, CBT for psychosis, Cognitive Remediation, • Conducting comprehensive psychological and risk assessments, • Maintaining records and documentation, • Providing supervision and mentorship to doctoral level practicum students and Psychology interns, • Consulting on behavioral plans and integration of psychological reports in treatment planning If you would like to join the CDPC team and contribute to a workforce dedicated to public service, we offer a generous benefits package including: • NYS Retirement programs, • NYS medical, dental, and vision insurance, • Excellent opportunities for advancement and professional growth, • Paid time off including vacation, holidays, personal, & sick leave Minimum Qualifications: • Licensed and currently registered as a Psychologist in New York. The Mission of the New York State Office of Mental Health (OMH) is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances. Applicants with lived mental health experience are encouraged to apply. OMH is deeply committed to supporting underserved individuals, organizations, and communities. To this end, OMH is focused on implementing activities and initiatives to reduce disparities in access, quality, and treatment outcomes for underserved populations. A critical component of these efforts is ensuring OMH is a diverse and inclusive workplace where all employees' unique attributes and skills are valued and utilized to support the mission of the Agency. OMH is an equal opportunity/affirmative action employer. Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Office of Employee Relations at (518) 474-6988 or via email at . In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or federally assisted program), you may be terminated from your employment. If appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. Background checks will be required.

Full time Visiting RN with $15,000 Sign on Bonus, 32 days off, Medical Dental and Vision and 401K This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $105,000 - $125,000 per year A bit about us: Highly respected home care Agency in the NYC metro area operating with over 50 years of success in the community. Why join us? • $15,000 New Hire bonus, • Health Insurance, • Dental Insurance, • 401K plan with company match, • Tuition Reimbursement, • 4 Weeks’ vacation, • 2 Personal days, • 1 Cultural Heritage Day, • 1 Floating holiday, • 8 Sick days, • Referral bonus program, • Mileage reimbursement based on IRS guidelines Job Details • Manage all aspects of patient care related to services provided in the home. Conduct home visits and provide care coordination with other disciplines, • Collaborate effectively with patients, physicians, RN’s and other health care professionals to provide quality patient care., • Successfully engage patient/caregiver to develop an individualized plan of care, promote healthy lifestyles, close gaps in care, and reduce unnecessary emergency room utilization and hospital readmissions., • Develop and provide health education and consultation services to community members, clients and family members., • Mediated client emergency situations by notifying proper personnel., • Completion of all required documentation, • Communication with PCP, • Completion of 485 and all interim orders, • Update medication profile, • Review and completion of case communication notes, • Daily review of follow-up items and incomplete documentation items noted in Homecare Homebase EMR, • Participation in case conferencing with respective supervisors., • MUST be highly knowledgeable of Medicaid/Medicare regulations and guidelines Interested in hearing more? Easy Apply now by clicking the "Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: Responsible for the clerical, administrative, customer service and coordination activities to support care management and member services. Responsibilities may include ordering of services and supplies and assuring their timely delivery; member services representatives' duties, including inbound and outbound call responsibility and other duties as needed to support care management and member services. The Operations Specialist supports the provision of care plans. S/he may order services for members (equipment and supplies, transportation, personal care, etc.), take requests for services from members, assist Nurse Care Managers with member interactions, and take authorizations from Nurse Care Managers for processing. S/he will answer incoming calls, make outgoing calls as requested and/or review member care management survey results identified issues requiring follow up. Essential Functions: * Acknowledge a patient's, visitor's and customer's presence immediately. * Smile and introduce yourself when appropriate. * Create a home-like, healing environment by being courteous and respectful to all. * Convey a positive attitude by being friendly, kind and interested in helping others. * Always be willing to offer assistance to those in need. * Give your full attention to what the customer is saying. Listen without interruption. * Acknowledge the customer's requests and concerns. Respond in a timely manner. * Practice proper elevator etiquette * Use proper telephone etiquette * Wear identification badge correctly at all times. * Contribute to effective teamwork in everything you do. * Is responsible and cooperative with supervisors, fellow employees, residents, and visitors. * Is open to suggestions and constructive criticism. * Accepts constructive criticism as evidenced by appropriate changes in behavior. * Maintains professional attitude. * Maintains professional appearance. * Handles conflicts as a professional. * Utilizes established channels of communication. * Recognizes limitations and seeks assistance appropriately. * Promotes harmonious relationships and favorable attitudes among departments. * Adheres to the Hebrew Home's standards of e-mail etiquette. * Perform any other job related duties as requested. Education and Experience * High School or GED required * Some College/Business School preferred * Bilingual (fluent in Spanish, Russian or Chinese) required * Familiarity with the healthcare environment (Medicaid/Medicare) preferred * Previous Medical billing/terminology experience preferred * Prior field experience working with therapists/other licensed medical professionals preferred Competencies, Knowledge and Skills * Demonstrates knowledge of Medicare and Medicaid regulations. * Demonstrates ability to utilize Microsoft Office Products. * Demonstrates working knowledge of all federal, state, local and regulatory agency requirements as related to the department and position. * Demonstrates the ability to integrate age specific requirements with individual developmental, mental, social and cultural needs when performing procedures for geriatric members. * Excellent verbal and written communication skills Licensure and Certification: Working Conditions * General office environment; may be required to sit or stand for extended periods of time * Travel is not typically required Employment in this position is conditional pending successful clearance of a criminal background check. If the criminal background results are unacceptable, the offer will be withdrawn or, if employee has started in position, employment in position will be terminated. Compensation Range: $41,200.00 - $66,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Hourly Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: This position will be a hybrid onsite position. Onsite days are Monday, Tuesday, and Thursdays. Wednesday and Friday optional work from home. The Manager, Finance - ESH is responsible for managing the process of monthly department reporting designed to maintain expenditure controls and to proactively identify trends affecting future financial requirements. Essential Functions: • Responsible for managing the process of monthly department reporting designed to maintain expenditure controls and to proactively identify trends affecting future financial requirements., • Responsible for the development of expense projections to support forecast and budget and monitor monthly variances to identify trends., • Maintain compliance to internal policies and procedures, contractual requirements or other external covenants., • Manages the process for compilation of data and reporting used to prepare strategic plans, annual budgets and quarterly forecasts., • Responsible for managing the financial analysis function. Oversees the completion of various financial evaluations on a timely and accurate basis., • Responsible for analyzing financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses. Understand financial impacts of decisions and communicate those to management., • Maintain compliance to internal policies and procedures, contractual requirements or other external covenants., • Evaluate and make appropriate improvements to internal analysis processes ensuring that practices are in line with the overall goals of the organization., • Consults with senior executives and departmental managers to assure that estimates are complete, accurate and in conformance with Company policies and other contractual commitments., • Support quarterly review, forecast process, and annual budget process within Corporate Finance., • Oversees the reporting of revenue and/or expenses in the organization's financial software., • Provides recommendations for more effective allocation of corporate expenses to individual plans/companies/projects and oversees the process of maintaining those allocations., • Identify and implement mechanisms or processes to increase throughput and efficiencies within the Department. Also, develop key performance indicators and/or SLAs to validate improved efficiency., • Prepares, implements and maintains all necessary internal controls for related entities consistent with Model Audit Rule (MAR) requirements., • Develops professional staff such that appropriate backup and contingency plans exist in the event of turnover., • Plans, prioritizes, assigns, supervises and reviews the work of staff responsible for providing budget services., • Perform any other job related duties as requested. Education and Experience: • Bachelor's degree in accounting, finance, economics, computer sciences or related field required, • Master of Business Administration (MBA) or other related post-graduate degree preferred, • Five (5) years of experience in accounting/finance/budget required, • Familiar with a variety of analysis concepts, practices and procedures, • Relies on experience and judgment to plan and accomplish goals, • Ability to lead and direct the work of others including the development, motivation and rewarding of staff, • Wide degree of creativity and latitude is required, • Ability to work with others and independently, • Demonstrates decision making and analytical/problem solving skills to perform a variety of complicated tasks, • Possesses critical thinking/listening skills, • Ability to interact with all levels of management as well as external stakeholders, • Knowledgeable of internal control framework, • Detail oriented, • Expert proficiency levels with Microsoft Excel, advanced proficiency with Microsoft Powerpoint, • General office environment; may be required to sit or stand for extended periods of time Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-EM1

