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Job Description: Quality Coordinator (RN) Quality Coordinator (RN) Location: Northern New Jersey Salary: $90,000-$100,000 Experience: 5.0 year(s) Job Type: Full-Time Job ID: J137144       About the Opportunity A respected hospital located in Northern New Jersey is actively seeking a diligent and patient-oriented Registered Nurse (RN) for a promising opportunity on their staff as a Quality Coordinator. In this role, the Quality Coordinator will provide leadership for the development, implementation, communication, and maintenance of Quality initiatives and indicators. Apply today! Company Description Hospital Job Description The Quality Coordinator will: Oversee the structure and operation of the Clinical Quality Assurance Team Serve as the contact person for external agencies Act as the liaison to other hospital departments and personnel Assist in managing departmental operations Support all Outcomes Management goals and efforts to promote efficacious care delivery and positive patient outcomes Exhibit creativity and initiative in pursuing hospital and departmental growth Contribute to the development and revision of quality projects Perform other tasks as necessary Required Skills BSN Active New Jersey State Registered Nurse license 5-10 years of experience in Quality and Performance Improvement processes Experience in a hospital setting Familiar with CMS regulatory requirement CPHQ certification Strong attention to detail Ability to multitask

Job Description: Quality Improvement Coordinator Quality Improvement Coordinator Location: Tampa, FL Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1011970       About the Opportunity A respected healthcare facility located in Tampa is actively seeking a self-motivated and dynamic individual for a promising opportunity on their staff as a Quality Improvement Coordinator. In this role, the Quality Improvement Coordinator will provide support and project coordination for the quality improvement functional area. For the right candidate, this role has the potential to transition into a full-time opportunity! Apply today! Company Description Managed Care Company Job Description The Quality Improvement Coordinator: Provides support for the quality improvement functional area Completes special projects or assignments as needed to meet initiatives and or objectives of department Assists and coordinates QI projects as needed Maintains all department files in an organized accurate manner Assists with preparations for meetings by typing agendas attachments and minutes Maintains supply levels equipment maintenance communications and records Maintains and secures files of QI activities Directs communication to the appropriate staff Required Skills High School Diploma or GED 2+ years of experience in medical office HMO or hospital environment performing administrative duties with a clinical focus Strong knowledge of medical terminology Ability to multitask Polished and professional demeanor

Job Description: Quality Improvement Coordinator Quality Improvement Coordinator Location: Tampa, FL Salary:  Experience: 2. year(s) Job Type: Temporary / Consulting Job ID: U1011108       About the Opportunity A healthcare company in Florida is looking to fill an immediate need with the addition of a new Quality Improvement Coordinator to their growing staff. In this role, the Quality Improvement Coordinator will be responsible for providing support and project coordination for the quality improvement functional area. Apply today! Company Description Healthcare Company Job Description The Quality Improvement Coordinator will be responsible for: Providing support for the quality improvement functional area Completing special projects or assignments as needed to meet initiatives and or objectives of department Assisting and coordinating Quality Improvement projects, as needed Maintaining all department files in an organized accurate manner Assisting with preparations for meetings by typing agendas attachments and minutes Maintaining supply levels equipment maintenance communications and records Maintaining and securing files of Quality Improvement activities Required Skills 2+ years of experience in Medical Office, HMOm or Hospital Environment performing Administrative High School Diploma or GED Computer savvy Microsoft Office/Suite proficient (Access, Excel, Outlook, PowerPoint, Word, etc.) Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Clinical Quality Lead Clinical Quality Lead Location: New York, NY Salary:  Experience: 3. year(s) Job Type: Full-Time Job ID: J137405       About the Opportunity A healthcare organization in New York City is actively seeking a licensed medical professional to join their growing staff as a new Clinical Quality Lead. In this role, the Clinical Quality Lead is to provide direct supervision and support to a Quality Review team by assisting with on and off-site chart review, provider audits, member and provider education, and other duties as needed. Apply today! Company Description Healthcare Organization Job Description The Clinical Quality Lead will be responsible for: Assignment, coordination and tracking of tasks to all staff and preparation of weekly status and progress reports to the Director Development, implementation and updating of processes and tools that support quality review operations (i.e. audit tools, member and provider educational documents, provider educational tools, training manuals and tip sheets) Assisting in the development and implementation of initiatives across a broad array of clinical measures and health improvement activities Participation in the annual HEDIS and QARR hybrid medical record review project Participating in member outreach and education, as needed, to ensure members receive appropriate services Required Skills 3+ years of Quality Improvement experience Associate's Degree in Nursing NYS Health Educator, Registered Nurse (RN), Licensed Practical Nurse (LPN), Licensed Master Social Worker (LMSW), Licensed Clinical Social Worker (LCSW), and/or Foreign Medical Graduate (FMG) Experience with Medical Record review working on HEDIS / QARR in a Managed Care setting Previous experience with Coding and Chart Review Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Previous experience in a Healthcare and/or Managed Care setting Supervisory background

