Medicare jobs in Rochester, New YorkCreate job alerts

Job Description Locally established Rochester, NY Durable Medical Equipment company offers quality service, quality equipment and great follow up care to its customers. We provide competitive wages and benefits in a supportive and friendly atmosphere. If you have experience in the following areas, you should Apply Today! • Insurance verification, • Prior Authorization, • Billing experience - Medicare, Medicaid, or Managed Care, • Medical Office, • Healthcare background, • CPAP and Oxygen experience Customer Service Representative Duties: • Welcome patients in person and over the phone, as well as maintain patient charts, process patient orders, create delivery tickets, and coordinate scheduling., • Work one on one with patients to educate them on uses and directions of prescribed medical equipment and supplies., • Work closely with doctors, nurses, and other referral sources to ensure excellent patient care., • Complete intake, insurance verification and determine charges and coverage for service/product requested., • Collect co-pays and input payment data., • Collect compliant medical documentation for insurance invoices. Position Qualifications: • High School diploma or equivalent (Required), • Excellent phone and customer service skills (Required), • Strong Communication skills (Required), • Two years of HME/DME experience and knowledge of medical terminology. (Preferred), • Health Insurance, • Employee Recognition Program, • Family Friendly Atmosphere

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

Job DescriptionWho You Are You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health's commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You're ready to join a team focused on reimagining primary care for a healthier future that benefits all. Does this sound like you? If so, we should talk. Who We Are At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we're creating a value-driven model that creates lasting benefits for everyone, now and into the future. For us, that's just an Honest day's work. Your Role As a Director, Market Operations, you will be an operator who runs toward complexity, not away from it. You must know how to own outcomes, drive performance and keep internal and external parties aligned even when pulled in opposite directions. You must be energized by solving problems, ambiguous environments and cross-functional orchestration. You lead through influence, data, and clarity. This role involves close collaboration with market medical leadership to align clinical and operational objectives, with a strong emphasis on managing partner relationships within the assigned portfolio. The Director, Market Operations will work to resolve operational challenges, drive strategic initiatives, and support growth and performance. A key focus will be on ensuring that market activities align with Honest's broader goals and your partnerships' successful growth. In this role, you will foster a culture of accountability and continuous improvement with leaders across the organization and your team members. This will be a direct managerial position that oversees the practice engagement function and works closely with their team and cross-functional teams to develop practice-level performance recommendations that are in-step with Honest and our partners' objectives. The role is primarily remote; however, the ability to attend in-person meetings and practice visits is required so applicants must be able to travel frequently to and around the Rochester, NY area. Primary Functions of the Director, Market Operations Include: • Support daily operations within assigned markets, partnering with other operational and clinical leaders to ensure staff meet activity metrics that align with organizational goals., • Act as the primary contact with Honest partners, fostering strong collaborative relationships and resolving any operational issues that arise., • Implement best practices across markets to ensure consistency and efficiency, while developing strategies to scale operations as we grow., • Drive partner, practice and provider performance to achieve organizational goals, including but not limited to meeting directly with partner leadership, facilities, medical practices, and providers in your assigned market., • Regularly review key performance indicators with market teams and partners, identifying areas for improvement and driving a culture of accountability., • Own the day-to-day relationship with the partner, practices and providers to ensure collaboration., • Tackle operational challenges head-on using data and insights to develop effective solutions that enhance market performance., • Collaborate with senior leadership and joint venture partners to execute strategic projects that advance the organizational mission and position the market for future success., • Partner with market clinical leadership and cross-functional teammates to drive and achieve desired patient outcomes., • Manage key meetings with partner leaders and clinicians (i.e., lead meetings, summarize next steps, dispatch responsibilities, project manage takeaways, and present results at subsequent meetings)., • Support network initiatives to ensure optimal access for partners' attributed patients., • Work alongside Finance as the voice of the market in producing targeted financial analyses., • Build and manage disciplined project plans and processes with established target goals and timelines to ensure on-time delivery., • Build and evolve playbooks and toolkits based on learnings and needed structuring., • Promote Honest Health within the local market to help the community understand our business model., • Perform other related responsibilities as assigned. How You Qualify You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities. • Bachelor's degree in healthcare management, business administration, or related field; MBA or MHA preferred, • Physically located in or near Rochester, NY or willingness to travel to the assigned market as often as needed, • 7+ years of experience in healthcare operations or consulting, with a focus on value-based care or