NewVice President, Clinical Assessments and Utilization Management VNS HealthVice President, Clinical Assessments and Utilization ManagementNew York, NY$193,600–$258,200 / yearWe're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. Works closely with cross-functional teams, including medical directors, nurses, care managers, and administrative staff, to ensure efficient and effective utilization of healthcare resources.
Physician Leader- Long Island or Queens NY HarmonyCares.Physician Leader- Long Island or Queens NYQueens, NYThe Medical Pod Leader will be the clinical leader responsible for the clinical performance of clinical pod team members - to include: Accurate diagnosis and documentation, quality, patient experience, affordability, patient safety, clinical team dynamics, and provider productivity. Collaborate with clinical team members associated with pod (Community Health Workers, Medical Social Workers, Nurse Navigators, Care Managers, Patient Care Coordinators, etc.).
Per Diem, Advanced Practice Clinician VNS HealthPer Diem, Advanced Practice ClinicianNew York, New York$58.30–$77.72 / hourPer diemLicense and current registration to practice as a Registered Professional Nurse in New York State required Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required Valid driver's license, as determined by operational/regional needs may be required Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred Must be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements required For Psychiatric Nurse Practitioners only: Current PMHNP-BC certification required. Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred Clinical home care experience or two years managerial experience preferred Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required Bilingual skills, as determined by operational needs required For Psychiatric Nurse Practitioners only: Minimum of two years of experience as a psychiatric nurse practitioner utilizing full scope of practice required.
Psychiatric Provider Aide Sea Mar Community Health CentersPsychiatric Provider AideMount Vernon, NYThe person needs to be familiar with many different types of software including MicrosoftOffice Windows, business websites (examples: SharePoint, Arcadia, One Health Portal, HealthPlan Finder), and proprietary software (examples: electronic medical records, EKG monitors,retinal camera, etc.) Employee must be proficient with agency PM and EHR systems beforeend of probationary period. Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State.
Risk Adjustment Coding Specialist VNS HealthRisk Adjustment Coding SpecialistNew York, New York$33.88–$42.35 / hourFull timeMinimum two years of payor work experience with medical records, including ICD-10-CM or current coding system and medical record systems required Working knowledge of medical terminology, provider reimbursement, ICD-10, HCPCS and CPT-4 coding, coordination of benefits required Additional years of experience/specialized certification/training may be considered in lieu of educational requirements required Knowledge of medical terminology, physiology, pharmacology, and disease processes and related procedures required Strong knowledge of claims processing procedures and systems, State, Federal and Medicare Regulations and Coordination of Benefits applications required Strong planning, organizational, interpersonal, verbal and written communication skills required Must be PC literate and possess a strong understanding of Microsoft applications required Ability to handle multiple priorities and meet deadlines required Knowledge of HIPAA, understanding a commitment to Privacy, Security and Confidentiality of all medical chart documentation required Ability to work both in a fast-paced environment and/or be independently self-driven to complete day to day tasks required Ability to switch gears and independently collaborate with other departments for all ad lib projects as necessary required. Provider Engagement, Audit, Training and Support and supports supervisor in preparing internal presentations, knowledge libraries, coding guidelines, and summary reports of coding review for department infrastructure, maintains professional communication with provider engagement team by assisting with analysis, trending, and presentation of audit/review findings, outcomes, and issues.
NewQuality Outcomes Associate HealthCare Partners, MSOQuality Outcomes AssociateGarden City, NY$24–$26.50 / hourAs the external-facing quality liaison for HCP, the QOA ensures all communications align with HCP’s corporate messaging and branding by working in close partnership with the Customer Engagement Center (CEC), Pharmacy, Risk Adjustment, Utilization Management, Quality, Network Relations, and other internal teams. Our network includes over 6,000 primary care physicians and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products.