Job Description: HEDIS Coordinator HEDIS Coordinator Location: Miami, FL Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1008088       About the Opportunity A premier healthcare organization headquartered in Miami is actively seeking a driven and diligent professional for a rewarding opportunity on their staff as their HEDIS Coordinator. In this role, the HEDIS Coordinator will be responsible for coordinating and completing HEDIS Quality Department specific projects ensuring consistency with company strategy, commitments, and goals. Additionally, the HEDIS Coordinator serves as a consultant, educator, and policy changer in the use of HEDIS data and the quality improvement process. Company Description Healthcare Organization Job Description The HEDIS Coordinator: Coordinates annual HEDIS medical record collection and/or abstraction process Analyzes plan/market results Assists in the development of training materials, templates, processes, and procedures related to the project Serves as resource and liaison for multiple associates to complete assignments Collaborates with teams regarding work flow process improvement, document management, and abstraction education Researches patient treatment, diagnosis, and related procedures using coded data to produce HEDIS results using organized charts or Electronic Medical Record (EMR) systems Required Skills High School Diploma Experience in all aspects of process development and execution Polished and professional demeanor Familiar with Electronic Medical Records Proficiency with computer platforms and applications Strong clinical skills and knowledge Detail-oriented Ability to multitask Excellent communication skills Highly organized Desired Skills 1+ year of experience with HEDIS activity coordination and working with Managed/Acute/Provider Care environment Associate's or Bachelor's Degree RN, RHIA or RHIT license NCQA and HEDIS experience

