Nurse Practitioner- Yonkers, NY - Hybrid Remote DaVita Inc.Nurse Practitioner- Yonkers, NY - Hybrid RemoteYonkers, NYRemote$118,000–$135,000 / yearPerforms enhanced annual wellness visits or Comprehensive Health Evaluations (CHEs) to identify and evaluate patients' co-morbid conditions and identify and assist with patients' needs, including but not limited to medical, social, emotional, and financial concerns through medical record review, consultation with patient, family, and healthcare team members. Manages the care of CKD/ESKD patients, focusing on delaying disease progression (CKD), medical cost/utilization and preventing/reducing hospitalizations, through proactive post-discharge planning and follow-up with patients most at risk.
APP - Nurse Practitioner Or Physician Assistant ConcertoCareAPP - Nurse Practitioner Or Physician AssistantBrooklyn, NY$150,000–$175,000 / yearOur Advanced Practice Providers build meaningful relationships with patients and their caregivers, delivering proactive and timely care aligned with what matters most to our patients to improve their quality of life and to avoid unnecessary ER visits and hospitalizations. Nurse Practitioner and Physician Assistant Responsibilities: Provision of compassionate, individualized, and holistic patient care including comprehensive care, urgent care, and chronic condition management focused on gaps in care, patient risk stratification, and integration with multidisciplinary team services.
Clinical Documentation Specialist RN Hackensack University Medical CenterClinical Documentation Specialist RNHackensack, NJObtains and promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to ensure clinical documentation reflects the level of service rendered to patients is complete and accurate. The Clinical Documentation Specialist RN facilitates improvement in the overall quality, completeness and accuracy of medical record documentation for assigned hospital in the northern region of Hackensack Meridian Health (HMH).
Nurse Practitioner - Southern CT/Yonkers, NY- Hybrid-Remote DaVita IncNurse Practitioner - Southern CT/Yonkers, NY- Hybrid-RemoteYonkers, NYRemote$118,000–$135,000 / yearPerforms enhanced annual wellness visits or Comprehensive Health Evaluations (CHEs) to identify and evaluate patients' co-morbid conditions and identify and assist with patients' needs, including but not limited to medical, social, emotional, and financial concerns through medical record review, consultation with patient, family, and healthcare team members. Manages the care of CKD/ESKD patients, focusing on delaying disease progression (CKD), medical cost/utilization and preventing/reducing hospitalizations, through proactive post-discharge planning and follow-up with patients most at risk.
Nurse Practitioner- White Plains, NY - Hybrid Remote DaVita IncNurse Practitioner- White Plains, NY - Hybrid RemoteWhite Plains, NYRemote$118,000–$135,000 / yearPerforms enhanced annual wellness visits or Comprehensive Health Evaluations (CHEs) to identify and evaluate patients' co-morbid conditions and identify and assist with patients' needs, including but not limited to medical, social, emotional, and financial concerns through medical record review, consultation with patient, family, and healthcare team members. Manages the care of CKD/ESKD patients, focusing on delaying disease progression (CKD), medical cost/utilization and preventing/reducing hospitalizations, through proactive post-discharge planning and follow-up with patients most at risk.
Quality Analyst & Trainer for Home Health ExlService Holdings IncQuality Analyst & Trainer for Home HealthNYRemote$60,100–$98,700 / yearContinuous Improvement/Education actively participates with team to ensure alignment and sustained results; attends training (assigned or self-initiated) to improve performance or capitalize on new overpayment trends; keeps up with CMS, OIG, and other publications related to our business. The analyst undertakes quality review of random and targeted clinical coding audits, involving and consulting with clinical auditors, clinicians, and managers to enhance the accuracy and completeness of audits performed.
Quality Analyst IV - Clinical Validation Auditor (CVA), Healthcare ExlService Holdings IncQuality Analyst IV - Clinical Validation Auditor (CVA), HealthcareNY$60,100–$98,700 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Quality Analyst - Diagnosis-Related Group (DRG), Healthcare ExlService Holdings IncQuality Analyst - Diagnosis-Related Group (DRG), HealthcareNY$70,000–$110,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Senior Staff Dentist, Utilization Management (Remote) NY LIBERTY Dental PlanSenior Staff Dentist, Utilization Management (Remote) NYNew York, NYRemote$175,000–$185,000 / yearJoin LIBERTY Dental Plan as a Senior Staff Dentist and play a critical role in improving quality, supporting providers, and ensuring members receive clinically appropriate, evidence-based dental care across Commercial, Medicare Advantage, and Medicaid programs. In this influential clinical leadership role, you'll leverage your expertise to guide utilization management decisions, support quality improvement initiatives, mentor colleagues, and help drive better oral health outcomes on a broader scale.
