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Job Description: HR Business Partner HR Business Partner Location: New York, NY Salary: $70,000-$90,000 Experience: 3. year(s) Job Type: Full-Time Job ID: J135426       About the Opportunity A medical facility in New York City is currently seeking an experienced Human Resources professional for a promising Business Partner position with their growing Human Resources Business Partner team. In this role, the HR Business Partner will be responsible for the delivery of all HR services whether delivered personally or in collaboration with colleagues in Human Resources. Apply today! Company Description Medical Facility Job Description The HR Business Partner will: Partner with the HRBP team and business leaders to develop and drive a people agenda Assist in the implementation of new and existing HR programs and initiatives Work with business unit management to analyze complex issues, design effective solutions, and facilitate change Create and maintain effective relationships and develop a strong knowledge of the organization’s structure, roles, goals and challenges to serve as a trusted and valued advisor Provide counsel on a broad spectrum of issues and opportunities, including resolution of complex employee relations issues Clarify, interpret and ensure compliance with HR policies and procedures within assigned client areas Proactively reach out to client department management on a regular basis to ensure up-to-date knowledge of client operations, organizational structure and culture, staffing changes, and potential human resources issues and opportunities Identify or clarify business unit needs as they relate to Human Resources and collaborate with HR Management, Specialists, and Shared Services staff in the development and implementation of programs, policies and initiatives to best meet those needs Required Skills 3+ years of experience as a HR Business Partner or Generalist in a Hospital setting Bachelor's Degree in a related field Human Resources background Solid analytical and research skills Computer savvy Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Master's Degree in a related field

Job Description: Chief Information Officer (CIO) Chief Information Officer (CIO) Location: White Plains, NY Salary: $130,000-$160,000 Experience: 10.0 year(s) Job Type: Full-Time Job ID: J137604       About the Opportunity An established home healthcare agency located in White Plains, NY is seeking a self-motivated and experienced professional for a promising opportunity on their staff as Chief Information Officer (CIO). In this role, the CIO will provide technology vision and leadership for developing and implementing information technology initiatives that improve cost effectiveness, home care service quality, and business development in a constantly changing, competitive marketplace. Additionally, the CIO will lead the home care network in planning and implementing information systems to support both distributed and centralized clinical and business operations and achieve more cost beneficial IT operations. Apply today! Company Description Home Healthcare Agency Job Description The Chief Information Officer (CIO) will: Participate proactively with members of senior management in developing and executing strategic plans Participate in policy and decision-making regarding resource allocation and future direction and control of proposed information systems Ensure that Company systems are current with the information systems standards set by Joint Commission Ensure that Company information systems operate according to internal standards, external accrediting agency standards and legal requirements Evaluate the performance of personnel in the IT Department Provide advice on evaluation, selection, implementation and maintenance of information systems, ensuring appropriate investment in strategic and operational systems Review all voice and data invoices for accuracy and cost effectiveness Required Skills Bachelor's Degree in Computer Science, MIS or equivalent 10+ years of progressive experience in managing functions and departments dealing with information handling, work flow and systems 4+ years of experience with LAN/WAN technologies, including multiple network operating systems and protocols Demonstrated analytical, written and verbal communication skills Superior strategic planning skills Strong leadership skills Ability to work well under pressure Desired Skills Master's degree in Health/Hospital Administration, Public Health, or Business Administration, or related field, or evidence of substantial business knowledge