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essential Functions: • Ensures consistent care along the entire health care continuum by assessing and closely monitoring members' needs and status., • Authorizes covered services and coordinates care regardless of payer., • Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team., • Works with member/family to maintain the most independent living situation possible, • Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings., • Regularly assesses members for ongoing eligibility for services based on the specific plan's eligibility criteria., • Performs home visits as required to assess members' living situation, cultural influences, functional and cognitive needs., • Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member., • Ensures appropriate, safe plan for members' discharge from their plan., • Identifies same day grievances, investigates and documents accordingly. Documents any grievance according to plan policy., • Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM)., • Responds to members' requests in the designated timeframes and completes Initial Adverse Determinations (IAD) as indicated, • Identifies members requiring Care Management Review (CMR), evaluates documentation provided by the IDT including hospital or nursing home discharges planners, and formulates appropriate plan of care., • Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes., • Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs., • Associates degree in Nursing from an accredited nursing program required, • Bachelor's degree in Nursing preferred, • Three (3) years of experience as a registered nurse required, • Clinical experience in geriatrics and/or managed long-term care experience preferred, • Experience using multiple languages may be required based on operational needs Competencies, Knowledge and Skills:, • Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel, • Ability to communicate effectively with a diverse group of individuals, • Ability to multi-task and work independently within a team environment, • Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices, • Adhere to code of ethics that aligns with professional practice, • Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice, • Strong advocate for members at all levels of care, • Strong understanding and sensitivity of all cultures and demographic diversity, • Ability to interpret and implement current research findings, • Awareness of community & state support resources, • Critical listening and thinking skills, • Decision making and problem-solving skills, • Strong organizational and time management skills, • Bilingual speaking and writing skills are preferredLicensure and Certification:, • Current, unrestricted Registered Nurse licensure in the state of New York required, • Case Management Certification preferred Working Conditions:, • General office environment; may be required to sit or stand for extended periods of time Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Counselor | CASAC/CASAC-T, LMHC, LMSW, LMHC-D, LMFT, CRC Islip, NY Salary: $55K - $75K/yr commensurate with education & experience Recognized as a 2025 Top Workplace by City & State New York! Exciting. High-energy. Rewarding. Imagine joining a vibrant team where your passion fuels positive change every day! At Outreach, we’re not just a leading health and human services provider in NYC and Long Island—we’re a community of enthusiastic professionals who thrive on meaningful work, exceptional benefits, and endless opportunities for growth. Recognized as one of the “Best Companies to Work for in New York” nine times since 2010, we offer a dynamic career ladder, student loan forgiveness programs, and a diverse, inclusive workplace where your impact resonates with clients and communities alike. Ready to love what you do? Take the next step with Outreach. The Counselor is responsible for the delivery of direct services in a substance abuse treatment setting, as well as representing Outreach to outside agencies in a professional manner in order to increase referrals. This role is dually responsible for recruitment and engagement of clients in need of treatment, maintaining communication with outside referral sources and direct services, and assessing for treatment in the community. In this role, you will: • Clinical Care: Conduct intakes, assessments, and individual/group/family counseling., • Case Management: Manage treatment plans, referrals, and high-volume caseloads., • Compliance: Maintain strict Medicaid documentation, toxicology testing, and ethical standards., • Liaison: Coordinate with courts, probation, CPS, and multidisciplinary teams., • 100% Employer-paid Pension Plan – Paid at 5% of earnings after 1 full year of service (or once employee reaches 1000 hours w/in a year); increases to 8% from years 5 – 9; 10% from years 10 – 14; and 12% after 15 years, • Medical (ONLY 15% Employee contribution) – All employee out of pocket covered by MERP plan – *No Out of Pocket Employee Responsibility!, • Dental (100% employer contribution – No employee payroll cost), • Optional Vision - 100% employee paid, • 403(b) – Employee contributions to supplement Employer-paid Pension Plan, • Basic Life Insurance/AD&D – 100% Employer paid, • Short-term disability – Basic NYSDBL handled through our carrier for employee convenience, • Long Term Disability – 100% Employer paid, • One of the following: LMSW, LMHC, LCSW, LMFT (or CASAC/CASAC-T)., • Experience working in 822 clinics, as well as community outreach preferred, • Ability to work effectively in collaboration with diverse groups of people Counselor: Want to learn more? Click here: Outreach is an Equal Opportunity Employer. We prohibit discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected characteristic. This policy applies to all employment practices including hiring, promotion, termination, and training.

Now Hiring: Care Coordinator (Remote | Medicaid Programs).We’re looking for a detail-oriented and compassionate Care Coordinator to support members through outreach, enrollment, and ongoing care management.This role is ideal for someone who thrives in a fast-paced, team-driven environment and is p

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: This position is responsible for directing the overall functions of claims processing, including claims adjudication, provider relations, data analysis, reporting and process improvement. Provides oversight and supervision of the claims team. Essential Functions • Responds to complaints in a prompt and professional manner and deploys effective service recovery strategies to resolve the issue. Escalates unresolved complaints when appropriate., • Direct and coordinate the activities of claims and data entry areas including direct supervision of subordinates and the implementation of employment issues., • Maintenance of a working knowledge of Management Information System and the coordination of required software enhancements for efficient claims processing., • Assisting in the development and implementation of departmental policies and procedures, • Assurance of appropriate level of staff training, • Monitoring and documenting processing accuracy and productivity levels, • Preparing, submitting and monitoring various reports as required, • Oversee Medicare audit preparation, submission, and response processes, ensuring compliance with CMS regulations., • Review, track, and manage Medicare audit findings, coordinating corrective action plans and validation activities., • Ensure accurate Medicare coding, documentation integrity, and adherence to billing rules to minimize audit risk., • Responsible for managing and responding to claim appeals, including Medicare-related appeals, ensuring timely and accurate resolution., • Establishing department audit process and payment integrity, • Perform any other job related duties as requested. Education and Experience • Associates in business or related field required, • Bachelor's degree preferred, • Equivalent years of relevant work experience may be accepted in lieu of required education, • Five (5) years of healthcare claims experience required, • Previous financial experience in MLTC preferred, • Three (3) years Previous leadership experience required, • Experience with Medicare coding standards (ICD-10, CPT, HCPCS) and Medicare audit processes required Competencies, Knowledge and Skills • Advanced proficiency in Microsoft Word, Excel, and PowerPoint, • Data analysis and trending skills, • Experience in staffing and forecasting (preferred), • Understanding of managed care claims operations, • Knowledge of coding and billing processes (CPT, ICD-9, HCPCS), • Strong communication and negotiation skills, • Strategic and executive management abilities, • Supervisory and leadership experience, • Ability to work independently and collaboratively, • Attention to detail and critical thinking, • Familiarity with the healthcare field, • Technical writing and proper grammar usage, • Effective time management and decision-making skills, • Customer service orientation and proper phone etiquette Licensure and Certification • Medical Coding or billing certification preferred Working Conditions • General office environment; may be required to sit or stand for extended periods of time, • Travel is not typically required Compensation Range: $113,000.00 - $197,700.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-SW2

