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

Job Description THIS IS NOT A REMOTE POSITION Position Overview The Revenue Integrity Clinical Liaison serves as the critical link between clinical operations, finance, and coding/billing functions. They will ensure that every patient encounter is accurate; services charged and billed in accordance with clinical activity, compliance guidelines, and hospital policy. This role focuses on bridging operational and financial workflows by validating and auditing OR supply utilization and charging practices confirming approved charge capture workflows are consistently followed across service lines. The ideal candidate has a deep understanding of clinical documentation, charge capture processes, revenue integrity methodologies, and communication skills needed to drive collaboration between clinical and financial stakeholders. Responsibilities • Conduct daily focused reconciliation audits on OR procedures, supply usage, and implant charges, validating against clinical documentation and charge master mappings., • Partner with finance, OR, billing and coding to analyze service charge capture trends, missed revenue, and denial patterns, to correct findings., • Participate in trouble shooting recurring charge errors or missing charges, escalating issues requiring system or process intervention., • Serve as liaison to supply chain and OR management to validate that approved charge workflows are being followed., • Support daily/weekly reconciliation processes, ensuring completeness and accuracy of OR/clinical revenue data. REQUIRED QUALIFICATIONS • Bachelor’s degree in healthcare, finance, or related field., • Advanced Microsoft Excel a MUST., • Experience in operating room or procedural area charge reconciliation., • Working knowledge of hospital charge master and revenue cycle operations., • Prior involvement in Oracle Health charge mapping or validation projects. Additional Qualifications • Minimum 2-3 years of experience in revenue integrity, charge audit, or coding operations., • Familiarity with charge reconciliation and supply chain charge workflows., • Understanding of ICD-10, CPT/HCPCS, and billing compliance regulations preferred., • Proven ability to communicate effectively with both clinical and financial audiences., • Strong analytical, auditing, and problem-solving skills., • Ability to work independently, manage competing priorities, and meet deadlines in a complex healthcare environment., • Working knowledge of Oracle Health (Cerner Millennium+) or equivalent EHR systems.

Collaborate with Health, Counseling, and Wellness leadership around oversight and management of Student Health Insurance Plan. Experience in primary care and clinic management.

Participate in site management business and clinical quality strategy development and implementation.

Westchester Educational Opportunity Center (WEOC).About Westchester Community College:.Westchester Community College was founded in 1946 as the New York State Institute of Applied Arts and Sciences in White Plains.In 1957, the County of Westchester bought the 360-acre John Hartford estate in Valhall

Valley Medical Group, part of the Valley Health System in Paramus, New Jersey, is seeking a full-time Regional Medical Director to join our growing Primary Care Service Line.The Director works collaboratively in a Dyad relationship with the practice managers, service line director and supervisors to

Good knowledge of the principles and practices of administration, office management and personnel management is important. Support will include calendar management, meeting logistics, and general administrative functions. Supports the work of the Vice President, External Affairs/Executive Director W

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

This is professional medical work providing supervision of professional, medical and nursing staff to meet the needs of patients within a nursing home setting.The work is performed in accordance with standards prescribed by the medical profession.This employee works under the general direction of th

Lead and oversee all appropriate psychiatric and behavioral health clinical escalations in our practice, including crisis intervention and risk assessment, management, and referrals to higher levels of care as needed and warranted by community standard of care and our protocols. Provide direct clini

Implements performance management strategies of Primary Care physicians, nurse practitioners and physician assistants at the direction of Senior Medical Director(s), to ensure adherence to policies, protocols and practice guidelines. Prescribe medications and formulate ongoing treatment and disease

Must have a working knowledge of both the administrative and the technical aspects of the Respiratory Therapy Department.Capable of directing personnel to perform in a smooth and efficient manner.Capable of running all aspects of the Respiratory Department.Supervises and in-services Respiratory Ther

Valley Medical Group, part of the Valley Health System in Paramus, New Jersey, is seeking a full-time Regional Medical Director to join our growing Primary Care Service Line.The Director works collaboratively in a Dyad relationship with the practice managers, service line director and supervisors to

The Mount Sinai Health System seeks an Obstetrics and Gynecology System Medical Director for its Ambulatory Services at Mount Sinai Hospital!.Founded in 1852, The Mount Sinai Hospital is a 1,134-bed, tertiary-care teaching facility acclaimed internationally for excellence in clinical care.News & Wor

Assist the Chair with departmental management, strategic initiatives, and policy development. Collaborate with clinical teams to optimize laboratory resource utilization and enhance patient care. Proven experience in laboratory leadership and management is essential.

The successful candidate will collaborate with the SES Administrative Team to provide administrative and office management support as needed across the department.

Call Center / Remote] - Anywhere in U.

We are seeking a professional and reliable Front Office Specialist to join our team in the Yonkers, NY area.The ideal candidate will be bilingual in English and Spanish, have strong communication skills, and possess prior experience supporting front office operations.Experience in a medical or healt

Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments. With most of our paid focus group studies, you have the option to part

Job Summary: Under general supervision, and according to well defined policies and procedures, the MA/MR assists in the delivery of primary health and patient care management, interviews patients and/or patients' representatives to obtain necessary personal, demographic, and financial information an

We create communities where employees thrive in their work, helping our residents thrive in their homes.Atria Senior Living's family of brands has openings for individuals looking for a career with outstanding benefits, including:.Employees may receive annual anniversary rewards dependent on classif

Join Us as a Medical Receptionist (Level II).Are you an experienced medical receptionist who thrives in a fast-paced, patient-centered environment? We're looking for a Medical Receptionist Level II to bring organization, warmth, and expertise to our front desk team.If you're someone who loves keepin

Medical Front Desk Receptionist.Hour Shifts; Monday-Friday (Between 7-7).Organization: New York Cancer and Blood Specialists (NYCBS).Manage daily opening and closing procedures of the office.Welcome patients and visitors, ensuring a professional atmosphere.Assist with scheduling, appointment reminde

Responsible for calendar management, communication and correspondence, client interactions, expense reports, travel arrangements, and human resource needs including requisition management and time and attendance.

A well-presented and articulate individual who can deliver exceptional customer service.Possesses an outgoing personality, strong interpersonal skills, and the ability to work confidently and independently within a diverse team environment.Greet and welcome guests as soon as they arrive at the offic

Administrative responsibilities include answering phones, greeting patients, providing customer assistance, scheduling support, data entry, and maintaining accurate patient records within electronic health record and practice management systems.

FYZICAL in Lake Success, NY has expanding its operations, within a fully renovated, Class A office complex.We are presently seeking skilled front office support.FYZICAL, the fastest growing physical therapy company in America, is setting a new benchmark for the highest level of care.With locations a

Experience with medical terminology, EMR, collection of specimens, laboratory protocols and knowledge of proper handling and management of surgical instruments is preferred.