Job Description: Nazareth Hospital, Mercy Health System The mission of Mercy Health System is to participate in the healing ministry of its sponsor, the Sisters of Mercy, and the Roman Catholic Church. This mission is at the service of the entire community and addresses the diversified factors which impact the health care needs of the whole person. The mission is characterized by a special concern for the poor and disadvantaged. Mercy Health System is dedicated to providing easily accessible, patient-centered, compassionate health care. Building on our 100 year foundation of caring, we achieve our mission through our commitment to the overall health of the communities we serve. Our centers of health care excellence address the unique and diverse needs of these communities. Rooted in our core values, Mercy Health System, its facilities and affiliates offer access to quality medical care, delivered by compassionate, highly trained health care professionals to all in need. If you are an individual who is mission driven and who wants to make a difference in the lives of others, we invite you to join us. We know our colleagues are our core strength and that each contributes to our ministry of quality and compassionate care. As a Mercy colleague you will have a great working environment, career growth, competitive benefits, and support for involvement in your community.  Job Description Under the general supervision of the Director of Care Coordination, the Emergency Department Care Manager assists physicians and the interdisciplinary team in facilitating the entry of patients into the appropriate level of care by utilizing InterQual criteria. Reduces unnecessary admissions to the acute care hospital. Has accountability for assigning correct levels of care (Outpatient Observation vs. Inpatient Admission), attention to the issues presented by readmissions and recommending options for safe discharge. Coordinates all non-elective point of entry admissions (including direct admissions and SPU) and facilitates timely throughput of emergency room patients to ensure the safe delivery of services to the patient at the most appropriate level of care. Responsible for identifying community and other resources that are necessary for each individual patient and matches specific needs for continued care that are acceptable to the patient. Identifies services that require authorization and collaborates with payers to obtain needed authorizations for services. Ensures patient has a primary care physician follow-up. Collaborates with the ED healthcare team to determine the treatment plan, while observing quality and patient safety parameters, LOS, readmissions, denials and appeals.   Education and Training BSN or BA in Nursing. Enrolled or committed to enroll in a BSN or BA in Nursing program, making steady progress towards degree. Certification and Licensure Registered Nurse licensed in the State of Pennsylvania Case Management certification from an accredited organization preferred.   Skills • Managed care, government payers, third-party reimbursement • InterQual criteria and its application • Information systems, Midas preferred • Using MS Office applications • Developing and maintaining strong interpersonal relationships • Oral and written communication skills • Ability to document in an electronic health record completely and accurately  Experience Three (3) years of utilization management or case management experience, including emphasis on discharge planning.   Apply directly on line at: https://trinityhealth.wd1.myworkdayjobs.com/Nursing_Jobs/job/Philadelphia-Pennsylvania/XMLNAME-2000-T1005-RN-ED-CARE-MANAGER_00033311-1   A policy of Equal Employment Opportunity is maintained within all institutions. This policy is based on the right of all persons to work and to advance in their work on their own merit, ability and potential. This policy involves all persons regardless of race, color, religion, age, sex, sexual preference, national origin, veteran status, political affiliation, or handicap.

Job Description: HEDIS Coordinator HEDIS Coordinator Location: Tampa, FL Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1008089       About the Opportunity A premier healthcare organization headquartered in Tampa is actively seeking a driven and diligent professional for a rewarding opportunity on their staff as their HEDIS Coordinator. In this role, the HEDIS Coordinator will be responsible for coordinating and completing HEDIS Quality Department specific projects ensuring consistency with company strategy, commitments, and goals. Additionally, the HEDIS Coordinator serves as a consultant, educator, and policy changer in the use of HEDIS data and the quality improvement process. Company Description Healthcare Organization Job Description The HEDIS Coordinator: Coordinates annual HEDIS medical record collection and/or abstraction process Analyzes plan/market results Assists in the development of training materials, templates, processes, and procedures related to the project Serves as resource and liaison for multiple associates to complete assignments Collaborates with teams regarding work flow process improvement, document management, and abstraction education Researches patient treatment, diagnosis, and related procedures using coded data to produce HEDIS results using organized charts or Electronic Medical Record (EMR) systems Required Skills High School Diploma Experience in all aspects of process development and execution Polished and professional demeanor Familiar with Electronic Medical Records Proficiency with computer platforms and applications Strong clinical skills and knowledge Detail-oriented Ability to multitask Excellent communication skills Highly organized Desired Skills 1+ year of experience with HEDIS activity coordination and working with Managed/Acute/Provider Care environment Associate's or Bachelor's Degree RN, RHIA or RHIT license NCQA and HEDIS experience