The Methadone Counselor position provides counseling to individuals receiving integrated substance abuse treatment and primary care services at the Substance Abuse Treatment Program. Essential Functions: • Comprehensive psychosocial., • Instruct patients in program policies and procedures., • Development, implementation, and review of treatment plans., • Provision of substance abuse counseling to individuals, groups, and families. Counseling focusing on building motivation, educating, planning crisis intervention, relapse prevention and aftercare., • Coordination of comprehensive services within the clinic for patients on counseling caseload., • Monitoring of patients’ response to methadone medication treatment through individual counseling and toxicology review., • Conduct vocational /educational and learning needs evaluation in psychosocial and ongoing as indicated. Provide referral as needed., • Perform preliminary evaluation regarding mental health needs of patients on caseload (i.e. presence of psychiatric symptoms, suicidality, homicidality etc.), • Evaluate patient eligibility for entitlements (Public Assistance, SSI, Medicaid etc.) Refer patients to appropriate agencies when indicated., • Enter patient data into HRA/STARS computerized database., • Acts as liaison between patient and outside agencies, • Attend regularly scheduled meetings. i.e. IDC’s, staff meetings, morning reports, case management meetings, and other team meetings determined to be necessary., • Maintains required records on patients and updates progress notes as required. Ensures clinical chart contains necessary information regarding patient’s status and other information required by the program policies and regulatory agencies. Completes all required forms and treatment plans., • Assist patients with referral to other services and agencies determined to be necessary to the recovery process (i.e. shelters, detox units, legal counsel, etc.), • Give case presentations in supervision, IDC meetings, daily reports., • Ensure all counselor specific billable services are billed and perform follow-ups to billing (delinquent payments, obtaining information required to bill, confirming and updating billing information, etc.), • Attendance at seminars, trainings and grand rounds which are determined to be important to staff development., • Counselors will directly supervise the collection of toxicology samples for all patients as required by federal and state regulations., • Meet with family members, significant others and outside providers as determined to be necessary and appropriate for clinical management and care. Qualifications: • One year’s work experience as an addiction’s counselor (preferably with methadone clients) and a BA or BS degree required. CASAC or license in social work, mental health counseling or a related field is also required., • Twelve core functions of counselors, • Knowledge of governmental, private and community programs and entitlements available to patients, familiarity with various state and federal regulations, • Knowledge of computer software, • Experience with recognizing signs of neglect or abuse of children, adults or elderly The hours for this position are Monday - Friday 10:00 am – 6:30 pm. This is a 100% grant funded position. Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The overall purpose of the Behavioral Health Care Advocate is to improve the enrollee’s ability to remain stable in the community and out of the hospital. Care Advocates engage people in the treatment process and assist them to access the appropriate community services so they can pursue their treatment goals in the community and avoid institutionalization. This position is also designed to be a direct clinical liaison between health plan staff and the clinical network. The program fosters a collegial and mutually beneficial relationship between the providers and payers of medical and behavioral health services. This is a field-based position working with adults enrolled in the Medicaid program. You will spend 80% of the time meeting with enrollees at hospitals, clinical facilities, community sites, and in their homes. The remaining 20% is spent working remotely at home. The schedule is Monday - Friday, 8 am to 5 pm, with no weekends, evenings, or holidays. Current residency in one of the locations is required: The Bronx or Yonkers Primary Responsibilities: • Identify and provide community service linkage, • Assist enrollees with aftercare appointments, • Provide subsequent member follow-up as determined by individual member needs, • Work with enrollees to identify gaps in care or obstacles to care and problem solve for successful connection to needed services, • Review IP Census each day to determine which enrollees on the census are re-admits within the last 12 months, • Go to facility meetings with treatment team to develop a successful aftercare plan, • Manage the aftercare follow-up of identified high risk enrollees (manage follow-up calls/outreach and documentation), • Meet with community providers/facilities as company liaison to foster good rapport and relationships and to identify new programs As part of your employment with Optum, you'll enjoy a robust total rewards package that includes: • Competitive salaries, • Comprehensive benefits, including health insurance, 401(k) matching, and a wide range of life and wellness resources to support your overall well-being, • Paid time off and paid company holidays, • Continuing education support, including CEU and licensure reimbursement, • Mileage reimbursement for work-related travel, • Opportunities to make a meaningful impact by supporting your local community and partnering with area resources We’re committed to creating a supportive and rewarding environment where you can thrive both personally and professionally. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling; OR Licensed Ph.D.; OR Registered Nurse with 5+ years of Behavioral Health experience, • Active, unrestricted, independent license the State of New York:, • Licensed Mental Health Counselor (LMHC), • Licensed Marriage & Family Therapist (LMFT), • Licensed Clinical Social Worker (LCSW), • Licensed Psychologist (LP), • Registered Nurse (RN), • 2+ years of experience in a related mental health environment, • Demonstrated proficiency with computers and solid working knowledge of Excel spreadsheets, • Dedicated, distraction-free home office / workspace with access to install secure, high-speed internet at home, • Access to reliable transportation that will allow daily travel throughout an assigned territory to meet with enrollees, • Reside in The Bronx or Yonkers Preferred Qualifications: • Medical/Behavioral setting experience (i.e., hospital, managed care organization, or joint medical/behavioral outpatient practice), • Dual diagnosis experience with mental health and substance abuse, • Case Management experience, • Community health experience, • Field based experience, • Experience working with low-income populations, • Experience working with the aged, blind, or disabled, • Working knowledge of city and state agencies and practices including APS, ACS, AOT, ACT, Health Home, Forensic and others All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Lincoln Medical and Mental Health Center is one of New York City’s premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of highly trained and caring medical professionals is dedicated to providing the highest quality health care that is safe, compassionate, culturally competent and patient centered. Comprehensive services are offered in three major primary care areas: Medicine, Pediatrics, and Women’s Health in addition to more than eighty (80) specialty services. At Lincoln, the safety and comfort of our patients is our number one priority. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. 9:00 A.M – 5:00 P.M 35 hours Weekly Duties & Responsibilities: Purpose of Position: This class of positions encompasses work of varying degrees of difficulty and responsibility in the operation of a Dietary Department. All personnel perform related work. Under administrative direction, organizes, plans and directs the operation of the dietary service for an agency. Examples of Typical Tasks: At a more difficult and responsible level, performs the duties of Assignment Level I: 1. Makes nutritional assessments. Interviews clients and/or their families to obtain history of food habits and preferences. Explains diet to clients and/or their families and monitors reaction to diet., 2. Interprets laboratory, physical, and social data in medical records., 3. Monitors clients for and evaluates food/drug interactions. Consults physicians about appropriate menu modifications. Assists with preparation of nutritional analysis of general and therapeutic cycle menus., 4. Prepares client nutritional care plans., 5. Directs service of client diets. Generally interacts with food service managers in the preparation of food, as indicated by master menu, standard recipes and census requirements., 6. May inspect kitchen areas to ensure that proper standards are maintained in the preparation, cooking and serving of food, and checks the quality, quantity, appearance, temperature and palatability of food. May instruct and supervise staff working in kitchens, cafeterias, and dining rooms to ensure maintenance of premises and equipment in good sanitary condition., 7. Participates in testing new recipes and reports results for possible inclusion in department recipe manual., 8. Counsels clients and/or their families in the preparation of special therapeutic or modified diets at home., 9. Maintains records and writes reports., 10. Prepares nutritional assessments, nutritional care and discharge plans, and records nutritional data in medical records; documents follow-up plan of care in medical records., 11. Supervises the receipt, storage and distribution of food and other supplies., 12. Participates in nutritional training of field placement students., 13. Participates in rounds with patient health care team., 14. Directs service of patient diets. Instructs and supervises cooks and cook’s helpers in the preparation and distribution of food, as indicated by master menu, standard recipes and census and portion control requirements., 15. Maintains liaison with community organizations relating to nutrition education and/or information; may participate in nutritional community health fairs. At a more difficult and responsible level, also performs the duties of Assignment Level II: 1. Directs and supervises work of dietitians, dietetic technicians, food service supervisors, cooks and helpers in a unit of a dietetic department. Is responsible for personnel work schedules and performance ratings., 2. Participates in menus planning. Evaluates and adjusts master menus to assure nutritional adequacy of therapeutic diets. Consults with medical staff concerning food service and nutritional needs of clients., 3. Inspects assigned food service for compliance with accepted standards, departmental and/or other regulatory agencies’ policies related to food preparation, portion control, tray service, sanitation of work areas, use and care of equipment and supplies., 4. Inspects or supervises the inspection of all foods, supplies, and equipment upon receipt for compliance with specifications., 5. Prepares or assists with the preparation of estimates of food requirements and monthly requisitions and may monitor expenditures., 6. Develops educational and training program for professional and auxiliary staff., 7. Maintains records and writes reports., 8. Provides nutritional counseling for outpatients., 9. Supervises and participates in the planning for patient’s nutritional care and education both in the hospital and the out-patient department., 10. Develops and directs the dietetic teaching program, in accordance with the New York State requirements; plans and conducts courses in diet therapy, nutrition and cookery, including laboratory sessions and practice work. In addition to performing the duties of Assignment Levels I and II at a more difficult and responsible level, as described above, performs the following: 1. Organizes, plans, and directs functions of the dietary service. Plans Dietitians’ schedules ensuring adequate coverage. Ensures their full compliance with prescribed clinical standards., 2. Plans staff orientation and in-service educational programs. Develops and coordinates ongoing quality assurance program. Implements performance indicators and pursues corrective remedies, to ensure strict adherence to established standards., 3. Ensures that the agency diet manual is prepared, revised and updated., 4. Plans and conducts staff meetings, to discuss issues pertinent to the agency’s clinical program., 5. Assists the Director in the review, planning, and updating of menus for the general population, as well as for therapeutic and religious diets., 6. In the absence of the director, assumes full responsibility., 7. Plans and/or supervises staff orientation, in-service educational programs, and client or family education. May develop and coordinate ongoing quality assurance program., 8. Reviews and modifies menu plans submitted by subordinate dietary staff., 9. Supervises the selection and inventory control of foods, supplies and equipment., 10. Conducts staff conferences and participates in the implementation of new and/or revised policies, procedures and regulations that are consistent with dietary practices established by the facility, State Health Code and/or other regulatory agencies., 11. Participates in the evaluation of the dietary service and preparation of audit by regulatory agencies., 12. Directs the issuance of food and supplies to various dietary units., 13. Evaluates and approves performance evaluations of subordinate staff., 14. Maintains records and writes reports. Minimum Qualifications: Qualification Requirements: For appointment to Assignment Level I 1. Baccalaureate degree from an accredited college or university, with a major in Dietetics or Foods and Nutrition in a program approved by the American Dietetic Association (ADA); or,, 2. Registration or eligibility for registration by the Commission on Dietetic Registration (CDR) as a Registered Dietitian or New York State Certification as a Dietitian-Nutritionist. For appointment to Assignment Level II 1. Registration or eligibility for registration by the CDR as a Registered Dietitian or New York State Certification as a Dietitian-Nutritionist. For appointment to Assignment Levels III and IV 1. Registration by the CDR as a Registered Dietitian or New York State Certification as a Dietitian-Nutritionist. Special Note for Dietitians assigned to Post-Acute Care (Long-Term Care) facility: Under the Medicare and Medicaid Programs, Reform of Requirements for Long-Term Care Facilities, as outlined in Section 483.60 of Title 42 of the Code of Federal Regulations all newly-hired Dietitians, Levels I-IV assigned to a Post-Acute Care (Long-Term Care) facility, are required to have New York State Certification, issued by the New York State Education Department (NYSED), as a Dietitian-Nutritionist at the time of hire. Dietitians, Levels I-IV hired prior to November 28, 2016, assigned to a Post-Acute Care (Long-Term Care) facility are required to obtain New York State Certification, issued by the NYSED, as a Dietitian-Nutritionist on or before November 28, 2021.

Northwell Health Orthopedics is currently seeking a BE/BC fellowship trained Orthopedic Joint Replacement Surgeon to join our department and clinical team in Westchester, NY. The department seeks special interest in primary revision total hip and total knee arthroplasty, including outpatient surgery and complex revision surgery, but other clinical interest in hip and knee care is welcome. There is opportunity for academic appointment at the Zucker School of Medicine of Hofstra University and for research participation with the Feinstein Institute. The successful candidate will have strong interest to work collaboratively with our team at the leading edge of technological innovation in the treatment of hip and knee diseases and disorders, to further the patient care, education, research, and leadership missions of the department. Northern Westchester Hospital provides quality, patient-centered care through a unique combination of medical expertise, leading-edge technology and a commitment to humanity and it’s all close to home. Over 650 highly skilled physicians and a staff of professional caregivers are here to ensure that you and your family receive treatment in a caring, respectful and nurturing environment. Our hospital has established extensive internal quality measurements that surpass the standards defined by the Centers for Medicare & Medicaid Services (CMS) and the Hospital Quality Alliance (HQA) National Hospital Quality Measures. Our high-quality standards help ensure that the treatment you receive here is among the best in the nation—and you can help us continue that world-class care. Northwell Orthopedics performs the most orthopedic procedures in the New York Metropolitan area, with care offered at 48 outpatient locations and 18 hospitals. Northwell Health is New York State’s largest health care provider and private employer, with 28 hospitals and 1,050 outpatient facilities. We care for over thirteen million people annually in the New York metro area and Connecticut, thanks to philanthropic support from our communities. Our 104,000 employees – 22,000+ nurses and 13,000+ credentialed physicians, including members of Northwell Health Physician Partners – are working to change health care for the better. We’re making breakthroughs in medicine at the Feinstein Institutes for Medical Research. We're training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Nursing and Physician Assistant Studies. For information on our more than 100 medical specialties, visit ___ and follow us @NorthwellHealth on ___, ___, ___ and ___. To learn more and apply, please contact the Office of Physician Recruitment at ___ or visit ___. EOE M/F/D/V Full-time clinical base compensation at Northwell Health ranges from $125K to $750K, which is impacted by various factors, including but not limited to physician specialty, level of experience, quality of care, academic accomplishments, patient experience and productivity. The base compensation range listed is a good faith determination of potential base compensation at the time of this job advertisement and may be modified in the future