provider enablement; experience working directly with medical institutions, practices, and providers preferred, • Strong leadership skills with the ability to motivate and manage high-performing teams, • Excellent communication and relationship management skills, with experience managing partnerships with medical groups or healthcare organizations, • Proven track record of successfully managing and scaling operations in a multi-site or multi-market environment, • Strong leadership skills with the ability to motivate and manage high-performing teams, • Ability to thrive in a fast-paced dynamic environment and adapt to changing priorities, • Firm understanding of care delivery processes, including both front-office and back-office operations; thorough appreciation for facility, institution, and service-based operations preferred (E.g. – Hospitals, home health, DME, etc.), • Strong knowledge of health plan administration and medical management services (E.g. – Billing, claims, customer service, technology, care management, utilization management, etc.), • Experience with government programs (Medicaid, Medicare, and Dual Eligibles) and understanding of the associated regulatory environments, • Advanced in Outlook, Word, Excel, and PowerPoint; prior experience with EHR, CRM, and/or billing systems preferred, • Experience manipulating published reports to synthesize and/or illustrate actionable data; prior experience with Tableau, Excel, and/or Power BI preferred, • You have a passion for and experience in clinical care delivery operations, • You are adept at change and can pivot quickly based on market needs and demands How You are Supported Full time team members may be eligible for: Competitive Compensation • Attractive base salary with performance-based bonuses and rewards, • Flexible health, dental, and vision insurance options tailored to your needs, • Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants, • 100% company-paid short-term disability and life insurance, • Generous paid time off, including vacation, sick leave, and paid holidays annually, • Two paid volunteer days to support causes you're passionate about, • Robust onboarding program and ongoing training opportunities, • Paid parental leave for new parents, • Dependent care flexible spending accounts, • Work alongside professionals who share your commitment to Honest's high-quality, value-based care model, • Team member recognition programs Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics. Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email for assistance. Reasonable accommodation will be determined on a case-by-case basis. Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended. To safeguard your personal information, Honest Health will never ask for confidential details—such as social security numbers, bank accounts, or routing numbers—before making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform. We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at .

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Clinical Investigator to join #TeamMVP. This is the opportunity for you if you have a passion for problem solving and investigations, commitment to compliance and ethical standards and dedication to continuous learning and improvement. What's in it for you: • Growth opportunities to uplevel your career, • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team, • Competitive compensation and comprehensive benefits focused on well-being, • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. Qualifications you'll bring: • A clinical investigator must have in addition to the above requirements: A duly licensed or authorized medical professional, including but not limited to MD or RN., • New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred., • Obtain CPC and/or COC credential., • Maintain nursing license and coding credentials through continuing education process as required., • Superior judgment skills, verbal and written communication, and presentation skills., • Extremely detail-oriented with excellent organizational and analytical skills., • Ability to utilize various data management tools to help identify potentially fraudulent activity., • Possess knowledge of CPT-4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data., • Working knowledge of MS Office (Word, Excel and Outlook), • Curiosity to foster innovation and pave the way for growth, • Humility to play as a team, • Working knowledge of Macess, Facets, CareRadius, Cognos, CMS web sites, and Encoder-Pro. Your key responsibilities: • Conduct clinical reviews of various forms of medical documentation and records obtained from providers and facilities including but not limited to medical charts, patient account records, and member interviews., • Organize and conduct highly complex investigations. Document findings and recommendations throughout the investigative process in a timely and efficient manner according to corporate and departmental SIU policies and procedures., • Act as an SIU liaison and interact with and analyze data in cooperation with Pharmacy, Medical Affairs, Operations, Provider Relations, Credentialing, Customer Care Center, Legal and other corporate personnel., • Assist in investigations conducted by government agencies, law enforcement, and other insurance company SIU staff., • Make recommendations for and conduct clinical re-audits of providers and facilities previously audited by SIU., • Testify in criminal and civil legal case proceedings as necessary and assist outside legal counsel especially concerning issues needing clinical decision making., • Participate in annual Corporate FWA training and training of new SIU personnel., • Keep abreast of Federal and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid, and any corporate compliance initiatives or policies., • Minimal travel may be required pertaining to investigations and audits., • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual; Must reside within Eastern or Central Time Zone #CS Pay Transparency MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. MVP's Inclusion Statement At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at .