Job Description: Outreach Coordinator Outreach Coordinator Location: New York, NY Salary: $33,000-$34,500 Experience: 0.6 year(s) Job Type: Full-Time Job ID: J135986       About the Opportunity A medical center in New York City is looking to fill an immediate need with the addition of a new Outreach Coordinator to their growing staff. In this role, the Outreach Coordinator will be responsible for working with the Supervisor or assigned staff to plan ways to locate, contact and engage care management eligible individuals. Apply today! Company Description Medical Center Job Description The Outreach Coordinator will: Gather additional contact information for clients via the internet, through speaking with providers and other partners, etc. to help locate clients Contact eligible clients through a variety of mechanisms, including telephone, mail, and face-to-face Search for clients in the community setting Inform clients of their eligibility for care management; explain program benefits and reasons for eligibility; and, answer questions that clients may have about the program Obtain client signature on consent forms Track which clients should be revisited and when, if they did not sign a consent form to join the program following the initial contact Conduct initial questionnaire of consented clients to confirm the appropriate health home team in which to assign client Act as a liaison between just-enrolled clients and care team, including facilitating a direct hand-off of client to the assigned Health Home care team Accompany client to first meeting with Health Home care team staff, if deemed appropriate Facilitate linkages to entitlements, community and social services for care management clients, accompanying clients where required Document all client-related contacts and activities, supports Health Home Quality Assurance and SDOH required reporting processes Required Skills 6+ months of related work experience High School Diploma with significant experience working with Adults with serious mental illness; or, Bachelor's Degree in Psychology or a related field Previous experience with Admissions Computer savvy Customer service oriented Exceptional phone etiquette Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized

Job Description: Quality Review Specialist (RN) Quality Review Specialist (RN) Location: Brooklyn, NY Salary: $85,000-$100,000 Experience: 2.0 year(s) Job Type: Full-Time Job ID: J134745       About the Opportunity A medical facility in New York City is currently seeking a licensed Registered Nurse (RN) for a promising Quality Review Specialist position with their growing staff. In this role, the Quality Review Specialist (RN) will be responsible for quality assurance, accuracy and overall integrity of the care management records and documentation completed by Care Management staff. Apply today! Company Description Medical Facility Job Description The Quality Review Specialist (RN): Ensures compliance with NYS DOH and CMS regulations through development of auditing tools, specifically validating all data collected Analyzes collected audit data, identify trends for staff re-training and implementing corrective action plans in collaboration with Clinical management staff Provides support to Directors, Managers and Supervisors to insure that all documentation and reporting requirements are prepared and maintained in a professional and well-coordinated manner Reviews, collects and prepares evidence packets for all scheduled fairs Required Skills 2+ years of Care Management experience Graduate from an accredited School of Nursing NYS Registered Nurse (RN) license Previous experience with Performance / Quality Improvement and Risk Management Computer savvy Microsoft Office/Suite proficient (Excel, Word, etc.) Knowledge of Medicare and Medicaid regulations Working knowledge of Audit techniques and methodologies Working knowledge of State and Federal regulations Solid analytical and critical thinking skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills BSN or Bachelor's Degree in a related field Microsoft PowerPoint proficient

Job Description: Director of Nursing Practice & Quality (RN) Director of Nursing Practice & Quality (RN) Location: Brooklyn, NY Salary: $110,000-$140,000 Experience: 5.0 year(s) Job Type: Full-Time Job ID: J136907       About the Opportunity A healthcare facility in New York City is currently seeking an experienced, licensed Registered Nurse (RN) to join their growing staff as their new Director of Nursing Practice & Quality. In this role, the Director of Nursing Practice & Quality (RN) will be responsible for the development and maintenance of quality programs within the Department of Nursing that support and evaluate nursing practice, while at the same time, meeting the requirements of regulatory agencies and professional practice standards. Apply today! Company Description Healthcare Facility Job Description The Director of Nursing Practice & Quality will be responsible for: Ensuring that data is disseminated appropriately and assisting the Nursing staff to interpret and use data to improve patient care Developing and implementing the use of nursing sensitive outcome indicators to monitor and improve patient care Assessing trends in regulatory agencies requirements for their impact on quality programs and recommending improvements in order to meet or exceed requirements Providing education and consultation to internal and external constituents regarding quality and outcomes management activities Participating in the development and implementation for Departmental and Hospital Policies and Procedures Maintaining a structure through which the quality improvement program of the Department of Nursing continually is assessed and evaluated Ensuring that program structures are in alignment with the quality initiatives implemented by the organization Promoting the integration and coordination of quality and outcomes initiatives across disciplines Directing the activities of the nursing governing Quality Assurance / Performance Improvement council to assure ongoing maintenance and review Required Skills 5+ years of Clinical and/or Leadership experience in Nursing Master's Degree in Nursing NYS Registered Nurse (RN) license BLS certification Experience in Performance / Quality Improvements programs, such as PDCA, Lean Six Sigma, FEMA, RCA and other frameworks Knowledge of Quality Assurance and Improvement trends and models, including the requirements of the Joint Commission on Accreditation of Healthcare Organizations and the New York State Department of Health Knowledge of established best practices and standards of Nursing Care Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills ACLS, EFM and Board Certification of specialty