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essential Functions: • Ensures consistent care along the entire health care continuum by assessing and closely monitoring members' needs and status., • Authorizes covered services and coordinates care regardless of payer., • Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team., • Works with member/family to maintain the most independent living situation possible, • Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings., • Regularly assesses members for ongoing eligibility for services based on the specific plan's eligibility criteria., • Performs home visits as required to assess members' living situation, cultural influences, functional and cognitive needs., • Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member., • Ensures appropriate, safe plan for members' discharge from their plan., • Identifies same day grievances, investigates and documents accordingly. Documents any grievance according to plan policy., • Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM)., • Responds to members' requests in the designated timeframes and completes Initial Adverse Determinations (IAD) as indicated, • Identifies members requiring Care Management Review (CMR), evaluates documentation provided by the IDT including hospital or nursing home discharges planners, and formulates appropriate plan of care., • Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes., • Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs., • Associates degree in Nursing from an accredited nursing program required, • Bachelor's degree in Nursing preferred, • Three (3) years of experience as a registered nurse required, • Clinical experience in geriatrics and/or managed long-term care experience preferred, • Experience using multiple languages may be required based on operational needs Competencies, Knowledge and Skills:, • Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel, • Ability to communicate effectively with a diverse group of individuals, • Ability to multi-task and work independently within a team environment, • Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices, • Adhere to code of ethics that aligns with professional practice, • Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice, • Strong advocate for members at all levels of care, • Strong understanding and sensitivity of all cultures and demographic diversity, • Ability to interpret and implement current research findings, • Awareness of community & state support resources, • Critical listening and thinking skills, • Decision making and problem-solving skills, • Strong organizational and time management skills, • Bilingual speaking and writing skills are preferredLicensure and Certification:, • Current, unrestricted Registered Nurse licensure in the state of New York required, • Case Management Certification preferred Working Conditions:, • General office environment; may be required to sit or stand for extended periods of time Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Entitlement Specialist is responsible for ensuring that members maintain continuous Medicaid eligibility by overseeing the timely completion of Medicaid renewals, new Medicaid applications and RVI-3 conversions. The Specialist will assist members in gathering all required documentation within designated timeframes to prevent any lapse in coverage, support members in establishing Pooled Income Trusts, and perform other Medicaid-related functions as needed, including leading the resolution of eligibility issues that arise. Essential Functions: • Maintains and updates the list of members Medicaid eligibility dates., • Field visits to members home to assist with the various Medicaid eligibility tasks., • Assures completion of Medicaid recertifications for members 90-60 days prior to expiration., • Assists members with establishing Pooled Income Trusts when necessary., • Tracks all submitted Medicaid recertification and address any problems with the supervisor., • Coordinates with staff, members, member families and caregivers regarding Medicaid eligibility and the process of assuring required documents are obtained within the specified time frame., • Takes lead in resolving difficult eligibility issues., • Submits Medicaid Relinks to HRA and other LDSS offices., • Maintains documentation and all records of previously submitted Medicaid recertification., • Maintains relationship with The Office of Homecare Services and next of kin to facilitate Medicaid eligibility process., • Manages the forwarding of initial Medicaid documents to Medicaid unit at the Office of Homecare Services., • Assists ESH's Intake Department with problematic Medicaid issues, Complete new Medicaid applications and RVI-3 (Resource Verification Indicator) conversions., • Attends workshops and In-services to enhance knowledge of changes in Medicaid eligibility criteria., • Participates in the publishing of monthly Medicaid expiration list., • Tracks the progress of new applications, Recertification and conversions submitted to the Office of Homecare Services through Epaces system., • Continually monitors E-Paces to follow-up on or identify potential eligibility issues., • Assists the Director or designee of Social Services and the Finance department in resolving denied Medicaid claims., • Assists in the removal of certain Medicaid restriction codes., • Perform any other job related duties as requested. Education and Experience: • High School or GED required, • Associates Degree preferred, • Three (3) years of healthcare, insurance, or related industry experience to include at least two (2) years of enrollment/eligibility or similar experience required Competencies, Knowledge and Skills: • Ability to understand and to carry out instructions furnished in written, oral or diagram form., • Ability to deal with problems involving several concrete variables in standardized situations., • Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume., • Intermediate Computer Skills., • Effective Communication skills., • Ability to work independently and within a team environment., • Attention to detail., • Familiarity of the healthcare field., • Knowledge of Medicaid and Medicare., • Critical listening and thinking skills., • Proper grammar usage., • Time management skills., • Proper phone etiquette., • Customer service oriented. Licensure and Certification: • Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated Working Conditions: Compensation Type: Hourly Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essential Functions: • Ensures consistent care along the entire health care continuum by assessing and closely monitoring members' needs and status., • Authorizes covered services and coordinates care regardless of payer., • Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team., • Works with member/family to maintain the most independent living situation possible, • Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings., • Regularly assesses members for ongoing eligibility for services based on the specific plan's eligibility criteria., • Performs home visits as required to assess members' living situation, cultural influences, functional and cognitive needs., • Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member., • Ensures appropriate, safe plan for members' discharge from their plan., • Identifies same day grievances, investigates and documents accordingly. Documents any grievance according to plan policy., • Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM)., • Responds to members' requests in the designated timeframes and completes Initial Adverse Determinations (IAD) as indicated, • Identifies members requiring Care Management Review (CMR), evaluates documentation provided by the IDT including hospital or nursing home discharges planners, and formulates appropriate plan of care., • Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes., • Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs., • Associates degree in Nursing from an accredited nursing program required, • Bachelor's degree in Nursing preferred, • Three (3) years of experience as a registered nurse required, • Clinical experience in geriatrics and/or managed long-term care experience preferred, • Experience using multiple languages may be required based on operational needs Competencies, Knowledge and Skills:, • Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel, • Ability to communicate effectively with a diverse group of individuals, • Ability to multi-task and work independently within a team environment, • Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices, • Adhere to code of ethics that aligns with professional practice, • Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice, • Strong advocate for members at all levels of care, • Strong understanding and sensitivity of all cultures and demographic diversity, • Ability to interpret and implement current research findings, • Awareness of community & state support resources, • Critical listening and thinking skills, • Decision making and problem-solving skills, • Strong organizational and time management skills, • Bilingual speaking and writing skills are preferredLicensure and Certification:, • Current, unrestricted Registered Nurse licensure in the state of New York required, • Case Management Certification preferred Working Conditions:, • General office environment; may be required to sit or stand for extended periods of time Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities within the community and the assessment of eligibility and safety of potential members. Collaborates with other members of the Intake/Outreach team and the clinical team to assure the appropriate provision of services to new members. Communicates with potential members, family, referral sources and physicians to assure a seamless transition to managed long term care. Essential Functions: * Conducts outreach in the community as needed. * Performs the initial assessment using the UAS (Uniform Assessment System) tool. * Evaluatues potential memers for eligibility and safety. * Determines the care needs of potential members and formulates the initial plan of care. * Communicates with the clinical team to ensure seamless delivery of service. * Completes all enrollment documentation in a timely manner. * Serves as a community resource for intake issues. * Demonstrates the ability to integrate age specific requirements with individual developmental, mental, social and cultural needs when preforming procedures for geriatric members. * Perform any other job related duties as requested. Education and Experience: * Associates degree in Nursing required * Bachelor's degree preferred * One (1) year experience working in an acute care setting required * Home care and MLTC-intake experience preferred Competencies, Knowledge and Skills: * Ability to define problems, collect data, establish facts, and draw conclusions * Ability to speak effectively before groups or customers or employees of organization * Must be able to read, write, and speak English * Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals * Demonstrates the ability to utilize the equipment necessary to perform their job duties * Convey a positive attitude by being friendly, kind and interested in helping others * Create a home-like, healing environment by being courteous and respectful to all * Knowledge of Medicare and Medicaid regulations Licensure and Certification: * Current Registered Nurse license in the state of New York required * Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated Working Conditions: * This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. * Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time. * Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need * May be required to travel greater than 50% of time to perform work duties. * Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer * Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members * Routine travel required Compensation Range: $100,000 - $135,000 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Job Description " Licensed Mental Health Counselor (LMHC) Wage: Between $120-$131 an hour Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Mental Health Counselor at a Master’s level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance : Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education : Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

Job DescriptionAthenaPsych is a New York State mental health-approved provider of community mental health services for children, adults, and families with behavioral and emotional challenges. We specialize in individual and group psychotherapy for clients with a focus on trauma-informed care. We are dedicated to improving the quality and accessibility of mental health care for all, especially individuals from underserved communities. Here at AthenaPsych, we pride ourselves on hiring a diverse group of mental health clinicians and staff who are passionate and dedicated to improving our client’s overall emotional well-being. We provide both in-person and telehealth services for our clients and offer a competitive fee-for-service compensation plan and amazing benefits to our staff. Are You a Good Fit For Us?We are currently seeking an experienced, professional, and compassionate Psychiatric Nurse Practitioner to join our growing organization. Flexible hours are provided with the need of some evening hours, in-person and telehealth sessions. This position will work in collaboration with our Psychiatrist on staff. Our mental health clinic is located at 33 W 60th St 6th floor New York, NY.Responsibilities • Conduct psychiatric evaluations for all Athena clients (children and adults), • Conduct ongoing medication management when needed, • Complete all required documentation by a given deadline and in compliance with program and state regulations, • Ensures all clinical notes and client information are updated and accurate within the current EHR system, • Provide conflict resolution and crisis intervention when needed, • Work in collaboration with administrative staff to ensure client needs are successfully met, • Ability to commute between sites when neededQualifications, • Master's Degree in Nursing from an accredited school, • Bilingual in English and Spanish A MUST, • Must be certified with the Drug Enforcement Administration in order to prescribe medication to clients, • Must be licensed in New York State, • Experience working with Medicaid/Medicare Clients is a plus

