Utilization review jobs in Levittown, New YorkCreate job alerts

Job Description SAIL does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expressions, national origin, age, disability, veteran status, marital status, or based on an individual status in any group or class protected by applicable federal, state or local law. SAIL welcomes and encourages applications from minorities, women, the disabled, protected veterans, and all other qualified applicants. General Description Responsible for providing supportive counseling and providing training in independent living skills to residents of the Apartment Treatment Program Duties and Responsibilities • Provides training in independent living skills, including how to be responsible tenants and maintain psychiatric stability., • Coordinates the admission, movement and discharge of residents within the Apartment Treatment Program., • Make visits to assigned residents, • Participates with the resident in the development, evaluation, and modification of individual’s service plans., • Assists with the training and monitoring of residents in self- administration of medication. Responsible for learning about medications and side effects., • Assists residents in establishing vocational/educational goals., • Assists residents in improving socialization skills., • Organizes and participates with residents in recreational activities., • Provides crisis management and case management services. Includes making collateral contacts., • Provides supportive counseling., • Participates in Utilization Review Process., • Ensures fire safety equipment is installed in apartments and is in working condition; also teaches consumers to utilize this equipment, Fire Safety protocol and Disaster Planning Program., • Conducts routine apartment inspections to determine what repairs are needed. Reports problems to appropriate personnel and follows through with submitting work orders with supervisory approval as needed, • Teaches consumers who to contact for emergencies including, but not limited to, medical, psychiatric, fire, lack of food, etc., • Assists consumers in utilizing community/neighborhood services., • Provides transportation as needed, for shopping, medical appointments, recreation activities etc., • Distributes residents Money Management and Personal Needs Allowance monies as indicated., • Conducts apartment meetings with assigned residents at least four times a month or more often if needed., • Attends bi-weekly staff meeting, weekly supervision and other agency meetings as needed., • Attends work related workshops/conference as program schedule permits., • Coordinates treatment team meetings., • Notifies the appropriate supervisory personnel of any medical, psychiatric, or programmatic emergency, • Participates in agency wide committees., • Learns and adheres to all agency policies and procedures on an ongoing basis., • Accepts and follows through on other duties and responsibilities as assigned., • Responsible for completing all required documentation in a timely manner. Qualification and Competencies • High School Diploma plus five years’ experience in the Human Services Field OR An Associate’s Degree in Human Services plus three years of experience in the Human services field OR Bachelor’s degree in Human service related field, • Critical thinking and sound judgment skills are necessary., • Ability to manage change in a fast-paced growing business environment, • Computer/office equipment usage, • Ability to work independently and as part of a team, • Demonstrates organizational and communication skills which would enable effective interaction with agency staff, consumers/clients/families and the community. Physical Demand and Working Conditions • Heavy travel to various apartment/site locations or other office locations, • Provides transportation to clients in either personal vehicle or agency vehicle, • May be responsible to physically assist clients move or transfer apartments, • Assist and/or demonstrates cleaning techniques to clients to improve independent living skills., • Moves about inside the office and off-site locations to access files, mail, file cabinets, office machinery etc., • Lifting objects, items, charts, files to and/or from various site locations. Lifting weight capability 20 lbs. Vision: To promote health, wellness, and independence by providing access to housing opportunities and services through the expansion of programs and partnerships. Our Values: SAIL is committed to these core values which support us to achieve our mission.  Integrity: We strive to provide quality services while ensuring honesty and transparency among clients, staff and stakeholders.  Inclusion: We create an environment that embraces the diversity and life experiences of all our clients and staff to shape a sense of community and model best practices for our organization.  Innovation: We value creativity and collaboration among clients, staff and stakeholders to overcome challenges we encounter. We aim to provide the most comprehensive care through a process of ongoing assessment and quality management. "SAIL does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expressions, national origin, age, disability, veteran status, marital status, or based on an individual status in any group or class protected by applicable federal, state or local law. SAIL welcomes and encourages applications from minorities, women, the disabled, protected veterans, and all other qualified applicants."Mission:\r\nOur Mission is to empower persons affected by mental illness and substance use disorders achieve independence and lead healthier lives.\r\n\r\nVision:\r\nTo promote health, wellness, and independence by providing access to housing opportunities and services through the expansion of programs and partnerships.\r\n\r\nOur Values:\r\nSAIL is committed to these core values which support us to achieve our mission.\r\n Integrity: We strive to provide quality services while ensuring honesty and transparency among clients, staff and stakeholders.\r\n\r\n Inclusion: We create an environment that embraces the diversity and life experiences of all our clients and staff to shape a sense of community and model best practices for our organization. \r\n\r\n Innovation: We value creativity and collaboration among clients, staff and stakeholders to overcome challenges we encounter. We aim to provide the most comprehensive care through a process of ongoing assessment and quality management.\r\n\r\n\r\n"SAIL does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expressions, national origin, age, disability, veteran status, marital status, or based on an individual status in any group or class protected by applicable federal, state or local law. SAIL welcomes and encourages applications from minorities, women, the disabled, protected veterans, and all other qualified applicants."

Job Description As a Clinical Reviewer, you will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. You will utilize their knowledge and expertise of the review program to conduct clinical level review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process. Duties include but are not limited to: • Conduct utilization reviews up to and including the appeal level. This includes chart screen, complete electronic worksheets, enter required information and make level one denial decisions when necessary., • Conduct quality and clinical study data collection reviews. This includes chart review, complete detailed electronic data worksheets., • Act as a resource for the administrative staff in training, problem solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles., • Knowledge and experience with electronic medical records including utilization, quality, and clinical charting., • Ability to oversee, problem-solve, and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative. EDUCATION & EXPERIENCE: • New York State, Licensed Registered Nurse, required., • A bachelor’s degree in Nursing OR graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York, required. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status.

Job Description SAIL does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expressions, national origin, age, disability, veteran status, marital status, or based on an individual status in any group or class protected by applicable federal, state or local law. SAIL welcomes and encourages applications from minorities, women, the disabled, protected veterans, and all other qualified applicants. Qualification and Competencies • Two (2) to five (5) years’ medical office, reception, or secretarial experience., • One (1) year experience preferred to be familiar with the psychiatric population., • Demonstrates organizational and communication skills which would enable effective interaction with agency staff, consumers/clients/families, and the community., • Ability to work independently and as part of a team, • Attention to detail with emphasis on accuracy and quality., • Relays information to a multi-disciplinary mobile team, • Strong organizational abilities., • Critical thinking and sound judgment skills are necessary., • Working knowledge of computer and office equipment including Microsoft Office, Word, and Excel, in order to support the program’s administrative needs. General Description Responsible for providing office-based support such as, secretarial task, administrative support, and reception activities for the ACT program. Ensures the coordination of information is shared between internal team member, ACT recipients and/or outside providers as needed in a confidential and HIPAA compliant manner. Duties and Responsibilities • Manages front desk responsibilities including assisting and greeting in-person visitors or callers with a friendly and positive tone., • Answers heavy incoming calls, confirms recipient appointments and directs voicemails or messages from recipients, family members, or external entities., • Provides a safe, and welcoming tone for team interaction and sets the stage for engagement., • Provide administrative support with ability to triage and prioritize contacts confidentially, while ensuring necessary information reaches team members by serving as a liaison between participants and providers., • Communicates and provides updates of any crisis, issues, or concerns, and documents messages to be followed up by internal team members via the internal messaging system., • Reinforces inclusivity by promoting culturally sensitive language., • Fosters hope and encourages collaboration by engaging in discussions and activities., • Provides ACT team members with resources or assistance to ensure recipients are appropriately supported., • Stays up to date on team needs., • Manages and files all correspondence and documentation for the ACT program, including medical records such as face sheets, consents, collaterals, notes, or purchases related to the participant as per SAIL’s policies and Procedures., • Creates new files and folders as needed., • Act as a primary point of contact by sharing, handling, and delivering sensitive and/or confidential documents and information., • Maintains receipts and financial records for Service Dollar expenses and/or program expenditures., • Conducts reviews of uninterrupted services and communicates with Managed Care Organizations by verifying eligibility and/or coverage., • Tracks authorizations for billing; monitors completion of utilization management and concurrent review tools., • Maintains team logs of recipient’s interactions and communications., • Attends and assists with note taking in daily team meetings., • Works collaboratively with the team leader, mental health professionals, social workers, psychiatrist, nurses, and peers in the requirements of all job duties., • Creates and fosters inclusive and diverse external partnerships to support the ACT principles that outline the ACT model., • Actively participates in the daily communication log., • Updates all master forms, maintains forms drawers and binders, and creates new forms as needed., • Orders, distributes, tracks, and maintains office supplies and inventory., • Completes training modules in the Center for Practice Innovation’s Learning Management System (CPI) for ACT Core trainings and demonstrates basic core competencies in specific areas of practice as outlines in the NYSOMH ACT Guidelines and SAILs online mandatory training modules., • Maintains transcripts and status of required training for all members of the team, • Performs other reception/secretarial functions, as necessary., • Liaison with internal and external entities., • Submits all required documentation and reports by due dates according to SAILs Policies and Procedures., • Ensures that inter and intra-agency communication takes place., • Completes heavy workload and all required documentation within established timeframes., • Participants in supervision with Team Leader and/or Program Director as requested., • Accepts and follows through on any other task or duty as assigned or required. Company DescriptionMission: Our Mission is to empower persons affected by mental illness and substance use disorders achieve independence and lead healthier lives. Vision: To promote health, wellness, and independence by providing access to housing opportunities and services through the expansion of programs and partnerships. Our Values: SAIL is committed to these core values which support us to achieve our mission.  Integrity: We strive to provide quality services while ensuring honesty and transparency among clients, staff and stakeholders.  Inclusion: We create an environment that embraces the diversity and life experiences of all our clients and staff to shape a sense of community and model best practices for our organization.  Innovation: We value creativity and collaboration among clients, staff and stakeholders to overcome challenges we encounter. We aim to provide the most comprehensive care through a process of ongoing assessment and quality management. "SAIL does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expressions, national origin, age, disability, veteran status, marital status, or based on an individual status in any group or class protected by applicable federal, state or local law. SAIL welcomes and encourages applications from minorities, women, the disabled, protected veterans, and all other qualified applicants."Mission:\r\nOur Mission is to empower persons affected by mental illness and substance use disorders achieve independence and lead healthier lives.\r\n\r\nVision:\r\nTo promote health, wellness, and independence by providing access to housing opportunities and services through the expansion of programs and partnerships.\r\n\r\nOur Values:\r\nSAIL is committed to these core values which support us to achieve our mission.\r\n Integrity: We strive to provide quality services while ensuring honesty and transparency among clients, staff and stakeholders.\r\n\r\n Inclusion: We create an environment that embraces the diversity and life experiences of all our clients and staff to shape a sense of community and model best practices for our organization. \r\n\r\n Innovation: We value creativity and collaboration among clients, staff and stakeholders to overcome challenges we encounter. We aim to provide the most comprehensive care through a process of ongoing assessment and quality management.\r\n\r\n\r\n"SAIL does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expressions, national origin, age, disability, veteran status, marital status, or based on an individual status in any group or class protected by applicable federal, state or local law. SAIL welcomes and encourages applications from minorities, women, the disabled, protected veterans, and all other qualified applicants."

Job Description Summary: The Medical Collector is responsible for assuring timely submission of claims to insurance companies from and on behalf of providers/customers of United. Collectors are also responsible for collection of payments from the insurance companies. Responsibilities: • Review patient bills for accuracy and completeness; obtain missing information., • Identify insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances., • Confirm billing tasks are completed on a computerized health information technology (HIT) system using USMON, • Utilize a combination of electronic health record (HER) and paper records to perform billing duties; maintain an accurate, legally compliant medical record., • Review insurance payments for accuracy and compliance with contract rates, • Review denials or partially paid claims and work with the parties involved to resolve any discrepancies (reprocess/appeal denied claims), • Manage assigned accounts; ensuring outstanding/pending claims are paid in a timely manner and contacting the appropriate parties to collect payments., • Communicate in a cordial manner with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment., • Consult supervisor, team members and appropriate resources to solve billing and collection questions and issues., • Maintain work operations and quality by following standards, policies, and procedures; escalate compliance issues to supervisor., • Perform a variety of administrative duties including but not limited to: answering phones, faxing and filing confidential documents; and basic internet and email utilization., • Provide excellent and professional customer service to internal and external customers., • Two years’ experience with medical billing/collecting, • Effective oral and written communication skills, • Computer proficient in database management and Microsoft Office, • Resourceful, highly dependable process driven and detail oriented Monday through Friday from 8:30 AM to 5 PM

Job Description JOB DEFINITION: Work with the CN Guidance Youth ACT Team to deliver services to youth who are diagnosed with severe emotional disturbance (SED) and their identified families, whose needs have not been met by more traditional service delivery approaches. EDUCATIONAL REQUIREMENTS: Master's degree in counseling or social work. Must obtain limited permit to practice within 6 months of hire. EXPERIENCE REQUIRED: Two years' experience working with the chronically mentally ill (Masters level). Competency in substance abuse, family support, or vocational/educational rehabilitation must be demonstrated by at least one year of training and/or experience in integrated mental health and substance abuse assessment and treatment. DUTIES AND RESPONSIBILITIES: • Responsible for providing Assessment and Service Planning, Quality Assurance and Improvement Processes, Utilization Review, incident reporting and coordination between Youth ACT and other systems., • Provide culturally sensitive and developmentally appropriate treatment to Youth and their families. Services include but are not limited to Assertive Engagement, Case Management, Assessment, Child and Family Services Planning, Individual, group, and/or Family Counseling/therapy, Family Psychoeducation, Individual Psychoeducation, Psychosocial Rehabilitation, Crisis Intervention Services, Vocational/Educational Services., • Maintains case records and completing documentation on time and in a matter in compliance with federal, state and agency regulations., • Provides direct, face-to-face and/or collateral services to recipients either in the Youth ACT Office or in the community in places and situations where problems arise., • Must be available (along with other members of the Youth ACT Team) on an as needed basis 24 hours a day, 7 days a week, including responsibility for periodic afterhours coverage on the phone and in person as needed., • Assists recipients in developing appropriate expectations from treatment., • Strengthens the ability of the recipient and their identified family to understand and utilize therapy and find resources after treatment has ended through proper discharge planning and termination process., • Exchanges information with other agencies that benefits the recipient or ensures compliance with regulations and coordination of services., • Utilizes and understands the value of supervision, which increases practice skills, promotes better services for the recipient and preserves accountability to the Agency., • Participate in staff development and providing staff supervision and staff training., • Actively engage in agency wide trainings and work groups as well as NYS specific training on and for the Youth ACT model., • Facilitate sharing of data with the individuals to whom it applies to facilitate partnered decision-making and to keep clients informed of progress, • Complete QI Training during onboarding and participate in QI refresher training as needed., • Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences. A Culture that makes better decisions, drives innovation, and delivers better business results., • Adherence to all safety protocols and procedures to ensure a safe working environment for all employees. Demonstrate a commitment to maintaining a safe work environment by following established safety guidelines., • Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees., • Must be willing to transport clients in an agency vehicle on an as needed basis., • Assist and coordinate in planning for community integration trips with Youth ACT Recipients, • Other duties as assigned. BENEFITS: We offer an attractive and competitive benefits package for full time employees which includes but not limited to: • Medical, • Dental, • Vision, • $0 Deductible Platinum Plus Medical Insurance Plan - 90% Employer Provided Benefit, • Flexible Spending Account, • 403(b) retirement plan, • Long Term and Short Term Disability, • Legal Plan, • Dependent Care Expense Account, • Life Insurance/Supplemental Life Insurance, • Pet Insurance, • HRA, • Training programs including a Mentorship program, • Employees may be eligible for Federal/Public Student Loan Forgiveness, • Career growth and Promotional opportunities, • Employee Perks and Discounts to Broadway shows and more 5 Personal Days, 10-20 Vacation Days, 12 Sick Days, 12 Company Paid Holidays-yearly and so much more. If interested please apply via this ad or fax your resume to HR DIRECTOR, CAROL OTERO at 516-396-0553. CN Guidance & Counseling Services, inspires and catalyzes recovery for people living with mental health and substance use conditions through innovative and person-centered integrated clinical treatment, counseling, housing, and support services. • Awarded Newsday/Dan papers Top Long Island Work Place 2019-2024, 6 years in a row., • Every job and every team at our agency plays a role in helping other Long Islanders live healthy and fulfilling lives., • Engage your passion and CHOOSE a career & employer where you can use your vital energy to make a difference. It is the policy of CN Guidance and Counseling Services, Inc. to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, national origin, genetic information, or any other characteristic protected by law. CN Guidance and Counseling Services, Inc. prohibits any such discrimination or harassment.

Job DescriptionWe are seeking Board Certified Psychiatric Mental Health Nurse Practitioners (PMHNP) to expand access to behavioral health care in your area. If you're passionate about making a difference in mental health and committed to providing exceptional care, we would love to discuss this opportunity with you! Our Commitment to You: * We extend a warm invitation to new PMHNP graduates. Our team is dedicated to delivering exceptional mental health care while fostering the professional development of our providers. During the first 8 weeks, we provide a more robust training and experiential learning environment, where there is additional support. * We are committed to providing competitive compensation for our clinicians, including a competitive base salary and a quarterly productivity-based bonus. We offer a comprehensive benefits package tailored specifically for clinicians, with a portion of healthcare premiums covered. * At Mindful Care, we strive to minimize administrative tasks and offer schedule flexibility, allowing clinicians to focus on providing excellent care while maintaining control over their schedule. We handle patient scheduling, prior authorizations, case management, billing, and other support functions. * Our efficiency enables us to offer better reimbursement rates and lower practice expenses, allowing us to pass on economic benefits to our clinicians. Additionally, we streamline the intake process by having clinical specialists gather patient information and conduct assessments, allowing clinicians to spend more quality time with their patients. * We welcome new graduates and provide a collaborator at no expense to supervise clinical work and sign off on accrued clinical hours. Our model emphasizes supportive therapy and non-stimulant or non-narcotic medication management for our patients. Your Qualifications: * Completion of a Master's degree in nursing from an accredited program * Active RN license within the employed state * Board certification by the American Nurses Credentialing Center (ANCC) or the American Association of Nurse Practitioners (AANP) as a PMHNP-BC is necessary-new graduates may apply, but cannot start until licensed. * APN authorization to practice family health within the employed state, as approved by the Board of Nurse Examiners * Possess an active DEA or have an application underway. We can assist you in obtaining licensure. * Authorization for prescription practice * Solid knowledge of related federal and state regulations, including HIPAA and OSHA compliance * Exceptional communication and patient/care delivery, along with strong leadership skills * Excellent ability to organize, with a team player mindset * Eagerness to engage with diverse groups * Supporter of LGBTQ+ initiatives * Bilingual abilities are advantageous Why Choose Mindful Care: * Attractive salary package, including a base salary of $120,000 alongside quarterly performance incentives and per diem opportunities. * Employer contributions toward Health, Dental, and Vision Insurance * Enjoy a flexible working arrangement, with 50% remote telehealth work paired with 50% in-office consultations (work four days a week, 10 hours per day); all essential equipment supplied * Mindful Care provides a collaborator at no expense to you. The collaborator will be responsible for supervising your clinical work and signing off on all clinical hours accrued during your employment with us * Minimized administrative load with full-time in-house billing and appointment handling services * Licensing support if you are asked to obtain additional state licenses. Our credentialing department will be happy to assist in managing this process for you, and we cover the costs up front or will reimburse you if necessary. * Inclusive benefits package featuring 100% Employer-paid malpractice coverage, matched 401k plan, generous FTO, plus 8 holidays, paid parental leave, and more * Prospects for growth and professional improvement as the organization expands * Commitment to employee well-being as an organization centered on mental health care * Participate in globally sponsored company events, such as exciting Mindful Care summer activities and our annual Holiday Gala and Awards events Position & Schedule Type * Type: Regular Full Time 4 day, 10 hour shift * Hours Scheduled Between: Monday-Friday, 8am-8pm * Location: West Hempstead, NY * Type: Hybrid - (2 days remote, 2 days in office) Compensation In addition to a highly competitive benefits package, Mindful Care's Full-Time Advanced Practice Provider (APP) compensation plan ranges from approximately $120K to $200K+ annually, consisting of a base salary and a monthly productivity incentive. The standard base salary begins at $120K, with the opportunity to earn up to $80K annually in productivity incentives (*monthly bonuses, based on utilization metrics). Most clinicians reach a total compensation of $155K-$160K once they achieve 55% utilization. Monthly productivity incentives are guaranteed during the onboarding ramp-up period to ensure financial stability as providers build their caseload. All offers to candidates will ultimately be based on that candidate's individual experience, years of prescriptive authority for psychiatric medication, and skillset. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. By submitting this application, I acknowledge and agree that Mindful Care may conduct a background investigation as part of its hiring process. This investigation may include, but is not limited to, verification of my education, employment history, professional references, and other relevant information. It may also involve a review of my criminal record, credit history (where applicable), and any other publicly available information necessary to assess my qualifications for the position. I understand that this screening will be conducted in compliance with all applicable laws, including the Fair Credit Reporting Act (FCRA) and any state or local regulations. I further acknowledge that I will be required to provide written consent for this background check before it is conducted. I affirm that all information provided in my application is true, complete, and accurate to the best of my knowledge. I understand that any false statements, omissions, or misrepresentations may disqualify me from further consideration or, if discovered after employment begins, could result in termination of my employment. If I have any questions regarding this process, I acknowledge that I may contact Mindful Care's People department for further clarification.