Job Description: Risk Adjustment Coordinator Risk Adjustment Coordinator Location: Tampa, FL Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1010364       About the Opportunity A premier healthcare facility located in Tampa, FL is actively seeking a self-motivated and dynamic professional for a promising opportunity on their staff as a Risk Adjustment Coordinator. In this role, the Risk Adjustment Coordinator supports quality improvement interventions by collecting medical records data. Apply today! Company Description Healthcare Facility Job Description The Risk Adjustment Coordinator will: Review medical records for completeness and compliance with CMS guidelines Follow up with providers as necessary Coordinate with internal departments and vendors Ensure timely completion of medical record request to meet departmental goals and CMS deadlines Interface via phone, fax and mail with providers and contracted vendors Maintain confidentiality of protected health information Participate in process development and testing of new process implementation Perform all other duties as assigned Required Skills High School Diploma or GED 1+ year of experience in a related role Advanced interpersonal and communication skills Intermediate knowledge of Microsoft Word, Excel, and Adobe Acrobat Ability to multitask Excellent communication skills Highly organized

Job Description: Living Donor Transplant Coordinator Living Donor Transplant Coordinator Location: New York, NY Salary: $100,000-$125,000 Experience: 2.0 year(s) Job Type: Full-Time Job ID: J136483       About the Opportunity A recognized hospital in New York City is actively seeking a compassionate and empathetic healthcare professional for a promising opportunity on their staff as a Living Donor Transplant Coordinator. In this role, the Living Donor Transplant Coordinator will assume front line responsibility for quality and continuity of care. Apply today! Company Description Hospital Job Description The Living Donor Transplant Coordinator will: Utilize new modalities to help match donors and recipients Support patients’ pre-transplant needs Educate patients, families and other health care providers Perform other tasks as necessary Required Skills Bachelor's Degree or Master's in Nursing Active Registered Nurse, Nurse Practitioner, or Physician Assistant 2+ years of experience with Renal procedures or surgical/peri-op experience an acute care setting Strong medical skills and knowledge Patient-oriented Ability to multitask Compassionate and empathetic Desired Skills Previous transplant coordination experience

Job Description: Health Coordinator (RN) Health Coordinator (RN) Location: Brooklyn, NY Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1014527       About the Opportunity An established nonprofit organization located in Brooklyn is actively seeking a caring and driven Registered Nurse (RN) for a promising opportunity on their staff as a Health Coordinator. In this role, the Health Coordinator will be responsible for healthcare interventions, including assessing and responding to preventive care maintenance needs of new and potential placements within the organization. Apply today! Company Description Nonprofit Organization Job Description The Health Coordinator (RN): Assesses short- and long-term health/mental health needs of the child in residential and/or foster care Initiates a plan of preventive health care maintenance for all children as assigned Implements health care interventions which increase the likelihood of achieving or restoring optimum health for children Provides direct nursing care for children with medical and/or "high risk" conditions Implements nursing process Supports the transition of children into and out of care/placement Provides supervision for staff Advocates for appropriate resources and medical services required by children and families Required Skills Active New York State Registered Nurse license 2 years of recent and satisfactory nursing experience in a healthcare setting - working with pediatric/young adult populations BCLS Working knowledge of compliance and quality standards, as mandated by City and State Professional /clinical competence in the practice of nursing Excellent interpersonal, relationship, oral and written communication skills Strong time management skills Desired Skills Bachelor's Degree in Nursing

