Senior Integration Analyst Cohere Health Technologies LLCSenior Integration AnalystNYRemote$105,000–$120,000 / yearBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. What you'll do: Serve as a subject-matter expert for healthcare interoperability and payer prior authorization integrations, leading the analysis and definition of data exchanges between the Cohere platform and payer, provider, and third-party systems.
STS Adult Cardiac Data Abstractor : Part Time Carta HealthcareSTS Adult Cardiac Data Abstractor : Part TimeNew York City, NYRemoteCarta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity. In addition, we have found and strongly believe that diverse teams are higher-performing, and we embrace the varied perspectives that our team members share with each other.
NewReferrals Specialist I- Hybrid- Bilingual English/Spanish Urban Health Plan, IncReferrals Specialist I- Hybrid- Bilingual English/SpanishBronx, NYAbout Urban Health Plan: At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. At UHP, our commitment to provide patient-centered, holistic, quality health care, is part of a tradition started by our founder, Dr. Richard Izquierdo, more than 50 years ago.
Clinical Experience Manager SmarterDx IncClinical Experience ManagerNYRemote$125,000–$150,000 / yearAs a Clinical Experience Manager at SmarterDx, you will play a pivotal role in enhancing our sales and customer success initiatives, particularly in demonstrating and explaining our cutting-edge Revenue Cycle Management technology solutions to prospective clients in the healthcare sector. Our solution helps hospitals tell the most accurate and complete story of the patient and the care that was delivered, which helps them recover millions in earned revenue and improve quality of care scores.
A/R Supervisor - Tarrytown ENT and Allergy AssociatesA/R Supervisor - TarrytownTarrytown, New YorkWith a wide range of services including Adult and Pediatric ENT and Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Treatment of Disorders of the Inner Ear and Dizziness, Asthma-related services, Diagnostic Audiology, Hearing Aid Dispensing, Sleep and CT Services, ENTA Is able to meet the needs of patients of all ages. Backed by over 25 years of experience, Hümi (formerly Quality Medical Management Services USA, LLC, or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, technology, revenue cycle, compliance, HR management, and business applications.
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- 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.
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.
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.
Nurse Practitioner- Stamford, CT - Hybrid Remote DaVita IncNurse Practitioner- Stamford, CT - Hybrid RemoteStamford, CTRemote$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 - 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.
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.
Physician Advisor (Clinical Assistant Professor, HS) SUNY Downstate Medical CenterPhysician Advisor (Clinical Assistant Professor, HS)Brooklyn, NY$275,000–$325,000 / yearOptimizing Discharge Planning: Collaborate with case managers, Social works, and healthcare providers to develop care plans that meet patients'' clinical needs while optimizing resource utilization to improve Length of Stay. The Physician Advisor plays a critical role in optimizing healthcare delivery by providing guidance on medical necessity, utilization management, and quality improvement initiatives.
Nurse Practitioner & Physician Assistant- ACO for Brooklyn/SI and Bronx/Westchester Essen Medical AssociatesNurse Practitioner & Physician Assistant- ACO for Brooklyn/SI and Bronx/WestchesterBronx, New YorkFull timeJob Summary: Join our ACO REACH High Needs team at Intention Essen House Calls as a Nurse Practitioner or Physician Assistant and play a pivotal role in transforming how healthcare is delivered to some of the most complex, high-risk patients in New York. We also provide nursing home support, care management services, and in-home medical services through our House Calls Division, Intention Health Care and facilitate smooth transitions between care settings including telehealth, in-person medical visits, and home care through Intention Health Care.
Social Worker LCSW RWJ Barnabas Health Medical IncSocial Worker LCSWWest Orange, NJ$39.67–$48.65 / hourYou hold a Master's Degree in Social Work from a Council on Social Work Education (CSWE) accredited institution, a current New Jersey Licensed Clinical Social Worker (LCSW) license, and have a minimum of two years of psychotherapy experience. A typical day for a Licensed Clinical Social Worker may include: Conducting comprehensive psychosocial and psychiatric assessments to evaluate patients' emotional, behavioral, and social needs while developing individualized treatment plans.
Ophthalmic Technician EyeCare Partners LLCOphthalmic TechnicianMillburn, NJThis employee will use ophthalmic techniques to perform preliminary work-up of patients in a clinic setting, scribe for Physicians and may also directly assist Physician(s) with examinations and treatment of patients. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives.
Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.
Clinical Documentation Specialist Northwell Health IncClinical Documentation SpecialistLake Success, NYWhen determining a team member s 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). 8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS-DRG and APR NY and APR National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures.