JOB TODAY logo

Medical coordinator jobs in Jersey City, New JerseyCreate job alerts

Are you a business? Hire medical coordinator candidates in Jersey City, NJ

  • Insurance Coordinator - ABA
    Insurance Coordinator - ABA
    2 days ago
    Full-time
    Brooklyn, New York

    About Lighthouse ABA Lighthouse ABA provides Applied Behavior Analysis (ABA) services to children and families, delivering high-quality, individualized care across our service areas. Behind every child who receives services is a coordinated effort to make sure care is authorized, covered, and never interrupted. The Insurance Coordinator sits at the center of that effort. Position Summary We're looking for a detail-driven Insurance Coordinator to own the eligibility and authorization side of our ABA services. In this role, you make sure every client has active insurance coverage and valid authorization in place before and throughout their care --- verifying benefits, securing initial authorizations, and staying ahead of re-authorization deadlines so that no child's services lapse. You'll be the connective tissue between payers, our clinical team, and families, translating insurance requirements into clear next steps and keeping our authorization pipeline accurate and current. This is a role for someone who is organized, persistent, and detail oriented --- someone who takes real ownership of deadlines and follows through until each authorization is confirmed. Position is full-time and compensation is based on experience ranging between $25-30/hr. Key Responsibilities Eligibility & Benefits Verification • Confirm that referrals, diagnoses, and required documentation meet each payer's criteria for ABA services., • Confirm new coverage whenever a client's coverage changes. Authorization & Re-authorization Management • Prepare and submit initial authorization requests for ABA assessments and treatment, ensuring each packet is complete and payer-compliant., • Track every active authorization --- units approved, units used, and expiration dates --- and initiate re-authorizations well ahead of deadlines to prevent any lapse in services., • Coordinate with BCBAs and the clinical team to gather assessments, treatment plans, progress reports, and supporting documentation required for authorization and continued-care requests., • Monitor authorization status through submission, follow-up, and approval, escalating delays and resolving payer requests for additional information. Payer & Internal Coordination • Serve as the primary point of contact with our insurance team, • Keep clinical, intake, and billing teams informed of authorization status, upcoming expirations, and any coverage issues that could affect a client's schedule., • Communicate coverage and authorization details clearly to families when needed, in plain, supportive language. Records & Compliance • Maintain accurate, up-to-date authorization records in our systems (client management platform and payer portals), ensuring dates, units, and documentation are always current., • Track key dates and maintain a reliable tickler/reminder system so re-authorizations are never missed., • Handle all client and health information in accordance with HIPAA and organizational privacy standards. Qualifications Required • 1+ years of experience in insurance verification, prior authorizations, or a related healthcare administrative role (ABA, behavioral health, or pediatric therapy experience strongly preferred)., • Working knowledge of insurance concepts --- eligibility, benefits, authorizations, medical necessity, and payer requirements., • Strong organizational skills and exceptional attention to detail, with a proven ability to manage many deadlines at once without letting anything slip., • Clear, professional written and verbal communication., • Comfort working in insurance portals, EHR/practice-management systems, and standard office software (spreadsheets, email)., • Persistence and comfort with payer follow-up --- including phone calls and appeals of incomplete or delayed requests., • A discreet, professional approach to confidential health information (HIPAA). Preferred • Direct experience with ABA authorizations and continued-care/re-authorization workflows., • Familiarity with Medicaid and commercial payer requirements in our service areas., • Experience coordinating with BCBAs or clinical teams to assemble authorization documentation. Skills & Attributes • Highly organized and deadline-driven, • Detail-oriented and accurate, • Proactive and self-directed --- you chase down answers rather than wait for them, • Collaborative and responsive across teams, • Calm and professional under pressure Department:

    Easy apply
  • Direct Support Professional
    Direct Support Professional
    1 month ago
    $18–$19.5 hourly
    Full-time
    Hackensack River Waterfront, Jersey City

