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We are hiring for a Home Health Aide / CNA. Pay range $15.00 - $18.00 / Hour depending on experience. At Bayonne Visiting Nurses Association, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here. As a Home Health Aide, you can expect: opportunities to build trusted relationships as you care & connect with people of all ages flexibility for true work-life balance continuing education and tuition reimbursement career mobility and growth opportunities If you have a passion for care and want to strengthen your healthcare career, this is a great opportunity for you. The Certified Nursing Assistant CNA is responsible for providing patients with in-home personal care and designated health related services to maintain the patient's physical and emotional well-being, while following the written plan of care, Medicare/Medicaid regulations and agency policies and procedures. Follows current written aide assignment sheet to provide personal care and assistance with activities of daily living (ADLs) to include mobility transfer, walking, grooming, bathing, dressing or undressing, eating, or toileting. As assigned, performs incidental household services essential to the patient's health care at home that are necessary to prevent or postpone institutionalization. Completes a clinical note for each visit within required timeframes, which must be incorporated into the patient's record. Provides care according to the aide plan of care/assignment sheet and in accordance to State Practice Act or regulations. License Requirements • Successful completion of a competency evaluation., • Current CPR certification required., • Must be mature and able to deal effectively with the demands of a home health aide position. Able to read, write, and carry out directions promptly and accurately.

Overview Directs, coordinates, manages, and oversees Advanced Practice Nurses to ensure the highest level of patient-centered care, including quality and financial outcomes. Collaborates with Medical Care at Home leadership and other VNS Health departments and stakeholders in the development, design, and implementation of care management program for the Practice. Ensures evidence-based standards of care are integrated into practice. Provides medication management and assessment on an ongoing basis. Provides consultation and education to Medical Care at Home staff and other agencies and disciplines, including other VNS Health services. Ensures staff adhere to current State and Federal rules and regulations and practice within the scope of practice guidelines for clinical operations including maintaining appropriate licensure. Works under general direction. What We Provide • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays, • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability, • Employer-matched retirement saving funds, • Personal and financial wellness programs, • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care, • Generous tuition reimbursement for qualifying degrees, • Opportunities for professional growth and career advancement, • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities, • Referral bonus opportunities What You Will Do • Collaborates with program management to ensure the provision of the highest quality health services to patients. Participates in the formulation and update of clinical and administrative policies and procedures and the preparation of policy and procedure manuals., • Collaborates with Medical Directors to maintain current evidence-based clinical policies, procedures, and standards of clinical practice. Supports the integration of evidence-based care practices for a specific program into protocols/policies, consultation strategies, staff development plans, continuous quality improvement initiatives and research for clinical nursing staff., • Ensures program services address patient needs. Establishes and communicates protocols and standards of care for a cultural and demographic diverse population; provides intervention guidelines based on these population health needs., • Analyzes utilization to ensure visits are made according to guidelines and clinical outcomes best practices. Ensures audits are done per regulatory requirements., • Participates on interdisciplinary and interdepartmental work groups that focus on new and existing clinical projects and programs that provide services to patients in the Palliative Care and Annual Wellness Visits., • Supports and provides comprehensive advanced nursing care guidance to Medical Care at Home clinical staff, including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling, and patient education., • Provides clinical supervision and oversight for field staff, including onsite observation of direct patient care to ensure quality of services. Evaluates performance and reports assessments to clinical management; works with management to set accountability mechanisms and long-term correction standards., • Provides and ensures advanced practice nursing care for patients in accordance with current State and Federal rules and regulations for Nurse Practitioner scope of practice and national standards of care, which includes, medical assessments and other assessment and interventions as warranted, as needed., • Participates in developing and delivering continuing education programs for clinical staff regarding newly established/revised program specific clinical protocols for effective patient care services., • Educates clinicians to follow best practices in utilization management/care management activities Evaluates staff practice patterns on an individual and team level to identify gaps and improve communication skills and clinical practice., • Maintains patient records in compliance with VNS Health, state, city, and federal requirements., • Participates in VNS Health and community programs and education, as requested. Licenses and Certifications: • Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required, • Licensure as a Nurse Practitioner in the State of New York required, • DEA and prescriptive privileges required, • Credentialed status with ESPRIT Medical Care and associated managed care plans required, • Maintains NPI, Medicaid and Medicare provider numbers, • Valid driver's license may be required, as determined by operational/regional Education: • Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP licensure required Work Experience: • Minimum of four years of experience as a nurse practitioner utilizing full scope of practice required, • Minimum of one year managing clinical staff preferred, • Experience working within a healthcare organization and/or developing innovative models of care/services to healthcare systems or providers required, • Demonstrated understanding of case/care management, population health, disease management and transitional care standards and practices required, • Clinical home care experience required USD $122,300.00 - USD $164,000.00 /Yr. About Us VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us — we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Join BoldAge PACE and Make a Difference! Why work with us? • A People First Environment: We make what is important to those we serve important to us., • Make an Impact: Enhance the quality of life for seniors., • Professional Growth: Access to training and career development. BE PART OF OUR MISSION! Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires. Social Work LCSW J JOB SUMMARY: The LCSW Supervisor is responsible for providing clinical supervision and mentorship to Master of Social Work (MSW) staff who are seeking clinical licensure (LCSW). This role ensures compliance with Board of Social Work licensure standards while promoting high-quality, ethical, and trauma-informed clinical practice within the organization. ESSENTIAL DUTIES AND RESPONSIBILITIES: • Provide structured individual and group clinical supervision hours as required for LCSW licensure., • Monitor supervises clinical documentation and casework, offering feedback to support professional development., • Ensure compliance with state licensure regulations and ethical standards., • Assist in evaluating clinical competency and identifying training needs., • Maintain accurate records of supervision hours and topics covered., • Collaborate with department leadership to support quality clinical care delivery., • Serve as a clinical resource and mentor, modeling best practices in client engagement and case management EXPERIENCE AND EDUCATION: • Master’s degree in Social Work (MSW) from a CSWE-accredited program., • Current, unrestricted LCSW license in applicable state., • Approved by the State Board of Social Work to provide clinical supervision., • Minimum of 3 years post-licensure clinical experience, preferably in healthcare, aging services, behavioral health, or community-based settings., • Experience providing clinical supervision or mentoring MSWs strongly preferred. PRE-EMPLOYMENT REQUIREMENTS: • All Employees - Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance., • Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact., • Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen. BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Harlem or South Bronx, New York – Urologist Job Clinical Role:Do you know someone that might be a good fit for this position? Please ask about our generous referral fees!Permanent job openingSeeking a board certified or truly board eligible UrologistReason for need: VacancyAbility to work part-time or full-timeIf you work less than 20 hours a week, you’d need to cover your own malpractice insuranceMultispecialty group – group employs subspecialists, primary care providers, dentists, and moreOutpatient onlyNo callSee 2-3 patients per hourEMR: MedgenOpen 7 days a weekNo visa candidates, unfortunatelyOrganization Information:Varied payor mix – including private insurances, underserved population, Medicare, Medicaid, and moreCompetitive base salary - 175 - 190hrMalpractice insurance providedCredentialing can be done in 6-8 weeks or lessAbility to work as a 1099 or W2Lifestyle Information:Eclectic neighborhoodsDiverse, world class culinary optionsEnjoy all that NYC has to offerRecruitWell's Core Values:Open communicationSense of urgencyTeamworkAccountabilityDriven to winHigher consciousness

Multiple Wound Care (Full-Time & Part-Time) Opportunities in Northern New Jersey - Near NYC!! Group - the Standard of Excellence in Wound Care in Northern New Jersey - invites you to join our team. You can set your own schedule - 1 day to 5 days per week, early morning 2-3-hour rounds per day. No nights, weekends, or call-ins. No administrative paperwork or billing. Full staff support. No out-of-your-pocket costs. This unique opportunity is a perfect way to supplement your existing practice. You will earn between $700 - $750 per 2-3-hour day and work with highly qualified personnel at 15 LTC and sub and post-acute facilities. Our physicians come from a wide range of medical specialties - vascular medicine, plastic & reconstructive surgery, general practice, critical & intensive care, neurology, primary care, surgery, cardiology, and other fields of specialization. Wound Care experience is not necessary - only the desire to provide patient-focused treatment. As a member of our team, you will be challenged to achieve exceptional patient outcomes, exceed client expectations, and continue the record of success that the Group has built since 2014. Requirements: " Full, active, and unrestricted New Jersey Medical License (New York Medical License is a bonus). " Participating provider with Medicare and major medical insurance carriers " Clinical experience in the past 12 months " Current knowledge of treatment and drug interactions " Wound care experience a plus. This is your opportunity to focus on patient care in an environment that gives you flexibility, an unparalleled work/life balance, substantial compensation, and clinical satisfaction you won't find in any other setting.

* Full-time, hybrid position * Lead billing and revenue cycle operations for a growing multi-specialty healthcare group * Oversee all billing functions: charge capture, claims submission, payment posting, collections, A/R management, and appeals * Supervise and mentor billing staff to ensure accuracy, timeliness, and compliance * Monitor and resolve claim denials and payer rejections * Prepare and analyze financial reports, including A/R aging, collections, and reimbursement trends * Ensure compliance with coding guidelines (ICD-10, CPT, HCPCS), HIPAA, Medicare/Medicaid, and commercial payer requirements * Collaborate with providers, administrators, and front-office teams to streamline workflows and optimize reimbursement * Stay current with payer policies and healthcare regulations Requirements * 5+ years of progressive medical billing experience, including 2+ years in a leadership or supervisory role * Strong knowledge of revenue cycle management and insurance regulations * Proficiency with EMR/EHR and billing software * Strong analytical, organizational, and leadership abilities * Excellent communication and problem-solving skills

Join a dynamic healthcare organization in Brooklyn as an Emergency Medicine Physician! Our client is seeking a dedicated and skilled physician to provide immediate, critical care in our busy Emergency Department serving a diverse community. Position Highlights: • Provide urgent medical care to patients with acute illnesses and injuries, • Conduct comprehensive assessments, including physical exams and diagnostics, • Collaborate closely with nursing staff and healthcare team to develop and implement effective treatment plans, • Monitor and adjust patient care for optimal outcomes, • Maintain detailed and accurate medical records, • Educate patients and families on health conditions and preventive strategies, • Stay current with advancements in emergency medicine, • MD or DO, with postgraduate training from a U.S. accredited Emergency Medicine residency program, • Board Eligible or Certified in Emergency Medicine, • Unrestricted New York State medical license, • DEA registration or eligibility to obtain it, • Medicare/Medicaid eligibility or enrollment, • Minimum of 3 years of emergency medicine experience, • Excellent communication, bedside manners, and organizational skills, • Proficiency with EMR systems and Microsoft Office, • Salary range: $290,000 – $350,000 (commensurate with experience), • Sign-on bonus: $20,000, • Paid malpractice insurance, • Generous paid time off and CME allowance, • Retirement benefits, • Visa sponsorship (H1B only) — J1 candidates may be considered depending on circumstances Apply now to advance your career and serve a vibrant, diverse community! Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information. #LI-CC1

Outpatient Internal Medicine Opportunity in Washington Heights, New York, NYSchedule: Full-time, Monday through Friday, 8:00 AM - 5:00 PMSalary: $274,000 - $302,000 annuallyEmployment Type: PermanentGeriatric FocusedRequirements: Board certified or board eligible in Internal Medicine or Family Medicine, active unrestricted NY state license, active DEA, US work authorization, bilingual Spanish proficiency preferredDetails:Provide comprehensive primary care in a value-based healthcare setting focused on Medicare and underserved populationsWork in a collaborative care model with dedicated medical support staffEmphasis on preventative medicine and quality outcomes over volumeServe a grateful patient population and address critical community healthcare needsNew graduates encouraged to applyHighly qualified candidates may also be considered for leadership opportunitiesResponsibilities:Assess and diagnose patients at local clinicsDirect and administer primary carePrescribe and manage pharmaceutical treatments and medicationsMaintain patient electronic medical recordsCollaborate with leadership to meet quality goalsWork with practice managers to guide the care teamBenefits:Competitive salary plus quarterly quality-based bonusesPaid vacation and sick time401K with match optionsHealth, vision, dental, and life insurance$5000 CME stipendTuition reimbursementMedical malpractice insurance providedDedicated medical scribe and assistantRelocation package considered on a case-by-case basis Estimated pay range/amount is $274,000 - $302,000.