Hedis Audit Quality Manager (State And Ncqa) Elevance HealthHedis Audit Quality Manager (State And Ncqa)Iselin, NJ$99,372–$163,254 / yearThe HEDIS Audit Quality Manager is responsible for managing all HEDIS Audit activities for all lines of business, region of the company, market, and/or enterprise wide which are necessary for submission of audited HEDIS and CAHPS results to NCQA, CMS, and State Regulatory Agencies. Minimum Requirements: Requires a BA/BS in a health care field and minimum of 3 years healthcare-related experience, in addition, minimum of 3 years' experience in a QA/QI related position; or any combination of education and experience, which would provide an equivalent background.
Clinical Lead, Health Solutions League IncClinical Lead, Health SolutionsNY$110,000–$140,000 / yearIn this role, you will apply your clinical expertise and judgment to the design of League's platform across various solution areas to ensure that what we build is clinically-grounded and safe for members, and commercially credible for regulators and customers. Offer a clinical point of view on and shape the direction of future solutions to ensure that what League builds can drive clinical outcomes for members/patients and provide value for customers.
HEDIS Audit Quality Manager (State and NCQA) Elevance Health IncHEDIS Audit Quality Manager (State and NCQA)Iselin, NJ$99,372–$163,254 / yearThe HEDIS Audit Quality Manager is responsible for managing all HEDIS Audit activities for all lines of business, region of the company, market, and/or enterprise wide which are necessary for submission of audited HEDIS and CAHPS results to NCQA, CMS, and State Regulatory Agencies. Minimum Requirements: Requires a BA/BS in a health care field and minimum of 3 years healthcare-related experience, in addition, minimum of 3 years' experience in a QA/QI related position; or any combination of education and experience, which would provide an equivalent background.
NewCertified Medical Assistant - Health and Wellness Center- Physician Services Hackensack Meridian HealthCertified Medical Assistant - Health and Wellness Center- Physician ServicesClark, New JerseyFull timeCertified Medical Assistant or National Certified Medical Assistant or Certified Registered Advanced Medical Assistant or Certified Registered Medical Assistant or Certified Clinical Medical Assistant or Registered Clinical Medical Assistant Specialist or Clinical Medical Assistant Certificate or Certified Clinical Administrative Medical Assistant or Nationally Registered Certified Medical Assistant. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Certified Medical Assistant - Family Medicine - Physician Practice Hackensack Meridian HealthCertified Medical Assistant - Family Medicine - Physician PracticeNorth Bergen, New JerseyFull timeCertified Medical Assistant or National Certified Medical Assistant or Certified Registered Advanced Medical Assistant or Certified Registered Medical Assistant or Certified Clinical Medical Assistant or Registered Clinical Medical Assistant Specialist or Clinical Medical Assistant Certificate or Certified Clinical Administrative Medical Assistant or Nationally Registered Certified Medical Assistant. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Certified Medical Assistant -Health and Wellness Center- Physician Practice Hackensack Meridian HealthCertified Medical Assistant -Health and Wellness Center- Physician PracticeIselin, New JerseyFull timeAs a member of our team, you will help redefine healthcare accessibility, providing world-class, convenient care for people traveling throughout the Northeast, including New York City, Philadelphia, and Washington D.C. This state-of-the-art, 60,000-square-foot facility will offer a wide array of services, including primary care, urgent care, advanced imaging, and specialists. Certified Medical Assistant or National Certified Medical Assistant or Certified Registered Advanced Medical Assistant or Certified Registered Medical Assistant or Certified Clinical Medical Assistant or Registered Clinical Medical Assistant Specialist or Clinical Medical Assistant Certificate or Certified Clinical Administrative Medical Assistant or Nationally Registered Certified Medical Assistant.