Job Description JOB DEFINITION: Work with the CN Guidance FACT team to deliver services to those individuals who are diagnosed with severe mental illness and whose needs have not been met by more traditional service delivery approaches. EDUCATIONAL REQUIREMENTS: A Bachelor's degree or higher in social work, psychology, rehabilitation counseling, or related field. Licensure with the NYS Education Department in a specific field is preferred. ADDITIONAL REQUIREMENTS: • Current New York State Driver's License, • Clean DMV Record, • Proof of Motor Vehicle Insurance EXPERIENCE REQUIRED: Two years' experience working with the chronically mentally ill (Masters level) recommended. Three years' experience working with the chronically mentally ill (Bachelor's level) recommended. Competency in vocational rehabilitation must be demonstrated by at least one year of training and/or experience in integrated mental health and substance assessment and treatment or vocational assessment. DUTIES AND RESPONSIBILITIES: • Responsible for providing Assessment and Service Planning, Quality Assurance and Improvement Processes, Utilization Review, incident reporting and coordination between ACT team(s) and other systems, • Engage in performing assessment, case management, handling crisis intervention and discharge planning, • Maintains case records and completing documentation on time and in a matter in compliance with federal, state and agency regulations, • Provides direct, telehealth, face-to-face and/or collateral services to members either in the FACT office or in the community in places and situations where problems arise, • Must be available (along with other members of the FACT team) on an as needed basis 24 hours a day, 7 days a week, including responsibility for on-call coverage, • Assists members in developing appropriate expectations from treatment, • Strengthens the ability of the member to understand and utilize therapy and find resources after treatment has ended through proper transition and discharge planning, • Exchanges information with other agencies that benefits the member or ensures compliance with regulations and coordination of services, • Utilizes and understands the value of supervision, which increases practice skills, promotes better services for the member and preserves accountability to the Agency, • Facilitate sharing of data with the individuals to whom it applies to facilitate partnered decision-making and to keep clients informed of progress, • Complete QI Training during onboarding and participate in QI refresher training as needed., • Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences. A Culture that makes better decisions, drives innovation, and delivers better business results., • Adherence to all safety protocols and procedures to ensure a safe working environment for all employees. Demonstrate a commitment to maintaining a safe work environment by following established safety guidelines., • Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees., • Other duties as assigned. BENEFITS: We offer an attractive and competitive benefits package for full time employees which includes but not limited to: • Medical, • Dental, • Vision, • $0 Deductible Platinum Plus Medical Insurance Plan - 90% Employer Provided Benefit, • Flexible Spending Account, • 403(b) retirement plan, • Long Term and Short Term Disability, • Legal Plan, • Dependent Care Expense Account, • Life Insurance/Supplemental Life Insurance, • Pet Insurance, • HRA, • Training programs including a Mentorship program, • Employees may be eligible for Federal/Public Student Loan Forgiveness, • Career growth and Promotional opportunities, • Employee Perks and Discounts to Broadway shows and more 5 Personal Days, 10-20 Vacation Days, 12 Sick Days, 12 Company Paid Holidays-yearly and so much more. If interested please apply via this ad or fax your resume to HR DIRECTOR, CAROL OTERO at 516-396-0553. CN Guidance & Counseling Services, inspires and catalyzes recovery for people living with mental health and substance use conditions through innovative and person-centered integrated clinical treatment, counseling, housing, and support services. • Awarded Newsday/Dan papers Top Long Island Work Place 2019-2025, 7 years in a row., • Every job and every team at our agency plays a role in helping other Long Islanders live healthy and fulfilling lives., • Engage your passion and CHOOSE a career & employer where you can use your vital energy to make a difference. It is the policy of CN Guidance and Counseling Services, Inc. to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, national origin, genetic information, or any other characteristic protected by law. CN Guidance and Counseling Services, Inc. prohibits any such discrimination or harassment.

Job Description JOB DEFINITION: Work with the CN Guidance NCTSI Grant to deliver services to youth and their families in certain geographic areas to increase access to trauma- and grief-focused treatment and services for our Long Island area's most underserved children, adolescents, and their families who experience these untreated or undertreated traumas. EDUCATIONAL REQUIREMENTS: Licensed Clinical/Masters Social Workers or Licensed Mental Health Counselors. EXPERIENCE REQUIRED: At least two years' experience working with youth/families (Masters level). Competency in working with interdisciplinary teams, youth and families, providing individual therapy and case management. Knowledge of substance abuse or vocational/educational rehabilitation. DUTIES AND RESPONSIBILITIES: • Responsible for providing Assessments and Service Planning, Quality Assurance and Improvement Processes, Utilization Review, incident reporting and coordination between NCTSI Grant and other systems., • Provide culturally sensitive and developmentally appropriate treatment to Youth and their families. Services include but are not limited to trauma- and grief-focused treatment Assertive Engagement, Case Management, Assessment, Individual, group, and/or Family Counseling/therapy, Family Psychoeducation, Individual Psychoeducation Crisis Intervention Services., • Maintains case records and completing documentation on time and in a matter in compliance with federal, state and agency regulations., • Provides direct, face-to-face and/or collateral services to recipients either in the clinic or in the community., • Must be available for periodic after hour's coverage on the phone and in person as needed., • Assists recipients in developing appropriate expectations from treatment., • Exchanges information with other agencies that benefits the recipient or ensures compliance with regulations and coordination of services., • Utilizes and understands the value of supervision, which increases practice skills, promotes better services for the recipient and preserves accountability to the Agency., • Complete QI training during onboarding and participate in QI refresher training as needed., • Work with the entire CN Guidance team to apply the Plan-Do-Study-ACT continuous quality improvement approach to address systemic, organizational challenges., • Actively engage in agency wide trainings and work groups as well as NYS specific training on and for the NCTSI Grant., • Responsible for the completion of NOMS for all grant participants/clients at the required timeframes., • Facilitate sharing of data with the individuals to whom it applies to facilitate partnered decision-making and to keep clients informed of progress, • Complete QI Training during onboarding and participate in QI refresher training as needed., • Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences. A Culture that makes better decisions, drives innovation, and delivers better business results., • Adherence to all safety protocols and procedures to ensure a safe working environment for all employees. Demonstrate a commitment to maintaining a safe work environment by following established safety guidelines. We offer an attractive and competitive benefits package for full time employees which includes but not limited to: • Medical, • Dental, • Vision, • $0 Deductible Platinum Plus Medical Insurance Plan - 90% Employer Provided Benefit, • Flexible Spending Account, • 403(b) retirement plan, • Long Term and Short Term Disability, • Legal Plan, • Dependent Care Expense Account, • Life Insurance/Supplemental Life Insurance, • Pet Insurance, • HRA, • Training programs including a Mentorship program, • Employees may be eligible for Federal/Public Student Loan Forgiveness, • Career growth and Promotional opportunities If interested please apply via this ad or fax your resume to HR DIRECTOR, CAROL OTERO at 516-396-0553. CN Guidance & Counseling Services, inspires and catalyzes recovery for people living with mental health and substance use conditions through innovative and person-centered integrated clinical treatment, counseling, housing, and support services. • Awarded Newsday/Dan papers Top Long Island Work Place 2019-2025, 7 years in a row., • Every job and every team at our agency plays a role in helping other Long Islanders live healthy and fulfilling lives.