Job Description Role and Responsibilities The Afterhours/Weekend Clinical Field Staff Supervisor (CFSS) is an integral part of the patient care team and continually monitors the services provided. This role has shared responsibility for the overall provision and coordination of home health services provided to the HCR patients according to acceptable standards of practice. The Afterhours/Weekend CFSS is a resource person with extensive knowledge of the regulatory guidelines governing home health agencies and provides daily support to field clinicians enabling them to provide quality care in the home to HCR patients. This position may be remote, with appropriate approvals, and provides service, coordination, management during afterhours and on the weekends, and is a liaison between referral resources, patients, caregivers, and employees. Essential Functions • Act as liaison, to assist in appropriate ongoing management of care; ensure appropriate plans and interventions are identified, act as resource for problem-solving or advising on patient care questions or concerns., • Review and approve all new interim orders before they are sent to physician. Notify Clinical Manager/Regional Director if unable to approve the order., • Assure orders are written according to HCR protocol/regulatory requirements., • Update pathways, as needed, in Point Care to provide intervention and goals for documentation to include vital sign alert., • Review missed visit reports, ensure MD notification has occurred and, if not, notify MD., • Ensure clinical documentation is present to support the patient’s need for ongoing services., • Review and process all wound score deviations, documenting any action and/or follow-up., • Review and process vital sign alert reports including documenting any action, follow-up and physician notification., • Perform end-of-episode reviews, ensuring regulatory requirements are met., • Review and process discharges (discipline and agency)., • Review and process discipline-only discharges., • Review evaluation documentation task (push SOC to coding and Recert to held stage)., • Receive and review lab reports and assess for normality. Review new lab order via fax and email clinician to review and notify case manager and physician, as appropriate., • Entry of Hospital Hold Order/Note, if needed, including follow-up on patient status at hospital., • Follow-up with staff to correct or refine documentation that is not accurate or complete, to ensure standards of documentation are met., • Support staff by assisting with administrative clinical functions (i.e., TIFs, phone calls, etc.)., • Alert Clinical Manager/Regional Director of changes in patient status or orders that do not seem appropriate., • Enter information regarding all telephone calls into the coordination notes section of HCHB., • Notify staff, as appropriate, to ensure proper coordination of care., • Adhere to, and participate in, the Agency’s mandatory HIPAA/Privacy Program and Employee Compliance Program., • Read and adhere to all Agency policies and procedures and follow the Employee Handbook Guidelines., • Quality:, • Audit clinical records to identify trends/areas of improvement in processes and documentation., • Collaborate with Clinical management and Staff Development departments, to inform of findings of audits, outcome measurements, notify of trends and potential educational needs., • Clinical assistance:, • Triage incoming calls., • Audit/Review DRRs., • Other duties as assigned. This job description reflects management’s assignment of essential functions; and nothing in this herein restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Education Requirements • Bachelor of Science Degree in Nursing preferred. Qualifications and Requirements • Current, valid licensure as Registered Professional Nurse issued by NYS Department of Education., • Two (2) years’ experience in the health care industry with a minimum of 1 year experience in home health care., • Supervisory experience is preferred., • Understand issues related to the delivery of home health services and be able to problem-solve effectively., • Possesses knowledge of the Medicare/Medicaid guidelines governing home health agencies., • Organized, detail-oriented, and possesses effective oral and written communication skills., • Able to work independently, with minimal direction or management oversight., • Excellent customer service skills. Work Environment The Afterhours/Weekend CFSS is primarily in an office setting and may be exposed to outdoor conditions. The working conditions are classified as sedentary work: • Sedentary work - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Physical Requirements The following is a description of the physical requirements on a daily basis for the Afterhours/Weekend CFSS. While performing the duties of the job the employee is regularly expected to: • Stand, • Sit, • Hear, • Walk, • Talk, • Stoop or kneel, • Repetitive motion This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed as assigned. EOE/AA Minority / Female / Disability / Veteran #ZR

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

Sumo Medical Staffing is recruiting for an experienced Psychiatrist to work forensic outpatient shifts with the New York OMH in Marcy, New York (NY) Starting in January, the role offers ongoing work with a competitive market rate and benefits. We will have this contract to bid until August 2026. Forensic Inpatient Psychiatry Role: Provide psychiatric care for Bridgeview residents, including medication management and treatment for sexual arousal (SSRIs, antiandrogen therapy). Collaborate with multidisciplinary teams and maintain compliance with documentation standards. Location: STARC Oakview (CNYPC), Marcy, NY Schedule: Full-time, 40 hours/week | Monday–Friday | 8:00 AM – 4:00 PM Responsibilities • Manage psychiatric medications and treatment plans., • Evaluate established residents at least every three months; assess new residents as needed., • Document in EHR, order medications and labs., • Respond to emergencies (restraints, observation, safety concerns)., • Collaborate with healthcare professionals for continuity of care., • Explain diagnoses and treatments to patients and families., • Refer individuals to other providers when necessary., • Participate in admission, transfer, and discharge planning., • Maintain required documentation., • Consult with other psychiatrists and medical staff., • Provide clinical supervision and training to staff., • Review records for accuracy and appropriateness., • Serve on treatment teams and committees., • Assist in developing and updating psychiatric policies. REQUIRED: NY License, active and unrestricted BC-Psychiatry Enrolled in NYS Medicare/Medicaid 1-year forensic experience. Experience working with individuals with paraphilias and those who have committed sexual offenses is preferred Benefits: • Competitive Market Rate (rate based on availability, experience and certifications), • Housing and transportation needs covered., • Malpractice insurance provided, • Our specialist recruitment team will support you every step of the way through application to credentialing to starting in your new role., • Rewarding referral program – earn extra income by recommending other healthcare professionals to Sumo Medical Staffing.