Rapidly growing, innovative company of community-based healthcare centers is currently seeking a Spanish speaking Primary Care Physician for their Bronx, NY location. Details: • Fluency in Spanish is required, • Fellowship training in Geriatric Med preferred, • Outpatient primary care setting, • Opportunities for leadership development and continuing education stipends, • New centers and flexible work environments, • Opportunities for high levels of responsibility and rapid advancement, • Mission-focused career impacting change and measurably improving health outcomes for medicare patients, • Mon-Fri 8am-5pm, • Highly qualified candidates will be considered for Center Medical Director position Compensation & Benefits: • $240K — $263K Salary. Wider range available depending on experience and location, • Annual bonus based on quality metrics, • 6 weeks of PTO, inclusive of PTO, major holidays, and CME, • $5000 Continuing Medical Education stipend, • Tuition Reimbursement, • Provided Health, Vision, Dental, and Life Insurance, • 401K Investment, up to 4% company match, vested immediately, • Provided Medical Malpractice Insurance, • Dedicated Medical Scribe and admin assistance Living in the Bronx offers an authentic New York City experience with a strong sense of community, cultural richness, and green space that’s hard to find elsewhere in the city. Home to the New York Yankees, the Bronx Zoo, and the stunning New York Botanical Garden, the borough blends urban energy with natural beauty. You'll find vibrant neighborhoods filled with history, diverse cuisines—from Italian in Arthur Avenue to Caribbean and Latin American flavors throughout the borough—and a thriving arts scene rooted in the birthplace of hip-hop. With more affordable housing options than other NYC boroughs and easy subway access to Manhattan, the Bronx is a dynamic and rising community that combines tradition, creativity, and unbeatable convenience. APPLY NOW or TEXT Job #CW227476 and email address to 636-628-2412. Search all of our provider opportunities at: brittmedical DOT com

Vivo HealthStaff is seeking a highly qualified and motivated MD/JD Attorney who is a previously practicing physician and licensed lawyer to join the Healthcare Practice Group of a nationally recognized law firm. This role focuses on advising healthcare clients on billing, reimbursement compliance, regulatory matters, and fraud and abuse laws. Details: • Provide legal counsel on Medicare, Medicaid, and VA/Tricare reimbursement requirements, • Advise clients on fraud and abuse compliance, including structuring transactions consistent with Stark Law, Anti-Kickback Statute, and False Claims Act regulations, • Assist healthcare providers with enrollment, claims submission, and billing compliance issues, • Offer strategic guidance on business relationships and transactions involving hospitals, physician groups, academic medical centers, skilled nursing facilities, and home health agencies, • Collaborate with a multidisciplinary team to address complex healthcare regulatory and compliance challenges Candidate Profile: • MD and JD degrees with active bar admission in the applicable state, • Previously practiced as a licensed physician, • 10+ years of experience advising healthcare clients or engaging in policymaking related to billing and reimbursement including Medicare, Medicaid, and VA/Tricare, • Deep expertise in federal fraud and abuse laws such as Anti-Kickback Statute, Stark Law, and False Claims Act, • Proven experience structuring business relationships to ensure regulatory compliance, • Experience with private payors is a plus Schedule: • Full-time, standard business hours (flexible depending on firm policy) Benefits: • Competitive salary commensurate with experience, plus performance bonuses, • Comprehensive benefits package including medical, dental, life, and disability insurance, • Voluntary vision coverage, • 401(k) retirement plan with employer match, • Paid time off and holidays, • Professional development and mentorship opportunities About Vivo HealthStaff: Vivo HealthStaff is a San Francisco Bay Area-based healthcare staffing and recruitment firm serving clients nationwide. Recognized twice on the Inc. 5000 list of fastest-growing private companies and featured on the San Francisco Business Times' Fastest Growing Companies list, we are dedicated to matching exceptional healthcare and legal professionals with organizations to meet their unique operational and clinical needs.

Brooklyn, New York, Ophthalmologist Job • Clinical Role:, • Do you know someone that might be a good fit for this position? Please ask about our generous referral fees!, • Permanent job opening, • Seeking a board certified or truly board eligible ophthalmologist, • Reason for need: vacancy, • Ability to work part-time or full-time, • If you work less than 20 hours a week, you’d need to cover your own malpractice insurance, • Multispecialty group – group employs subspecialists, primary care providers, dentists, and more, • Outpatient only, • No call, • See 2-3 patients per hour, • EMR: Medgen, • Open 7 days a week, • No visa candidates, unfortunately, • Organization Information:, • Varied payor mix – including private insurances, underserved population, Medicare, Medicaid, and more, • Competitive base salary - $175-$250/hr, • Malpractice insurance provided, • Credentialing can be done in 6-8 weeks or less, • Ability to work as a 1099 or W2, • The Manhattan office has a parking garage a block away that offers $18/day parking for all providers, • Lifestyle Information:, • Eclectic neighborhoods, • Diverse, world class culinary options, • Enjoy all that NYC has to offer, • RecruitWell's Core Values:, • Open communication, • Sense of urgency, • Teamwork, • Accountability, • Driven to win, • Higher consciousness

Brooklyn, New York, ENT Opportunity • Clinical Role:, • Do you know someone that might be a good fit for this position? Please ask about our generous referral fees!, • Permanent job opening, • Seeking a board certified or truly board eligible ENT, • Reason for need: brand new facility, • Ability to work part-time or full-time, • If you work less than 20 hours a week, you’d need to cover your own malpractice insurance, • Multispecialty group – group employs subspecialists, primary care providers, dentists, and more, • Outpatient only, • No call, • 2023 grads welcome to apply, • See 2-3 patients per hour, • You may supervise NPs, • EMR: Medgen, • Open 7 days a week, • No visa candidates, unfortunately, • Organization Information:, • Varied payor mix – including private insurances, underserved population, Medicare, Medicaid, and more, • Competitive base salary - $150-$175/hr, • Full benefits, • Medical/dental/vision, • 6 weeks PTO, • Malpractice insurance provided, • Credentialing can be done in 6-8 weeks or less, • Ability to work as a 1099 or W2, • Lifestyle Information:, • Located in Downtown Brooklyn, • Eclectic neighborhoods, • Diverse, world class culinary options, • Enjoy all that NYC has to offer, • RecruitWell's Core Values:, • Open communication, • Sense of urgency, • Teamwork, • Accountability, • Driven to win, • Higher consciousness

• Seeking a Board-Certified FM or IM or Geriatric Medicine Physician, • Outpatient responsibilities only, • Full-time permanent position, • Monday " Friday, • No nights, no weekends, • Small patient panels for consistency and focus, • 12-15 patients per day, • Value-based care model and competitive bonuses are structured to reward outcomes, • Provide personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest, • Salary and Benefits, • Above-market compensation, • Base salary (without R.V.U. targets), • Quarterly bonus based on qualitymetrics(not quantity), • Partnership track, • 6 weeks of PTO, inclusive of PTO, major holidays, andCME, • $5000 Continuing Medical Education stipend, • Tuition Reimbursement, • Provided Health, Vision, Dental, and Life Insurance, • 401K Investment, up to 4% company match, vested immediately, • Provided Medical Malpractice Insurance, • Employee Stock PurchasePlan, • Dedicated Medical Scribe and Medical Assistant, • Relocation package on acase-by-case basis

Rapidly growing, innovative company of community-based healthcare centers is currently seeking a Spanish-speaking Primary Care Physician for their Bronx, NY location. Deliver higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. *Fluency in spanish is required Health Group offers its physicians advantages that simply can't be found in other practices, including: • Employed staff position with above-market compensation made up of base salary (without R.V.U. targets) and bonus based upon quality metrics (not volume)., • Outpatient responsibilities only., • Full malpractice coverage., • Generous benefits, including vacation time, health insurance, retirement benefits, and C.M.E. stipend., • Beautiful centers focused around the community., • Small patient panels for consistency and focus., • Cloud-based electronic health record and enterprise suite., • Innumerable support resources to help you provide outstanding care., • Salary: $240,000 - $263,000 APPLY NOW or TEXT Job #EC227091 and email address to 636-628-2412. Search all of our provider opportunities at: brittmedical DOT com

South Bronx, New York, Primary Care Physician Opportunity • Clinical Role:, • Do you know someone that might be a good fit for this position? Please ask about our generous referral fees!, • Permanent job opening, • Seeking a board certified or truly board eligible internal medicine physician, • Reason for need: brand new facility, • Full-time only, • Multispecialty group – group employs subspecialists, primary care providers, dentists, and more, • Outpatient only, • No call, • Ability to see all ages or adults only, • See 2-3 patients per hour, • You may supervise NPs/PAs, • EMR: Medgen, • Open 7 days a week - client is seeking providers who work at least two weekdays a week, • No visa candidates, unfortunately, • Organization Information:, • Varied payor mix – including private insurances, underserved population, Medicare, Medicaid, and more, • Competitive base salary - $100-$125/hr, • Full benefits, • Medical/dental/vision, • 6 weeks PTO, • Malpractice insurance provided, • Credentialing can be done in 6-8 weeks or less, • Ability to work as a 1099 or W2, • Lifestyle Information:, • Eclectic neighborhoods, • Diverse, world class culinary options, • Enjoy all that NYC has to offer, • RecruitWell's Core Values:, • Open communication, • Sense of urgency, • Teamwork, • Accountability, • Driven to win, • Higher consciousness