Job Description: Case Management Nurse Manager (RN) Case Management Nurse Manager (RN) Location: New York, NY Salary: $81,000-$86,000 Experience: 0.0 year(s) Job Type: Full-Time Job ID: J130854       About the Opportunity A New York City healthcare organization is currently seeking a licensed Registered Nurse (RN), with a strong Case Management background, for a promising Managerial position with their growing staff. In this role, the Case Management Nurse Manager (RN) will be responsible for effectively managing the daily operations / workflow and supervising clinical and non-clinical staff to provide support for the organization's Care Management programs. Company Description Healthcare Organization Job Description The Case Management Nurse Manager (RN) will be responsible for: Assisting in developing strategic plan by partnering with Assistant Director and Fund management to identify opportunities that have direct impact on clinical and financial outcomes Accessing and analyzing all processes on an ongoing basis to determine their effectiveness, eliminate inefficiencies and make recommendations to senior management to improve workflow, operations, and staff performance Coordinating activities between clinical programs, communication, and report requirements to maintain operational efficiencies and to be in compliance with the Department of Labor (DOL), Summary Plan Description (SPD) departmental protocols and clinical policies and procedures Interacting and collaborating with other departments (e.g. Claims and Provider Relations) in troubleshooting, problem solving, and exchanging information in conjunction with maintaining effective communication with providers and members Staff development, clinical orientation, ongoing education, and training programs to meet the changing needs of the Department Continually assessing clinical staff performance against internal and external departmental and industry standards Required Skills 5+ years of Advanced or Specialized work experience in Care Management programs (Utilization / Case Management / Appeals Programs) within a Managed Care organization; 2+ years of progressive Leadership and Management experience Bachelor’s Degree in Nursing, Business or Health Care Administration or equivalent years of work experience required; plus Current NYS Registered Nurse (RN) license Working knowledge of Milliman / InterQual guidelines or other regulatory protocols (i.e. Medicare), claims processing, medical coding (ICD-9, HCPCS, CPT) and interpreting provider contracts Strong Medical / Clinical background Microsoft Office/Suite proficient Solid critical thinking and analytical skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized $ Desired Skills Previous management experience and CCM certification

Job Description: Corporate Director - Case Management Corporate Director - Case Management Location: Newton, MA Salary: $125,000-$140,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137490       About the Opportunity An established healthcare provider in Massachusetts is actively seeking a self-motivated and compassionate healthcare professional for a promising opportunity as their new Corporate Director of Case Management. In this role, the Corporate Director of Case Management provides oversight for resident care delivery processes (clinical and rehab) in our Post-Acute (HC/SNF) settings. Apply today! Company Description Healthcare Provider Job Description The Corporate Director of Case Management will: Manage systems related to Medicare A, Managed Care, Medicaid, and ACO processes Evaluate current system workflows Identify gaps and create solution plan Deliver a strategic, proactive approach to an effective staff orientation and training program Engage inter-professional team members at all levels of the organization to participate in system design (practice/competency/documentation) Coordinate relevant clinical policy/procedure revisions Identify and manage key quality outcome data measures and methodology Create/implement a regularly scheduled communication plan   Required Skills Bachelor's Degree Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist license 3-5 years of divisional or corporate experience in post-acute care settings Expert knowledge of current state and federal government post-acute care regulations Expert Leadership skills In-depth knowledge of case management and resource utilization review practices Demonstrate ability to work effectively with all levels of the organization Demonstrate expertise in critical thinking and analytical skills Expert clinical skills and ability to provide educational programs to all levels of the organization Strong expertise in Medicare, Managed Care and ACO development Proficient to expert in the use of software systems conducive to developing and presenting system deliverables including, but not limited to Microsoft Office Suite Desired Skills Master's Degree Vendor management / business partnership experience Electronic Health Record experience Proficiency in  QAPI systems

Job Description: Senior Account Manager Senior Account Manager Location: New York, NY Salary: $90,000-$110,000 Experience: 5.0 year(s) Job Type: Full-Time Job ID: J137189       About the Opportunity A premier regional health information organization (RHIO) is actively seeking a self-motivated and dynamic individual for a promising opportunity on their staff as a Senior Account Manager. In this role, the Senior Account Manager will be responsible for all participant account activities including activity management, outreach and training, selling new services, and consent management. Apply today! Company Description Regional Health Information Organization Job Description The Senior Account Manager will be responsible for: Utilization of the organization's platform Developing areas of consent acquisition and strategies to drive consent Oversight of user management and training Acting as a central point of contact for all corporate information Required Skills Bachelor's Degree 5 years of total professional experience 2+ years of related experience including account management of hospitals, nursing homes, and/or large providers Knowledge of MS Office and Salesforce.com Understand and capitalize on the uniqueness of a C-level meeting, a technology meeting, and a business level meeting Able to provide software demonstrations while focusing on the value and benefits to the member organization Able to manage account management and sales meetings with mid-sized audiences Strong analytical and interpersonal communication skills including process, writing, problem solving, customer relationship, organizational and conflict resolution