Capital District Psychiatric Center (CDPC), an Office of Mental Health (OMH) Joint Commission accredited facility, is currently recruiting overnight Licensed Social Workers for their Crisis Intervention Unit (CIU). Overnight shift is from 11:00 pm to 7:30 am with a rotating weekend schedule. The CIU provides 24-hour crisis response to children, adolescents, and adults in the Capital Region. Individuals can be referred by a mobile crisis team, law enforcement, outpatient clinics, local hospitals, or individuals can self-present in a time of crisis. Licensed Social Workers will collaborate with a multidisciplinary team to triage and assess individuals in a psychiatric emergency room setting including: • Completing psychiatric assessments with a Physician to determine if the individual would benefit from inpatient psychiatric hospitalization., • Providing verbal de-escalation and participating in interventions as needed., • Triaging phone calls and providing telephonic crisis response., • Securing inpatient bed for individuals in need and facilitating transfers., • Working with insurance companies to gain preauthorization for inpatient hospitalization., • Connecting individuals to outpatient services at the time of discharge., • Assisting in training and orientation of new staff and/or interns. If you would like to join the CDPC Team and contribute to a workforce dedicated to public service, we offer a generous benefits package including: • Competitive Salaries, • Shift differential pay for evening, nights, and weekends, • NYS medical, dental, & vision insurance, • NYS retirement program- Pension and Deferred Compensation, • Access to tuition assistance programs, • Paid time off – 13 paid vacation days in the first year, 5 paid personal days, 13 paid holidays, & paid sick leave, • Excellent opportunities for advancement & professional growth Minimum Qualifications: Licensed and currently registered as a Licensed Master Social Worker or Licensed Clinical Social Worker in New York. Additional Notes: The Mission of the New York State Office of Mental Health (OMH) is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances. Applicants with lived mental health experience are encouraged to apply. OMH is deeply committed to supporting underserved individuals, organizations, and communities. To this end, OMH is focused on implementing activities and initiatives to reduce disparities in access, quality, and treatment outcomes for underserved populations. A critical component of these efforts is ensuring OMH is a diverse and inclusive workplace where all employees' unique attributes and skills are valued and utilized to support the mission of the Agency. OMH is an equal opportunity/affirmative action employer. Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at . In order to be hired and to maintain your employment, candidates cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists. If appointed and subsequently listed as an excluded individual or entity on any of these lists, you may be terminated from your employment. If appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. Background checks are required.

SonderMind is a leading mental health care platform revolutionizing therapy services. We are seeking compassionate and highly skilled licensed mental health therapists to join our expanding network. As a SonderMind therapist, you will have the opportunity to meaningfully impact the lives of individuals seeking therapy while enjoying the flexibility and support of our innovative platform. Our therapists are committed to delivering best-in-class care to all individuals by focusing on high-quality clinical outcomes – and finding new ways to use data to help people get better. At SonderMind, we enable clinicians to thrive. Benefits of Joining SonderMind: • Flexibility: Enjoy the freedom to set your own working hours and maintain a healthy work-life balance, • Free and stress-free credentialing with major insurers: We have streamlined the credentialing process and handle all the hard stuff for you so that you can expand your practice by accepting insurance from major payors in your state in weeks, not months., • Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare., • Clinical Autonomy: SonderMind values your clinical expertise and empowers you to make informed decisions about treatment approaches, • Supportive Community: Access a network of like-minded therapists, dedicated support from our platform, and ongoing opportunities for collaboration and growth, • Guaranteed Pay: We handle all the billing for you and guarantee pay bi-weekly for completed sessions-including no-shows, • Thoughtful client matching and dedicated coaches to grow your practice: We help you get paired with individuals who are ideal clinical matches so that you can control and personalize your caseload, and a dedicated coach to help you help your clients, no matter what your specialty, from pediatric to geriatric mental health, trauma, anxiety or addiction, we help you help others, • Professional Development: SonderMind is committed to helping therapists grow professionally, offering ongoing training and resources to enhance skills, • Master's degree or higher in counseling, psychology, social work, or a related field., • Must be fully licensed by the State Board to provide therapy independently and without supervision (e.g., LPC, LCSW, LMFT, LMHC, LCPC, LCSW-C, LISW, or LP). Pay: $86-$116 per hour. Pay rates are based on the provider license type, session location, and session types.