We are seeking an Internal Medicine or Family Medicine trained physician to join us in pursuit of high quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. Qualifications Education & Experience: • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent, • Completion of three year post graduate medical training from a U.S. accredited residency program in Internal Medicine and or Family Medicine, • New York licensed, • Board Eligible/Board Certified in Internal Medicine, • Must possess current, unrestricted New York State license or be eligible for licensure., • Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • BLS or ACLS strongly preferred, • Must possess strong communication skills both oral and written, • Comfortable with Electronic Medical Record (EMR) system and Microsoft Office Essential Duties and Responsibilities • Review patient’s history and perform physical examinations. Evaluate, diagnose and provide appropriate treatment and patient care. Prefer patient to specialist as needed., • Provide quality clinical diagnostic skills in the delivery of patient care. Review all test results and recommend suitable management for the patient, including but not limited to, preventive health recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, taking into account the patient’s psychosocial and physical needs., • Collect and record patient information, such as medical histories, reports and examination results.Maintain complete and accurate medical records., • Communicate effectively with the clinical team to insure total delivery of quality care., • Participate in medical staff educational programs and meetings. Hours M-F 8-5 some saturdays Competitive Benefit Package • Competitive Base Salary, • Sign-on Bonus, • Medical/Dental/Vision Health Insurance, • 401K Retirement Plan, • Malpractice Insurance, • Continuing Medical Education (CME) Reimbursement

Job Description The Behavioral Health Physician UM Reviewer is responsible for conducting clinical reviews of behavioral health services to ensure medical necessity, appropriateness of care, and compliance with regulatory standards. This role collaborates closely with care management teams, providers, and payers to support effective utilization of behavioral health services and to promote high-quality, cost-effective treatment for members. We are currently seeking someone with licensure in New York. Key Responsibilities: * Review and evaluate behavioral health service requests for medical necessity based on evidence-based criteria (e.g., MCG, InterQual, ASAM). * Collaborate with clinical and non-clinical team members to support integrated care management. * Make determinations on service authorizations, denials, or the need for peer-to-peer discussions in alignment with organizational policies. * Participate in case conferences and interdepartmental rounds to support ongoing utilization management initiatives. * Ensure compliance with NCQA, URAC, CMS, and state/federal guidelines. * Provide clinical guidance and feedback to utilization review staff and care coordination teams. * Maintain documentation of all reviews and decisions in appropriate systems within required timeframes. * Support quality improvement initiatives and clinical policy development as needed. * Participate in audits and appeal processes related to utilization of review decisions. Qualifications: * MD or DO with current, unrestricted license to practice medicine in New York. * Board certification in Psychiatry or Child and Adolescent Psychiatry (required). * Minimum 5 years of clinical experience in behavioral health settings. * At least 2 years of experience in utilization management, care review, or health plan operations (preferred). * Familiarity with utilization review criteria, regulatory standards, and managed care principles. * Strong decision-making, analytical, and interpersonal communication skills. * Proficiency in EMR and UM platforms (e.g., Jiva or similar systems). Preferred Skills: * Experience with Medicaid, Medicare, or commercial insurance utilization review. * Knowledge of behavioral health treatment modalities including inpatient, outpatient, and substance use care. * Ability to work independently and as part of a multidisciplinary team. * Strong organizational and time management abilities.

Job Description Why Join Grace at Home? Grace at Home is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care. Position Overview Reporting to the Regional Head of Clinical Field Operations, the Clinical Manager is responsible for recruitment, training and management of Registered Nurses (RNs), Nurse Practitioners (NPs), and Physician Assistants (PAs), ensuring effective collaboration, optimal staffing, and high-quality patient care delivery to Grace at Home family members transitioning to home health care. This role involves strategic planning, team leadership, performance monitoring, in partnership with the Community Care Manager, overseeing an interdisciplinary team to meet organizational goals, improve member outcomes, and provide exceptional patient care. The manager will also develop processes and policies to ensure members, and their families, receive timely and effective navigation support, both telephonically and in the field. This position is accountable for ensuring Grace at Home is positioned to innovatively deliver on its promise. They should embody Grace at Home’s core values, including, Trusted, Empathetic, Committed, Humble, Creative and Community-Minded. The Clinical Manager will have a strong knowledge base in providing care in the home, Value Based Care, HEDIS and Stars, documentation and coding, and medical practice principles. They will stay informed about advancements in healthcare practices and disseminate relevant knowledge. Key Responsibilities The Clinical Manager will have the following responsibilities: • Manage clinical team members; providing mentorship and guidance, regular performance evaluations, constructive feedback, and supporting professional development., • Execute strategies and solutions to create clinical and business value for the member populations and the provider practices within their region., • Ensure staffing levels and schedules optimize productivity, meeting patient care needs, maintaining high standards of care and safety in compliance with regulatory requirements., • Oversee daily operations to ensure compliance with organizational policies and procedures., • Monitor and evaluate patient care delivery to maintain high standards of quality and safety., • Implement evidence-based practices and clinical protocols., • Address and resolve patient or staff concerns promptly and professionally., • Coordinate orientation and continuing education for clinical staff, promoting opportunities for professional growth., • Serve as a liaison between clinical staff and administrative leadership., • Participate in interdisciplinary team meetings to enhance patient care coordination., • Ensure all staff adhere to regulatory standards, including HIPAA and OSHA requirements., • Maintain accurate documentation of clinical activities, training, and compliance records. The Clinical Manager should have the following qualifications: • Education/Experience: Master’s Degree in Nursing or related science field required, • Certification/Licensure: Active and unrestricted NP or PA license required, • Clinical: Must have 5+ years of strong leadership and management experience in a clinical setting; community-based care experience preferred. Experience with Medicare/Medicaid is a must., • Experience with implementing and maintaining regulatory requirements for clinical staff including NPs, PAs and RNs., • Excellent verbal, written, presentation, and group facilitation skills; ability to clearly articulate and present concepts and models in an accessible manner to Care at Home’s team, investors, partners, and other stakeholders., • Must have strong critical analytic, thinking and communication skills necessary to evaluate and respond to team progress, anticipate needs and other related team dynamics., • Clinical: Must have 5+ years of clinical leadership experience; community experience preferred., • Computer Knowledge: Excellent computer skills required particularly Microsoft applications including Word, Excel, PowerPoint, and Outlook. Willingness to explore and learn new or unfamiliar applications that may benefit the clinical team Financial Well-being • Competitive Compensation: We offer competitive salaries to attract and retain the best talent., • Comprehensive Medical Plan: We proudly offer a comprehensive medical option with an employer contribution., • Dental & Vision Coverage: Maintain your oral and eye health with our employer-paid dental and vision plans via MetLife., • Employer-Paid Insurance: Life, Short-Term Disability (STD), and Long-Term Disability (LTD) insurance are provided at no cost to you., • Continuing Medical Education (CME) Allowance for Providers: Stay at the forefront of your field with our CME allowance., • Commuter Benefits: Save on your commute with our commuter benefits program. In-office work (minimum three days per week) is performed indoors in a traditional office setting with conditioned air, artificial light, and an open workspace. In this position you will need an to communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 10 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business.

Job Description $15,000 Sign-On Bonus or Student Loan Assistance! MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. At MJHS, quality care is our mission. We are committed to creating a workforce as diverse as our community. We have a great culture; we offer great benefits that include a work/life balance and competitive rates. MJHS attracts individuals who see their work as a calling as well as a job. Professionals in every job category have stated 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. MJHS Home Care provides advanced clinical services and emotional support to patients recovering from illness, injury, or surgery. With a comprehensive range of services supported by an integrated health system, patients can recover in the familiar surroundings of their home. • In this role, you will assume the ongoing, primary responsibility to coordinate, implement and continually evaluate the home care needs of your patients, • You will also review patient insurance information; coordinate activities involved in each individual care plan and make sure that pertinent findings are shared with family and professional caregivers, • Your excellent communication, documentation and time management capabilities will be essential to your success. And all along the way, you will experience the respect for your opinions and the high level of autonomy you need to do the job right, • In addition, you will be responsible for precepting new nurses and for supervising your peers on their field visits, • Graduate from an accredited School of Nursing; BSN preferred., • Minimum of 3 years Homecare field experience – required; Supervisory or leadership experience - preferred, • NYS RN (Registered Nurse) license., • Valid Driver’s license., • Oasis Certification preferred., • Knowledge of Home Health regulations., • Ability to supervise, mentor, and coach home care nurses., • Computer skills including EMR and Word

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

Job DescriptionAbout CookUnity Food has lost its soul to modern convenience. And with it, has lost the power to nourish, inspire, and connect us. So in 2018, CookUnity was founded as the first-of-its-kind platform that connects the world with the source of truly great food: chefs. Today, CookUnity delivers 50 million meals a year from the industry's best chefs to homes all over the country. Fresh. Ready-to-eat. And crafted with the passion that nourishes body and soul. Unwilling to stop there, CookUnity is expanding beyond delivery to become an ever-innovating marketplace focused on our singular mission: empower Chefs to nourish the world. If that mission has you hungry in more ways than one, you've found the right job posting. The Role: We are scaling our B2B business to transform healthcare through Food as Medicine programs. As we expand, we are looking for a visionary General Manager of Strategic Healthcare Partnerships to lead our healthcare vertical, driving growth across payers, hospitals, and self-insured employers. As the healthcare vertical leader, you will own the strategy and execution of CookUnity's healthcare business. You will lead a team focused on developing partnerships with payers (Medicare, Medicaid, MCOs, ACOs), hospitals, and self-insured employers. You will design and execute a GTM strategy to grow revenue and position CookUnity as the leading provider of medically tailored meals. Key Responsibilities • Own P&L responsibility for the healthcare vertical with aggressive revenue growth targets., • Develop and execute GTM strategy for:, • Medicare payers (value-added benefits), • Medicaid programs (state-specific waivers and compliance), • Hospitals and provider partners (Hospital-at-Home, discharge meal programs), • Self-insured employers (chronic condition management and GLP-1 supportive meals), • Recruit, lead, and coach a team of high-performing AEs specialized in healthcare sub-segments., • Cultivate relationships with C-suite executives in payers, providers, and employers., • Navigate regulatory frameworks, including Medicaid waivers and Medicare Advantage supplemental benefits., • Build scalable processes and playbooks to support team growth., • Lead cross-functional collaboration with product, operations, and marketing to ensure alignment on offerings for the healthcare market including billing and customer support., • Define pricing and packaging strategies tailored to the healthcare ecosystem., • Act as the executive sponsor on strategic accounts, driving renewals and expansion., • Attend key industry events and healthcare conferences to build thought leadership and brand awareness., • Develop KPIs and reporting systems to track progress and make data-driven decisions., • Support creation and rollout of new MTM lines across different markets, • Work closely with the tech team and 3rd party providers to enable billing, and security compliance, • Lead strategic expansion in new states with Medicaid registration, contracting and partnershipsKey Requirements, • 10+ years of experience in healthcare, sales leadership, execution and strategy., • Proven track record of success selling into payers, hospital systems, and self-insured employers., • Deep understanding of healthcare regulations and reimbursement pathways (e.g., 1115 waivers, value-based care)., • Established network in the healthcare ecosystem (payers, providers, and brokers)., • Strong leadership skills with experience building and scaling teams. 🌅 401k Plan 📈 We grow, you grow: Stock Options Plan granted on Day 1 🌟 Eligible for a bi-annual performance bonus ⛱ Unlimited PTO 🗓️ 5- year Sabbatical: After 5 years with CookUnity, you get a 4-week paid sabbatical 🐣 Paid Family leave 🕯 Compassionate Leave: 3-5 days each time the need arises 🥘 A generous amount of CookUnity credits to enjoy our amazing meals, added to your account, monthly 🧘🏽️‍♀️ Wellness perks: access to fitness subsidies to build a healthy lifestyle 👩🏾️‍🏫 Personalized Spanish coach 🚀 Awesome opportunity to join a company that is looking to change how we eat and how chefs work! Compensation • Base Salary Range: $150,000 – $200,000 (depending on experience and network in the healthcare ecosystem), • On-Target Earnings (OTE): $300,000 – $350,000 (base + commission/bonus tied to revenue goals), • Incentives: Equity options and performance-based bonuses aligned with CookUnity's aggressive healthcare vertical growth targets.Why Join CookUnity?, • Be part of a mission-driven company transforming healthcare through food., • Build and lead a vertical that is critical to CookUnity's long-term success., • Competitive compensation package, including equity options., • Opportunity to shape a national Food as Medicine movement. If you're interested in this role, please submit your application and if we think you might be a fit, we'll get in touch with you. Thank you for your time! CookUnity is an Equal Opportunity Employer. We are dedicated to creating a community of inclusion and an environment free from discrimination or harassment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, citizenship status, protected veteran status, genetic information, or physical or mental disability.