    Hudson Milestones is searching for reliable and dedicated Direct Support Professionals (DSP). The Direct Support Professional role is a Non-Exempt position requiring ability in implementing training programs and maintaining a safe environment for adults with intellectual /developmental disabilities (I/DD) for the purpose of increasing the extent to which they are independent, integrated members of the community. All tasks must be implemented in a humane and competent manner. The Direct Support Professional role is not specific to one location, building, classroom, day habilitation or group home. The Agency reserves the right to change the employee’s work location at it’s discretion. Benefits: We offer a comprehensive benefits package for *full-time employees* that may include: • Health, dental, and vision insurance, • 401(k) with company match after one year of employment, • Paid time off (vacation, sick days, & personal time), • Family Medical Leave Other Compensation (if applicable): • Bonuses and/ or incentives at the discretion of the Agency. Job Description: The Direct Support Professional role is a Non-Exempt position requiring ability in implementing training programs and maintaining a safe environment for adults with intellectual /developmental disabilities (I/DD) for the purpose of increasing the extent to which they are independent, integrated members of the community. All tasks must be implemented in a humane and competent manner. The Direct Support Professional role is not specific to one location, building, classroom, day habilitation or group home. The Agency reserves the right to change the employee’s work location at it’s discretion. Responsibilities: • Responsible for reading, knowing and complying with all appropriate governing documents to include contracts, agency policies and procedures, State or Federal standards, specific program operations manuals and circulars both internal and external., • Ensures compliance with the agency’s Operations and Personnel Manuals and the Division of Developmental Disabilities Standards Manual., • Completes and submits in a competent, and timely manner all reports, forms, and documentation as required by the agency and Division of Developmental Disabilities., • Understands basic developmental disabilities and learning styles, using motivation techniques to help clients improve in areas with behavioral or medical challenges., • Must complete all CDS trainings and refreshers as directed., • Attend staff meetings, all other relevant meetings and training as directed., • Assist clients with goal outcomes established on the Individual Service Plan (ISP)., • Responsible for reading the ISP and working within the documented expectation for client development., • Provides a consistent means of relaying accurate and complete information to direct supervisors., • Implement behavior management strategies to promote positive behaviors and reduce challenging behaviors according to plans that are in place., • Provides training and supervision to clients in all aspects of community experience living., • Serves as a positive role model for clients and other staff., • Provides safe transportation in agency vehicles for clients as necessary., • Maintains confidentiality and professionalism when communicating with family members or group home staff, Support Coordinators and any outside agency personnel., • Maintains active, positive engagement with clients at all times., • Always ensures the safety and well-being of clients., • Provide direct care and support to individuals with disabilities or special needs., • Proactively accompany and support clients during medical appointments, ensuring relevant information is provided to the healthcare professional. Clearly and accurately communicate details from the appointment to the Residential Coordinator, Medical Compliance Officer, and/or designee., • Follow and demonstrate understanding of medication policy and procedures in the monitoring and administration of the client’s medications. Completes Medication Error Report when needed., • Ensures home, grounds, yard and van are maintained in clean, safe, and sanitary condition., • Ensures meals are prepared and planned based on clients’ individual diet, client input, and the planned menu for the month., • Ensures that the Recreation Calendar is carried out as per client input and as per the planned calendar completed each month., • Responsible for competing all required documentation to include but not limited to, daily logs, communication logs, and behavior reports., • Ensures line of sight for the individual(s) being supported is maintained and completes reports accordingly., • Responsible for adequately and completely cleaning the home during any shift worked., • Ensures that a client’s dignity is not compromised in any way., • Responsible for reporting all emergencies or unusual incidents to direct supervisor., • Cooperates with the licensee and Department staff in any inspection, inquiry or investigation. Qualifications: • Valid New Jersey Driver’s License, • High School Diploma or Equivalency, • Minimum 21 years of age Skills: • Experience with developmentally/intellectually disabled individuals, • American Red Cross CPR & First Aid Trained a plus Note: • We are an Equal Opportunity Employer. We will consider applicants for this position without regard to any category protected by applicable federal, state, or local law, including but not limited to: race, color, religion, sex, national origin, age, physical or mental disability, genetic information, veteran status, or uniformed servicemember status., • The salary range and benefits listed above follow New Jersey’s Pay Transparency Act. Actual compensation may vary based on experience, education, and qualifications.