Job Description Position Summary: Responsible for clinical and financial evaluation of hospital and community referrals for admission and re-admission to St. John's Home, including all aspects of the process: screening, insurance verification and authorization, continuous communication with families & various community care partners, bed management, and oversight of the admission paperwork. Works in collaboration with other departments to provide support to residents and families, as well as maintain census and payer mix. Qualifications & Education Required: • Bachelor’s Degree in Social Work or Human Services OR Bachelor’s Degree in Nursing or NYS RN Licensure OR Licensed Practical Nurse (LPN), with a minimum of three years’ experience in LTC with experience with the admissions process, • Preference for at least 2 years of experience in a skilled nursing facility with ability to prioritize and manage multiple tasks, often with interruptions, as well as familiarity with health insurances and Medicaid Core Organizational Competencies: • St. John’s Brand Characteristics - Embrace living by being Friendly, Respectful, Responsive, Compassionate, Innovative and Fun towards elders, families and colleagues., • Teamwork - Actively participates. Assists team members; offers encouragement. Acknowledges/welcomes elders. Keeps team members informed. Recognizes achievements and efforts of others., • Job Knowledge - Consistently demonstrates working knowledge of all aspects of job. Remains current on job related changes and trends., • Planning/Organization - Demonstrates initiative; plans appropriately. Uses time, materials, resources effectively. Organizes work to ensure commitment and priorities., • Productivity - Consistently maintains high activity and efficiently produces acceptable volume of work. Consistently meets deadlines and commitments., • Quality - Consistently produces accurate, timely work which meets required quality standards. Pays attention to detail. Sets high standards of performance for self and actively seeks continuous improvement. Provides elder-driven care., • Reliability - Consistently delivers on commitments. Can be counted on to accomplish tasks without follow up. Available when required by elder or team and can be counted on to help or assist when needed. Responds in a timely manner., • Demeanor (attitude) - Embraces change with optimism. Addresses concerns appropriately. Positively communicates. Good listener. Consistently maintains a positive demeanor. Position Competencies: • Effective communication and high-level of professionalism, internally and externally, • Sensitivity and empathy for residents and families in emotional situations, • Adapts appropriately to cultural differences, • Confidentiality and HIPAA compliance, • Understanding and respect for other departments and co-workers Position Responsibilities: • Conducts thorough and timely review of hospital and community referrals, with attention to detail for a successful admission, • Sets up appointments and provides tours for perspective applicants/families, • Offers guidance regarding alternative choices or services in lower levels of care, if appropriate, • Works with health insurances, Medicare, Medicaid and families to facilitate coverage and payment, • Consistently communicates with the interdisciplinary team regarding new and re-admissions, • Ensures the Business Office has accurate information about insurance and finances for applicants, monitors and updates bed hold status and social leave days for appropriate payment, • Provides a welcoming and supportive environment to the prospective elder and their loved ones as they navigate the admission process, • Assists with admission paperwork, as needed, • Fosters cooperative relationships with external entities to maintain great working relationships, • Data entry for all referrals, admissions and denials, • This position is full-time, in-person Physical Requirements: • Occasional moving and lifting of residents Exposure to Conditions: • May be exposed to infectious diseases. May be exposed to physical aggression.