Job Description RN Health Care Facility Surveyor - All States (#1131) • Employee retirement plan (401k) with a generous match and immediate vesting, • Company-issued and company-paid Amex card for travel, • All travel expenses paid directly by the company, • Company-paid tax-free Health Savings Account (HSA) Responsibilities of the RN Health Care Facility Surveyor: The position is 100% remote with up to 75% travel. The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Surveyors travel to healthcare facilities nationally conducting surveys to assess compliance with requirements and regulations guiding the quality of care for residents/customers of the facilities. The responsibility of the Surveyor is to apply approved survey protocols for conducting on-site surveys. Specific activities include the following: • Conduct on-site surveys of Medicare-Medicaid certified health care facilities to determine compliance with Federal regulations., • Surveys require preparations such as off-site preparation, tour of the facility, observation of care, record review, interviews of staff and families, etc. Determine if care, treatment, and services are consistent with Federal requirements., • Evaluate many aspects of the healthcare facility system from the quality of care to the consumers’ rights and physical plant., • Communicate the non-compliance issues with key personnel throughout the site review and during the exit conference to assure an understanding of the deficiencies cited., • Determine if a plan of correction is acceptable., • Conduct follow-up visits and monitoring surveys to ascertain if facilities’ plans of correction to resolve the deficient practice have been implemented., • Training: Assist with facility and bureau training. Participate in work groups as needed Requirements • Must have an Associate or Bachelor’s degree in nursing, • Must have successfully completed CMS’s Long-Term Care Basic Training and passed the Surveyor Minimum Qualifications Test (SMQT)., • Must have At least two (2) years of recent experience working as a surveyor accrediting or certifying facilities that serve the residents of long-term care facilities., • Must maintain current licensure to practice as a Registered Nurse (RN)., • Demonstrated a history of independent decision-making skills to direct and effectively manage the survey process., • Ability to set priorities independently and collectively in performing survey tasks., • Ability to openly discuss conflicts/controversy, and to seek assistance when appropriate to make decisions and resolve conflicts., • The salary for this position is $75,000 - 90,000 / yr, • This is a Full-time position (Monday - Friday), • Flexible paid vacation days, • Paid holidays, • Company-issued and company-paid Amex card for travel, • All travel expenses paid directly by the company, • Airline and hotel points accumulate for employee's personal use, • Employee discounts, • Employee retirement plan (401k) with a generous match and immediate vesting, • Company-paid tax-free Health Savings Account (HSA), • Health insurance, • Dental insurance, • Vision insurance, • Company-paid life insurance, • Company-paid disability insurance, • Extensive training opportunity, • Predictable work schedule

Job Description$120,000 to $ 140,000 per annum The New Jewish Home has a long experience delivering rehabilitation and home care services. Our goal is to help each patient get well, stay well and return to health and independence as quickly as possible. The HAPI Division of The New Jewish Home is seeking for a full time Director of Patient Care to join our team. Job Summary: Oversees all clinical operations, performance improvement activities, training and supervision of nursing and field staff and medical compliance issues. Reports To: AVP, Home & Community Based Services and/or Chief Financial Officer Duties and Responsibilities: Develops and administrates a clinical program for the delivery of care to clients. o Participates in the development, updating and revision of agency policies and procedures. o Interprets agency policies to staff, clients, families and other individuals or organizations as required. o Ensures that clients are fully assessed upon admission to the agency. o Ensures that clients are accepted for admissions according to the agency's criteria and policies. o Ensures that a plan of care is developed and recommended for all clients receiving care. o Provides for continuity in the care of clients by ensuring that the established plan of care is implemented. o Ensures that all services provided to clients are coordinated to guarantee the provision of safe and adequate care. o Ensures compliance by staff with all applicable Federal, State and local regulatory and accreditation standards. o Ensures that required professional and ancillary services are provided when necessary. o Covers for Staff Nurses when necessary. o Ensures that clients' records are based on local, state and federal regulations as well as accreditation standards. o Provides supervision to nursing and paraprofessional staff as required. o Leads the quality assessment, quality program management and quality 2.Performance improvement strategies for TNJH in collaboration with senior leadership and service delivery management. o Works to advance, develop, implement and refine quality and safety programs at the inter-professional level through consultation, program activities and collaboration across TNJH Health Plans. o Participates in the development of quality metrics to support performance improvement initiatives and quality/compliance oversight. o Serves as quality subject matter expert with other stakeholders to drive quality management strategy. o Builds shared vision to incorporate a culture that is data driven and aligns with evidenced based best practices that are compliant with CMS and NYS DOH requirements. o Facilitates and supports operational changes and activities which support quality improvement and clinical staff development goals. o Works under general direction. Monitors and ensures the implementation of the performance improvement plan and program. o Facilitates all performance improvement activities. o Ensures compliance with complaint procedure. o Receives, reviews and ensures compliance with incident/accident reporting procedures. o Ensures compliance with infection control policies and procedures. o Monitors quality of care delivered by staff through record review, conferences, supervisory visits and review of aggregated data. o Participates in agency's P.I. plan by conducting and organizing data collection and tabulating results. o Participates in defining, monitoring and interpreting standards of practice by all clinical staff. o In collaboration with Senior Management, prepares schedules, agendas and minutes for the Performance Improvement committee. o Facilitates performance improvement process teams. o Provides progress reports to Senior Management. o Reviews and analyzes data and ensures dissemination of appropriate information to staff. o In collaboration with Senior Management analyzes and reviews the Performance Improvement Plan as needed. o Identifies and recommends opportunities for improvement. o Develops and implements performance improvement education programs and activities and participates in the orientation of all staff in performance improvement concepts. *3. Develops and administrates a program for the orientation, training and competency measurement for all field staff. o Ensures the orientation of field staff to the agency's policies and procedures and their job responsibilities. o Ensures that competencies of field staff are measured at the time of orientation, annually and as needed. o Ensures that clinical staff receives required in-service programs. o Develops in-service programs that meet government and accreditation standards and are clinically and educationally appropriate for the staff. o Ensures that field staff is supervised via in-house visits and/or laboratory setting observations. o Aggregates and analyzes data from tests and/or competency testing. o Implements action plans to address findings. *4. Monitors the health status of staff. o Ensures that the health status of all personnel is assessed and documented prior to assuming his/her job responsibilities and on an annual basis. o Provides health counseling to all staff as needed. o Intervenes as needed in situations concerning exposure. *5. Provides conflict resolution. o Analyzes causes and effects of all complaints and incidents. o Counsels staff as needed. o Provides progressive discipline as needed. o Implements collective action plans in an objective and timely manner. *6.Demonstrates a commitment to customer service and quality care provisions. o Takes and/or assesses referrals on private cases. o Ensures that requests for service are responded to in a timely and courteous manner. o Ensures that satisfaction surveys are completed, analyzed and addressed. o Ensures that all assigned staff performs in a manner aimed at satisfying their customers (field staff, office staff, contract agencies and private cases). *7. Ensures that activities are cost effective. o Examines operations on an ongoing basis to prevent duplication. o Ensures that there is no waste of supplies. o Minimizes the cost of both established and new procedures, systems and supplies. o Collaborates with the Senior Management in developing effective staffing patterns. *8. Attends appropriate meetings, care conferences, in-services, etc. o Attends and participates in all mandatory meetings and in-services. o Participates in performance/quality improvement committees and meetings as designated. 9. Leads the development of the quality improvement program for assigned product lines., 10. Designs, initiates and leads strategies and projects that foster the application of continuous improvement principles and best practices among Medicare and Medicaid products, in collaboration with senior leadership and service delivery management., 11. Designs and evaluates clinical support and education programs that are integrated with and facilitate quality improvement strategies and achievement of the Enterprise’s strategic objectives., 12. Develops strategic plans and policies for improved quality for all lines of business and works with senior leadership to ensure compliance with regulations., 13. Develops strategies and methods for the collection, analysis and dissemination of clinical performance data., 14. Serves as a subject matter expert to leadership, internal service delivery management and network providers in the areas of quality assessment and performance improvement initiatives., 15. Evaluates the impact of industry and regulatory changes on the Quality Improvement programs; recommends appropriate and necessary changes. Leads implementation of such changes., 16. Participates with other TNJH staff in interacting with regulatory, health and community agencies in identifying and influencing public policy issues that relate to the health plans. Represents TNJH internally and externally and increases public awareness of program through education, presentations and marketing of services., 17. Ensures quality initiatives are aligned with CMS triple aim framework: improving members’ experience of care (including quality and satisfaction), improving the health of populations and reducing the per capita cost of healthcare., 18. Directs TNJH Quality metrics related to regulatory compliance and performance improvement initiatives., 19. Functions as the Quality liaison for the development of analytic systems and databases that support the development of systems and strategic initiatives as requested by the Enterprise., 20. Develops strategies and methods for collection, analysis and evaluation of the quality improvement projects. Oversees project work plans, including objectives, tasks and time frames to ensure deliverables are completed on time. Identifies and responds to changing project circumstances and communicates issues to leadership as appropriate. Initiates and leads project evaluation process at project close., 21. Keeps informed of the latest internal and external issues and trends in utilization and quality management through select committee participation, networking, professional memberships in related organizations, attendance at conferences/seminars and select journal readership. Revises/develops processes, policies and procedures to address these trends., 22. Collaborates with operations management in the development of action plans based on quality reviews and root cause analysis findings. Makes recommendations to appropriate staff and/or committees about findings of reviews, surveys and studies. Ensures corrective actions for regulatory issues, compliance or deficiencies identified in patient complaints/incidents are implemented effectively., 23. Performs all duties inherent in a senior managerial role. Ensures effective staff training and evaluates staff performance. Approves staff training, hiring, promotions and terminations and salary actions. Prepares and ensures adherence to the department budget., 24. Participates in special projects and perform other duties as required. (* Denotes essential job functions.) Job Qualifications: • Current license and registration to practice as a Registered Nurse in New York State., • Bachelor's Degree in Nursing., • Minimum of 3 years of clinical supervisory experience and 1 year of home care experience required. • Medical/Dental/Supplemental Vision plans, • 401 (k), • Vacation/Holiday/Sick, • Short & Long Term Disability, • Basic Life & Accidental Death Insurance, • Tuition Reimbursement, • Health Care/Commuter/Dependent Care Flexible Spending Accounts

