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75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #12139Monday, November 18, 2024JOB SUMMARY The Claims Trainer is responsible for planning, developing and delivering training programs that meet specific needs for the Claims Department. The trainer will collaborate with the claims management team to identify and analyze learning gaps and opportunities to facilitate staff development and promote continued high performance. PRIMARY RESPONSIBILITIES Designs, develops, and implements training programs, material and curriculum that identify learning and educational needs of ...Read more about Claims TrainerMore
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75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #12132Thursday, November 14, 2024JOB SUMMARY: This position is responsible for ensuring operational effectiveness through critical analysis and reconciliation of data gathered from multiple sources, and creating timely reports in all aspects of the Utilization Department. This position requires someone with strong analytic skills, ability to gather business requirements, craft data into usable reports, track and trend issues, and provide feedback on solutions. PRIMARY RESPONSIBILITIES: Analyze incoming req ...Read more about UM Business AnalystMore
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JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help identify and manage members who are in need of additional care or support in their home to improve their quality of life. The Utilization Management nurse will assess and process all authorization requests to determine medical necessity to ensure all care services, member education, and preventative interventions are maintained. PRIMARY RESPONSIBILITIES: Authorization of medically necessary servi ...Read more about UM RNMore
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75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #12121Monday, November 11, 2024JOB SUMMARY: The Account Manager is responsible for enrolling members who are interested in our plan. The Account Manager will also be responsible for generating leads, qualifying and educating prospects/accounts on the plan. They should be able to identify viable prospects and be able to establish relationships with Licensed Home Care Services Agencies PRIMARY RESPONSIBILITIES: Maintain appointments, develop community marketing sites, establish relationship with community-based organiz ...Read more about Account ManagerMore
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JOB SUMMARY: Responsible for the day-to-day operation and performance of Care Coordinator Team as the members of Interdisciplinary Team within the compliance with CPHL Care Management policies, procedures and all regulatory mandates, consistent with CPHL mission, vision and value statements. The Field Care Coordinator Supervisor is responsible for continuously improving the effectiveness and efficient operations of the Care Management Department. Functions as a resource for the management s ...Read more about Field Care Coordinator SupervisorMore
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75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #266Tuesday, November 5, 2024JOB SUMMARY: The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, maintains relationships, services our existing customers and secures new customers by consultative selling/marketing and performing all required tasks assigned by the Sales Field Manager. Incumbent will be responsible for educating and enrolling potential beneficiaries by explaining program benefits in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company poli ...Read more about Medicare MAP AdvisorMore
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Bronx, NY, USA ● Brooklyn, NY, USA ● Manhattan, New York, NY, USA ● Queens, NY, USA ● Staten Island, NY, USA ● Req #333Tuesday, November 5, 2024JOB SUMMARY: The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new customers by consultative selling/marketing and performing all required tasks assigned by the Sales Manager. Incumbent will be responsible for educating and enrolling potential beneficiaries by explaining program benefits in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The Licensed Benefits ...Read more about Licensed Benefits Advisor (Field Based)More
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Rockland County, NY, USA ● Req #384Tuesday, November 5, 2024Field Nurse RN (New Grad & Experienced) - Rockland County (Full-Time and Fee-for-Service) Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated Full Time, and Fee for Service, EXPERIENED & NEW GRADUATE REGISTERED NURSES for our CHAA division. We strive to provide QUALITY services to our patients. Reporting to the Coordinator Of Care (COC), the Field RN assesses, plans and coordinates home care ser ...Read more about Field RN (Rockland County) - Full-Time and Fee-for-ServiceMore