Job DescriptionAbout The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/Claims Review services to its clients. Care Coordinators facilitate care management and utilization review by performing data collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, employers and claimants in regard to claimants’ workers’ compensation cases. Provide claims processing for the Workers’ Compensation and No-Fault lines of business. The successful candidate will be afforded an opportunity to help further structure this team. This team is a critical component to the delivery of quality healthcare services. Primary Responsibilities • Collect data from claimant representative, physician, or hospital; verify claimant case status and provider network status., • Set up cases in system in accordance with departmental workflows, policies and procedures., • Assist Nurse Case Reviewers with non-clinical issues tasks such as requesting clinical information from providers, obtaining necessary forms, and confirming work status., • Enter required case demographics and transcribe clinical information, • Handle incoming group phone calls and interact with employers, employees, physicians and insurance adjusters to gather information about medical status, and/or type of care needed in a timely manner., • Schedule medical appointments for members with in-network facilities and providers and coordinate/verify member attendance at the appointment., • Maintain and update all activity trackers within designated timeframes., • Verify and ensure the accuracy of claimant cases; create, scan, fax, mail, and upload correspondence and documentation as needed., • Follow established quality assurance standards and all policies and procedures., • Report and document any concerns, complaints and/or issues with direct supervisor., • Demonstrates a kind, caring, sympathetic and positive attitude with all customers and fellow employees., • Perform Ad-Hoc projects and support departmental initiatives as needed.Essential Qualifications, • Superior oral and written communication skills., • Strong PC skills (Excel is a must)., • Excellent organizational skills., • Ability to maintain professional demeanor under pressure., • Ability to work independently and as a team player., • Minimum of one years’ experience in the medical field., • Bachelor's degree or equivalent experience., • Bilingual preferred but not required., • Previous experience in case management handling insurance claims a plus., • Strong skills in medical record review., • Familiarity with medical terminology. At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. *We are an Equal Opportunity Employer Annual Salary Range: $40,000-$50,000 The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity. Powered by JazzHR 44sUde8sxX

Job Description Director of Manufacturing - Massapequa, NY About our Client: Our Client is a global provider within a wide range of areas, including but not limited to aerospace and defense platforms, automation and manufacturing, and the medical and healthcare fields, all aiming toward advancing cutting-edge research and development. Higher Talent Group values its reputation for finding high-quality people, which is why we will conduct a screening to determine if this is a good fit for you. We will share further details such as the culture, how progression works within the company, etc. EDUCATION AND/OR EXPERIENCE • Bachelor’s degree in engineering, Manufacturing Engineering preferred, or other technical-related discipline is required; MBA or other relevant advanced degree is preferred., • Minimum 8 years of experience in a manufacturing environment, including managing salaried and hourly staff., • Minimum 5 years of experience using continuous improvement methodologies, LEAN, Six Sigma, etc. is preferred. SUMMARY OF POSITION The Director of Manufacturing Engineering (ME Director) is responsible for supporting business goals, including product cost and quality, schedule adherence, and timely delivery to meet customer demand. It is a hands-on position responsible for ensuring that manufacturing processes, tooling, and equipment support the business's Safety, Quality, Delivery, and Productivity goals. This ME Director plays an integral part in plant operations, special projects, and is responsible for developing and maintaining a motivated team and for supporting budgetary and production targets. The position has direct reports but must be able to work in partnership with Engineering, Quality, Supply Chain, and Production in support of the departmental objectives. SUPERVISORY RESPONSIBILITIES • The position has direct reports but must be able to work in partnership with Engineering, Quality, Supply Chain, and Production in support of the departmental objectives. BENEFITS • Medical Plan, • Telehealth, • Prescription Drug Program, • Employee Assistance Program (EAP), • Dental Plan, • Vision Plan, • Retirement Plan with company match, • Paid Time Off, • Health Savings Account and/or Flexible Spending Accounts, • Life and AD&D Insurance, • Disability Insurance (Short and Long Term offerings) ESSENTIAL DUTIES AND RESPONSIBILITIES The essential duties and responsibilities of this position are listed below. This list is not all-inclusive and may be amended from time to time. • Responsible for developing the standard processes used to manufacture heat exchangers, including selection and definition of all tooling, equipment, fixtures, and anything else related to the process. The team is responsible for ensuring all production processes are defined using the standard work formats and templates, as well as creating any training documents required to ensure production operators can perform the work in accordance with the documented standard., • Design and develop any tooling or fixtures needed to support the production processes., • Support the Operations team in the achievement of KPI’s related to shipping volume targets, on-time delivery, past due backlog, customer lead time, efficiency, utilization, and overtime premium expense., • Support and drive continuous improvements in manufacturing metrics, including quality, yields, cycle time, productivity, and cost. Promote process improvement, LEAN manufacturing methodologies, and 5S processes., • Implement and drive continuous improvement activities through the implementation ofthe change management process and best practices., • Timely and thorough implementation of engineering changes. Actively partner in the creation and review of engineering changes when needed., • Establish and monitor overall performance for product and quality standards; recommend process improvements/quality control programs. Recommend changes in work practices to improve production standards and product quality., • Ensure the ME team is properly deployed to support the daily needs of the business, new product introduction, cost reduction projects, or other duties as needed., • Oversee the Operational Excellence (cost reduction) plans for the site. Coordinate and manage the projects at a tactical level and develop the project tracking tools to report out to senior management., • Coordinate, review, and present data for the purchase of capital equipment and tooling improvements to audiences at various levels of the company., • Provide technical support and recommendations to both internal and external customer technical/quality teams regarding process improvements, non-conforming parts, defects, and repair/rework., • Author annual performance reviews and develop continuing education and advancement paths for the entire department., • Provide oversight for manufacturing activities in our Mexico facility., • Minimal travel expected. Potential travel to a facility in Mexico in support of overall business objectives. QUALIFICATIONS, KNOWLEDGE, SKILLS, AND EXPERIENCE REQUIRED • Must possess solid analytical skills in forecasting and anticipating production needs and capabilities., • Must be able to prioritize workload in a multitasking environment, short-term tactical, along with longer-term strategic activities., • Must be able to work independently with minimum supervision and have the ability to interact positively and motivate others, • Excellent verbal and written communication skills; fluency in Spanish is preferred., • Experience with MRP systems, preferably Oracle., • Proficient in Microsoft Office programs, including Teams, Word, Excel, and PowerPoint., • Willingness to work a flexible schedule to get the job done., • Exceptional communication skills; promoting teamwork and a positive work environment., • Experience should include build-to-order manufacturing management experience in medium volume/high-mix production environments, preferably in the military or aerospace industries., • Demonstrated history of successful change management and implementation of operational excellence improvements such as lean manufacturing, demand flow, and six sigma., • Strong ability to communicate with all levels of the organization from the production floor to the executive office; strong interpersonal, leadership, & organizational skills., • Familiarity with assembly, welding, brazing, machining, and testing processes is desired., • Demonstrated knowledge of and familiarity with a variety of lean tools and methodologies, including, but not limited to:, • VSM, Standard Work, Pull Systems & Kanban, Integrated Business Planning, Daily Management, 5S/Visual, • Management, 3P, SMED, TPM, Variation Reduction, and Six Sigma. OTHER • Due to contracts with the United States Government, the candidate must be either a U.S. citizen or a Green card holder. COMPENSATION The anticipated salary range for this position is $175,000 to $200,000 annually. This range reflects the base salary for candidates who meet the requirements of the role, including experience, education, and location. Salary Disclaimer: Where a specific pay range is noted, it is a good-faith estimate only. At the time of this posting, the actual salary offered will be based on experience, skills, qualifications, market/business considerations, and geographic location. NOTE The above is presented as a matter of occupational information and guidance only; all other reasonable tasks, duties, and responsibilities that management may deem necessary for satisfactory performance may be included. ABOUT HIGHER TALENT GROUP Higher Talent Group offers candidates full-time opportunities at companies hiring nationwide. We also provide resume and career coaching services for individuals who require assistance in getting back into the workforce or for candidates who want to start looking for a new opportunity discreetly. Want to learn more? Check out our website for additional information.

Job Description We are seeking a highly skilled and detail-oriented Bookkeeper with HR and profit analysis experience to manage financial operations, support human resources, and provide insight into profitability. The ideal candidate will play a key role in maintaining financial health, streamlining HR processes, and identifying opportunities to increase profitability and optimize costs. Key Responsibilities:Financial Management: • Maintain accurate financial records, including income, expenses, and transactions., • Reconcile bank and credit card statements to ensure accuracy., • Manage accounts payable/receivable, processing invoices, and ensuring timely payments., • Collaborate with management on financial planning, forecasting, and budgeting., • Prepare monthly, quarterly, and annual financial reports for management review., • Ensure compliance with tax regulations and assist with payroll tax and year-end tax preparation, • Profitability and Cost Analysis:, • Analyze the lab's income statement to identify trends, variances, and areas of improvement., • Monitor key financial metrics, including cost of goods sold (COGS), gross margins, and net profit., • Provide insights on sales trends, product profitability, and customer performance., • Identify inefficiencies or cost-saving opportunities to improve profit margins., • Work with management to establish profit targets and develop plans to meet or exceed them., • Track and analyze average selling price, volume, and other profitability levers., • Develop efficiency reports related to fixed costs and labor utilization., • Collaborate with department heads to set and monitor KPIs related to financial performance. Payroll & Benefits: • Process bi-weekly/monthly payroll, ensuring accuracy of hours, deductions, and taxes., • Manage employee benefits programs, including health insurance, retirement plans, and other perks., • Handle employee reimbursements and payroll inquiries efficiently. Human Resources Management: • Support recruitment efforts, including job postings, resume screening, and interview scheduling., • Manage onboarding and offboarding, including paperwork and benefits enrollment., • Maintain accurate employee records and ensure compliance with labor laws., • Assist with employee relations, including performance reviews, conflict resolution, and disciplinary actions., • Stay updated on state and federal labor regulations and ensure compliance., • Support employee engagement initiatives and organize training and development programs. General Office and Process Management: • Assist with general office duties, such as ordering supplies and scheduling meetings., • Maintain internal processes to streamline office, financial, and HR operations. Qualifications: • Bachelor’s degree in accounting, finance, human resources, or a related field (or equivalent experience)., • Proven experience as a bookkeeper with HR and financial analysis responsibilities., • Proficiency in QuickBooks and HR tools., • Strong understanding of payroll, tax regulations, and labor law compliance., • Analytical mindset with the ability to interpret financial data and offer actionable recommendations., • Excellent communication, organizational, and interpersonal skills., • Ability to multitask, prioritize responsibilities, and manage time efficiently. Preferred Skills: • Experience in a dental lab, healthcare, or manufacturing setting., • Familiarity with manufacturing accounting practices., • Advanced skills in Excel for data analysis and reporting. Company Description21st Century Dental Lab was founded on the belief that clinicians need to advance along with the dental industry. Our team is dedicated to the integration of digital dentistry into our workflow and the workflows of our clinicians. Every restoration we fabricate utilizes digital advancements to ensure high precision, fit, function, and esthetics.21st Century Dental Lab was founded on the belief that clinicians need to advance along with the dental industry. Our team is dedicated to the integration of digital dentistry into our workflow and the workflows of our clinicians. Every restoration we fabricate utilizes digital advancements to ensure high precision, fit, function, and esthetics.