Job Description: Network Management Representative Network Management Representative Location: Tampa, FL Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1008101       About the Opportunity A Florida-based healthcare company is actively seeking a personable professional to join their staff as a Network Management Representative.  In this role, the Network Management Representative will be responsible for providing quality, accessible and comprehensive services to the company's provider community. Company Description Healthcare Company Job Description The Network Management Representative will: Coordinates communications process on such issues as administrative and medical policy, reimbursement and provider utilization patterns Develops, maintains, and enhances relations with providers to foster cooperative business relationships Coordinates prompt claims resolution through direct contact with providers and claims department Provides assistance with policy interpretation Researches, analyzes and recommends resolution for provider disputes as well as issues with billing and other practices Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery Tracks customer service patterns/trends and identifies training when appropriate Drafts training documents and conduct provider refresher training at onsite provider locations or by telephone Researches issues that may impact future provider negotiations or jeopardize network retention Required Skills 1+ year of Customer Service experience High School Diploma Computer savvy Microsoft Office/Suite proficient Solid time management and problem solving skills Exceptional phone etiquette Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Managed Care Coordinator Managed Care Coordinator Location: Ewing, NJ Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1005418       About the Opportunity A widely recognized healthcare organization located in Ewing, NJ is actively seeking a self-motivated and dynamic professional for a promising opportunity on their staff as a Managed Care Coordinator. In this role, the Managed Care Coordinator supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators. Company Description Healthcare Organization Job Description The Managed Care Coordinator: Performs review of service requests for completeness of information, collection and transfer of non-clinical data, and acquisition of structured clinical data from physicians/patients Handles initial screening for pre-certification requests from physicians/members Prepare, document and route cases in appropriate system for clinical review Initiates call backs and correspondence to members and providers to coordinate and clarify benefits Upon completion of inquiries initiate call back or correspondence to Physicians/Members to coordinate/clarify case completion Reviews professional medical/claim policy related issues or claims in pending status Upon collection of clinical and non-clinical information, authorize services based upon scripts or algorithms used for pre-review screening Perform other relevant tasks as assigned by Management Required Skills High School Diploma Strong medical skills and knowledge Proficient in Microsoft Office Excellent written and verbal communication skills Ability to make sound decisions under the direction of Supervisor Strong analytical skills Demonstrated interpersonal skills Team-oriented Desired Skills 1-2 years of experience in a customer service or medical support-related position Knowledge of contracts, enrollment, billing and claims coding/processing Knowledge of Managed Care principles Ability to analyze and resolve problems with minimal supervision Ability to use a personal computer and applicable software and systems

Job Description: Managed Care Coordinator Managed Care Coordinator Location: Trenton, NJ Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1005564       About the Opportunity A widely recognized healthcare organization in Trenton, NJ is actively seeking a driven and patient-oriented healthcare professional for a promising opportunity on their staff as a Managed Care Coordinator. In this role, the Managed Care Coordinator supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators. Company Description Healthcare Organization Job Description The Managed Care Coordinator: Performs review of service requests Handles initial screening for pre-certification requests from physicians/members  Prepares, documents and routes cases in appropriate system for clinical review Initiates call backs and correspondence to members and providers to coordinate and clarify benefits Initiates call back or correspondence to Physicians/Members  Reviews professional medical/claim policy related issues or claims in pending status Required Skills High School Diploma Polished and professional demeanor Ability to multitask Proficient in Microsoft Office Knowledge of medical terminology Strong verbal and written communication skills Demonstrated analytical skills Highly organized Desired Skills Bachelor's Degree 1-2 years of customer service or medical support-related experience Knowledge of contracts, enrollment, billing and claims coding/processing Knowledge of Managed Care principles Ability to analyze and resolve problems with minimal supervision Ability to use a personal computer and applicable software and systems