Job Description: Clinical Reporting Coordinator (RN) Clinical Reporting Coordinator (RN) Location: Westchester County, NY Salary: $40-$42 per hour Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1004374       About the Opportunity A healthcare organization in Westchester County is currently seeking a licensed Registered Nurse (RN) for a promising Clinical Reporting Coordinator position with their growing staff. In this role, the Clinical Reporting Coordinator (RN) will be responsible for engaging in Physician practices in the ongoing efforts of continuous quality improvement using nationally recognized measures (i.e., HEDIS, etc.) to improve the quality of care and assure that care is delivered in the most appropriate setting. Company Description Healthcare Organization Job Description The Clinical Reporting Coordinator (RN) will: Analyze reports and develop executive summaries and PowerPoint presentations of the reports Create PowerPoint presentation that provide an overview of the outcomes Develop and implement a system of communication and tracking that sure all Physicians have access to these reports and the outlier Physicians are targeted for the most intensive education / coaching opportunities Develop, implement, and monitor the overall procedures and strategy for the delivery of reports and interaction of Physicians within the region Facilitate Physicians working together to improve utilization / quality outcomes Provide support for medical home projects in the region Conduct medical record review for regulatory requirements, as needed Required Skills 1+ year of related work experience Associate's Degree in Nursing NYS Registered Nurse (RN) license Previous experience working with Physicians Computer savvy Microsoft Office/Suite proficient (Excel, PowerPoint, Word, etc.) Solid analytical skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills 3+ years of varied work experience in Clinical services Professional Relations experience Prior Report Preparation and Presentation experience

Job Description: Clinical Coordinator / Education Specialist (RN) Clinical Coordinator / Education Specialist (RN) Location: Sparta,NJ Salary: $80,000-$95,000 Experience: 0.0 year(s) Job Type: Full-Time Job ID: J137570       About the Opportunity A widely recognized healthcare facility located in Sparta, NJ is seeking a self-motivated and compassionate Registered Nurse (RN) for a promising opportunity on their staff as a Clinical Coordinator / Education Specialist. In this role, the Clinical Coordinator / Education Specialist works closely with the healthcare facility and Clinical Integration partners, as well as various referral sources to ensure patients receive timely and high-quality care. Apply today! Company Description Healthcare Facility Job Description The Clinical Coordinator / Education Specialist (RN) will: Promote timely access to appropriate care for referrals Reduce emergency room utilization and hospital admissions Decrease repetitive and/or unnecessary testing and diagnostics Increase patient comprehension of disease process and management through culturally and linguistically appropriate education Create and promote adherence to oncology and co-morbid care plan, developed in coordination with the patient, oncologist and primary care provider Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals Increase patients’ ability for self-management and shared decision-making Provide medication reconciliation and education Connect patients to relevant community resources to support the patient medically, emotionally, and financially Required Skills BSN Active New Jersey State Registered Nurse license Demonstrated clinical oncology background Experience in leadership and/or education Strong communication skills Proven organizational skills Knowledge of community resources Desired Skills Knowledge of Medicare Experience with IT systems and reports