Job Description RN-Director of MDS Full Time Cobble Hill Health Center is a not-for-profit long- and short-term care facility providing services to the disabled and elderly for over 40 years. The MDS Assessor will play an integral role in helping us to achieve our vision: to consistently exceed expectations and set the standard for excellence in residential and community care. We are seeking an experienced and detail-oriented Director of MDS to lead and oversee all aspects of the MDS process, ensuring compliance, accuracy, and optimal reimbursement. This role is responsible for monitoring CMI, leading related meetings, and regularly communicating Quality Measures to the interdisciplinary team. The Director will review MDS assessments to ensure accurate coding, conduct PDPM reviews upon admission and prior to submission, and collaborate with rehab to verify correct primary diagnoses. Responsibilities also include reviewing UB04s, managing ADR responses and appeals, coordinating with Livanta, and submitting timely documentation to the billing company. The Director will also play a key role in audit responses, run Medicare Part B reports, and actively participate in key facility meetings including Medical Board, Therapy, QAPI, and Utilization Review. This role is essential in ensuring and maximizing proper reimbursement will maintaining compliance with federal and state guidelines. This is a key clinical position in a renowned health care facility among innovative and committed leaders in the industry. Excellent professional environment providing an opportunity to learn, grow and have an impact on the overall results. What we offer: • Referral bonuses, • An opportunity to express your talents and lead a high-performing team, • Free hot meal for each shift worked, • Retirement plan with employer contribution, plus a 403b, • Generous medical, dental, vision, and life insurance coverage, • Employer contribution toward medical deductible This position requires a current New York State RN license and three or more years of experience in a long-term care facility as an MDS Coordinator, along with knowledge of Medicare and Medicaid criteria and assessment regulations. The ideal candidate must possess excellent listening and communication skills, the ability to complete documentation in a timely manner, as well as attention to detail and accuracy when performing assessments. RAC Certification, as well as prior leadership experience strongly preferred. Job Posted by ApplicantPro

Job Description Fee for Service rates: Initial & ROC Weekday visit rate: $100 Inital & ROC Weekend/Holiday visit rate: $120 Revisit daily rate: $85 Orientation daily rate: $250 In-Service hourly rate: $55 Weekday and weekend shifts available. MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. At MJHS, quality care is our mission. We are committed to creating a workforce as diverse as our community. We have a great culture; we offer great benefits that include a work/life balance and competitive rates. MJHS attracts individuals who see their work as a calling as well as a job. Professionals in every job category have stated 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. MJHS Home Care provides advanced clinical services and emotional support to patients recovering from illness, injury, or surgery. With a comprehensive range of services supported by an integrated health system, patients can recover in the familiar surroundings of their home. Patients trust and rely on your judgment. And so do we! Someone with your depth of compassion, clinical insight and strong decision-making capabilities is the ideal person to map out and oversee the process of a patient’s recovery from illness, injury or surgery at home. • You will provide a full range of advanced clinical home care services, including patient assessment, medication management and patient/family education, • You will assume the ongoing, primary responsibility to coordinate, implement and continually evaluate the home care needs of your patients, • You will review patient insurance information and coordinate activities involved in each individual care plan and make sure that pertinent findings are shared with family and professional caregivers, • Current NYS RN license and registration required, • Bachelor’s degree in nursing preferred; Associate's degree required, • Minimum of one year acute medical-surgical nursing experience required, • Certified Home Health Agency (CHHA) experience preferred, • Driver license and car will be required based on regional needs

Job Description$48.2199 per hour plus experience and education The mission of The New Jewish Home is to empower older adults to enhance purpose and well-being through a portfolio of innovative health care services. We do this through a vision whereby we would create a new reality in which ageism is no longer, and society embraces its older adult members. Our values define our approach to care, our culture, and our working relationships, and include: • Extending Welcome, • Embracing Diversity, • Affirming Dignity, • Respecting One Another, • Embodying Compassion, • Increasing Knowledge and Job Summary: Responsible for providing and coordinating multidisciplinary health services for patients in the community. Works with the physician and other team members in implementation of plan of care. Duties and Responsibilities: • Provides and coordinates cost-efficient patient care that is and reimbursable under the patients’ insurance plan and approved by a physician., • Verifies insurance plan information, crosschecks patient Insurance ID card at home., • Accepts case assignment depending on clients’ needs regardless of geographic location., • Case assignment is all inclusive of CHHA (Certified Home Health Agency) requirements, including initial assessments, revisits and documentation on each day of service., • Travels to patients’ homes and/or other facilities using approved transportation to deliver direct care to patients, • Admits patients in the program as needed and in a timely manner., • Ensures in-person completion of the Oasis that accurately reflects clinical and functional status of the patient. Uses diagnosis coding skills to accurately rate the acuity of each, • Evaluates patient diagnosis and works with Director, Patient Services and physician to assign appropriate primary diagnosis., • Participates in bi-weekly and PRN meetings to report adherence to frequency and duration of services as per physicians’ order. Reports patients’ progress to team in order for discharge date to be anticipated and set., • Communicates frequently with PT/OT to ensure adherence to therapy at the frequency and duration ordered by the physician., • Acts as a coordinator of the multidisciplinary team providing care to patients., • Establishes a plan of care with input from appropriate multidisciplinary health team members based on goals mutually acceptable to the patient and family., • Documents content and process of all services provided., • Monitors the effect of the care plans on the patient health status and informs physician and other personnel of changes in the clients’ needs., • Appraises care provided, revises goals and interventions to patients’ care as needed., • Educates the patient and family regarding the disease process, self-care techniques and prevention strategies., • Initiates and maintains written and verbal communications to assure optimal patient care., • Provides supervision of workers providing health and personal care services through visits to patients’ home., • Maintains updated Home Health Aide (HHA) plan of care and reviews same with HHA and patient/family., • Communicates with HHA on a regular basis regarding interdisciplinary plan of care, patients’ goals and progress., • Documents initial and bi-weekly supervision of HHA services., • Plans, facilitates and documents patients’ discharge from the program., • Manages caseload as assigned in Manhattan. Specialized Skills: • Demonstrates competency in the provision of nursing care., • Demonstrates knowledge of the PPS Medicare system., • Demonstrates knowledge of the Oasis and impact on payment., • Demonstrates flexibility and the ability to prioritize responsibilities., • Demonstrate ability to document and coordinate patient care., • License and current registration to practice as a Registered Professional Nurse in New York State., • Graduate of an accredited school of nursing, BSN preferred. SIGN ON BONUS $3,000 PRO-RATED FOR PART TIME

Job DescriptionJob Title: Per Diem Case Manager / Registered Nurse (RN) Location: New Jersey Employment Type: Part-Time/Contract Reports To: Director of Nursing Job Summary: Familyway Home Care is seeking a compassionate and experienced Perdiem Case Manager / Registered Nurse (RN) to join our team. This role is responsible for coordinating patient care, ensuring compliance with state and federal regulations, and providing oversight to home health aids. The Case Manager/RN will serve as the primary point of contact for clients and families, developing and implementing care plans to meet each client's unique needs. Key Responsibilities: Patient Care Coordination: • Assess, develop, and oversee individualized care plans for clients receiving home care services., • Conduct initial and ongoing assessments of patients to evaluate their health status and home care needs., • Monitor and ensure the quality of care provided by home health aids., • Provide education to patients and families on health conditions, medications, and self-care techniques.Compliance & Documentation:, • Maintain accurate and timely clinical documentation in accordance with state, federal, and agency guidelines., • Ensure that home health services comply with Medicaid, Medicare, and private insurance and Joint Commission regulations., • Conduct regular home visits to assess patient progress and ensure adherence to care plans.Supervision & Staff Coordination:, • Train, supervise, and evaluate home health aids to ensure they follow care plans and provide high-quality care., • Work closely with physicians, therapists, and other healthcare professionals to coordinate and adjust care as needed., • Serve as a liaison between the agency, clients, families, and healthcare providers.Quality Improvement & Risk Management:, • Identify and address patient safety concerns, ensuring a safe home environment for clients., • Participate in case conferences and quality assurance initiatives to improve patient outcomes., • Assist with audits and regulatory inspections as required.Qualifications & Requirements:, • Active RN license in the state of New Jersey., • Minimum of 2 years of nursing experience, preferably in home health, case management, or a related field., • Strong knowledge of Medicaid, Medicare, Joint Commission and private insurance guidelines for home healthcare services., • Experience in care planning, patient assessment, and interdisciplinary coordination., • Excellent communication and organizational skills., • Ability to work independently while managing multiple patients and priorities., • Proficiency in electronic medical records (EMR) systems.Preferred Qualifications:, • Experience with geriatric, post-surgical, or chronic disease management., • Familiarity with state and federal home health regulations., • BLS/CPR certification.Benefits:, • Competitive salary based on experience, • Flexible work schedule, • Health, dental, and vision insurance – Only for Full Time Employees, • Paid time off and holidaysJoin our team and make a difference in the lives of our patients! Apply today to be part of a caring and dedicated home healthcare agency committed to providing quality care.