    No experience
    Easy apply
  • Supervisor / Manager
    Supervisor / Manager
    1 month ago
    $18–$19.5 hourly
    Full-time
    Manhattan, New York

    At Claire’s, we’re all about self-expression, creativity, and bringing the latest trends to life for our customers. If you thrive in a fast-paced retail environment, love engaging with customers, and have a passion for driving sales, this is the perfect opportunity for you! Responsibilities Own the Sales Game: Crush sales goals by delivering next-level customer experiences, upselling must-have accessories, and hyping up promos to drive revenue. Piercing Excellence : Join the ranks of our piercing experts through comprehensive training. Become a trusted guide for customers - conducting piercings, educating on aftercare, maintaining a sterile environment, addressing questions and concerns throughout the process. Keep It Fresh: Maintain an Insta-worthy store with perfect displays, organized inventory, and easy-to-shop layouts that make browsing fun and effortless. Team Collaboration: Support your Store Manager by motivating the team, sharing sales tips, and creating a positive, high-energy vibe that customers (and coworkers) love. Brand Representation: Showcase Claire's products and services. Stay plugged into the latest fashion and social media trends to help customers find their perfect style. Use your knowledge to suggest products and boost sales. Store Operations : Keep the heartbeat of our store strong by overseeing operations with efficiency and flair. From managing inventory and handling cash transactions to visual merchandising and coordinating promotional activities. You ensure that every aspect of store operations reflects the fun and joy that defines Claire's. Create Shareable Moments: Encourage customers to show off their new accessories and piercings on social media, turning their Claire’s haul into the next viral moment. About You Sales-Obsessed Energy: You love the thrill of making a sale, hitting goals, and turning browsers into buyers. Social & Digital Savvy: You know what’s trending, what’s viral, and how to translate that into an amazing customer experience. Customer-First Mentality: You get people, and you love making them feel confident and empowered. Retail & Leadership Skills: At least one year of retail experience, ideally with some leadership or sales-driving responsibility. Ready to Hustle: You’re organized, self-motivated, and always looking for ways to level up. Job Requirements You can conduct piercings and demonstrate patience and empathy, particularly with young or anxious customers. You are proficient in operating a POS system to facilitate transactions and manage sales efficiently, contributing to smooth store operations. You have completed some high school and have at least one year of retail management experience. You can stand during scheduled shifts and maneuver 11-35kg (25-75lbs). You can bend, stoop, extended reaching, and climb ladders or step stools while placing merchandise throughout the store and assisting customers. You are passionate about providing our customers with opportunities to express themselves freely every day. You are energized by interacting with customers and stive to provide excellent service throughout their visit. You are inspired by our values of teamwork, compassion, integrity, customer delight, diversity, and self-expression. You have strong verbal and written communication skills to effectively interact with customers, employees, and management. You possess a strong grasp of mathematics, essential for tasks such as inventory management, sales analysis, and cash handling. You are a driven team player with a positive attitude and willingness to learn. You’re self-motivated and organized, as some of our stores may require you to work alone at times. You show a passion for fashion and stay up to date with the latest trends, which can contribute to enhancing the customer experience and driving sales. You can create a curated fashion look with product during your shift. Perks and Benefits Epic Employee Discount: Score the latest accessories at an amazing discount! Career Glow-Up: Real opportunities for promotions and career growth. Fun, Fast-Paced Vibes: Work in an upbeat, inclusive, and supportive environment where your personality shines. Candidate Journey Upon submitting your application, you can expect an update within 5 days. If the hiring manager wants to proceed with your application, the process will involve a face-to-face interview in one of our stores. This will provide you with the opportunity to showcase your passion for customer service, teamwork, and self-expression, while also giving us a chance to get to know you better. Compensation Range: $18.00 - $19.50 Claire’s is committed to adhering to all applicable company policies and federal, state, and local laws and regulations. All positions will be compensated at or above the legally mandated minimum wage for the location in which work is performed. The final compensation will be determined by various factors such as relevant work experience, education, certifications, skills, and geographic location. Benefits for full-time employees included medical, dental, and vision insurance, voluntary welfare plans, bonus plan eligibility, 401(k) match, vacation time, sick time* and paid leave. Benefits for part-time employees included voluntary welfare plans, 401(k) match, vacation time, sick time* and paid leave in required states.

    Easy apply
1