Job DescriptionAthenaPsych is a New York State mental health-approved provider of community mental health services for children, adults, and families with behavioral and emotional challenges. We specialize in individual and group psychotherapy for clients with a focus on trauma-informed care. We are dedicated to improving the quality and accessibility of mental health care for all, especially individuals from underserved communities. Here at AthenaPsych, we pride ourselves on hiring a diverse group of mental health clinicians and staff who are passionate and dedicated to improving our client’s overall emotional well-being. We provide both in-person and telehealth services for our clients and offer a competitive fee-for-service compensation plan and amazing benefits to our staff. We are currently seeking an experienced, professional, and compassionate Psychiatric Nurse Practitioner to join our growing organization. Flexible hours are provided with the need of some evening hours, in-person and telehealth sessions. This position will work in collaboration with our Psychiatrist on staff. Our mental health clinic is located at 33 W 60th St 6th floor New York, NY.Responsibilities: • Conduct psychiatric evaluations for all Athena clients (children and adults), • Conduct ongoing medication management when needed, • Complete all required documentation by a given deadline and in compliance with program and state regulations, • Ensures all clinical notes and client information are updated and accurate within the current EHR system, • Provide conflict resolution and crisis intervention when needed, • Work in collaboration with administrative staff to ensure client needs are successfully met, • Ability to commute between sites when neededQualifications:, • Master's Degree in Nursing from an accredited school, • Bilingual in English and Spanish prefered, • Must be certified with the Drug Enforcement Administration in order to prescribe medication to clients, • Must be licensed in New York State, • Experience working with Medicaid/Medicare Clients is a plus

White Plains Hospital Cardiac Surgery program is seeking an experienced full-time Critical Care Nurse Practitioner to join our growing team. The Advanced Practice Provider will work collaboratively with a multidisciplinary team to provide comprehensive care while managing all aspects of peri-operative care for our cardiac patients. The NP team is responsible for 24/7 coverage of an adult cardiac intensive care unit. Responsibilities include but are not limited to obtaining and documenting patient histories and performing physical examinations; Perform Invasive bedside procedures for therapeutic or diagnostic purposes; Evaluate medical/surgical problems of a critically ill patient and appropriately request consultations; Educate patients and/or families about preventive care, medical issues and use of prescribed medical-surgical treatments and/or medications pertinent to the patient's condition. All other duties as assigned. * Prior experience as a Cardiothoracic Surgery or Critical Care NP, Preferred * Graduate of an accredited NP program * Current New York State licensure White Plains Hospital is a proud member of the Montefiore Health System, serving as its tertiary hub of advanced care in the Hudson Valley. The Hospital is a 292-bed not-for-profit health care organization with the primary mission of providing exceptional acute and preventive medical care to all people who live in, work in or visit Westchester County and its surrounding areas. The Hospital is fully accredited by the Joint Commission, and in 2025 received another 5-star rating from the Centers for Medicare & Medicaid Services (CMS) — the highest distinction offered by the federal agency – for the fourth consecutive year. In addition, the Hospital received its third Magnet® designation from the American Nurses Credentialing Center (ANCC), a distinction held by only two percent of hospitals in the country. White Plains Hospital has consistently received the Outstanding Patient Experience Award from Healthgrades®, and in 2025 was awarded an “A” Safety Grade from the Leapfrog Group for the 14th consecutive time.

Join the team leading the next evolution of virtual care. At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives. Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we're transforming how better health happens. Summary of Position Are you passionate about supporting mental health and ready to make a difference at scale? Teladoc Health, a global leader in virtual care, is expanding its network of independent Mental Health Therapists to meet growing demand for high-quality, accessible care-anytime, anywhere. We are currently seeking licensed therapists in one of the following states: California, New York, Ohio, Alabama, South Carolina, Kentucky, Missouri, Oklahoma, Minnesota, Utah, or Mississippi (LCSW, LMFT, or LPCC) to provide virtual mental health services on a 1099 contract basis. As a contracted provider, you'll work independently, set your own schedule, and use your clinical expertise to help clients thrive-supported by Teladoc's technology and infrastructure. Essential Dutiesand Responsibilities (as an Independent Contractor) * Deliver individual therapy sessions virtually (via secure video and phone), focusing on adolescent and adult populations. * Assess, diagnose, and develop treatment plans using evidence-based therapeutic approaches. * Maintain timely and accurate clinical documentation in accordance with applicable legal and ethical standards. * Coordinate with Teladoc's support teams as needed to facilitate client care and resolve technical issues. * Exercise independent clinical judgment to manage client care in a remote setting. Required Qualifications • Experience providing therapy in an unsupervised, independent practice setting., • Active license (LCSW, LMFT, or LPCC) in at least one of the following states: California, New York, Ohio, Alabama, South Carolina, Kentucky, Missouri, Oklahoma, Minnesota, Utah, or Mississippi with eligibility to treat patients independently., • Master's degree or higher in Social Work, Counseling, Psychology, or a related field from an accredited institution., • Candidates who have opted out of Medicare or are in the optout period cannot be considered., • Experience working with clients managing PTSD, depression, anxiety, or trauma-related conditions., • Strong clinical skills and ability to operate autonomously in a telehealth environment., • Proficient in using EHR systems and telehealth platforms. Contractor Perks * Flexible schedule - you choose your hours. * No billing or administrative overhead - focus on care delivery. * Supportive infrastructure - access to scheduling tools, patient referrals, and clinical documentation systems. * National reach - serve a diverse population from the comfort of your home. The base salary for this position is $65/visit ($74/visit if Medicaid enrolled with CA license). #THMG You will accrue 8 hours of PTO per semi-monthly pay period. You will also receive 80 hours of Paid Sick, Safe, and Caregiver Leave annually. This applies to full-time positions only. If you are applying for a part-time role, your recruiter can provide additional details. As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified. Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future. Why join Teladoc Health? * Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our ___. * Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference. * Join a multi-faceted community that celebrates each colleague's unique perspective and is focused on continually improving, each and every day. * Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways. * Enjoy an inclusive ___ centered around you and your family, with tailored programs that address your unique needs. * Explore ___ with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on ___. As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind. Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health's Notice of Privacy Practices for U.S. Employees' Personal information is available ___.

Job Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Bergenfield, NJ. This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your preferences in mind. Whether it be for supplemental income or the desire for community connection, this position invites you to become an integral part of the thriving HRA landscape, fostering connections that go beyond the clinic. Benefits include: • Competitive compensation and travel reimbursement, • Flexible schedule, • Comprehensive home assessment training, • Dedicated patient scheduling assistance Qualified Nurse Practitioners interested in this position will have the opportunity to interact with members in a more intimate setting. Unlike a typical clinic visit, this role allows NPs to connect with patients on a more personal and effective level. Nurse Practitioners performing HRAs are not required to treat or prescribe in the home. Nurse Practitioner Responsibilities • Travel to and from patients’ homes., • Perform comprehensive, non-invasive physical assessments., • Review medical history and ensure accurate and timely documentation., • Conduct medical reconciliation to ensure patient safety and compliance., • Master’s Degree OR commensurate experience and satisfactory completion of NP license, • Active State NP license, • Active National board certification, • Current BLS certification About Hueman At Hueman, we're dedicated to guiding you toward fulfilling career opportunities. We believe that happiness should be a fundamental part of every role in risk assessment. Our opportunities provide flexibility, extra income, and integration into your local healthcare network. If this resonates with your idea of career satisfaction, allow us to assist you in discovering your next healthcare position! #Purple

Join the team leading the next evolution of virtual care. At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives. Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we're transforming how better health happens. Working as part of a care team, the Nurse Practitioner provides best in class virtual patient care via video and telephonic appointments. This role will contribute to shaping the evolution of virtual psychiatric care as an industry standard to make psychiatric care accessible, affordable, and effective for all. At Teladoc Health, we're transforming how people access mental healthcare-bringing greater convenience, better outcomes, and more value to the lives of those we serve. We're currently looking for a Full Time Mental Health Nurse Practitioner licensed in one of our high demand states: Arizona, Iowa, Washington, Nevada, Illinois, Virginia, Oregon, Minnesota, or Utah to join our growing team of clinicians providing high-quality, compassionate care through telemedicine. Essential Duties and Responsibilities • Conduct virtual patient assessments, including collecting medical history, performing mental status examinations, and diagnosing and treating common mental health illnesses., • Develop and implement treatment plans in collaboration with patients., • Order, interpret and provide appropriate follow-up for diagnostic tests, such as laboratory work, to aid in diagnosis and treatment decisions., • See patients independently in states with full practice authority. Manage obtaining additional licensure in full practice authority states as requested by the practice., • Prescribe appropriate medications and therapies, adhering to evidence-based guidelines, and considering patient preferences and limitations., • Monitor patient progress, assess outcomes, and make necessary adjustments to treatment plans to optimize patient care., • Provide patient education and support, including answering questions, addressing concerns, and promoting healthy lifestyle choices., • Collaborate with interdisciplinary healthcare teams, including physicians, specialists, and other healthcare professionals, to ensure coordinated and comprehensive care. The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs. Supervisory Responsibilities No Required Qualifications: • Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) mandatory, • Post-Masters Graduate Certificate, • 4+ years of clinical experience as a Mental Health Nurse Practitioner., • Must hold two independent, active state licenses, including at least one in Arizona, Iowa, Washington, Nevada, Illinois, Virginia, Oregon, Minnesota, or Utah prior to starting at Teladoc., • Must be willing to obtain additional licenses in the future, • Must be Board Certified by ANCC or AANP, • Must be enrolled as a Medicaid provider or eligible for enrollment upon hire., • Must have a clean professional record with no board disciplinary actions., • Strong clinical decision-making skills and confidence in practicing independently., • Tech-savvy and adaptable to telehealth platforms and evolving virtual care protocols., • Passion for creating meaningful patient relationships in a digital environment The base salary for this position is $145,000. In addition to a base salary, this position is eligible for productivity pay as well as a performance bonus and benefits (subject to eligibility requirements) listed here: ___. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions. #THMG You will accrue 8 hours of PTO per semi-monthly pay period. You will also receive 80 hours of Paid Sick, Safe, and Caregiver Leave annually. This applies to full-time positions only. If you are applying for a part-time role, your recruiter can provide additional details. As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified. Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future. Why join Teladoc Health? * Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our ___. * Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference. * Join a multi-faceted community that celebrates each colleague's unique perspective and is focused on continually improving, each and every day. * Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways. * Enjoy an inclusive ___ centered around you and your family, with tailored programs that address your unique needs. * Explore ___ with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on ___. As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind. Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health's Notice of Privacy Practices for U.S. Employees' Personal information is available ___.