Job Description: IVF Care Manager (RN) IVF Care Manager (RN) Location: White Plains, NY Salary: $80,000-$92,000 Experience: 2.0 year(s) Job Type: Full-Time Job ID: J137268       About the Opportunity A healthcare organization in Westchester County is actively seeking a licensed Registered Nurse, with a strong IVF background, for a promising Care Manager position with their growing staff. Under the guidance of the Vice President of Clinical Services and Consulting Chief Medical Officer, the IVF Care Manager (RN) will be responsible for managing treatment plan utilization and care, reviewing clinical outcomes to determine appropriateness of care, and ensure the organization and contract obligations are met. Apply today! Company Description Healthcare Organization Job Description The IVF Care Manager (RN) will: Review medical treatments and approve care based on the organization’s medical and contract guidelines Review non-standard service outcomes and enter outcomes into the Authorization Tracking System (ATS) ensuring entry of all required information Review data entered into ATS by Customer Service Agents (CSA) to ensure accuracy and completeness Call patients to discuss care, clarify, augment and/or confirm accuracy of information received from providers to ensure appropriate care, as necessary Ensure providers are informed of patient needs, treatment modification, and/or progress when necessary or requested Handle complex clinical issues or questions and troubleshoot clinical problems for the CSA team Track ART trends, quality of care, protocols and pathways, denial and appeal service reviews, and state mandates to ensure organization’s protocols are continually improving to meet or exceed ASRM guidelines Utilize knowledge of ATS, contract obligations, infertility, and best business practices to provide superior service to clients Review benefit status based on customer plans and eligibility file information prior to authorization of services or administrative/benefit denials Required Skills 2+ years of experience in Assisted Reproductive Technology, including: General Infertility; IVF or Infertility Care Management; and/or, Women’s Health Associate's Degree in Nursing NYS Registered Nurse (RN) license Microsoft Office/Suite proficient Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Bachelor's Degree in Nursing Bilingual (English and Spanish)

Job Description: Associate Director of Case Management / Retention Associate Director of Case Management / Retention Location: New York, NY Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1004397       About the Opportunity A nonprofit organization in New York City is currently seeking a dedicated and experienced professional to joint heir staff as a Associate Director of Case Management / Retention. In this role, the Associate Director of Case Management / Retention will be responsible for providing management, oversight, staff development, and performance management to the Case Management Retention team. Company Description Nonprofit Organization Job Description The Associate Director of Case Management / Retention will: Manage the Case Management Retention team, including: hiring and training; department oversight; individual staff evaluation; and, developing and implementing new initiatives to increase performance Ensure department meets monthly contractual retention goals Manage the administrative tasks of the department, including billing, data entry and analysis, and department reporting Work in conjunction with the Associate Director of Career Services to monitor the replacement jobs process, completing all necessary reporting and analysis Monitor staff outreaches to DHS Liaison and Business Development team for assistance in capturing milestone documentation and maintaining customer contact Develop and implement new and/or improved Case Management initiatives to ensure all clients have appropriate resources and services Conduct staff evaluations and provide staff development Perform management duties, including: the distribution and collection of carfare; taking customer complaints; and, participating in all management meetings Required Skills 1+ year of Management experience working with the Economically Disadvantaged, Homeless, Welfare Recipients and other Disadvantaged populations Bachelor's Degree in Counseling, Social Work, or a related field Knowledge of Case Management theories of practice Microsoft Office/Suite proficient Solid time management and problem solving skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Bilingual (English and Spanish)