Job DescriptionSt. John’s is leading and inspiring a shift in society’s views of elderhood. Join our family of dedicated, talented employees who are at the forefront of innovative senior services delivery in this community. St. John’s embraces living every day by fostering a culture that is friendly, respectful, responsive, compassionate, innovative, and fun for both employees and the elders and residents that call St. John’s home. If this description speaks to you, continue reading about the opportunity of MDS Registered Nurse. This is a full-time, 40 hours per weekday position located at St. John’s Home. Position Summary: The MDS RN completes the Minimum Data Sets (MDS) as assigned, while remaining open to learning and mastering other aspects of Reimbursement. Responsibilities include: • Assist Reimbursement manager as needed., • Complete nursing portion of all MDS for assigned units., • Manage documentation requirements for MCA and MCD., • Determine MCA traditional coverage for admissions/readmissions - continued coverage- cuts., • Set PPS ARD's., • Assumes responsibility for own professional growth and development, attends in-service programs that are provided to facilitate compliance with governmental regulations., • Coach nursing staff on how to assess, plan and implement a resident plan of care using the MDS process., • Plan and participate in conferences and classes to provide knowledge and practice in resident care., • Working knowledge in MS Word, email, AOD and EMR charting., • Provide the interface for communication of resident care needs with members of other disciplines, utilizing an in-depth knowledge base to ensure comprehensive follow through on problems., • Compare and interpret previous and present data when problem solving and report in records pertinent data., • Recognize and report safety hazards., • Current New York State Registered Professional Nursing License required., • Current CPR certification., • PRI certification and AANAC MDS 3.0 certification within 18 months of hire., • Three years clinical nursing experience preferably in long-term care setting. Working knowledge of MDS and Medicare A reimbursement., • Long term care experience preferred., • Must possess good organizational, leadership and communication skills., • Ability to interact with Elders and care for their needs., • Technical expertise in MS Word, email, AOD and charting. Commensurate with experience: $31.50-$40.00 hourly. Check out what we have to offer YOU at : • Health, dental, vision insurance (30 hours+), • Employer sponsored life insurance & telemedicine (30 hours+), • Weekly paychecks, • Competitive pay, • Free parking, • 24/7 fitness center, • Generous paid time off and holidays, • On-site child care, • Employee Assistance Plan, • Cell phone discounts

Job Description Role and Responsibilities The Clinical Manager is an RN who supervises a potentially interdisciplinary team of RNs and LPNs to assure appropriate clinical services are provided by the Agency. This person, or similar alternate, is available at all times during operational hours and participates in activities with respect to professional services. Collaborates between departments to facilitate and assure the delivery of high-quality patient care. Essential Functions Supervises the day-to-day clinical operations (including ensuring workflow tasks are completed even during staff absences) and all required patient care is completed including, but not limited to: • Review and follow-up on complaint forms and all QI reports., • Onsite supervision of clinicians as assigned., • Oversee the instruction of the clinical team in providing quality service and maintaining standards, including in-home visits to direct and evaluate patient care., • Proactively address operational and clinical practices to prevent patient harm and/or organizational deficiencies or inefficiencies., • Ensure that the patient’s plan of care is executed as written and reassessed by the appropriate health care professional when there is a significant health status change in the client’s condition, at the physician’s request, and after hospital discharge., • Recommend policies, procedures and/or protocols based upon industry regulations and evidence-based clinical practice standards., • Assure that staff perform according to Agency standards as well as legal/regulatory standards., • Conduct case conferences (informal, supervisory or interdisciplinary) to discuss client issues, plan of care, and discharge planning, including documentation of such conferences via the Case Conference Coordination Note in the medical record., • With the assistance of the Clinical Field Staff Supervisor and Patient Scheduling Coordinator, oversee the delegation of assignments to staff according to licensure, training, and demonstrated skills, as well as the clinical needs of the patient., • In collaboration with the HR Department and Regional Director, participate in recruitment of qualified personnel and implementation of effective strategies to promote staff retention at acceptable parameters established by the Agency., • Ensure clinical staff members maintain up-to-date credentials and adheres to job responsibilities and productivity requirements by conducting timely, thorough performance reviews annually, and providing more frequent feedback on low performance as needed., • Assist in determining appropriate staffing levels and maintain adequate staffing levels to meet patient requirements., • Approve weekly schedules and ensure productivity standards are met., • Review and approve bi-weekly payroll., • Recommend and collaborate on in-service education programs to promote staff development., • Take administrative on-call, when required., • Maintain nursing knowledge base to be current with accepted community standards and best practices., • Participate in community awareness programs as necessary., • Understand and effectively interpret operational budgets and respond to negative variances., • Create strategies to meet corporate goals, including team objectives that are attainable. Monitor and evaluates effectiveness using measurable criteria., • Provision of monthly staff meetings to meet agency communication plan., • Adhere to and participate in Agency’s mandatory HIPAA/Privacy Program and Employee Compliance Program., • Read and adhere to all Agency policies and procedures and follow the Employee Handbook Guidelines., • Maintain understanding and effective demonstration of leadership competencies including, but not limited to: 1. People: • Build effective teams, • Manage relationships up, down and to the side, • Motivate and develop others, • Build positive work environments 2. Purpose: • Respond to organizational mandates, • Project mission, • Move