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Field Nurse RN (New Grad & Experienced) - Westchester County Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated Full Time, and Fee for Service, EXPERIENED & NEW GRADUATE REGISTERED NURSES for our CHAA division. We strive to provide QUALITY services to our patients. Reporting to the Coordinator Of Care (COC), the Field RN assesses, plans and coordinates home care services for assigned patient ca ...Read more about Field RN (Westchester County)More
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5297 W Copans Rd, Margate, FL 33063, USA ● Req #389Tuesday, November 5, 2024Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated Full Time, EXPERIENCED & NEW GRADUATE REGISTERED NURSES for our CHAA division. We strive to provide QUALITY services to our patients. The RN Coordinator of Care (COC), responsible for organizing and directing home care services to patients. Ensures appropriate coordination among all professional and paraprofessional services related to the car ...Read more about Registered Nurse - New Grads/Entry Level WelcomeMore
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Field Nurse RN (New Grad & Experienced) - Nassau County Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated Full Time, and Fee for Service, EXPERIENED & NEW GRADUATE REGISTERED NURSES for our CHAA division. We strive to provide QUALITY services to our patients. Reporting to the Coordinator Of Care (COC), the Field RN assesses, plans and coordinates home care services for assigned patient caseloa ...Read more about Field RN (Nassau County)More
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Field Nurse RN (New Grad & Experienced) - Suffolk County Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated Full Time, and Fee for Service, EXPERIENED & NEW GRADUATE REGISTERED NURSES for our CHAA division. We strive to provide QUALITY services to our patients. Reporting to the Coordinator Of Care (COC), the Field RN assesses, plans and coordinates home care services for assigned patient caselo ...Read more about Field RN (Suffolk County)More
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Bronx, NY, USA ● Brooklyn, NY, USA ● Long Island, New York, USA ● Manhattan, New York, NY, USA ● Queens, NY, USA ● Staten Island, NY, USA ● Req #455Tuesday, November 5, 2024FEE FOR SERVICE - FIELD HOMECARE RN (All Five Boroughs) Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated EXPERIENED REGISTERED NURSES for our CHHA division. We strive to provide QUALITY services to our patients. Duties and Responsibilities The Field RN (Registered Nurse) performs home visits, assessments and follow up visits to patients. The RN advocates for quality patient care, collabor ...Read more about Fee for Service - Field Homecare RN (All Five Boroughs)More
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Clinical ManagerResponsible for assuring the delivery of quality health care services to the patient. The Clinical Manager represents the agency by facilitating its mission and agency objectives. Duties and Responsibilities Utilizes current nursing concepts and principles as well as understanding of coverage criteria to direct, supervise and ensure the quality of care provided by the Coordinators of Care (COC) and other Clinical staff Assures the periodic reassessment of and appropriate r ...Read more about RN Clinical ManagerMore
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Job Summary: We are currently looking for Clinical Review RN’s to join our team. These positions are responsible for the review of the admission, resumption, recert and discharge assessments for Medicare, Medicaid, Medicare/Medicaid HMO cases to ensure diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Responsibilities Include: Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in complia ...Read more about Clinical Review RNMore
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LPN We're expanding our footprint and seeking Full Time LPNs to join our Margate, Florida team. Duties and Responsibilities Implements plan of care initiated by the registered nurse. Provides accurate and timely documentation consistent with the plan of care. Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care. Informs Team Lead of issues pertinent to the care plan process and any known or perceived issues. Participates in coordin ...Read more about LPN - Office BasedMore
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Bronx, NY, USA ● Brooklyn, NY, USA ● Manhattan, New York, NY, USA ● Queens, NY, USA ● Staten Island, NY, USA ● Req #487Tuesday, November 5, 2024Licensed Practical Nurse (LPN) Certified Home Health Agency Perform under the direction of a Registered Nurse in following the Plan of Care for individual clients. Competent in assessing client physical and psychosocial status changes and reporting findings to the Registered Nurse. JOB DUTIES/KNOWLEDGE Provides skilled nursing to clients including, but not limited to treatment, medication administration, and treatment as directed by Registered Nurse and the Physician’s Plan of care in ac ...Read more about Licensed Practical Nurse (All boroughs)More