As an employer, MJHS attracts individuals who see their work as a calling as well as a job. Professionals in every job category have cited that they appreciate being left to make their own decisions, are encouraged to voice their opinions, and are given the necessary breathing room to do their work with minimal supervision. Yet, at the same time, they feel that management and their co-workers are solidly behind them and readily accessible. For you-and for us-member's needs come first, second and third! Members are incredibly fortunate when someone with your keen professional judgment, passion for your work, and strong persuasive power is in charge of their care. With MJHS, you will join an organization where we take our role in the community as seriously as you take yours, and where management respects your decisions. You will also have an interdisciplinary team behind you, providing the support you need without the micromanagement you don't need. In this role, you will independently perform home visits to conduct functional, psychosocial and environmental safety assessments, determine eligibility of enrollees, and establish an individual plan of care that enables them to remain safely at home despite long-term care needs. Your talents for listening and communicating with a culturally diverse population that includes care givers as well as other providers along with your time management skills will be key to your success. Multiple openings for the following regions: Westchester, Bronx (Bengali and/or Spanish speaking preferred), Queens (Russian, Mandarin and/or Cantonese speaking preferred), Brooklyn and Manhattan. MJHS rewards full time Assessment Nurses with a higher reimbursement rate when conducting extra visits. • Current NYS RN license and registration, • Associates degree required; Bachelor of Nursing degree preferred, • Bilingual BSN new graduates encouraged to apply, • One year of experience in Homecare, acute care or community health nursing preferred., • Working knowledge of Medicare, Medicaid and NYS DOH standards and regulations, • Bilingual preferred

We are currently seeking a dedicated and bilingual Business Development Relationship Manager to join our team. As a Relationship Manager, you will be working in our Bronx location playing a crucial role in facilitating the enrollment process for individuals seeking home care services. The ideal candidate must be dynamic, organized and embed strong communication and interpersonal skills for this position. Must be bilingual in English and Spanish Responsibilities: * Generating new clients and building relationships with referral sources. * Focusing on building client relationships and generating leads through inbound/outbound calls, research, and emails. * Enroll and refer Medicaid eligible individuals. * Establishing and maintain brand awareness through referral source contacts and community education efforts. * Meeting or exceeding monthly, quarterly, and annual growth targets. * Demonstrating a thorough and complete knowledge of the agency’s, vision, mission and values. * Identifying, evaluating and prioritizing potential referrals sources within the agency’s territory and surrounding area. * Representing the agency and its services in a professional, competent and responsive manner. * Maintain accurate and confidential records of all activities and participant information. * Attending weekly/monthly growth meeting. * Provide exceptional customer service by addressing inquiries, concerns, and providing support throughout the process Requirements: * Fluency in both English and Spanish (written and verbal) is essential. * Existing contacts and territorial knowledge of local area and referral sources. * Excellent communication and interpersonal skills. * Excellent sales skills. * Excellent time management skills with proven ability to meet deadlines. * 1 year sales experience (preferred). * Ability to function well in a high-pace environment * Strong organizational skills with attention to detail About Amazing Home Care Inc.: Amazing Home Care is a leading provider of quality home care services dedicated to enhancing the lives of individuals through personalized and compassionate care. We are committed to fostering an environment that values diversity, professionalism, and excellence in delivering support to our clients and their families.

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Field Operations Specialist is responsible for conducting and coordinating home visits for the care management team, and responsible for the clerical, administrative, customer service and coordination of activities to support care management. Essential Functions: • Schedule and travel to members' homes to conduct in-home care management visits., • Support the provision of care plans by assisting Nurse Care Managers with member interactions and take authorizations from Nurse Care Manager for processing., • Answer incoming calls, place outgoing calls as requested and/or review member care management survey results identifying issues requiring follow-up., • Coordinate services, take requests for services, assist Nurse Care Manager in placing authorized services and speaking to members., • Assist members in navigating the Health Plans process by phone and in person visits., • Establish and maintain relationships acting as the liaison among members, clinical staff and external entities., • High School or GED required, • Associates degree preferred, • Medical terminology experience is strongly preferred, • Experience using multiple languages in a professional capacity required Competencies, Knowledge and Skills:, • Proficient in Microsoft Office Suite to include Word, Excel and PowerPoint, • Fluency (speaking, reading, writing) in English and Spanish, • Strong written and verbal communication skills, • Effective listening and critical thinking skills, • Strong interpersonal skills and high level of professionalism, • Ability to define problems, collect information and establish facts, • Ability to work independently and within a team environment, • Ability to develop, prioritize and accomplish goals, • Knowledge of applicable Federal, State and Local regulations as it applied to required job functionsLicensure and Certification:, • Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated, • To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified., • CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.Working Conditions:, • General office environment; may be required to sit or stand for extended periods of time, • Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time. Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer. Compensation Type: Hourly Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

RN UAS Nurse openings with a major health insurance / managed care company based in the Bronx, Brooklyn, or Manhattan, NY area! Starting ASAP!! Apply now with Chris M. at A-Line! Job Summary: Complete in-person UAS assessments with members in their homes or living facilities along with necessary documentation. * combination of remote work with field visits in the Bronx, Brooklyn, or Manhattan, NY area. Job Duties: RN must prep for the visit the morning of or afternoon before (Review of EMR and previous assessments)• Be prepared to use critical thinking and problem solving skills.• Travel to the members' homes to conduct the visit and assessment,• Accurately document assessment results according to the provided documentation template• Review all documentation and utilize Lenavi to identify inconsistencies that need to be corrected or validated.• Complete and load supplemental tools and documents.• Each day varies, nurse needs to be flexible with schedule and process changes, critical thinking and problem solving, prepared for travel, weather variability. What previous job titles or background work will in this role? Experience as a UAS Assessment nurse Individuals that have MLTC, MAP or Maximus experience Shift Times: Mon-Fri 8:30am-5pm with a 1-hour lunch break. OT may be required Pay Rate: $52 - $58 hourly (determined on experience) plus mileage reimbursement Required Skills: · Licenses/Certifications: Current New York State RN license – no restrictions on license · Clinical background – RN experience (1+ years) · Case Management or UAS Experience highly preferred · Experience working with Managed Care plans highly preferred · Documentation skills and good computer skills needed · Must have Computer literacy, including with Microsoft Programs like Excel, Outlook, and Word Why Apply with A-Line? · Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability · 401k after 1 year of employment: With employer match and profit sharing · GREAT Hours! Monday through Friday, 40 hours per week · Competitive Pay Rate INDSV Keywords: UAS, URAC, CCM, BSN, ADN, ASN, Case Manager, Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, URAC, CCM, BSN, ADN, ASN, Case Manager, Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, URAC, CCM, BSN, ADN, ASN, Case Manager, Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls. Job Duties: RN must prep for the visit the morning of or afternoon before (Review of EMR and previous assessments)• Be prepared to use critical thinking and problem solving skills.• Travel to the members' homes to conduct the visit and assessment,• Accurately document assessment results according to the provided documentation template• Review all documentation and utilize Lenavi to identify inconsistencies that need to be corrected or validated.• Complete and load supplemental tools and documents.• Each day varies, nurse needs to be flexible with schedule and process changes, critical thinking and problem solving, prepared for travel, weather variability.

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 Notice for Job Applicants Residing in Florida

Licensed Marriage and Family Therapist (LMFT) Wage: Up to $121 an hour Licensed Marriage and Family Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It's all on one free-to-use platform, no commitment required. About you ? You're a fully-licensed Marriage and Family therapist at a Master's level or above with LMFT, LMFTS, or LCMFT licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ? You're ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who'd otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we've helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. Built-in compliance Stay compliant from day one with audit support and ongoing resources. Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. Built-in EHR features Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. Free continuing education Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license.

Licensed Mental Health Therapist (LMHT) Wage: Between $120-$131 an hour Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It's all on one free-to-use platform, no commitment required. About you ? You're a fully-licensed Mental Health Therapist at a Master's level or above with LMHC, LPCMH, LIMHP, LMFT, LMFTS, LCMFT, LPC, LPCC, LCPC, LCPCS, LPCC-S, LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ? You're ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who'd otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we've helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. Built-in compliance Stay compliant from day one with audit support and ongoing resources. Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. Built-in EHR features Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. Free continuing education Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license.