Job Description: Clinical Coordinator / Education Specialist (RN) Clinical Coordinator / Education Specialist (RN) Location: Marmora, NJ Salary: $75,000-$85,000 Experience: 0.0 year(s) Job Type: Full-Time Job ID: J137571       About the Opportunity A widely recognized healthcare facility located in Marmora, NJ is seeking a self-motivated and compassionate Registered Nurse (RN) for a promising opportunity on their staff as a Clinical Coordinator / Education Specialist. In this role, the Clinical Coordinator / Education Specialist works closely with the healthcare facility and Clinical Integration partners, as well as various referral sources to ensure patients receive timely and high-quality care. Apply today! Company Description Healthcare Facility Job Description The Clinical Coordinator / Education Specialist (RN) will: Promote timely access to appropriate care for referrals Reduce emergency room utilization and hospital admissions Decrease repetitive and/or unnecessary testing and diagnostics Increase patient comprehension of disease process and management through culturally and linguistically appropriate education Create and promote adherence to oncology and co-morbid care plan, developed in coordination with the patient, oncologist and primary care provider Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals Increase patients’ ability for self-management and shared decision-making Provide medication reconciliation and education Connect patients to relevant community resources to support the patient medically, emotionally, and financially Required Skills BSN Active New Jersey State Registered Nurse license Demonstrated clinical oncology background Experience in leadership and/or education Strong communication skills Proven organizational skills Knowledge of community resources Desired Skills Knowledge of Medicare Experience with IT systems and reports

Job Description: Bilingual Coordinator of Care (RN) Bilingual Coordinator of Care (RN) Location: New York, NY Salary: $85,000-$90,000 Experience: 1.0 year(s) Job Type: Full-Time Job ID: J132290       About the Opportunity A healthcare services agency in New York City is actively seeking a Spanish-speaking, licensed Registered Nurse (RN) for a promising Coordinator of Care position with their growing staff. In this role, the Bilingual Coordinator of Care (RN) will be responsible for coordinating and providing high quality multidisciplinary health services for patients consistent with the agency's philosophy, policy, goals and objectives as well as Standards of Nursing Practice. Opportunities are available in multiple boroughs. Apply today! Company Description Healthcare Services Agency Job Description The Coordinator of Care (RN) will be responsible for: Developing a Plan of Care based on assessment of patient's needs, condition, environment, and consultation with patient’s Physician and other health care team members, at the time of initial visit Implementation and evaluation of individual patient Plan of Care Providing skilled nursing care that conforms to the agency's policy and procedures and established professional standards of care Updating Plan of Care at least every 60 days and as necessary Regularly conducting Case Conferences and maintaining communication with Clinical Managers and other members of Healthcare team Documenting care provided as per the agency's policy and procedures Maintaining an ongoing responsibility for assigned caseload and productivity standards Scheduling work load for maximum efficiency Participating in Performance Improvement Process, in-services and mandatory meetings Required Skills 1+ year of Nursing experience in a Field role Graduate of an accredited School of Nursing NYS Registered Nurse (RN) license Bilingual (English and Spanish) Solid assessment, clinical, and documentation skills Patient oriented 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 1+ year of Healthcare experience Bachelor's Degree in Nursing

Job Description: Credentialing Specialist Credentialing Specialist Location: Farmington, CT Salary:  Experience: 2. year(s) Job Type: Temporary / Consulting Job ID: U1008627       About the Opportunity A Connecticut-based healthcare company is looking to fill an immediate need with the addition of a new Credentialing Coordinator to their staff. In this role, the Credentialing Coordinator will be responsible for ensuring that the credentialing / re-credentialing process of practitioners and Health Delivery Organizations (HDO) is carried out efficiently and effectively to meet State and Federal standards, and in accordance with NCQA and Corporate policies. Apply today! Company Description Healthcare Company Job Description The Credentialing Coordinator will be responsible for: Establishing and maintaining a system for timely processing of credentialing and re-credentialing files in accordance with the company, CMS and NCQA policies Ensuring that providers/HDOs on the company's participating panel are in compliance with the company policies and NCQA and state and federal regulatory standards Maintaining current knowledge of NCQA, State and Federal requirements Performing data entry in and maintaining currency of the database for tracking practitioner / HDO credentialing and re-credentialing information Initiating and conducting primary source verification of provider credentials Reviewing credentialing and re-credentialing applications against CCI credentialing standards to determine if candidates are appropriate for the company's practitioner panel and processes applications accordingly Assembling all verified information and prepares files for presentation to the Medical Director and/or the company's Quality Improvement Committee for approval or recommendation to not credential Maintaining communications with provider offices to promote relationships imperative to process Modifying and designing reports and queries to demonstrate the effectiveness of the credentialing / re-credentialing process Required Skills 2+ years of previous experience in a Health Insurance environment, preferably in provider relations or credentialing Associate's Degree or an equivalent combination of education and experience Computer savvy Working knowledge of Amisys Advanced Solid knowledge of Medical terminology Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Experience in Provider Relations or Credentialing Knowledge of NCQA and CMS requirements