Job Description JOB DEFINITION: Provide supervision to a team of residential staff providing housing and services to people with psychiatric disabilities. Responsible for the overall functioning of the program and ensuring compliance with agency policies and procedures as well as applicable local, state and federal regulations. EDUCATIONAL REQUIREMENTS: Minimum of Associates Degree, Bachelor's degree preferred, in human services EXPERIENCE REQUIRED: Minimum of two years of experience in a residential program DUTIES AND RESPONSIBILITIES: • Oversee and supervise all aspects of the assigned residential program(s) and assure that appropriate and necessary services are delivered., • Ensure that all program guidelines, protocols, policies, procedures and regulations are followed., • Participate in the recruitment, hiring, training and ongoing evaluation of residential staff under the supervision of the Program Manager and/or Assistant Director., • Develop of a sense of team through training and ongoing supervision, support and evaluation of residential staff, including disciplinary actions, when needed. Provide ongoing structured weekly supervision to Full Time staff members and Monthly supervision to Part Time Staff members., • Develop staff schedules and submit to the Program Manager by the 21st of the previous month, ensure adequate staff coverage for assigned program and update the staff schedule throughout the month, as needed., • Ensure that residents receive restorative and/or rehabilitative and tenancy support services appropriate to their needs. Directly participate in the delivery and documentation of these services, when necessary., • Review all Restorative Services weekly to ensure all appropriate services have been delivered and submit Medicaid Billing Reports on monthly basis as per program protocols., • Oversee and participate in all Medicaid billable activities and ensure that all documentation is current and in compliance with regulatory guidelines. This includes timely and accurate submission of monthly Medicaid Billing Reports to the Billing Dpt., • Oversee all medication monitoring procedures and assume any medication management related tasks and responsibilities in the absence of a Senior Counselor. Housing Supervisors are to review the medication logs/EMAR on a daily basis to ensure all procedures are being followed appropriately., • Oversight of the sites to ensure a clean, safe and homelike environment. Ensure proper maintenance and upkeep of the site in collaboration with the facilities and management team., • Ensure all residents are treated with dignity and respect and are given the opportunity to actively participate in their service and support plans in order to provide collaborative treatment panning., • Organize and encourage respectful interactions between residents, conduct house meetings and offer supports and training as needed to residents in the program., • Conduct intakes for potential residents in cooperation with the admissions committee., • Review and approve all time off requests, time sheets and travel expenses for staff within 48 hours of submission., • Oversee program finances, including weekly client distributions, petty cash, fee payments, check requests, food and supply budgeting and ensuring appropriate funding and benefits are in place for all residents., • Oversight of recreational activities., • Serve as a liaison with outside service providers and advocate for the needs of residents in the program, when necessary., • Ensures that appropriate discharge planning activities occur for all residents., • Responsible for routine oversight and monitoring of all client records to ensure that records are up to date and include all required documentation in compliance with applicable individual program regulations and policy manuals., • Provide direction and support to staff during crisis situations. Serve as the On-Call Supervisor one week (wed-wed) after business hours and weekends on a rotating basis (approximately every 6-8 weeks) to answer any calls, text or Microsoft Teams messages in which staff and/or clients may need to report pertinent information, need assistance, handle a crisis situation or incident/accident in program within the Residential Dpt. Email "on-call report" emails daily during on-call week., • Ensure that all incidents and accidents are reported within 24 hours in accordance with applicable regulations and complete and/or review documentation as needed., • Participate in the Utilization Review process in conjunction with the QI Dpt and management team., • Maintain and submit statistical, client and program data, as required, to Program Manager and Director., • Assume the responsibilities and tasks of all staff roles in their absence. Directly complete, participate in or delegate such tasks and ensure all protocols and guidelines are being followed., • Support the use of data in clinical supervision to inform decision-making, • Identify and implement quality improvement trainings and activities as part of professional development goals, • Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences. A Culture that makes better decisions, drives innovation, and delivers better business results., • Adherence to all safety protocols and procedures to ensure a safe working environment for all employees. Demonstrate a commitment to maintaining a safe work environment by following established safety guidelines., • Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees., • Other duties as assigned. BENEFITS: We offer an attractive and competitive benefits package for full time employees which includes but not limited to: • Medical, • Dental, • Vision, • $0 Deductible Platinum Plus Medical Insurance Plan - 90% Employer Provided Benefit, • Flexible Spending Account, • 403(b) retirement plan, • Long Term and Short Term Disability, • Legal Plan, • Dependent Care Expense Account, • Life Insurance/Supplemental Life Insurance, • Pet Insurance, • HRA, • Training programs including a Mentorship program, • Employees may be eligible for Federal/Public Student Loan Forgiveness, • Career growth and Promotional opportunities, • Employee Perks and Discounts to Broadway shows and more 5 Personal Days, 10-20 Vacation Days, 12 Sick Days, 12 Company Paid Holidays-yearly and so much more If interested please apply via this ad or fax your resume to HR DIRECTOR, CAROL OTERO at 516-396-0553. CN Guidance & Counseling Services, inspires and catalyzes recovery for people living with mental health and substance use conditions through innovative and person-centered integrated clinical treatment, counseling, housing, and support services. • Awarded Newsday/Dan papers Top Long Island Work Place 2019-2025, 7 years in a row., • Every job and every team at our agency plays a role in helping other Long Islanders live healthy and fulfilling lives., • Engage your passion and CHOOSE a career & employer where you can use your vital energy to make a difference. It is the policy of CN Guidance and Counseling Services, Inc. to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, national origin, genetic information, or any other characteristic protected by law. CN Guidance and Counseling Services, Inc. prohibits any such discrimination or harassment.'

Job Description Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria, • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision, • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes, • Provides copies of any criteria utilized in a review with the report in a timely manner, • Returns cases on or before the due date and time, • Makes telephone calls as mandated by the state and/or client specifics, • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job, • Attends all required orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits, • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits • Robust opportunity for supplemental income, • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability, • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions., • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise, • Expanded credentials as an expert in Independent Medical Exams and physician advisor services, • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job

Job Description Location: Brooklyn, Queens & Nassau County, NY (in-house at partner hospitals) Reports to: OB/GYN Service Line Lead; dotted line to COO Employment Type: Full-time or Part-time; 12- or 24-hour shifts Mission & Role Summary True Health NY is a physician-led, multi-site OB/GYN & Primary Care group. We’re seeking an in-house Laborist to provide full-spectrum obstetric care—triage through delivery and immediate postpartum—while partnering closely with our outpatient OBs, MFMs, anesthesia, pediatrics/NICU, and nursing leadership. This role focuses on safe throughput, exceptional patient experience, and team-based, evidence-guided care. What You’ll Do Inpatient Obstetrics & Triage • Serve as the in-house attending for L&D, OB ED/triage, and antepartum/postpartum units during assigned shifts., • Manage labor (spontaneous/induced/augmented), including VBAC/TOLAC candidates per hospital policy., • Perform vaginal deliveries (spontaneous and operative) and cesarean deliveries (primary/repeat); first-assist or primary surgeon per privileges., • Manage obstetric emergencies: shoulder dystocia, postpartum hemorrhage (PPH bundles), eclampsia, cord prolapse, uterine rupture, sepsis, severe hypertension, etc., • Interpret and act on fetal heart rate tracings; implement evidence-based interventions and closed-loop communication., • Perform bedside procedures as credentialed: amnioinfusion, external cephalic version (ECV), limited OB ultrasound, laceration repair, manual extraction/D&C for retained placenta., • Partner with True Health NY generalists and MFM specialists for consults, comanagement, and timely transfer/escalation., • Coordinate with anesthesia, neonatology/pediatrics, lactation, and nursing leadership to maintain high-reliability L&D operations., • Participate in resident/medical student teaching if a teaching site; lead bedside drills during shifts as needed., • Champion ACOG/SMFM/CMQCC-aligned pathways (PPH, severe HTN, sepsis, trial of labor after cesarean, induction protocols)., • Lead/participate in unit drills (PPH, eclampsia, shoulder dystocia), peer review, and M&M as assigned., • Document care in the hospital EHR (e.g., Epic/Cerner) with closes within 24 hours; ensure clear, timely handoffs to outpatient providers (eClinicalWorks)., • Support throughput: triage streaming, active labor management, and efficient OR turnover in collaboration with nursing and anesthesia., • Maintain and exercise privileges for: vaginal delivery (spontaneous/operative), cesarean delivery (primary/repeat), management of obstetric emergencies, ECV, and bedside procedures listed above., • Access & Throughput: Timely triage assessment (≤10 minutes door-to-provider), efficient admission/induction workflows., • Safety: Hemorrhage bundle utilization; decision-to-incision for emergent C-section within hospital standard; low unplanned ICU transfers., • Quality: Guideline adherence, VBAC/TOLAC safety metrics, low primary cesarean for nulliparous term singleton vertex as appropriate., • Experience: ≥4.7/5 patient-experience scores; positive interdepartmental feedback., • In-house Laborist shifts (12 or 24 hours); predictable block scheduling possible., • No routine outpatient clinic requirements (optional by mutual agreement)., • MD/DO; ABOG board-certified/eligible in Obstetrics & Gynecology., • Unrestricted NY medical license (or ability to obtain), DEA; hospital privileges eligibility., • Demonstrated competence as primary surgeon for cesarean delivery and proficiency in operative vaginal delivery., • Current certifications: BLS and ACLS; ALSO and NRP preferred (or obtained within 6 months)., • Strong fetal monitoring interpretation skills; team-first communicator; calm under pressure., • Competitive shift-based compensation with differentials for nights/weekends/holidays; eligibility for quality incentives. True Health NY is an equal opportunity employer. We celebrate diversity and are committed to an inclusive environment for all employees.