Fresenius Medical Care - 1200 Waters Place - Responsibilities: Meet regularly with dialysis patients at the clinic(s) to educate and coordinate insurance options; Educate on availability of insurance options (Medicare, Medicaid, COBRA) and assist with applications; Track open enrollment and Medicare

Our growing Health Home Division is a "Virtual Home" for Medicaid recipients with chronic health conditions.It is a care management model where all individual caregivers communicate to address patient's needs in a comprehensive manner.Essen's health home division has a team of care coordinators who

Verify patient's medical, dental or visit insurance(s) to ensure coverage is active on the date of services, including but not limited to Medicaid, Medicaid Managed Care, Medicare, Medicare Managed Care, and Private or Commercial plans. Greet patients and visitors, take and relay messages to the pat

The Credentialing Specialist is responsible to coordinate and assist with the day-to-day administrative functions of the Department.The selected candidate will have excellent written communication skills, able to multitask and manage time effectively and provide administrative support to the Delegat

" " Licensed Clinical Psychologist Wage: Between $95-$180 an hour Licensed Clinical Psychologists — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It's all on one free-to-use platform, no commitment required. About you ● You're a fully-licensed Clinical Psychologist at a Master's level or above with PSY, PSYP, or PsyD licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You're ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who'd otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we've helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers - Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. - Built-in compliance : Stay compliant from day one with audit support and ongoing resources. - Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. - Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. - Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. - Free continuing education : Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license. " "

" "" Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Licensed Clinical Social Worker — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Clinical Social Worker at a Master’s level or above with LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers - Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. - Built-in compliance : Stay compliant from day one with audit support and ongoing resources. - Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. - Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. - Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. - Free continuing education : Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Bronx, NY. Qualified Nurse Practitioners and Physician Assistants interested in this position will have the opportunity to interac

Reviews inpatient medical records for identified payer population (Medicare, Medicaid, and Blue Cross/Blue Shield) as directed on admission and throughout hospitalization. Demonstrates awareness of nursing skills, Milliman Clinical Review criteria, NYS LOCADTR, and CMS guidelines and regulations reg

Job Description Reports To: Clinical Supervisor/Program Director Program: Mental Health Outpatient Treatment and Rehabilitative Services (MHOTRS) Clinic Location: White Plains, NY Hours Per Week: 35 FLSA Status: Full Time, Exempt Salary Range: $53,000 - $77,010 annually (Bilingual candidates are eligible for a pay differential) We provide weekly clinical supervision aimed at promoting the effective accumulation of clinical hours. This structured support is designed to enhance professional development and ensure a comprehensive understanding of clinical practices. Summary Description: The MHOTRS (Mental Health Outpatient Treatment and Rehabilitative Services) Licensed Clinician will offer individual, group, and family services for individuals of all ages and for a full range of behavioral health conditions. Our clinic delivers integrated behavioral health services with a robust team of providers. The Licensed Clinician is responsible for the provision of direct clinical services and coordination with other agencies serving the clients. They will demonstrate competence in providing trauma-related care, utilizing evidence-based approaches, and must possess the ability to engage and effect change through a person-centered model. The Licensed Clinician will demonstrate initiative, flexibility, creativity, and a collaborative spirit. They will support recovery by providing services that reflect our deeply held values that include the recognition of individual rights of self-determination, choice, shared decision-making, and collaboration. The Licensed Clinician will utilize evidence-based practices, embracing trauma-informed and person-centered approaches, and will demonstrate co-occurring competence to deliver services that are integrated and holistic. Responsibilities: • Provide culturally sensitive direct clinical services, which may include but are not limited to: assessment and treatment planning, individual, family, and group psychotherapy, crisis intervention, and community consultation and education., • Document client progress in a timely manner, ensuring records comply with agency policies and regulatory requirements, following established methods and procedures., • Maintain a full caseload in accordance with agency expectations, with a typical day averaging around 8–9 client sessions, generally 45 minutes each., • Identify social determinants of health needs, such as case management, and coordinate with other agencies and community resources., • Coordinate treatment, including treatment transition with other community agencies and services., • Participate in program development and in training programs., • Follow the established clinic policies & procedures., • Maintain appropriate professional standards., • Principles, practices, and methods of community mental health treatment, including complexity-capable interviewing, assessment, marriage, family, child, and group counseling and crisis intervention., • Adult and/or child psychology, including development and psychopathology., • Applicable city, state and federal guidelines and laws affecting mental health treatment, services and reporting procedures., • Common challenges associated with mental health conditions., • Principles of psychological growth and development., • Community mental health resources and services, and other health, financial, social, recreational, cultural, housing, and legal advocacy services., • Understanding the impact of culture on mental health practices., • Familiarity with and ability to effectively use an Electronic Health Record system., • Meet the required productivity targets as set forth by the clinic leadership., • Keep timely and accurate documentation as required by licensing and the agency., • Participate in the team’s integrated meetings., • Collaborate with the team on care coordination., • Partnership with external referral sources., • Be part of the open access schedule., • Master’s Degree in Social Work or Mental Health Counseling with clinical experience in the academic program at an accredited school of social work/counseling., • Licensed in New York State, be in good standing and remain in continuous good standing with the state’s licensing board: LMSW, LMHC, LMFT , LCSW or limited permit., • Bilingual in Spanish preferred., • Reliable and able to work independently and understand the importance of maintaining confidentiality., • Basic Computer knowledge and the ability to document in an electronic health record., • Clearance by NYS Justice Center through fingerprinting for a Criminal History Records search., • Clearances from NYS Justice Center (SEL), Medicaid Exclusion List, and NYS Office of Children and Family Services (OCFS), • Proficiency in Microsoft Office suite and database management systems., • Fluency in English (Reading, Writing, Speaking)., • Must maintain clearances by applicable regulatory clearances as required., • Hours Per Week, Reporting Structure, and Location are subject to change per program needs. Mandated Reporter: This is a Mandated Reporter position. The NYS Justice Center legislation defines anyone who has regular and substantial contact with any person with special needs as a “custodian” under the law and, therefore, a mandated reporter. You can be held liable by both the civil and criminal legal systems for intentionally failing to make a report. Greater Mental Health of New York is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Greater Mental Health of New York is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request a reasonable accommodation, contact the Human Resources Department.

Job DescriptionCompliance & Quality Assurance SpecialistJob Type: Temp-to-Hire Salary: $60,000 annually (upon permanent placement) Location: Yonkers, NY | On-site (Monday-Friday, Full-time) Job OverviewMadison Approach Staffing is recruiting for a Compliance & Quality Assurance Specialist for our client, a human services organization. This role plays a critical part in ensuring organizational compliance and adherence to standards of care across all programs. The position manages and reviews incidents, conducts internal investigations, and monitors program alignment with regulatory requirements including OCFS, NYSED, and oversight agency standards. The ideal candidate works collaboratively with interdisciplinary teams, possesses strong analytical skills, and takes a proactive approach to promoting a culture of safety, accountability, and excellence. This is a temp-to-hire opportunity with transition to permanent employment and comprehensive benefits package. Key ResponsibilitiesIncident Management & Investigations • Monitor incident reports daily to ensure appropriate management and timely response, • Conduct internal incident investigations with thoroughness and objectivity, • Manage internal and external incident reporting and management systems, • Provide direct assistance to programs managing incidents in line with relevant rules and regulations, • Liaise with programs and oversight agencies to facilitate incident review, • Prepare for monthly Incident Review Committee meetingsQuality Assurance & Compliance Monitoring, • Coordinate completion and timely submission of corrective action plans and performance improvement plans, • Assist with chart and record reviews for compliance and quality improvement purposes, • Review case records (manual and electronic) for compliance with Medicaid standards and billing requirements, • Lead ongoing physical plant inspections, health hazard reviews, and safety assessments, • Run and write reports on incident trends and program compliance with performance improvement plansTraining, Committees & Leadership Support, • Provide training on incident reporting and management as needed, • Serve on committees relevant to quality assurance and compliance, • Facilitate continuous quality improvement initiatives throughout organization, • Contribute to agency accreditation and renewal processes, • Respond to requests from leadership in timely and professional manner, • Ensure adherence to agency mission, policies, core values, and commitments including Sanctuary modelRequired Skills & Experience, • Education: Associate degree in Social Science or related field required; Bachelor's degree preferred, • Regulatory Experience: OCFS (Office of Children and Family Services) or NYSED experience required, • Compliance Knowledge: Knowledge of compliance and incident management in human services field, • Data Analysis: Ability to gather, read, and analyze data with strong attention to detail, • Writing Skills: Effective writing skills in English with ability to produce clear reports and documentation, • Technology: Proficient computer skills including Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), • EHR Systems: Adeptness to learn new software and electronic health records systems, • Communication: Effective verbal and written communication skills, • Mobile Technology: Ability to access and utilize ADP app on smartphone or other device for agency programs, • Full-time position: Monday-Friday (standard business hours), • On-site in Yonkers, NY, • Temp-to-hire opportunity with transition to permanent employmentBenefits Upon Permanent Placement:, • Generous PTO: 4 weeks vacation, floating holidays, holidays, personal and sick time, • Health, Dental, and Vision Insurance, • 401(k) with employer contributions, • Tuition reimbursement, • Flex Spending Accounts, • Employer-paid Short-Term Disability, Long-Term Disability, and Life Insurance, • Professional development opportunitiesPhysical Requirements:, • Ability to ambulate, sit, stand, see, speak, and climb stairs, • Ability to carry up to 30 lbs, • Work environment with no physical risk or hazardous conditionsTo Apply: Please submit your resume to Madison Approach Staffing. OCFS or NYSED experience is required. Only qualified candidates will be contacted for interview consideration.