Job Description: Administrative Assistant Administrative Assistant Location: New York, NY Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1004930       About the Opportunity The Human Resources Administration Department of a recognized healthcare facility is looking to fill an immediate need with the addition of a new Administrative Assistant to their staff. In this role, the Administrative Assistant will be responsible for providing high quality office support to a HR Business Partner Team. Company Description Healthcare Facility Job Description The Administrative Assistant: Manages calendars for HR Business Partner team ensuring accuracy and the practicality and efficiency of each person's schedule Manages all logistics of scheduling meetings that may involve many people throughout the organization and ensures that the set-up (room, materials, and refreshments) is appropriate for the size and type of meeting Completes and submits travel documents, check requests, and purchase requisitions; follows up for timely processing Prepares and/or edits meeting minutes, presentations, and spreadsheets Answers director's extension and extension telephone lines of HR Business Partner Coordinators within established guidelines Completes timesheets and timekeeping for Business Partners Works collaboratively with and provides coverage for HR Business Partner Coordinators, as needed Required Skills 2+ years of Administrative experience Computer savvy Microsoft Office/Suite proficient (Word, Excel, PowerPoint, etc.) Solid creative thinking and problem solving skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Administrative Director of Breast & Women's Services Administrative Director of Breast & Women's Services Location: Rockland County, NY Salary: $100,000-$150,000 Experience: 7.0 year(s) Job Type: Full-Time Job ID: J136979       About the Opportunity A widely respected hospital in Rockland County, NY is actively seeking a self-motivated and diligent individual for a promising opportunity as their new Administrative Director of Breast and Women's Services. In this role, the Administrative Director of Breast and Women's Services will be responsible for leadership, administrative direction, evaluating the delivery of patient care, performance improvement, staffing, human resource development and financial accountability for the Breast and Women’s Health Prevention Services department. Apply today! Company Description Hospital Job Description The Administrative Director of Breast and Women's Services will be responsible for: Working independently, interdependently and collaboratively with physicians, patients, patient families, staff, community and external agencies Demonstrating an on-going commitment to excellence, strong physician relations, superior customer service skills and an aptitude for growing the business on behalf of the organization Performing other tasks as necessary Required Skills 7+ years of progressive Healthcare Management experience and clinical background Bachelor's Degree in a related field Breast Center, Ambulatory and Service Line experience Knowledge of business, financial, service line and insurance requirements affecting clinical services Working knowledge of licensure/regulations for practice in Radiology and various clinical areas Working knowledge of and compliance with regulatory requirements,such as JCAHO, OSHA. Knowledge of research, medical and business ethics Microsoft Office/Suite proficient Clinical background Great interpersonal skills Excellent communication skills (written and verbal) Strong attention ot detail Highly organized Desired Skills Master's Degree in a related field

Job Description: Complaints and Appeals Associate Complaints and Appeals Associate Location: Wall, NJ Salary:  Experience: 5.0 year(s) Job Type: Temporary / Consulting Job ID: U1011139       About the Opportunity A respected healthcare facility located in Wall, NJ is actively seeking an organized and self-motivated individual for a promising opportunity on their staff as a Complaints and Appeals Associate. In this role, the Complaints and Appeals Associate manages resolution of complaints and/or appeals that have been escalated to executives or regulatory entities within prescribed timeframes as mandated by the regulatory entity and per designated quality standards. Apply today! Company Description Healthcare Facility Job Description The Complaints and Appeals Associate: Assesses cause(s) of complaint/appeal, conducts thorough research of issue(s), and determines required course of action and final disposition Interacts with relevant parties to facilitate timely and accurate complaint/appeal resolution Authorizes administrative exceptions, which may involve claim adjustment Contacts relevant party(ies) to acknowledge receipt of the complaint/appeal and uses probing techniques Reviews business team representative/vendor representative telephone calls with customers to verify accuracy of information related to complaint/appeal Develops customized, timely, accurate, detailed correspondence, for delivery to relevant party(ies), detailing case and final resolution Responds to regulatory entity or members/providers Partners with Legal Department to review and finalize appeal determinations Prepares materials for and may attend case study meetings facilitated by designated internal or external parties Required Skills College degree in Journalism, Communications, or related field, or equivalent in experience 5 years of business experience, which must include 2+ years of correspondence and/or telephone customer service experience screening, investigating and examining inquiries Experience in claims processing necessary Ability to navigate the various claims and service operations systems Knowledge of Microsoft Office Suite Ability to perform basic arithmetical calculations Ability to analyze information and to understand and apply rules and procedures Ability to compose business letters   Desired Skills Healthcare industry experience Knowledge of insurance claim and membership systems Knowledge of medical terminology, COB, Medicare procedures Knowledge of UCSW Knowledge of Claims Policy guidelines