Employed OB/GYN Opening in NJ | 30 mi from NYC Ardent Health Partners LLCEmployed OB/GYN Opening in NJ | 30 mi from NYCWestwood, NJAbout the Position:Joining 4 physicians and 1 Gynecologic APPWomens Center includes all private L&D and PP rooms6 LDRs, 2 C/S Suites, 3 PACU bays, 18 PP Rooms, Level 2 SCN 5 baysCall is 1:4 (clinic/in-house hospital)Concierge Service and Room Service available to all maternity patientsHackensack Meridian Pascack Valley Medical Center is home to a Level II NICUMFM and Intensivist available 24/7Equipped with the latest Da Vinci X Robotic Surgical SystemLarge multi-specialty group networkSmart Technology: See more patients without extending your day. Salary starting at $350,000 Recruitment Package may include:Base salary + wRVU production incentiveCME allowanceSign-on bonus 20K +Consultative services by Navigate Student LoansRelocation allowancePaid malpractice coverageMarketing + practice growth assistanceLearn more about Benefits offered by copying and pasting this link in your browser: https://getardentbenefits.com
Coder Abstractor Certified St. Joseph's Healthcare SystemCoder Abstractor CertifiedNJ, NJThe combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care". Work requires the level of knowledge normally acquired through completion of two to three years of occupational-specific education beyond High School or an Associate's Degree in Health Information Technology or a closely related field and two to three years of previous work related experience.
Data and Analytics Engineer III Praxis Precision Medicines IncData and Analytics Engineer IIINY$145,000–$165,000 / yearAt Praxis we share a common vision of reshaping the human condition into a more freeing and fulfilled existence by developing high impact medicines for patients and families affected by and living with complex brain disorders. All unsolicited resumes submitted by recruitment agencies to any Praxis employee in any form or method will be deemed to be the property of Praxis, and Praxis explicitly reserves the right to hire those candidate(s) without any financial obligation to the recruitment agency.
Denials Specialist Westchester Medical Center Health NetworkDenials SpecialistHawthorne, NY$27.08–$34.04 / hourJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Company Company Bon Secours Charity Medical Group Bon Secours Community Hospital Good Samaritan Hospital HealthAlliance Hospital Margaretville Hospital MidHudson Regional Hospital Mountainside Residential Care Center NorthEast Provider Solutions Inc.
Facility-Fee Emergency Department Medical Coder Sutherland GlobalFacility-Fee Emergency Department Medical CoderClifton, NJThe Facility-Fee Emergency Department Medical Coder is responsible for the accurate review, abstraction, and assignment of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. The coder will review clinical documentation, emergency department records, physician documentation, nursing notes, ancillary reports, and charging information to accurately capture facility services rendered during emergency department visits.
Physician Westchester Medical Center Health NetworkPhysicianValhalla, NY$290,000–$394,000 / yearJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Company Company Bon Secours Charity Medical Group Bon Secours Community Hospital Good Samaritan Hospital HealthAlliance Hospital Margaretville Hospital MidHudson Regional Hospital Mountainside Residential Care Center NorthEast Provider Solutions Inc.
Trauma Registrar Westchester Medical Center Health NetworkTrauma RegistrarValhalla, NY$30.46–$38.29 / hourJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support clerical/Administrative Supportc Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Incumbent reviews medical records and communicates with trauma team staff to identify reportable cases and to collect information related to severity and cause of injury and course of care and outcome, and codes and enters the data into the New York State Trauma Registry database according to program guidelines.
Patient Services Representative UnitedHealth Group IncPatient Services RepresentativeWest Nyack, NYConsider number of unauthorized or unscheduled absences a pattern of before and after-weekend absences tardiness and early departures and long meal periods in accordance with the policy Promotes a positive work attitude fostering teamwork and acceptance of management decisions Supports on-site training initiative for new Patient Services employees Assist co-workers whenever possible to achieve office goals and patient satisfaction Works independently takes initiative in completing assignments and does so without reminder Completes all miscellaneous work assigned by Director Assistant Director Manager Supervisor Team Leader or Physician accurately and in a timely manner Opens office as needed turns on copiers terminals and printers and updates computer for current days session Communicate with clinical staff to keep patient informed of appointment status Verifies insurance eligibility and coverage by phone independent website RTE or EPIC at time of service Verifies patient demographic and insurance information at time of visit. Act on notations and complete the check in process successfully Schedules Cancels Reschedules patient appointments as ordered by the physician adhering to scheduling policies and procedures Obtains HMO insurance referrals as required for maximum reimbursement of services rendered Notifies management or other departments appropriately using Clerical Templates for various issuesrequestsreasons Maintains supply inventories and equipment necessary for the effective performance of the job communicates supply needs to the office supervisor in a timely manner Maintains a neat organized orderly environment in the reception and waiting room areas including physician business cards brochures signage etc Closes office as needed ensuring all patients accounted for and discharged.
Clinical Documentation Quality Improvement Specialist II-Mount Sinai Brooklyn - Full-time - Day Mount Sinai Health SystemClinical Documentation Quality Improvement Specialist II-Mount Sinai Brooklyn - Full-time - DayBrooklyn, NY$79,720–$108,709 / yearThe Clinical Documentation Quality Improvement Specialist II is responsible for improving the overall quality and completeness of clinical documentation; facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to ensure that documentation reflects complete and accurate level of service rendered to patients. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Medical Biller FemmPro OB/GYNMedical BillerGarden City, New YorkManage and resolve Zero-Pay Worklist, Unpaid claims, Fully Worked Receivables, Review and respond to adjustments / payment data with approval (or initiate appeal) communicate trends and root issues through proper lines of reporting. • Educate and communicate revenue cycle/financial information to patients, payers, co-workers, managers and others as necessary to ensure accurate processes.
Associate Patient Account Representative Northwell Health IncAssociate Patient Account RepresentativeLake Success, NYWhen determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.