Job Description Reports To: Senior Vice President, Clinical Operations Program: Clinical Operations Location: White Plains, NY (5 days on-site) Hours Per Week: 35 hours FLSA Status: Full Time, Exempt Annual Salary Range: $90,000 to $95,000 annually Summary Description The Clinical Director is responsible for overseeing the daily administration and clinical operations of our Comprehensive Health Center, licensed by the Office of Addiction Services and Supports (OASAS) as an Article 32 substance use treatment program. The Director provides oversight and supervision to all staff and provides direct services to clients as needed. The Director will support recovery by providing services that reflect our deeply held values, including the recognition of individual rights of self-determination, choice, shared decision-making, and collaboration. The Director is a member of an interdisciplinary professional clinical team that utilizes an evidence-based integrated treatment approach along with harm reduction strategies that are strength-based, trauma-informed, and person-centered. Responsibilities: • Maintain responsibility for the daily clinical and administrative operations of the program, including staff supervision, compliance with OASAS regulatory guidance and statistical reporting standards, budget development, generation of services as per APG methodology, crisis management, and program monitoring/development., • Review and approve initial needs assessment and treatment plans., • Implement and monitor policies and procedures in accordance with agency guidelines., • Participate in program evaluation activities and the utilization of evidence-based practices., • Establish and foster community and provider relationships., • Market clinic services to new potential referral sources, including elements of community outreach and opportunities to implement new and/or expanded programs., • Collaborate in the development of semi/annual evaluation of program services and incorporate findings into future planning practices., • Participate in the utilization review and quality improvement (QI) related activities as assigned by Senior Management., • Collaborate in the development and execution of Key Performance Indicators (KPIs), and the analysis of data for continued program development within the clinic., • Support telehealth services in the clinic., • Knowledge of OASAS Reporting Systems (CDS, LOCADTR) and PSYCKES, preferred., • Bilingual Spanish Speaking, preferred., • Must be reliable and able to work independently and understand the importance of maintaining confidentiality., • Demonstrates understanding of 42CFR, HIPAA Privacy Standards, and related agency policies., • Have and maintain a valid Driver's License with a driving record that is satisfactory to our insurance carrier, and have and maintain a Defensive Driving certification., • Must be cleared and maintain clearance through the NYS Justice Center through fingerprinting for a Criminal History Records search., • Must be cleared and maintain clearance by the DOS New York State Sex Offender Registry., • Pre-employment drug screen is required as a condition of employment., • Must be cleared and maintain clearance by the Justice Center for the Protection of People with Special Needs Staff Exclusion List (SEL) and the New York State Medicaid Exclusion List., • Must be cleared and maintain clearance by the NYS Office of Children and Family Services (OCFS) for instances of child abuse and/or neglect., • Must be legally eligible to work in the United States. Key Performance Indicators (KPI’s): • Maintain anchor and licensing standards as indicated by the OASAS regulations., • Meet the clinic’s service provision targets as projected in the budget., • Stay current with the OASAS standards of care and make any programmatic changes to include updating policies and procedures to meet quality expectations., • Provide the necessary trainings as indicated by the clinic’s regulations and keep the tracking data., • Maintain the OASAS data base portal updated with all indicated reporting as per the regulations., • Increase census capacity as indicated in the clinic targets projections. Requirements: • Must have experience as a qualified health professional (QHP) as defined by Part 822 of the OASAS regulations; i.e. LMSW, LCSW, or Licensed Psychologist, • A Master's degree is required with five years of prior clinical work experience in the substance use disorder field, at least three years of which must be in a supervisory capacity., • Willingness to obtain CASAC or CASAC-T within 12 months post-hire., • Strong computer knowledge: typing, communication tools, scheduling tools and web browsers., • Proficiency in Microsoft Office suite and database management systems., • Fluency in English (Reading, Writing, Speaking)., • Must be cleared and maintain clearance by applicable regulatory clearances as required., • Legally eligible to work in the United States without sponsorship. Special Considerations: • Work schedule:, • 100% onsite, 5 days per week., • Hours per week, reporting structure, and location are subject to change per organizational needs. Mandated Reporter: This is a Mandated Reporter position. The NYS Justice Center legislation defines anyone who has regular and substantial contact with any person with special needs as a “custodian” under the law and, therefore, a mandated reporter. You can be held liable by both the civil and criminal legal systems for intentionally failing to make a report. Greater Mental Health of New York is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Greater Mental Health of New York is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request a reasonable accommodation, contact the Human Resources Department.

Care Coordinators provide care coordination to NYC Medicaid beneficiaries with chronic health and/or behavioral health disorders using a Health Home service model. Bachelors degree and two years of related human services experience in providing direct services to individuals with chronic health and/

Triboro Center is a proud member of the Centers Health Care consortium. Strong knowledge of Medicare, Medicaid, and HMO processes is a plus.

" Licensed Professional Counselor (LPC) Wage: Between $120-$131 an hour Licensed Professional Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Professional Counselor at a Master’s level or above with LPC, LPCC, LCPC, LCPCS, LPCC-S licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers - Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. - Built-in compliance : Stay compliant from day one with audit support and ongoing resources. - Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. - Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. - Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. - Free continuing education : Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

Job Description Job Overview of Care Coordinator Bilingual Spanish The Care Coordinator is the key point of contact in managing services for the child. Moreover, the Care Coordinator oversees and coordinates access to a variety of services an individual needs to help prevent hospitalizations, stay healthy, and maintain stability. The Care Coordinator provides comprehensive Care Management and coordination of services to eligible Medicaid/Medicaid Managed Care children (ages 0-21) to develop and maintain a plan of access and use of services and supports necessary for their health. The Care Coordinator helps children and caregivers get the care they need to improve the child’s health. Location: Hybrid- Peekskill Status: Full- time Essential Duties of Care Coordinator Bilingual Spanish Key duties of this position include, but are not limited to, the following: · Conduct eligibility screenings and Health Home enrollment. · Collaboratively work with enrollee to create a comprehensive person centered plan of care to meet the medical, behavioral health and social service needs to improve the individual's health and wellness. · Responsible for health promotion, education, and overall coordination of all aspects of an individual's care. · Offer family support, and referral/linkages to community, social, and other support services as needed. · Assist individual in keeping appointments and monitor service delivery. · Coordinate and arrange for the provision of medical, behavioral health and other relevant services · Accompany enrollees to appointments as needed · Conduct home visits as needed · Support enrollees in adherence to treatment recommendations from medical and behavioral health providers · Link enrollees to internal and external peer supports, support groups and self-care programs to increase knowledge about their disease(s), engagement and self-management capabilities, and to improve adherence to prescribed treatment · Promote evidence-based wellness and prevention by linking health home enrollees with resources for smoking cessation, diabetes, asthma, hypertension, self-help recovery resources, and other services based on individual needs and preferences · Travel as required to community based meetings, medical/behavioral health provider sites and meetings with Health Home enrollees · Maintain electronic medical records in compliance with ANDRUS and DOH standards · Supports overall organization strategic plan of the organization · Ability to adhere to our organization’s core values and commitments. Essential Qualifications of Care Coordinator Bilingual Spanish Key qualifications include: · Bachelor’s Degree in Human Services and/or related field. · Bilingual Spanish speaker/read/write · Relevant expertise and experience in serving children and families in child welfare, developmental disabilities, mental health, healthcare and/or other systems as well as those receiving preventive services. · Excellent writing, communication, and organizational skills. · A passion for serving children and families with special needs. · Ability to access and utilize ADP app on smartphone or other device for access to agency programs. Physical/Travel Requirements of Care Coordinator Bilingual Spanish · Valid NYS Driver’s License · Ability to travel to community-based agency offices, participant’s communities, and homes within assigned catchment area · The Care Coordinator must be able to drive to external locations and work flexible hours as required to meet program needs with some evenings and/or weekends as identified. · Physical Requirements: o Reach o Walk o Climb Stairs The employee must be able to meet these requirements with or without a reasonable accommodation. Disclaimer Nothing in this job description restricts Andrus’ right to modify the duties/responsibilities of this job at any time, with or without advanced notice. EEO Statement Andrus is an equal opportunity employer.

Job Description Job Summary Clinical Patient Liaison TEEMA GROUP Full-time In-Office | White plains , NY, United States Job Title: Clinical Patient Liaison Location: White Plains, NY Employment Type: Full-Time About Us: We are a patient-centered clinical practice located in White Plains, NY, dedicated to providing high-quality, compassionate care. We are seeking a motivated and personable Clinical Patient Liaison to join our team and help ensure every patient receives an exceptional experience from the moment they walk through our doors. Position Summary: The Clinical Patient Liaison serves as the primary point of contact between patients and the clinical team. This role supports patients throughout their care journey by coordinating appointments, facilitating communication, and ensuring that each patient feels informed, supported, and valued. Key Responsibilities: What you will be doing: Educational Outreach * Conduct regular, high-quality outreach through in-person visits, calls, emails, and virtual meetings. * Plan and deliver education-focused presentations and "lunch & learn" sessions on TRD, treatment indications, regulatory processes, and collaborative care models. * Act as an ambassador of education to psychiatrists, therapists, hospital discharge planners, and primary care providers. * Promote awareness and understanding of advanced treatment options through a professional, education-first approach. * Identify and segment potential referral partners (e.g., hospitals, psychiatric practices, IOPs, therapists) across the assigned region. * Develop and execute a comprehensive territory plan using CRM and other digital tools. * Regularly review territory performance to optimize outreach and engagement strategies. * Serve as the primary point of contact for partner providers. * Ensure a positive, “white-glove” experience for new referral partners. * Maintain clear communication between referring clinicians and internal care teams. * Establish feedback loops to share appropriate, de-identified patient progress updates. * Troubleshoot issues related to patient intake or prior authorization processes. * Maintain accurate and detailed documentation of all activities within the CRM system. * Adhere to all healthcare compliance regulations, including HIPAA, Anti-Kickback Statute (AKS), and Stark Law. * Manage administrative tasks efficiently, including expense reporting and field budgeting. Qualifications: * Clinical Knowledge: Ability to confidently discuss Treatment-Resistant Depression (TRD), Major Depressive Disorder (MDD), and mechanisms of action for approved treatments. * Regulatory Expertise: Must become fluent in REMS processes and be able to explain them clearly to provider offices. * Insurance Familiarity: Understanding of payer landscapes (Medicare, Medicaid, commercial) and the Prior Authorization process for medical billing codes. * Compliance-Driven Mindset: Must operate with a strict adherence to healthcare regulations and ethical standards. * Minimum of 2 years in a B2B relationship, sales, or partnership role within a regulated industry (e.g., healthcare, pharmaceuticals, finance). * Logistics: Comfortable spending 60% or more time in the field. Must have a reliable vehicle and a valid driver’s license with a clean driving record What We Offer: * Competitive compensation * Health and dental benefits * Paid time off and holidays * Opportunities for training and professional development * Supportive team environment