Job Description: Director of Coding Director of Coding Location: Hartford County, CT Salary:  Experience: 5.0 year(s) Job Type: Temporary to Full-Time Job ID: U994100       About the Opportunity A leading healthcare organization in the Greater Hartford area is looking for a Director of Coding to join their growing team.  This is a newly-created position due to the substantial growth this organization has seen. This organization, with over a decade of experience, is one of the leading providers of medical management services throughout Connecticut and is looking to add an experienced  manager to complement their talented team. Company Description Healthcare Organization Job Description The Director of Coding will: Provide direction, mentoring and support of the Professional Coder's daily functions Coordinate efforts with the Operations Leaders of each business/site Maintain expertise through hands on practice of all coding services provided to customers Conduct necessary research to address complex coding related challenges Assist in the education of providers and staff on proper documentation practices Develop, implement and maintain coding policies and procedures Assist in the facilitation of the transition from ICD-9 to ICD-10 and the training of internal staff Support coding staff in the resolution of vendor coding escalations Lead team meetings to enhance functional excellence  Required Skills Current Certified Professional Coding Certificate College Degree 5 years' experience of high-volume, multi-specialty coding within a Physician Office and/or Outpatient Clinic, 3 years in a management capacity Thorough knowledge of ICD-9-CM, CPT, and HCPCS coding Academic knowledge of ICD-10 PCS coding Functional knowledge of medical terminology, anatomy and physiology, medical procedures, medical conditions and illnesses, and treatment practices Knowledge of Medicare and other insurance carrier's coding and compliance guidelines Proficient in PC and MS Office skills

Job Description: Director of Nurse Recruitment Director of Nurse Recruitment Location: New York, NY Salary: $120,000-$155,000 Experience: 0. year(s) Job Type: Full-Time Job ID: J137362       About the Opportunity A hospital in New York City is actively seeking an experienced professional to join their growing staff as their new Director of Nurse Recruitment. Reporting to the Senior Director of Talent Acquisition, the Director of Nurse Recruitment will be responsible for leading and managing the functions of the Nurse Recruitment Department within Human Resources by overseeing the recruitment of all levels of nursing staff. Apply today! Company Description Hospital Job Description The Director of Nurse Recruitment will be responsible for: Development of advertising and recruitment strategies Assessment and projection of nurse and related staffing supply and demand using national and regional data Guidance of respective Directors and Nurse Managers in the hiring process Active leadership in retention strategies at the department and service level Collaboration with the Senior Vice President and Chief Nursing Officer and Human Resources in the development of compensation and other benefit programs for nursing staff; guidance and mentoring Nursing Recruitment staff Development and oversight of the budget for the department Collaboration with the Director, Nurse Managers and the Business Manager of the Departments of Nursing in maintaining accurate and timely staffing position control Assuring compliance with all hospital and regulatory standards Required Skills 5+ years of Nursing Recruitment experience; 4+ years of experience working within a Nursing Practice and/or an Acute Care Institution Bachelor's Degree in Nursing Solid sourcing and interviewing skills Computer savvy Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Master's Degree in Nursing NYS Registered Nurse (RN) license Certification as Health Care Recruiter (CHCR) Previous experience working within an Academic Medical Center