Job Description Job Title: Pharmacist in Charge– Diabetic DME Pharmacy Location: Bronx, NY (In-office) Hours: At least 30 hours/week, Monday through Friday (No weekends) Reports To: Division President About PrideStaff: Consistently provide client experiences focused on what they value most. At PrideStaff, it’s all about you. Whether you’re an entry-level worker or a senior executive, an HR Manager or a front-line supervisor, our goal is to understand what matters to you – your goals, your priorities, your success. Our locally-owned offices seek to understand your needs and track results, measure feedback, and keep it personal. Everything we do is designed to serve you better, and our 15 years of being recognized as among the top 0.1% in the industry tell us we are doing something right. Position Summary: We are seeking a dedicated, knowledgeable, and detail-oriented Licensed Pharmacist to join our NY-based DME pharmacy team. The Pharmacist will oversee the processing of diabetic DME-related prescriptions and orders, ensure regulatory and insurance compliance, and support efficient pharmacy operations. The ideal candidate will have strong business acumen, excellent communication skills, and the ability to collaborate effectively with onsite staff, healthcare providers, corporate leadership, and manufacturer partners. Staying current on product knowledge, training, and developments in diabetic supplies, insulin pumps, and related devices is essential. Key Responsibilities Pharmacy Operations & Compliance:  Review, interpret, and process prescriptions and orders for diabetic DME items in accordance with federal, state, and local regulations, including NY State and federal laws (e.g., Medicare, Medicaid, HIPAA).  Ensure all pharmacy activities comply with applicable laws, regulations, and standards, including proper documentation and reporting procedures.  Keep abreast of changes in pharmacy laws, diabetic product regulations, and industry standards. Insurance Billing:  Develop and maintain a thorough understanding of insurance contracts, reimbursement policies, and billing procedures. Order Processing & Patient Care:  Verify and approve diabetic DME prescriptions, ensuring proper documentation, coding, and compliance.  Collaborate with healthcare providers and patients to clarify and meet patient documentation needs, ensuring adherence to standards for order fulfillment and billing. Provider & Manufacturer Collaboration:  Work proactively with healthcare providers to ensure complete, accurate, and compliant patient documentation.  Liaise with manufacturers of diabetic supplies, insulin pumps, and other devices to stay informed on product updates, specifications, and training requirements.  Establish and maintain relationships with manufacturers to facilitate product education, training sessions, and updates on new or improved products. Product Knowledge & Training:  Regularly participate in manufacturer-led training sessions, webinars, and product updates to maintain current knowledge of diabetic supplies, insulin pumps, and related devices.  Educate relevant pharmacy staff, providers, and patients on the proper use and features of new products. Leadership & Collaboration:  Coordinate with onsite staff to ensure smooth operations and compliance.  Communicate regularly with division president about pharmacy activities, updates, and operational insights.  Support process improvements and adherence to quality standards. Business & Process Optimization:  Assist in managing inventory, order dispensing, and billing to optimize operational efficiency.  Contribute to strategic planning for the growth and enhancement of pharmacy services.  Develop and revise pharmacy policies and procedures to ensure compliance and workflow efficiency. State Compliance:  Keep in proper form all records required relating to the purchase and dispensing of all prescription required supplies.  Eliminate from stock all misbranded and adulterated supplies including outdated supplies and supplies not properly labeled.  Provide for the proper storage of supplies in order to prevent loss or deterioration.  Insure coverage of the pharmacy by licensed pharmacists.  Insure against unauthorized refills of prescriptions  Insure against unauthorized entry into the pharmacys dispensing and compounding area and insure appropriate security.  Be certain that the pharmacy is properly registered and operating in accordance with the present laws, rules and regulations. Qualifications & Requirements: Licensing & Certifications:  Valid NY State Pharmacist License in good standing.  Current license in Florida or other states considered a plus. Experience:  Newly licensed pharmacists welcome to apply  Familiarity with insulin pumps, diabetic devices, and related supplies is highly desirable.  Familiarity with OPUS and NY State Medicaid is highly desirable. Knowledge & Skills:  Strong understanding of pharmacy laws, regulations, and compliance standards related to DME and diabetic products.  In-depth knowledge of insurance contracts, billing, and reimbursement processes.  Ability to stay current on product updates, training, and industry developments through manufacturer collaborations and continuing education.  Excellent communication, interpersonal, and problem-solving abilities.  Proficiency with pharmacy management systems and relevant applications. Personal Attributes:  Detail-oriented with exceptional accuracy.  Collaborative team player with adaptable and proactive problem-solving skills.  Committed to continuous learning and industry best practices. Work Environment & Schedule:  In-office role at our NY location.  At least 30 hours per week, Monday through Friday, with flexibility based on workflow.  No weekend work required. Company DescriptionPrideStaff is a top-rated staffing partner. Our team is comprised of proven winners, overachievers, cheerleaders, fist-bumpers and high-fivers. We love working together to bring out the very best in every client, associate and internal relationship. As an example of our spirit, we’ve received ClearlyRated’s Best of Staffing® Client and Talent 15-Year Diamond Awards two years in a row in recognition of delivering some of the highest levels in our industry. (Less than 0.1% of all U.S. & Canada-based staffing firms have achieved this level of recognition.)PrideStaff is a top-rated staffing partner. Our team is comprised of proven winners, overachievers, cheerleaders, fist-bumpers and high-fivers. We love working together to bring out the very best in every client, associate and internal relationship. As an example of our spirit, we’ve received ClearlyRated’s Best of Staffing® Client and Talent 15-Year Diamond Awards two years in a row in recognition of delivering some of the highest levels in our industry. (Less than 0.1% of all U.S. & Canada-based staffing firms have achieved this level of recognition.)

Job Description "LSMNJ is a very cohesive company that truly values their employees. There is a heart to this company that truly cares and practices it's mission statement from the C level that includes all employees, on a day to day basis. I am proud to work here and to be part of this LSMNJ Team!" "All the managers are very friendly and always listen to our problems and find solutions to it." "I feel that this is a great place to work because we are not just co workers we are a family who loves and care about our fellow peers." "Employees in Hospice are close knit and genuinely care about each other and our patients." Those are real statements from real employees at Journey Hospice. We hope you feel the same way once you experience what it is like to work here..... Journey Hospice has a rewarding and fulfilling position for a full-time RN Case Manager to serve our patients in Gloucester, Camden, Burlington Counties. The Hospice RN will oversee primary caseload of Hospice patients and provides skilled professional nursing care to them, their families and caregivers as prescribed by the physician and in compliance with the Hospice Medicare Conditions of Participation, New Jersey Hospice licensure laws, accrediting body standards and agency policies and procedures. Provides the initial assessment and comprehensive nursing assessment and identification of problems of each patient; reassessment of nursing needs and collaborates to develop the Hospice Interdisciplinary Team (IDT) plan of care. Implements the plan of care and reevaluates and revises the plan of care relative to the patient’s nursing needs to provide appropriate, comprehensive and responsive goals and interventions. Teaches, supervises, and counsels the patient, family members, and staff regarding nursing care and the patient's needs, including other related problems of the patient at home. Works closely with other members of the IDT to ensure all patient and family care needs are being met. Provides supervision to Hospice Aides/Homemakers Education/Training/Certifications: Graduate of an accredited registered nursing program. Bachelor’s degree in Nursing preferred. Certified Hospice and Palliative Nurse (CHPN) certification preferred. NJ RN Licensure by the NJ State Board of Nursing in good standing. Valid drivers license and reliable transportation that is insured in accordance with NJ state requirements. Skill(s): Skills and Knowledge: * Must maintain a professional attitude and demeanor and is able to communicate effectively and relate courteously and cooperatively with patients, caregivers, colleagues, supervisors, co-workers and all others. * Must be able to demonstrate optimism, enthusiasm and willingness to work constructively with other health care team members and reflect concern for the well being of patients and employees. * Interacts with all staff in a positive fashion supporting the mission and vision of LSMNJ. Experience: * Minimum of one (1) year general nursing preferred with current hospice, home health, medical, surgical or critical care experience. * Experience with pain and symptom management interventions preferred. * Ability to work within an interdisciplinary setting. * Understanding of Hospice philosophy, principles of death/dying. LSMNJ is an Equal Opportunity Employer. We have awesome benefits! You will be eligible to participate in most of the following as of your 90th day of employment: Offering flexible pay - accessing your pay anytime! Medical Insurance Dental Insurance Vision Insurance Wellness Program Life Insurance Long-Term Disability Short-Term Disability Critical Care & Accident Coverage NJM Auto and Home Insurance Pet Insurance Identify Theft Protection 403(b) Retirement Savings offering an 8% company paid match! Sick Pay (after 4 months of employment) Paid Time Off (after completion of introductory period) Holiday Pay And much more…..