strategies to actions by using short-term objectives 3. Process: • Manage a change process, • Manage conflict within the organization, • Use performance assessments effectively 4. Personal: • Develop self-knowledge and awareness, • Use communication skills interpersonally and publicly, • Demonstrate courage, • Maintain resilience, • Other duties as assigned. This job description reflects management’s assignment of essential functions; and nothing in this herein restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Education Requirements • Valid RN license issued by NYS Department of Education required., • Minimum of two years’ experience in certified home health care., • Medicare home health experience and management experience., • Organized, detail-oriented, and possesses effective communication skills both orally and in writing., • Understands the delivery of home health care and is able to problem-solve effectively., • Capable of prioritizing and handling multiple tasks of critical importance simultaneously., • Functions well in an atmosphere of change and interruption., • Effective management skills., • Must possess a valid NYS driver’s license and automobile liability insurance., • Must have dependable transportation and able to drive in all types of weather. Work Environment The Clinical Manager is primarily in an office setting and may be exposed to outdoor conditions. The working conditions are classified as light work: • Light work - Exerting up to 20 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Light work involves sitting most of the time. Physical Requirements The following is a description of the physical requirements on a daily basis for the Clinical Manager. While performing the duties of the job the employee is regularly expected to: • Stand, • Sit, • Hear, • Walk, • Talk, • Stoop or kneel, • Repetitive motion This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed as assigned. EOE/AA Minority / Female / Disability / Veteran 8:30am - 5pm Mon - Fri 40

Job Description Are you an RN looking for a career opportunity in healthcare technology? Do you have experience in adult health? Vatica Health is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant, you will collect, review and analyze patient data to improve care coordination, quality metrics, and medical cost savings. The ideal candidate has a track record of critical thinking strong attention to detail, expertise in navigating various electronic medical record (EMR) systems and building strong work relationships with providers and office staff. And of course, a GREAT PERSONALITY! As this role is considered hybrid, you will have the opportunity to work remotely from home and have expectations to go onsite to practices locally. The distance to commute to a providers office is typically no more than 60 miles, but can be more if the need arises. While this posting location may be noted as Atlanta, GA; we welcome applicants from ALL MARKETS to apply. Responsibilities • Create detailed and comprehensive patient medical records. Research and gather information from multiple sources and consolidate into one comprehensive and detailed view. Use clinical judgement and data to reconcile conflicting information from various sources., • Build strong relationships with providers and staff; ability to embed yourself in multiple practices and be a contributing and valuable member of each team, • Become an expert in our technology, train and support providers and practice staff on process., • Follow-up: ability to persuade and persist with providers to meet deadlines., • Share best practices and clinical knowledge with your fellow Clinical Consultants Requirements • Minimum of 3 years of recent adult health clinical experience as a Registered Nurse (RN)- preferably in critical care (i.e., ICU/CCU/MICU) and/or ED), • Proficiency with Diagnosis, Billing, and Quality Measures Coding a plus, • Excellent interpersonal skills that include the ability to effectively communicate with physicians, advanced practice providers and medical office personnel such as Practice and Billing Manager, both verbally and written, • Understanding of health insurance benefit structure; especially Medicare and Medicaid, • Must be technically savvy; this is critical to the role. Understanding and interest in software and technology a must, • Solid clinical skills, • Flexible, energetic self-starter with the ability to work in a non-structured environment, • Willingness to travel/commute to various locations for training and support; comfortable with a work from home setting, • Strong ability to organize, prioritize, make decisions and work independently, • Must possess and have proven problem resolution skills, • Excellent organizational skills with the ability to multi-task VATICA HEALTH ADVANTAGES • Every single person at Vatica Health is working to fight the good fight every single day. What we do matters, a lot. If you are looking for a job that has real meaning and you’d like to work with people who care deeply about what they do, we’ve got that., • We work hard (see point above), but we don’t forget to have fun. “I want a job that is dull,” said no one ever., • We believe in fostering a culture of servant leadership – command and control is so 1990s. We look for brilliant people that are great at what they do because they love what they are doing., • We know that teams are exponentially more successful than the sum of their individuals. Our teams value what each member brings to the table and also values continuous improvement of each team member as well as the whole team., • Competitive salary based on your experience and skills – We believe the top talent deserves the top dollar, • Bonus Potential (based on role and is discretionary) – If you go above and beyond, you should be rewarded, • 401k match– We want to empower you to prepare for your future, • Comprehensive Medical, Dental, and Vision insurance plans, • Tax-free Dependent Care Account and Flexible Spending Account, • 4 weeks of PTO (Everyone deserves a vacation now and then), • M-F work week (No working weekends, overnights, on call shifts, or holidays) We believe family comes first!, • Reimbursement for RN license and Continuing Education Credits, • Strong supportive teams- There is always a helping hand when you need it! The salary for a position is typically determined by multiple factors such as the individual's qualifications, experience, skills, and location. The projected compensation range for the position may vary based on these factors and could range from $65,000 to $85,000 (annualized USD). However, this estimate represents just one aspect of our total compensation package offered. Are you up to the challenge? What are you waiting for? Apply today!