Certified Medical Assistant- Internal Medicine- Physician Practice Hackensack Meridian HealthCertified Medical Assistant- Internal Medicine- Physician PracticeParamus, New JerseyFull timeCertified Medical Assistant or National Certified Medical Assistant or Certified Registered Advanced Medical Assistant or Certified Registered Medical Assistant or Certified Clinical Medical Assistant or Registered Clinical Medical Assistant Specialist or Clinical Medical Assistant Certificate or Certified Clinical Administrative Medical Assistant or Nationally Registered Certified Medical Assistant. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Certified Medical Assistant-Neurology- Physician Practice Hackensack Meridian HealthCertified Medical Assistant-Neurology- Physician PracticeNorth Bergen, New JerseyFull timeCertified Medical Assistant or National Certified Medical Assistant or Certified Registered Advanced Medical Assistant or Certified Registered Medical Assistant or Certified Clinical Medical Assistant or Registered Clinical Medical Assistant Specialist or Clinical Medical Assistant Certificate or Certified Clinical Administrative Medical Assistant or Nationally Registered Certified Medical Assistant. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Certified Medical Assistant- General Surgery- Physician Practice Hackensack Meridian HealthCertified Medical Assistant- General Surgery- Physician PracticeOld Bridge, New JerseyFull timeCertified Medical Assistant or National Certified Medical Assistant or Certified Registered Advanced Medical Assistant or Certified Registered Medical Assistant or Certified Clinical Medical Assistant or Registered Clinical Medical Assistant Specialist or Clinical Medical Assistant Certificate or Certified Clinical Administrative Medical Assistant or Nationally Registered Certified Medical Assistant. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Certified Medical Assistant- Surgical/Internal Medicine Float- Physician Practice Hackensack Meridian HealthCertified Medical Assistant- Surgical/Internal Medicine Float- Physician PracticeOld Bridge, New JerseyFull timeCertified Medical Assistant or National Certified Medical Assistant or Certified Registered Advanced Medical Assistant or Certified Registered Medical Assistant or Certified Clinical Medical Assistant or Registered Clinical Medical Assistant Specialist or Clinical Medical Assistant Certificate or Certified Clinical Administrative Medical Assistant or Nationally Registered Certified Medical Assistant. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Certified Medical Assistant- Cardiology - Physician Practice Hackensack Meridian HealthCertified Medical Assistant- Cardiology - Physician PracticeHackensack, New JerseyFull timeCertified Medical Assistant or National Certified Medical Assistant or Certified Registered Advanced Medical Assistant or Certified Registered Medical Assistant or Certified Clinical Medical Assistant or Registered Clinical Medical Assistant Specialist or Clinical Medical Assistant Certificate or Certified Clinical Administrative Medical Assistant or Nationally Registered Certified Medical Assistant. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Certified Medical Assistant - Vascular Surgery- Physician Services Hackensack Meridian HealthCertified Medical Assistant - Vascular Surgery- Physician ServicesParamus, New JerseyFull timeCertified Medical Assistant or National Certified Medical Assistant or Certified Registered Advanced Medical Assistant or Certified Registered Medical Assistant or Certified Clinical Medical Assistant or Registered Clinical Medical Assistant Specialist or Clinical Medical Assistant Certificate or Certified Clinical Administrative Medical Assistant or Nationally Registered Certified Medical Assistant. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Certified Medical Assistant - Neurology - Physician Services Hackensack Meridian HealthCertified Medical Assistant - Neurology - Physician ServicesParamus, New JerseyFull timeCertified Medical Assistant or National Certified Medical Assistant or Certified Registered Advanced Medical Assistant or Certified Registered Medical Assistant or Certified Clinical Medical Assistant or Registered Clinical Medical Assistant Specialist or Clinical Medical Assistant Certificate or Certified Clinical Administrative Medical Assistant or Nationally Registered Certified Medical Assistant. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Certified Medical Assistant - Ears, Nose, and Throat - Physician Practice Hackensack Meridian HealthCertified Medical Assistant - Ears, Nose, and Throat - Physician PracticeHackensack, New JerseyFull timeCertified Medical Assistant or National Certified Medical Assistant or Certified Registered Advanced Medical Assistant or Certified Registered Medical Assistant or Certified Clinical Medical Assistant or Registered Clinical Medical Assistant Specialist or Clinical Medical Assistant Certificate or Certified Clinical Administrative Medical Assistant or Nationally Registered Certified Medical Assistant. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.