Utilization review jobs in Plainview, New YorkCreate job alerts

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 DescriptionSalary: 80,000 - 130,000 Position Summary TheJunior Controllersupports the firms internal accounting, financial reporting, and operational analysis functions. This role ensures the accuracy of financial data, assists with budgeting and forecasting, and helps maintain internal controls and compliance. The ideal candidate is detail-oriented, organized, and eager to grow within the firms Finance and Operations team. Key Responsibilities General Accounting & Month-End Close • Prepare and post journal entries, accruals, and prepaid expenses., • Maintain and reconcile general ledger accounts, including bank and credit card reconciliations., • Assist with month-end and year-end closings, ensuring timely and accurate reporting., • Process vendor invoices and ensure proper coding, approvals, and payments., • Manage check runs and electronic disbursements., • Record and reconcile client receipts, partner contributions, and reimbursements., • Assist in developing the annual firm budget and cash flow forecasts., • Maintain financial dashboards tracking firm performance and KPIs., • Prepare periodic management reports for leadership review., • Analyze firm revenue by service line (Tax, Audit, CAS, Advisory) and department., • Assist with partner compensation calculations and financial distribution schedules., • Support KPI reporting: utilization, realization, and client profitability metrics., • Maintain and apply internal accounting policies and procedures., • Support external audits, reviews, or compliance requests., • Process and manage payroll tax filings, ensuring compliance with all federal, state, and local requirements., • Utilize the firms accounting and practice management systems (e.g., QuickBooks, CCH Axcess, Practice CS, or similar)., • Ensure data integrity across financial and operational systems., • Partner with HR and Operations on payroll, benefits, and staff reimbursements., • Coordinate with department leaders on expense management and budget tracking., • Assist with special projects, analysis, and vendor management. Qualifications • Bachelors degree in Accounting, Finance, or related field a plus., • 13+ years of accounting or financial reporting experience (public or private)., • Prior payroll experience (ADP a plus) process and manage, prepare related tax filings, • Strong understanding of GAAP and internal control principles., • Proficiency in Excel and familiarity with accounting software (QuickBooks, Sage Intacct, or similar)., • Excellent analytical, organizational, and communication skills., • High level of discretion and professionalism in handling confidential information., • Experience working within apublic accounting firmor professional services environment a plus., • Familiarity with time and billing systems (e.g., CCH Axcess, STAR, or Practice CS)., • Intermediate to advanced Excel skills (pivot tables, lookups, formulas)., • Interest in process improvement and technology-driven efficiency.

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 2019-2025, 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 DescriptionLHH Recruitment Solutions is seeking an Accountant (Junior or Staff Level) to work for an outstanding Not For Profit organization in the Roslyn, NY area. We are seeking a detail-oriented and motivated Junior/Staff Accountant to support the financial operations of our nonprofit organization. This role will assist with day-to-day accounting functions, ensuring accuracy, compliance, and timely reporting. The ideal candidate will have strong organizational skills, a collaborative mindset, and experience with nonprofit accounting principles. Key Responsibilities • Accounts Payable Support: Process invoices, assist with bill approvals (within small threshold), and maintain vendor records., • Bank Reconciliations: Prepare and review monthly bank reconciliations to ensure accuracy., • Billing & Journal Entries: Assist with billing processes and post journal entries for month-end close., • Allocations: Perform expense allocations across programs, grants, and departments., • Financial Reporting: Assist in preparing monthly, quarterly, and annual financial statements., • Software Utilization: Experience with NetSuite is a plus; proficiency in Excel and other accounting tools required.Qualifications, • Bachelor's degree in Accounting, Finance, or related field., • 1-3 years of accounting experience; nonprofit experience preferred., • Strong understanding of GAAP and fund accounting principles., • Proficiency in Microsoft Excel and accounting software; NetSuite experience highly desirable., • Excellent attention to detail, organizational skills, and ability to meet deadlines., • Strong communication and interpersonal skills.Preferred Skills, • Ability to work independently and as part of a team., • Familiarity with grant reporting and nonprofit compliance requirements., • Analytical mindset with problem-solving capabilities., • Must be able to work In Office. 9-5 shift. Pay Details: $65,000.00 to $80,000.00 per year Search managed by: Joy Silva Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: • The California Fair Chance Act, • Los Angeles City Fair Chance Ordinance, • Los Angeles County Fair Chance Ordinance for Employers, • San Francisco Fair Chance OrdinanceMassachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Job DescriptionBenefits: • 401(k), • Bonus based on performance, • Competitive salary, • Dental insurance, • Health insurance, • Paid time off, • Training & development Job Title: Production Manager Location: Long Island, New York Company: Harlequin Design New York Inc. We are an award-winning London design agency with more than 10 years of experience. We help retailers and commercial brands achieve their design goals through high-quality, innovative fabrication and design solutions. Our New York workshop brings this global expertise to the U.S. market, delivering creative, production-driven environments for leading luxury brands. Summary The Production Manager drives fabrication projects from inception to completion, managing cross-functional teams and ensuring alignment with business objectives, timelines, and budgets. This role blends strategic planning with hands-on execution, requiring strong leadership, technical expertise, and exceptional attention to detail. The ideal candidate thrives in fast-paced environments with tight turnaround times, ensuring rapid production cycles without compromising quality or accuracy. Acting as the bridge between design intent, client expectations, and internal delivery capabilities, the Production Manager coordinates closely with Estimating, Engineering, Project Management, Production, Purchasing, Logistics, and Installation. They ensure that all stages, from project planning and shop drawings through fabrication, finishing, kitting, and dispatch are executed to Harlequins high standards of quality, creativity, and efficiency. Key Responsibilities Leadership & Team Management • Lead, mentor, and develop a diverse team of carpenters, fabricators, finishers, and production staff., • Oversee day-to-day shop operations and ensure efficient workflow from project handoff to final delivery., • Review drawings and technical specifications to verify feasibility and accuracy before fabrication begins. Scheduling & Workflow Management • Build and maintain production schedules based on project priorities and available resources., • Allocate materials, machinery, and labor to maintain deadlines., • Anticipate bottlenecks and adjust workflow as required., • Implement and maintain rigorous quality assurance standards., • Conduct regular inspections to ensure consistent craftsmanship and alignment with design and brand expectations. Budget & Resource Management • Support budget planning and monitor production costs and efficiencies., • Optimize resource utilization and identify opportunities for cost savings without compromising quality. Cross-Functional Collaboration • Work closely with Engineering, Project Management, Purchasing, and Logistics to ensure seamless project execution., • Provide expert feedback on materials, construction methods, and operational feasibility. Process Improvement • Evaluate and refine production processes to improve efficiency, throughput, and output quality., • Contribute to the growth and scalability of Harlequins New York production facility. Health & Safety Compliance • Maintain a clean, safe, and OSHA-compliant workshop environment., • Promote safety awareness and enforce best practices. Qualifications • Proven experience in a production leadership role within fabrication, millwork, retail design, or a related industry., • Strong carpentry and fabrication background with hands-on understanding of methods, materials, and machinery., • Experience working in fast-paced environments with tight turnaround times, managing shifting priorities while maintaining quality., • Experience reviewing estimates, understanding material/labor requirements, and providing input to ensure feasibility and alignment with production capabilities., • Demonstrated ability to manage and motivate a large team., • Excellent organizational and time management skills., • Proficiency with production planning or project management tools., • Excellent problem-solving skills and meticulous attention to detail., • Strong communication and collaboration abilities. What We Offer • Competitive salary and comprehensive benefits., • Opportunities to work on high-profile, design-driven retail projects for luxury brands., • A creative, dynamic environment within a growing New York studio., • Long-term development and growth opportunities.

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 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 Description In the Clinical Reviewer RN (Proofer) role, you will review all NYS Dispute Resolution and External Review determinations for accuracy of decisions, mathematical determinations, content, grammar, punctuation and state required conventions. The Clinical Reviewer RN (Proofer) will utilize their clinical knowledge and editorial skills to produce a final, clean copy for each case determination. This individual will track errors and retrain clinical and administrative staff to mitigate production errors. This position is based in IPRO's Headquarter office located in Jericho, NY. QUALIFICATIONS: • Evidence of medical proofing, editing skills including professional writing and/or publishing., • Knowledge and experience with electronic medical records including coding, quality, and clinical charting., • Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent communication and verbal skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative., • Licensed as a Registered Professional Nurse in New York State., • Bacholer'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, age, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25293) • Location: Hybrid (Remote to Office-Based) - Jericho, NY, • Employment Type: Full-time, • Hourly Rate: For remote, it's $50/hr, and as soon as the candidate transitions into an office-based position, the rate will be increased to $60/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a Non-profit organization located in New York. This hybrid role combines remote work with office-based responsibilities, focusing on conducting comprehensive medical-legal reviews and appeals for a respected non-profit organization. Why Join Us? • Work Schedule: Full-time, Hybrid (Remote to Office-Based), • Professional Growth: Gain valuable experience in medical-legal review and dispute resolution, • Impactful Work: Contribute to fair resolution processes in healthcare disputes Key Responsibilities: • Conduct reviews up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching insurer requirements, completing electronic worksheets, and preparing final determinations., • Act as a resource for the administrative and clinical staff in training, problem-solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles., • Participate in collaborative training, • Other activities as may be deemed necessary Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives Requirements Qualifications: • Education: Baccalaureate degree in Nursing or a graduate of an approved RN program., • Licensure: Current New York State RN license, • Experience:, • Must have at least 3 years of experience in a Med-Legal review setting., • Must have 1-3 years of experience in acute care utilization review/ appeals background., • Technical Skills: Experience with electronic medical records; strong research capabilities, • Competitive Compensation: For remote, it's $50/hr, and as soon as the candidate transitions into an office-based position, the rate will be increased to $60/hr., • Comprehensive Benefits:, • Paid Vacation (after 6 months of employment), • 6 Major Paid Holidays per year (after 6 months of employment), • 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act, • License Reimbursement after 1 year of employment, • Health insurance is subject to plan eligibility requirements, • 401(k) Matching eligibility after 1 year of employment, • Benefits from Paychex, such as Payactiv, • GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc.

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, or any other category protected under applicable law.

Job Description RN Clinical Reviewer (Proofer) - Jericho, NY (#25289) • Location: Jericho, NY, • Employment Type: Full-time, Temp-to-Hire, • Hourly Rate: $45/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Greenlife Healthcare Staffing is seeking a meticulous Clinical Reviewer Proofer Registered Nurse who will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They 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. Why Join Us? • Work Schedule: Full-time (5 days per week), Temp-to-Hire position., • Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment, enhancing skills in clinical review., • Impactful Work: Play a critical role in ensuring the accuracy and integrity of state-level healthcare dispute resolutions. Key Responsibilities: This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They 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. • Conduct utilization reviews up to and including the appeal level. This includes the chart screen, complete electronic worksheets, entering required information, and making level one denial decisions when necessary., • Conduct quality and clinical study data collection reviews. This includes a 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., • Participate in collaborative training specific to clinical study objectives., • Other activities as may be deemed necessary. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives Requirements Qualifications: • Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York., • Licensure: Must have an active NY State RN license., • Experience: Must have a minimum of 2 years experience in an acute care facility, preferably in medicine/surgery or special care units, and/or 1 to 3 years experience in acute care utilization review., • Technical Skills: Knowledge and experience with electronic medical records, including coding, quality, and clinical charting., • Soft Skills:, • 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., • Competitive Compensation: Earn $45 per hour., • Comprehensive Benefits:, • Paid Sick Time, • Health insurance, • Benefits from Paychex, such as Payactiv, • GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc.