Job Description: Field Service Coordinator (RN) Field Service Coordinator (RN) Location: Newark, NJ Salary: $30-$37 per hour Experience: 2. year(s) Job Type: Temporary to Full-Time Job ID: U1012189       About the Opportunity A New Jersey-based healthcare organization in New Jersey is currently seeking a licensed Registered Nurse (RN) to join their growing staff as a Field Service Coordinator.  In this role, the Field Service Coordinator (RN) will be responsible for working with Care Coordination team members to asses, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the health of the member. This is a great job for a diligent and dedicated Field Service Coordinator (RN) to gain valuable work experience and further their career at one of the organization's facilities. Apply today! Company Description Healthcare Organization Job Description The Field Service Coordinator (RN) will: Evaluate members for case management services and determine appropriate level of care coordination / management services for member Complete a comprehensive assessment and develops a care plan utilizing clinical expertise to evaluate the members need for alternative services Act as a Primary Case Manager for members identified as Complex as defined by Case Management Program Description Develop and monitor members plan of care to include progress toward meeting established goals and self-management activities Interact continuously with member, family, Physician(s), and other providers utilizing clinical knowledge and expertise to determine medical history and current status Supervise and/or acting as a resource for non-clinical staff Act as liaison and member advocate between the member/family, Physician and facilities/agencies. Maintain accurate records of case management activities Coordinate community resources with emphasis on medical, behavioral, and social services Meet with clients in their homes, work-sites, Physicians or hospital to provide management of services Required Skills 2+ years of Clinical Acute Care experience Bachelor's Degree in Health Services or Nursing NYS Registered Nurse (RN) license Understanding the Business and Financial aspect of Case Management in a Managed Care setting Knowledge of Healthcare delivery Knowledge of Community. State and Federal laws and resources Microsoft Office/Suite proficient (Excel. Word. PowerPoint. Access and Outlook) Knowledge of or the ability to learn company approved software, such as CRMS, Peradigm, and/or InterQual Customer service oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills 1+ year of current Case Management experience Certified Case Manager (CCM) Bilingual Managed Care experience Prior Utilization Management experience Experience working with the Elderly population Previous experience in a Home Health, Physician's Office, or Public Health setting

Job Description: Payor Enrollment Coordinator Payor Enrollment Coordinator Location: Ridgewood, NJ Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1002544       About the Opportunity A recognized healthcare organization located in New York City is actively seeking a driven and dynamic individual for a promising opportunity on their staff as a Payor Enrollment Coordinator. As a Payor Enrollment Coordinator, the qualified candidate coordinates and monitors the payor enrollment activities for the organization, including the initial enrollment and re-credentialing of all providers into governmental and managed care plans. Company Description Healthcare Organization Job Description The Payor Enrollment Coordinator: Monitors the re-credentialing process, producing any necessary documentation needed to complete applications Manages access to payor online portals and serve as security officer for those portals Communicate any demographic changes to payers, including but not limited to address changes, TIN add/term, etc. Reviews and corrects any errors in payor directories to ensure all provider information remains up-to-date Creates and maintains insurance grids for all practices and communicate any changes in participation status to providers/office staff in a timely fashion Manages group/provider/locations in practice management systems to support scheduling, charge capture, billing and EHR Assists in Managed Care negotiations through compiling data for financial analysis, rate reviews and other duties as defined by the Manager Conducts regular reporting to identify any shortfalls in reimbursement so as to maximize revenue/profitability Networks and coordinates the sharing, receipt, and/or update of information among various internal departments and the insurance plan Required Skills 2-5 years of credentialing/payor enrollment in a health care provider or health care insurer environment Polished and professional demeanor Ability to multitask Exceptional interpersonal skills Highly organized Strong attention to detail Excellent communication skills Proficiency with computer platforms and applications Desired Skills Bachelor's degree in Business Administration or related field Knowledge of credentialing software and cloud based practice management software

Job Description: Administrative Assistant Administrative Assistant Location: Rockland County, NY Salary:  Experience: 5.0 year(s) Job Type: Temporary / Consulting Job ID: U1011228       About the Opportunity A healthcare facility in Rockland County is currently seeking a versatile and hardworking professional to join their growing staff as an Administrative Assistant. In this role, the Administrative Assistant will be responsible for serving as liaison to Senior Management teams and providing general administrative support, as needed. Apply today! Company Description Healthcare Facility Job Description The Administrative Assistant will be responsible for: Managing extremely active calendar of appointments Completing expense reports Composing and preparing correspondence that is confidential Arranging travel plans Required Skills 5+ years of experience in an Executive and/or Administrative Assistant role Bachelor's and/or Master's Degree in Business, Communication, and/or Health Administration Computer savvy Microsoft Office/Suite proficient Solid problem solving and time management skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Previous experience supporting Nursing Administration