Job DescriptionDescription: JOB PURPOSE: To provide linkage and retention of patients in HIV primary care, identify patients lost to care, and develop a comprehensive approach to assessing and assisting patients at risk for non-compliance, non-retention, and non-adherence to HIV care and treatment. Additionally, this position will focus on expanding the PrEP Program through providing patient education, engagement, navigation, retention, and adherence counseling services. MAJOR RESPONSIBILITIES (Essential functions): Result #1: To identify patients eligible for services per RAP Program Standards and document required information in AIRS, Caseload, and the Electronic Medical Record system: · Conducting oneself in a professional, courteous, and friendly manner. · Occasionally greeting PPC patients when they show up in the reception area and inquire about needs other than clinical expectations. · To verify that prospective HIV patients are newly diagnosed, not virally suppressed, residents of New York State, and meet income guidelines. · Document patient enrollment information in AIRS and the Electronic Medical Record system (eCW) per RAP Program Standards. · Collaborate with PPC Providers and nurses to support the continuum of care to the benefit of patients Result #2: Clinical Adherence Management and Direct Client Services: · Provide immediate and short-term support to patients who may experience mental, physical, emotional, and behavioral distress. · To conduct adherence assessments for retention and adherence barriers (housing, social support, and mental health) at the time of enrollment. · Develop and implement a strength-based, individualized treatment adherence service plan within 30 days of the patients’ initial PPC appointment based on the patients’ needs and goals. · To provide individual treatment adherence counseling and monitoring of patients enrolled in the RAP Program. · The Community Health Worker/RAP will case conference with each patient quarterly, addressing progress in achieving goals, medication, and viral load status, and discussing strategies to address identified barriers. · Use evidence-based retention and medication adherence interventions. Result #3: Care Coordination and Multidisciplinary Integration: · Utilize a multidisciplinary team approach with the entire PPC department (physicians, nurses, case managers, and behavioral health staff) to ensure that patients are adherent. · Case conference with each patient quarterly to address progress, medication status, and strategies to address barriers. · Utilize a multidisciplinary team approach with the entire PPC department to ensure patient adherence. · Collaborate with case management, pharmacy, substance abuse treatment, and mental health services to improve retention and medical outcomes. · Conduct re-engagement efforts for patients who have not had blood work in six months or attended a doctor’s appointment in over a year. Result #4: Program Administration and Outcomes Monitoring: · Re-evaluate patients’ service plans and assessments every three months and update them as necessary in AIR and the Electronic Medical Record system. · Collaborate with case management, pharmacy, substance abuse treatment, mental health, and other services to improve retention, adherence, and medical outcomes for PLWHA. · Facilitate home visits to the patient’s home to increase treatment adherence goals and outcomes. · To conduct re-engagement efforts for those patients who have not had their blood work in at least six months or who have not attended a doctor’s appointment in more than a year. · Work with the Program Manager to address Quality Improvement activities. · Report monthly on the outcomes, performance measures, and quality improvement activities. · Promote medication adherence through regular check-ins, skills-building, and client-centered motivational interviewing techniques. · To document case closure for those patients who have maintained viral load suppression for two consecutive viral load tests, at least ninety days apart or have left the program for another reason (lost to care or transfer out of the RAP program) · Perform other duties as assigned. Requirements: EDUCATION AND EXPERIENCE REQUIRED: · B.A. or B.S. in Psychology, Social work, Counseling, Substance abuse counseling, Sociology, Community health, or Public Health; or at least two years of experience in the field of HIV/AIDS. · One year of experience providing health education or case management, and familiar with psychiatric disorders, substance abuse, and cognitive impairments. · Fluent in English and Spanish. · Valid NYS driver’s license. · Experience in health treatment: treatment plan, program implementation, and or direct delivery of health services. · Ability to deliver health education services and coaching. · Effective communication and documentation skills. · This position requires some expertise in Medicaid, Medicare, and ADAP insurance programs. · Sensitive to confidential information and HIPAA regulations. SKILLS AND KNOWLEDGE REQUIRED: · Strong writing and computer skills · Possess and utilize effective verbal and written communication · Ability to be self-motivated, work independently, and work as a team member · Ability to represent the agency in a professional manner within the community · Skills and competence to establish supportive, trusting relationships with people living with HIV/AIDS and respect for client rights and personal preferences are essential