Job Description RN Clinical Reviewer (Proofer) - Jericho, NY (#25289) • Location: Jericho, NY, • Employment Type: Full-time, Temp-to-Hire, • Hourly Rate: $45/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Greenlife Healthcare Staffing is seeking a meticulous Clinical Reviewer Proofer Registered Nurse who will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They 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. Why Join Us? • Competitive Compensation: Earn $45 per hour., • Comprehensive Benefits:, • Paid Sick Time, • Health insurance, • Benefits from Paychex, such as Payactiv, • GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc., • Work Schedule: Full-time (5 days per week), Temp-to-Hire position., • Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment, enhancing skills in clinical review., • Impactful Work: Play a critical role in ensuring the accuracy and integrity of state-level healthcare dispute resolutions. Qualifications: • Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York., • Licensure: Must have an active NY State RN license., • Experience: Must have a minimum of 2 years experience in an acute care facility, preferably in medicine/surgery or special care units, and/or 1 to 3 years experience in acute care utilization review., • Technical Skills: Knowledge and experience with electronic medical records, including coding, quality, and clinical charting., • Soft Skills:, • 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 Key Responsibilities: This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They 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. • Conduct utilization reviews up to and including the appeal level. This includes the chart screen, complete electronic worksheets, entering required information, and making level one denial decisions when necessary., • Conduct quality and clinical study data collection reviews. This includes a 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., • Participate in collaborative training specific to clinical study objectives., • Other activities as may be deemed necessary. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Job Description JOB DEFINITION: Provide clinical and administrative supervision to a dynamic team of professional and paraprofessional residential staff providing counseling 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: Bachelor's Degree required. EXPERIENCE REQUIRED: Five years of supervisory experience in a mental health related field. Knowledge of the needs of the MICA/SMI population. Experience in delivery of clinical services and familiarity with community mental health supports. DUTIES AND RESPONSIBILITIES: • Assist Director to manage and direct all administrative, fiduciary and program services to ensure conformance with program objectives, agency policies and procedures, and compliance with regulatory, funding and governing bodies, including but not limited to:, • Oversee the admission of all residents to ensure prompt and adequate services;, • Provide supervision to management staff and program staff, as appropriate, to ensure clinical understanding of clients, • Develop programs for clients, • Oversee utilization review process to ensure ongoing appropriateness of residential services, • Oversee quality assurance and improvement processes and incident reporting process, • Oversee records management to ensure all required documentation supports the services provided, • Oversee the administration of fee policies and collection activities, • Manage the operation of the program in accordance with the contract and budget, • Prepare all necessary reports for internal and external use which address census, admissions, outreach efforts, client issues, staff issues, plant maintenance, etc., • Perform all other supervisory functions which impact on the quality and productivity of the program, • Oversee and supervise all Program Managers to ensure aspects of residential programs and assures that appropriate and necessary services are delivered., • Participate in the recruitment, hiring, training and ongoing evaluation of staff under the supervision of the Director., • Provide ongoing structured weekly supervision to assigned Program Managers and ensure that all staff are receiving adequate training and supervision., • Participate in the development and implementation of program policies and procedures in conjunction with the Director., • Responsible for routine 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 on a 24 hour on-call basis., • Ensure that all incidents are reported in a timely manner in accordance with applicable regulations., • Ensure that Quality Assurance standards are met or exceeded in cooperation with the Quality Assurance team and Program Director., • Assist the Director to represent the agency in facilitating the goals of the program. Assist with representing the agency at meetings and functions as needed., • Assist the Director as needed with developmental funding proposals and program growth opportunities., • Identify and implement quality improvement trainings and activities as part of professional development goals, • Encourage quality improvement processes and provide consistent resources for QI and professional development, • 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 Youth ACT 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: GED or high school diploma required. College or business school graduate preferred. EXPERIENCE REQUIRED: Strong administrative skills. Experience working in a mental health setting and/or an office setting preferred. ADDITIONAL REQUIREMENTS: • Current New York State Driver's License, • Clean DMV Record, • Proof of Motor Vehicle Insurance DUTIES AND RESPONSIBILITIES: • Manages medical records, operating and coordinating the management information system, maintaining accounting and budget records for recipient and program expenditures;, • Understands, oversees and reports on all office procedures. Orients new staff on proper office procedures., • Performs reception activities (e.g., triaging calls and coordinating communication between the program and recipients., • Overall responsibility for program administrative duties, including, but not limited to, processing new hire paperwork, clerical and office operations, ordering of office supplies and schedule vehicle maintenance., • Work closely with administrative staff in the areas of budget management, purchasing, time and leave management and human resources functions., • Coordinate Quality Improvement and Utilization Review activities including but not limited to data collection, analysis of outcome trends, and identification of service provision, which needs improvement., • Oversees staff schedules, in-office and outside staff appointments, sign-in/sign-out boards., • Oversees all external Agency correspondence for accuracy, appropriateness and responsiveness., • Identify and implement quality improvement trainings and activities as part of professional development goals, • 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.

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.'