Prescription refills: Review chart, scheduled appointment if needed send to provider for authorization.

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.

Bace Build is seeking an experienced and driven General Contractor Project Manager to oversee and lead our construction projects from inception through completion.The work for this role is centered on a dynamic and impactful development portfolio and residential and commercial 3rd party projects, pr

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.

We are exclusively helping out a large WNY commercial construction company in hiring a Project Manager.This position offers one of the best benefit packages around compared to other construction firms, who works on the biggest and best projects across WNY.The Construction Project Manager will overse

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.

Onondaga County, NY (Onsite; relocation considered).Our client is a multi-disciplinary firm providing architecture, structural and geotechnical engineering, interior design, landscape architecture, and digital modeling and animation services.Their projects span a variety of sectors, including federa

Job Title: Registered Nurse Department: Med/Surg - 2 West Location: Newark Wayne Hospital Hours Per Week: Fulltime (36 hours per week) Schedule: A mix between Day/Evening (7am-7pm) and Evening/Night (7pm-7am), rotating weekends and holidays SUMMARY: As a Registered Nurse (RN), you’re the engine

RN Nurse Assessor/Case Manager (BSN).Through Nassau University Medical Center, A.Holly Patterson Extended Care Facility, and our network of Family Health Centers, NuHealth provides care for everyone, at every stage of life.If you want to be part of the only safety net hospital in Nassau County, we h

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.

Patient Care Coordinator (PCC).Are you passionate about helping people improve their quality of life through better hearing? Are you looking for a career with growth potential in the hearing healthcare industry? We are seeking a Patient Care Coordinator who is eager to develop their skills and grow

SUMMARY summary statement here STATUS: LOCATION: DEPARTMENT: SCHEDULE: ATTRIBUTES text text RESPONSIBILITIES text text EDUCATION: BS: Nursing (Required)LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Regist

RN Nurse Assessor/Case Manager (BSN).Through Nassau University Medical Center, A.Holly Patterson Extended Care Facility, and our network of Family Health Centers, NuHealth provides care for everyone, at every stage of life.If you want to be part of the only safety net hospital in Nassau County, we h

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.

Review engineering drawings and compare them to estimates before client submission.

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.

RN to join their team! This is a.Monday through Friday from 08:00 am - 04:30 pm.This position is eligible for up to a $3,500 recruitment and retention bonus!!.Document verbal conversations with patients when appropriate.Document information into patient record in an accurate, legible and timely mann

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.

Overview: Location: Saint Clare's Hospital - Denville, NJ Role - Registered Nurse Department: Emergency Position Type: Full Time, Nights Base Salary Range: $41.UP TO $15,000 SIGN-ON BONUS* *Restrictions apply.At Saint Clare's Health, our dedicated team of professionals is committed to our core value

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.

Location: Saint Clare's Hospital - Denville, NJ.Position Type: Full Time, Nights.At Saint Clare's Health, our dedicated team of professionals is committed to our core values of quality, compassion, and community.As a member of Prime Healthcare, Saint Clare's Health is actively seeking new members to

Job Title: Registered Nurse (R.Emergency Department Department: Emergency Department Location: Newark Wayne Hospital Hour per week: Part-time (24 hours per week) Schedule: Day/Evening/Night, every other Weekend/Holiday SUMMARY As a Registered Nurse (RN), you are the engine and the heart of pat

Patient Care Coordinator (PCC).Are you passionate about helping people improve their quality of life through better hearing? Are you looking for a career with growth potential in the hearing healthcare industry? We are seeking a Patient Care Coordinator who is eager to develop their skills and grow

Job Title: Registered Nurse Department: Med/Surg Location: Newark Wayne Hospital Hours Per Week: Part-time (24 hours per week) Schedule: A mix between Day/Evening (7am-7pm) and Evening/Night (7pm-7am), rotating weekends and holidays SUMMARY: As a Registered Nurse (RN), you’re the engine and the

The ideal candidate will exhibit high standards, excellent communication skills, and have an ability to take initiative, and prioritize daily tasks.A strong ability to take charge and meet tight deadlines will ensure your success in this multi-faceted role.Handle and coordinate active calendars.Ensu

Welkin Enterprises, LLC, is a Plumbing and Mechanical construction firm specializing in heavy plumbing, fire protection, HVAC, and in-facilities water and wastewater projects.Welkin’s principals have served clients ranging from government agencies to utilities, contractors, and private firms, incl

The ideal candidate will exhibit high standards, excellent communication skills, and have an ability to take initiative, and prioritize daily tasks.A strong ability to take charge and meet tight deadlines will ensure your success in this multi-faceted role.Handle and coordinate active calendars.Ensu

At Gilbert, we create exceptional architectural interiors and immersive trade show environments for high-end luxury retail brands.As a boutique firm known for craftsmanship, creativity, and white-glove service, we thrive on turning complexity into beauty.Every project has many moving partsand every

Review engineering drawings and compare them to estimates before client submission.

We are seeking a motivated Project Manager to join a well-established construction firm based in New Hyde Park, New York.This is an excellent opportunity for someone looking to grow their career in construction project management while learning directly from experienced senior leaders.The successful

Our client is a leader in renewable energy development, dedicated to delivering high-quality commercial and small utility-scale solar & BESS projects that drive a cleaner and more sustainable future.We pride ourselves on collaboration, innovation, and excellence in execution.The ideal candidate will

Onondaga County, NY (Onsite; relocation considered).Our client is a multi-disciplinary firm providing architecture, structural and geotechnical engineering, interior design, landscape architecture, and digital modeling and animation services.Their projects span a variety of sectors, including federa

Our client is a leader in renewable energy development, dedicated to delivering high-quality commercial and small utility-scale solar & BESS projects that drive a cleaner and more sustainable future.We pride ourselves on collaboration, innovation, and excellence in execution.The ideal candidate will