Job Description: Vice President - Sales Vice President - Sales Location: New York, NY Salary:  Experience: 7.0 year(s) Job Type: Full-Time Job ID: J136960       About the Opportunity A rapidly growing healthcare claims cost containment company located in the New York City area is actively seeking a self-motivated and experienced professional for a lucrative opportunity as their Vice President of Sales. In this role as an individual contributor, the VP of Sales will develop and manage a direct sales initiative working primarily with government-based managed care entities and relevant regional health plans (Medicaid Advantage) for the purpose of their using the company's Claims Management systems. The VP of Sales will also be responsible for prospecting for new payer clients, facilitating contracts, building and maintaining client relationships as well as attending approved industry forums and conventions. Apply today! Company Description Healthcare Claims Cost Containment Company Job Description The Vice President of Sales will: Develop strategies for managed care client development through analysis and market knowledge Prospect and present systems to targeted managed care and relevant mid-sized commercial health plan organizations Effectively presents the value proposition of systems to targeted clients Accurately report sales pipeline activity in Salesforce Work with leadership to develop company specific contractual templates Attend industry conferences and trade shows per management’s approval Maintain awareness of and ensures adherence to standards Perform other duties as assigned Required Skills 7+ years of sales or business development experience in government based managed care sector Knowledge of the operational processes of managed care entities and relevant health plans with an understanding of their goals and objectives Strong knowledge of MS Office products Familiarity working with CRM systems Demonstrates expert understanding market managed care penetration strategies Demonstrates strong understanding of government based managed care cost containment market needs Computer proficiency and technical aptitude with MS Office applications (strong understanding of Word, Excel and PowerPoint) Desired Skills College Degree

Job Description: Clinical Site Director (RN) Clinical Site Director (RN) Location: Purchase, NY Salary: $110,000-$120,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J134977       About the Opportunity A widely recognized healthcare facility located in Purchase, NY is actively seeking a compassionate and empathetic Registered Nurse, with a surgical background, for a promising opportunity on their staff as a Clinical Site Director. In this role, the Clinical Site Director provides clinical oversight and support over the entire facility. Apply today! Company Description Healthcare Facility Job Description The Clinical Site Director will: Maintain clinical department accountability for large medical facility and/or group of smaller office locations Promote consistently and superior clinical care in accordance with all regulations, best practice and scope of practice Provide a positive patient experience throughout the patient visit. Maintain final budgetary accountability for all phases of the business operations Hire and develop clinical management and clinical staff Required Skills Active New York State Registered Nurse license Strong clinical skills and knowledge BSN Ability to multitask 3+ years of experience Prior management experience Patient-oriented Background in any surgical specialty Desired Skills MSN

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If you have strong leadership skills and enjoy working in an office setting, you should consider exploring business office manager jobs. These positions can put you in charge of the daily administrative activities of an outpatient clinic, physician’s office or other healthcare facility.

Business office manager jobs are ideal for anyone who excels at multi-tasking, resolving conflicts and rallying a team. That’s because you’ll be responsible for the entire front office staff, including receptionists, schedulers and other professionals. Hiring, training and motivating are all major parts of business office manager jobs.

Another facet of many business office manager jobs is budget planning. If you’re overseeing inventory or facility maintenance, it’s likely that you’ll be the point person for implementing an efficient purchasing system. In that case, you’ll be working with vendors to procure products and services too.

Business office management careers give you a nice mix of front office leadership and back office control. If you want to learn more about job openings like these that are available in your area, narrow your search by your city and state or your zip code. You’ll find plenty of great opportunities right here on the ADVANCE job board.