Job Description: Occupational Health Nurse (RN) Occupational Health Nurse (RN) Location: Paramus, NJ Salary: $40-$45 per hour Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1011471       About the Opportunity A widely recognized healthcare facility near Paramus, NJ is actively seeking a self-motivated and patient-oriented Registered Nurse (RN), with a strong Occupational Health background, for a promising opportunity on their staff. In this role, the Occupational Health Nurse will be responsible for ensuring exceptional healthcare services are readily accessible to patients at all times. Company Description Healthcare Facility Job Description The Occupational Health Nurse (RN): Demonstrates commitment to offering nursing services of superior quality and value Continues to update knowledge on current national trends and evidenced-based practice Effectively and efficiently allocate resources Provides mentoring of new staff member to promote effective team relationships Projects a professional demeanor Uses effective communication, time management and prioritization skills Acts as a charge nurse in the absence of nurse manager/clinical coordinator Delegates work assignments to nursing staff and allied healthcare workers appropriately Provides feedback to nursing staff and allied healthcare workers when appropriate Uses problem-solving skills within the work environment Supports nurse manager's leadership and management style Required Skills Graduate of an accredited school of nursing with a BSN degree Demonstrated ability to plan, organize and evaluate Strong clinical skills and knowledge Active Connecticut State Registered Nurse license BLS Patient-oriented

Job Description: Care Manager (RN) Care Manager (RN) Location: Nassau County, NY Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1010470       About the Opportunity A healthcare insurance agency on Long Island is currently seeking a licensed Registered Nurse (RN) for a promising Care Manager position with their growing staff. Reporting to the Care Management Supervisor, the Care Manager (RN) responsible for overall care management and quality of care for members. Apply today! Company Description Health Insurance Agency Job Description The Care Manager (RN): Assesses, plans and provides intensive and continuous care management across acute, home and long term care settings Coordinates the IDT meetings for the Members assigned to their case list Communicates PCSP updates with the Member and obtains their agreement Arranges and with the agreement of the IDT, coordinates and authorizes the provisions of appropriate services to meet identified member specific needs (such as assistance with the Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), housing, home-delivered meals, and transportation) and when approved by the IDT Provides care management services across sites and collaborates with appropriate team members, facility, discharge planner and/or home care coordinator when members are transitioned between care settings. Coordinates, facilitates and arranges for long term care services in the home and community-based sites, such as adult day care, nursing homes, rehab facilities, etc. Monitors care management activities, services, and member' responses to interventions, to determine the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to meet needs and resolve goals Required Skills 2+ years of Case Management and/or Home Care experience Associate's Degree in Nursing NYS Registered Nurse (RN) license 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 BSN

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Quality coordinators are leaders among the healthcare community. They drive for top results in a department or facility by developing and implementing policies to improve patient care while meeting business needs.

Analyzing data is a huge component of quality coordinator jobs. Coordinators must use collected data to decide what actions can be taken to improve care in a medical facility. Once a policy has been implemented, quality coordinators must collect even more data to support or deny its effectiveness. If a new policy or program is insufficient, they are responsible for changing the policy or establishing a new one to achieve the goal.

In order to be successful at quality coordinator jobs, candidates must be comfortable with technology. Daily activities involve data entry and spreadsheet use, so coordinators should have technological experience. Coordinators must also present their findings to managers, so good verbal communication skills are a must. Qualifications vary by facility, but many healthcare facilities require an advanced degree.

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