Job DescriptionBenefits: • Group Term Life Insurance Policy, • AFLAC Voluntary Benefits, • PSLF (Public Service Loan Forgiveness) qualified employer, • 403(b), • Dental insurance, • Employee discounts, • Health insurance, • Opportunity for advancement, • Paid time off, • Parental leave, • Training & development Under the direction of the Clinical Director, the Clinical Supervisor plays a key leadership role in providing oversight, supervision, and direct clinical services in an Article 31 Mental Health Clinic. As part of a multidisciplinary team, the Clinical Supervisor ensures high-quality mental health care by supervising clinical staff, counseling staff, coordinating service delivery, and maintaining compliance with all applicable regulations. This role includes administrative oversight, clinical supervision, and direct client care, with a strong focus on ensuring best practices, staff development, and program effectiveness. The Clinical Supervisor also provides technical guidance to licensed clinical staff within their scope of practice. RESPONSIBILITIES: The major responsibility of this position includes, but are not limited to: Program Leadership & Management • Hire and train assigned clinical and non-clinical professionals., • Supervise and provide clinical oversight to licensed and non-licensed clinical staff, including LCSWs, LMSWs, LMHCs, and other behavioral health service providers., • Conduct regular individual and group supervision sessions to enhance clinical skills, address case concerns, and ensure compliance with regulatory and ethical standards., • Assess and evaluate team clinical competence via different methods including, but not limited to, chart reviews, direct clinical supervision, tracking and trending of patterns of non-compliance with best practice standards., • Provide clinical supervision to clinicians ensuring client care is consistent with standards of best practice and meets principles of social work/therapeutic practice., • Develop and implement processes for intake, enrollment, treatment, and discharge, evaluate processes and recommend changes., • Work with the Program Director to actively monitor and evaluate clinical productivity against projected targets, adjusting as needed., • Assigns caseloads appropriate to clinician expertise, experience, and qualifications., • Supervise and participate in student intern programs., • Assist staff and interns with urgent clinical situations and provide supervisory crisis coverage., • Coordinate with staff in the development, implementation, and evaluation of individual complex case management plans., • Ensure department has sufficient and qualified personnel., • Ensure all client records and documentation are current and operate within state and federal laws, city,, • Actively participate in the departments quality assurance/quality improvement efforts including incident management requirements and audit readiness., • Work with the Program Director to monitor and maintain the departments compliance with clinical documentation standards and regulations via regular case and documentation reviews., • Work with the Program Director to ensure continuous improvement of program components including but not limited to policies and procedures, staff training, and maximize productivity., • Reviews and approves diagnosis-based progress notes, treatment plans and assessments for the clinician team., • Enhance best practices through various methods including, but not limited to, discussion of findings, case conferences, clinical consultation meetings, debriefings, etc., • Keep track of standards and regulations to help ensure that the organization complies with all federal, state, and local laws and is up to date on accreditation policy and procedures., • Maintain reports and administrative and clinical records in accordance with OMH/DOH&MH standards, ensuring compliance with requirements and program policies., • E Work with the Program Director to ensure that the clinic meets all contractual goals and funding requirements., • Work with the Quality Improvement team and the agencys Compliance Officer to develop improvement plans. Strategy • Work with the Program Director to identify opportunities for expanding the type of clinical services to meet community needs; evaluate trends in community demand and opportunities for improved access to support those who can be safely managed in an outpatient setting., • Collaborate with other HCC program directors and managers as needed., • Work with Work with the Program Director and the Quality Improvement team to respond to concerns and develop plans to improve quality of services., • Attend and participate in agency required trainings and meetings., • Facilitate intra/inter agency referrals as necessary and advocate for patients with other community-based organizations and governmental agencies as needed., • Maintain knowledge of community resources., • Carry a caseload of 8-10 cases, • Responsible for contract monitoring, and billing requirements of clients' insurance for assigned clinicians to ensure comprehensive service delivery., • Work with the Program Director to cultivate partnerships with community organizations, hospitals, government agencies, social service providers, and partners willing to refer clients to the clinic to achieve culturally sensitive, community relevant services that take into account social determinants of health. Finance • Work with the Program Director and the Director of Finance to ensure billing follows OMH, Medicaid, and insurance and funders standards., • Work with the Program Director towards sustainability of Bewell clinic by ensuring that the program meets budgeted visit volume. QUALIFICATIONS AND EXPERIENCE • Masters degree in a clinical discipline and possess a Qualified Health Professional licensure in NYS (LMS, LCSW, LMHC), • A minimum of three (2) years of related leadership experience in Mental Health treatments., • Experience with outpatient (Article 31) OMH-licensed mental health clinics and knowledge of OMH Part 599 regulations and standards of care is an absolute must., • Has certificate in Seminar in Field Instruction (SIFI), • Ability to deescalate a mental health crisis or emergency., • Demonstrates strong problem-solving, communication, collaborative, and leadership skills., • Excellent organizational skills, ability to manage multiple tasks and meticulous attention to detail., • Strong mentoring and coaching experience to a team with diverse levels of expertise., • Energetic, flexible, collaborative, and proactive; a team leader who can positively and productively impact the success of the clinic., • Unwavering commitment to quality programs and data-driven program evaluation., • Exceptional written, oral, interpersonal, and presentation skills., • Strong understanding of private insurance, Medicaid, Medicare, and PHS/DOH grant funding., • Extensive clinical experience with proving services to People with HIV (PWH) and substance abuse., • Experience with eCW and Microsoft 365, • Demonstrated ability to be responsive in rapidly evolving, emergent healthcare environment., • Passion for HCCs mission.

Job Description Job Title: RN Clinical Quality Coordinator – Managed Long-Term Care (MLTC) Location: Bronx, NY (Remote after possible onsite training) Job Type: Full Time/Permanent Join a dedicated healthcare team focused on improving quality of care for older adults in a managed long-term care setting. This role offers an immediate opportunity to make a meaningful impact by supporting quality assurance and performance improvement activities. Responsibilities: • Analyze clinical data to identify trends, opportunities, and recommend improvements, • Serve as a subject matter expert for clinical quality within the organization, • Process all Appeals within regulatory timelines, including verbal and written notifications, • Investigate clinical grievances and quality of care concerns across product lines, • Coordinate with staff to ensure timely completion and submission of grievance, appeal, incident, and quality improvement documentation, • Bachelor’s degree in nursing required, • Current valid Registered Professional Nurse license in New York State, • Minimum of 2 years’ experience in managed care, including Care Management, Quality, Utilization Management, or Grievance and Appeals, • Strong knowledge of Medicare and Medicaid regulations, • Excellent analytical, organizational, and communication skills, • Proficiency with Microsoft Word, PowerPoint, and Excel

" 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. "

" "" Licensed Marriage and Family Therapist (LMFT) Wage: Between $90-$127 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 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. "

" "" 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. "" "

" \nLicensed Mental Health Therapist (LMHT)\n \n Wage: Between $120-$131 an hour \n\n \n \n \n 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. \n \n About you \n ● 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. \n ● You’re ready to launch a private practice, or grow your existing business by taking insurance. \n \n About Headway \n 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. \n \n How Headway supports providers \n \n How Headway supports your clients \n ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. \n ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. \n \n \n 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. \n \n \n \n \n \n \n\n "

" "" 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. "

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

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

Job DescriptionSalary: $22 -24/hr Join Our Team - Jersey City Medical Assistant III Position Overview: The Medical Assistant III is a highly experienced and dependable clinical team member who supports providers and enhances clinical operations with minimal supervision. In addition to performing all standard MA duties, MA III employees demonstrate strong clinical judgment, attention to detail, and proficiency in managing more complex visit types, pre-visit planning, and follow-up care. This role is ideal for a Medical Assistant who can anticipate needs, stay organized in fast-paced environments, and help ensure a smooth and efficient patient experience throughout the care cycle. This full-time role requires availability forat least one evening shift per week and one Saturday shift per month. Vanguard offers a $2.00+ per hour shift differential for any hours worked after 6:00 p.m. on weekdays and for all weekend hours. Key Responsibilities Clinical Support & Patient Care • Perform all routine clinical duties, including vital signs, history taking, medication reconciliation, and assisting with exams and procedures., • Administer injections and medications as directed by the provider, with strict adherence to protocols and documentation standards., • Confidently perform diagnostic testing (e.g., EKGs, rapid tests, vision screening) and support phlebotomy needs., • Manage and prepare for more complex patient encounters, such as multi-condition visits or chronic disease management appointments., • Complete thorough pre-visit chart prep, including care gap checks, outstanding labs/imaging, and medication review., • Anticipate provider needs and prepare accordingly to minimize disruptions and delays during the clinical encounter., • Accurately capture and document quality metrics (e.g., HEDIS, Medicare Annual Wellness) and screenings in the EMR., • Participate in quality improvement initiatives by flagging gaps and supporting closing strategies., • Act as a reliable point of contact for clinical and administrative team members when questions arise during patient care., • Collaborate effectively across departments to ensure coordinated patient flow and continuity of care., • Deliver clear and compassionate explanations to patients regarding medications, care instructions, and follow-up steps., • Address patient questions or concerns at the point of care, escalating only when appropriate., • Manage prescription refill requests, prior authorizations, and referral workflows independently under provider guidance., • Ensure clinical supply inventory is maintained and exam rooms remain clean, stocked, and ready for use., • Support front office team with scheduling, phone calls, and check-in tasks if needed. Qualifications • High school diploma or equivalent required., • Graduate of an accredited Medical Assistant program., • Current Medical Assistant certification (CMA, RMA, or equivalent) required., • Minimum 5years of experience as a Medical Assistant in a primary care or specialty setting., • EMR proficiency required; experience with Athena is a plus., • Demonstrated reliability, independence, and familiarity with population health or chronic disease management. Core Competencies • Compassion: Demonstrates empathy and genuine care in every interaction., • Attitude: Brings a positive, proactive, and solution-oriented mindset to work., • Respect: Treats all patients and team members with professionalism and dignity., • Excellence: Strives for accuracy, timeliness, and continuous improvement in all tasks. Physical Requirements • Must be able to sit, stand, and walk for extended periods., • May require light lifting (up to 20 lbs.) for supplies or office materials., • Must have visual and auditory acuity to operate computer systems and phones. Compensation and Benefits The anticipated base hourly rate for this position ranges from $22.00 to $24.00 per hour, depending on the role and experience level. Additionally, this position may be eligible for a discretionary annual bonus and other company-sponsored benefits. Benefits include: • 401(k) retirement savings plan with company match, • Comprehensive health insurance (medical, prescription drug, dental, and vision), • Paid time off, including vacation/personal days, holidays, and sick time, • Opportunities for ongoing training, certification, and professional development Please note that individual total compensation will be determined at the Companys sole discretion and may vary based on several factors, including but not limited to: location, skill level, years and depth of relevant experience, and education. EEOC Statement Vanguard Medical Group is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Job Description Must have or be able to obtain license in the state of NY This is a 4 month contract during the Annual and Open Enrollment period that is 100% remote. It is an hourly + commission position, we pay weekly and there is opportunity for overtime pay as well. Responsibilities: Working in a high-volume call center environment handling inbound Medicare Sales calls. Qualifying prospective members to determine if the Medicare Advantage plan meets their needs. Enroll prospective members in the Medicare Advantage plan and work with current the Medicare Advantage members on making a change during the Annual Enrollment Period and the Open Enrollment Period. Document all calls in the CRM system (Salesforce). Continuous multi-tasking with multiple programs and screens. Requirements: HS Diploma or GED required. Minimum 1 year of Medicare and/or commercial sales experience required. Minimum 1 year experience in customer service, direct selling or telemarketing sales preferred. Health related experience preferred. Experience with a computer-based documentation system or customer relationship management (CRM) software required. (Salesforce) Strong working knowledge of Microsoft products required. Required to work some weekends (will rotate). Shifts are 8 hours with some mandatory overtime and optional overtime determined by management based on business need. (example nights and weekends) Must be available, with no time off requests, starting 8/18, during 3 weeks of training. Company DescriptionThe Jacobson Group is the leading provider of insurance talent. For more than 50 years, we have been connecting insurance organizations with professionals from the board room to the back room on both a permanent and temporary basis. We offer a variety of solutions including executive search, professional recruiting, temporary staffing, subject matter experts, and onsite and work-at-home operations support. Regardless of the need or situation, Jacobson is the insurance talent solution.The Jacobson Group is the leading provider of insurance talent. For more than 50 years, we have been connecting insurance organizations with professionals from the board room to the back room on both a permanent and temporary basis. We offer a variety of solutions including executive search, professional recruiting, temporary staffing, subject matter experts, and onsite and work-at-home operations support. Regardless of the need or situation, Jacobson is the insurance talent solution.

Company and Role Description Antidote Health’s mission is to redefine healthcare by providing affordable, high-quality, and accessible care and insurance products. As the Head of Risk Adjustment, you will lead our risk adjustment strategy, operations, and analytics to ensure compliance, accuracy, and financial sustainability. You will collaborate with cross-functional partners in Clinical, Provider Network, Product, Finance, Compliance, and Data Science to design and execute a best-in-class program that ensures complete and accurate risk capture, supports value-based care, and enables equitable outcomes for our members. Key Responsibilities Strategic Leadership & Program Management • Define and execute Antidote’s risk adjustment strategy on the ACA Marketplace., • Lead and manage the Risk Adjustment process with finance, product, clinical, marketing, and operations, fostering a culture of accountability, innovation, collaboration, and continuous improvement., • Develop and oversee programs to maximize risk score accuracy, including chart reviews, suspecting, and gap closure initiatives. Risk Adjustment Operations & Analytics • Partner with internal teams and external partners to forecast revenue, identify coding opportunities, and measure program performance., • Oversee end-to-end risk adjustment workflows across prospective and retrospective processes, including vendor management., • Develop dashboards, KPIs, and reports for executives to track performance and compliance. Compliance & Quality Assurance • Ensure adherence to CMS, HHS, state-specific risk adjustment guidelines and monitor regulatory changes and proactively update processes., • Oversee processes for accurate and timely submissions (e.g., EDGE server submission)., • Collaborate with Compliance and Legal to prepare for RADV audits, respond to regulatory inquiries, and mitigate compliance risks. Cross-Functional Collaboration • Work closely with other teams to ensure accurate coding and data alignment., • Partner with Product and Engineering to design and enhance risk adjustment technology, including NLP/AI-enabled coding and chart retrieval solutions., • Engage with Finance leaders to forecast and reconcile risk-adjusted revenue. Qualifications & Skills Required: • Bachelor’s degree in Analytics, Public Health, Business, or a related field (Master’s preferred)., • 7+ years of experience in leading risk adjustment processes. ., • Demonstrated expertise in CMS-HCC, RxHCC, and HHS-HCC risk adjustment models., • Experience managing prospective and retrospective risk adjustment programs., • Strong data analytical skills, • Knowledge of regulatory requirements (CMS, HHS, NCQA, ACA)., • Excellent leadership, communication, and stakeholder management skills., • Prior leadership experience within Medicare Advantage, Medicaid Managed Care, or ACA health plans. Preferred: • Experience with EDS submissions, EDGE server data validation, and encounter data management., • Familiarity with medical coding (ICD-10-CM, CPT, HCPCS) and clinical documentation improvement (CDI)., • Ability to leverage technology (AI, NLP, machine learning) to improve risk adjustment performance., • Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or similar credential preferred

Recruiting Peer Specialist for Manhattan Psychiatric Center Manhattan Psychiatric Center (MPC), an Office of Mental Health (OMH) Joint Commission-accredited facility, is recruiting a Peer Specialist to join their Transition to Home Unit (THU) team. The THU team provides a multi-disciplinary approach to care for individuals who have a history of homelessness. The goals of the THU team are to develop personalized treatment plans for active rehabilitation and reintegration to the community. The schedule is Monday through Friday from 9:00 AM to 5:00 PM with pass days of Saturday/Sunday. As a Peer Specialist, you will support the recovery and wellness of individuals in the THU. Responsibilities include: • Leading peer support groups and lessons based on recovery principles, • Sharing progress updates with the treatment team, • Promoting a safe, supportive, and respectful environment, • Documenting participation and progress in the internal electronic client database, • Representing the peer perspective in team and facility meetings About MPC: MPC is a comprehensive, community-based mental health facility serving individuals who are 18 years or older, from the Manhattan and Greater NYC Region. MPC’s focus on evidence-based, person-centered, and culturally sensitive treatment helps their patient achieve their recovery goals. If you would like to join MPC and contribute to a workforce dedicated to public service, we offer the following benefits and opportunities: • Access to tuition assistance programs, • Excellent opportunities for advancement & professional growth, • NYS medical, dental, and vision insurance, • Paid time off including vacation, holidays, personal, & sick leave, • New York State Retirement programs, • Free employee shuttle from 125th Street over the Robert F. Kennedy Bridge to MPC’s campus on Randall’s Island Minimum Qualifications: Two years of experience participating in mental health self-help activities, peer support or advocacy programs, or similar organizations. Additional Comments: The Mission of the New York State Office of Mental Health 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 . NOTE: 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. Background checks are required. This position is eligible for a Downstate Adjustment of $4,000.

Job Description: We are seeking an experienced Case Manager, UM, for a contract opportunity with a leading healthcare organization. This role involves providing case management services to members, ensuring medical necessity, and coordinating care in alignment with regulatory and clinical criteria. Responsibilities: • Provide case management services for assigned member caseloads., • Perform risk-identification, preadmission, concurrent, and retrospective reviews to evaluate the appropriateness and medical necessity of treatments using InterQual/MCG criteria., • Identify medical, psychological, and social issues requiring intervention., • Partner with PCPs and providers to coordinate treatments, services, and authorizations; negotiate rates with non-partner providers as needed., • Ensure access to a full continuum of network and community resources to support health and recovery., • Document determinations, notifications, interventions, and encounters per established standards and regulatory guidelines., • Report and escalate questionable healthcare services., • Serve as a clinical resource for the care team to maximize quality of care and manage costs effectively., • Assist in identifying opportunities and facilitating alternative care options., • Occasional overtime as required., • Product knowledge includes Medicare Advantage and Medicaid. Requirements: • Active RN license (any state)., • Experience in managed care, case management, alternative care options, and discharge planning., • Certified Case Manager preferred, not required., • InterQual and/or Milliman knowledge., • Familiarity with CMS and NYSDOH regulations governing medical management in managed care., • Relevant clinical work experience., • Proficiency with Outlook (intermediate), Word, Excel, PowerPoint, and Adobe Acrobat., • Strong critical thinking, assessment, and documentation skills., • Ability to manage large caseloads and thrive in a fast-paced environment. Key Skills: • Case Management, • Utilization Management (UM), • InterQual/MCG Criteria, • Medicare Advantage and Medicaid, • Care Coordination and Discharge Planning Pay Range: $35-42 per hour We understand rate is an important factor in your job search and encourage you to apply even if your desired compensation falls outside this range. The final rate is determined based on several factors including relevant experience, education, certifications, and market conditions. Benefits: Our comprehensive benefits package includes: o Medical insurance o Dental insurance o Vision insurance o 401(k) retirement savings plan Contact: Karrie Ruch Refer a Colleague: Do you know someone who would be interested in this project? Submit your referral directly by emailing the Jacobson contact listed above or submitting them through this form. If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus! Equal Opportunity Employer: The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs. If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at or +1 (800) 466-1578 Equal Opportunity Employer: The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs. If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at or +1 (800) 466-1578 to make a request. +1 (800) 466-1578 to make a request +1 (800) 466-1578 to make a reques +1 (800) 466-1578 to mak +1 (800) 466-1578 to +1 (800) 466-1578

HealthPlus Staffing is assisting a well established organization with their search for a non-invasive Cardiologist to join their team in Long Island, NY. With over 35 clinics and over half a million patients across the 5 boroughs and Long Island, the growth potential is exponential. Job Description: • Location: Long Island, NY (Bethpage), • Position: Cardiology, • Structure: Outpatient, • Start: 30-60 days Days, • Schedule: Full-Time (40 hours), • Duties:, • Consultations and Physician Examinations, • Evaluate, Diagnose, and provide proper treatment plan, • Perform wide range of non-invasive procedures, • Echocardiography and Stress Echo testing, • Pacemaker and Defibrillator monitoring, • EMR; Epic, • Support: Full Office Staff and APP, • Benefits: Full Package, • Malpractice Insurance, • CME Reimbursement, • Medical/Dental/Vision, • 401K Retirement Plan Qualifications:, • Unrestricted NY license, • BE/BC in Cardiology, • Active DEA registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • Must have 1 year of experience or more If interested in this position please apply immediately and someone will be in contact within 24 hours of submission.

Gastroenterologist Opportunity - Manhattan, NY (Hell's Kitchen) Position Details: * Type: Permanent position * Setting: Outpatient only - no hospital work, no callProcedures are done at a nearby surgery center * Schedule: Flexible - part-time or full-time available * Note: Providers working under 20 hours/week must carry their own malpractice insurance * New facility - modern environment within a multispecialty group (includes subspecialists, PCPs, dentists, etc.) * EMR: Medgen * Workdays: Clinic open 7 days/week * Visa: Not eligible for visa sponsorship Compensation & Benefits: * Salary: Competitive base $315,000-$325,000/year * Benefits: Medical, dental, vision, 6 weeks PTO, malpractice insurance * Employment Options: W2 or 1099 * Credentialing: Fast track - typically 6-8 weeks or less * Parking: Discounted provider parking ($18/day) available one block from clinic Location & Lifestyle: * Neighborhood: Hell's Kitchen - centrally located with easy access to NYC transit * Culture: Eclectic, vibrant area with top-tier culinary and cultural attractions About the Organization: * Diverse patient population - private insurance, Medicare, Medicaid, underserved communities * Focus on quality care and accessibility RecruitWell Core Values: * Open communication, sense of urgency, teamwork, accountability, driven to win, and higher consciousness

Long Term Medical Billing Clerk needed for the Revenue/Billing department in Queens. Minimum of at least 1 year Medical Billing experience required. As a Medical Billing Clerk, you will play a key role in the Revenue/Billing department. Your work will directly impact the processing of claims and reimbursements, ensuring that healthcare providers are compensated accurately and on time. You’ll be responsible for entering and managing data with precision, navigating payer rules, and resolving claim denials to support our mission of delivering quality care. Location: Briarwood, Queens, NY Work Schedule: M-F (9am-5pm) – On site Pay Range: $23/hr Job Duties/Responsibilities: • Heavy data entry, • Perform data entry by transferring information from the Electronic Health Records (EHR) system to the medical billing system., • Must be familiar with Medicaid, Medicare, Managed Care, etc., • Submit insurance claims and follow up on claims processing through clearinghouses., • Monitor and resolve claim denials from Medicaid, Medicare, Managed Care, and other payers., • Verify patient eligibility and coverage across various providers and insurers., • Stay up-to-date with payer rules and provider requirements to ensure compliance., • Work closely with other departments to resolve billing issues and ensure smooth payment workflows., • Perform other clerical duties as needed to support the billing department’s operations., • Completing and verifying ICD-10 coding, • Customer service, • Maintaining all payment records in database system Qualifications: • Minimum of at least 1-year Medical Billing experience required., • Familiarity with Medicaid, Medicare, and Managed Care payer rules., • Experience with claims submission and denial response processes., • Strong attention to detail and data entry accuracy., • Knowledge of clearinghouse procedures and eligibility checks., • High School Diploma or equivalent required., • Prior experience in medical billing or healthcare administration preferred., • Ability to multitask in a fast-paced environment., • Dependable, organized, and able to work independently or as part of a team Equal Opportunity Employment: We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged.

Our client, a health insurance company, is looking for a Medicare Analyst II for their Newark, NJ location. Responsibilities include reconciliation of all daily, weekly, and monthly Medicare reports generated from CMS.