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75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #488Tuesday, November 5, 2024JOB SUMMARY: The Care Coordinator works within a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate, schedule and arrange a variety of treatments and healthcare related activities. REPORTING RELATIONSHIPS: Reports to Care Coordination Manager and shares a collaborative relationship with the Care Management Team and other departments involved in member’s care. PRIMARY RESPONSIBILITIES: ...Read more about UAS CoordinatorMore
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Rockland County, NY, USA ● Req #490Tuesday, November 5, 2024Speech Language Pathologist Centers Plan for Healthy Living is expanding its footprint and we are seeking Speech Therapist to provide home-based speech therapy services. Responsibilities: Make home visits to clients. Evaluates patients referred for home care services to determine appropriateness for speech therapy services. Establishes a home care plan including assessment of the appropriateness of the requested services. Provides rehabilitative services for speech and language disorders to ...Read more about Homecare Speech Pathologist - Fee for Service (Rockland - Field Based)More
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Brooklyn, NY, USA ● Req #491Tuesday, November 5, 2024Speech Language PathologistCenters Plan for Healthy Living is expanding its footprint and we are seeking Speech Therapist to provide home-based speech therapy services. Responsibilities: Make home visits to clients. Evaluates patients referred for home care services to determine appropriateness for speech therapy services. Establishes a home care plan including assessment of the appropriateness of the requested services. Provides rehabilitative services for speech and lang ...Read more about Homecare Speech Pathologist - Fee for Service (Brooklyn - Field Based)More
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Position Summary: The Social Worker will provide intervention to promote social/ physiological well-being of patients in their home setting in compliance with applicable laws, regulations, and Agency policies. Job responsibilities may include but are not limited to: Interprets and implements the Agency’s philosophy to staff and members of the community. Works with the home care team (physician, nurses, therapist) to assess and evaluate home care needs and safety. Interviews patients and f ...Read more about Social Worker (Field Based)More
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Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated Full Time, EXPERIENCED & NEW GRADUATE REGISTERED NURSES for our CHAA division. We strive to provide QUALITY services to our patients. The RN Coordinator of Care (COC), responsible for organizing and directing home care services to patients. Ensures appropriate coordination among all professional and paraprofessional services related to the ca ...Read more about Registered NurseMore
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Manhattan, New York, NY, USA ● Req #629Tuesday, November 5, 2024We are expanding our foot print and seeking compassionate Physical Therapist to provide home-based physical therapy services. Our Therapist contribute to improving mobility and enhancing the quality of life to our members. Physical Therapist Responsibilities: Travel to and from patients' homes, providing physical therapy as ordered by a physician in accordance with the designated plan of care. Design treatment plans that achieve results through personalized, 1-on-1 individualized care. Evalua ...Read more about Physical Therapist (Homecare/Field Based) - Manhattan (Full Time and Per Diem)More
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75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #11961Tuesday, November 5, 2024Director of Quality Management - Home Care Agency Make a Difference in Patient Care and Lead Regulatory Excellence! Are you an experienced RN with a passion for improving patient outcomes and ensuring regulatory compliance? We're seeking a Director of Quality for our Staten Island Office to lead our efforts in enhancing care quality, optimizing processes, and staying ahead of regulatory standards in our growing home care agency. Key Responsibilities: Risk Management & Incident Reportin ...Read more about Director of Quality ManagementMore
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Westchester County, NY, USA ● Req #632Tuesday, November 5, 2024We are expanding our foot print and seeking compassionate Physical Therapist to provide home-based physical therapy services. Our Therapist contribute to improving mobility and enhancing the quality of life to our members. Physical Therapist Responsibilities: Travel to and from patients' homes, providing physical therapy as ordered by a physician in accordance with the designated plan of care. Design treatment plans that achieve results through personalized, 1-on-1 individualized care. Evalua ...Read more about Physical Therapist (Homecare/Field Based) - Westchester County (Full Time and Per Diem)More