Job Search
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Licensed 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 accor ...Read more about Licensed Practical Nurse (Brooklyn)More
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Licensed 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 accor ...Read more about Licensed Practical Nurse (Bronx)More
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Manhattan, New York, NY, USA ● Req #644Tuesday, 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 accor ...Read more about Licensed Practical Nurse (Manhattan)More
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75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #660Tuesday, November 5, 2024JOB SUMMARY: As an integral part of the Grievance and Appeals (G&A) Department, the G&A Coordinator lends their support in processing member-related grievances and appeals across CPHL’s various lines of business. Process includes gathering, documenting, tracking, and pursuing resolution of complaints in accordance with regulatory and organizational guidelines to the member’s satisfaction. PRIMARY RESPONSIBILITIES: Logs and tracks verbal or written member grievances and ...Read more about Grievance and Appeals CoordinatorMore
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One of the fastest growing Managed Long-Term Care company in New York, Centers Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer 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. Utilization Management Clinical Reviewer will assess and process all authorization requests to ...Read more about UM Clinical ReviewerMore
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Queens, NY, USA ● Req #687Tuesday, 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) - Queens (Full Time and Per Diem)More
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Brooklyn, NY, USA ● Req #688Tuesday, 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) - Brooklyn (Full Time and Per Diem)More
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Bronx, NY, USA ● Req #689Tuesday, 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) - Bronx (Full Time and Per Diem)More
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Farmingdale, NY 11735, USA ● Garden City, NY, USA ● Req #790Tuesday, November 5, 2024JOB SUMMARY: The Field Intake Nurse is responsible for assessing a member’s eligibility for the Managed Long Term Care program. The Intake Nurse will conduct a face-to-face comprehensive assessment utilizing NYSDOH approved assessment tool (UASNY) with a potential member in his/her place of residence. The Intake RN also utilizes CPHL’s database of record, completing all necessary documentation to meet CPHL standards. This position requires thorough knowledge of CPHL’s program and services, and ...Read more about Field Intake RNMore
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75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #811Tuesday, November 5, 2024Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with opportunities for cross-training and education, CPHL is the place for a fulfilling long-term career. Position Details: Professionally handle incoming inquiries via telephone, email or fax from providers (i.e. physician offices, clinics, social day cares, home care agencies, DME suppliers) regarding ...Read more about Claims Service RepresentativeMore
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JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers Plan for Healthy Living (CPHL) under the direction of the Director of Quality Management. Responsibilities include, but are not limited to coordination of outreach efforts to secure clinical documentation from Providers, reviewing and abstracting data from electronic and/or paper medical records for the annual HEDIS project ...Read more about HEDIS ReviewerMore
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Field Nurse RN (New Grad & Experienced) 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 caseload and provides s ...Read more about Field RN (Bronx)More
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75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #1153Tuesday, November 5, 2024Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with opportunities for cross-training and education, CPHL is the place for a fulfilling long-term career.JOB SUMMARY: Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims. Collaborates with other Health plan departments and Management to ensure claims are processed in ac ...Read more about Claims AuditorMore
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JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: Assists in the prior authorization of services and ongoing authorization requests Assists in completing authorization updates as needed based on the care plan of the member Coordinates with providers regarding authorizati ...Read more about UM CoordinatorMore
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JOB SUMMARY: The Intake RN is responsible for conducting UAS-NY assessments, determining when individuals are appropriate for membership and developing plans of cares for prospective CPHL members. Intake RNs must complete full productivity and submit all paperwork in a timely fashion. This position is also responsible for explaining managed long term care benefits and services to prospects. The Intake RN will be in constant communication with their Intake RN Supervisor as well as Intake UAS re ...Read more about Intake RNMore
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Bronx, NY, USA ● Brooklyn, NY, USA ● Staten Island, NY, USA ● Req #1221Tuesday, 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) - Full Time and Per DiemMore
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Bronx, NY, USA ● Brooklyn, NY, USA ● Manhattan, New York, NY, USA ● Queens, NY, USA ● Staten Island, NY, USA ● Req #1228Tuesday, November 5, 2024Occupational Therapist We are expanding and seeking compassionate Occupational Therapist to provide home-based OT services. As a participating team member, you will provide therapy services to patients needing to develop, recover and maintain occupational skills. Our Occupational therapists help patients of all ages who have limited abilities establish, develop and/or maintain the ability to complete daily functions and tasks. Through regular therapy sessions, occupational therapists work one-on ...Read more about Occupational Therapist (Homecare/Field Based) - Full Time and Per DiemMore
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Bronx, NY, USA ● Brooklyn, NY, USA ● Manhattan, New York, NY, USA ● Queens, NY, USA ● Staten Island, NY, USA ● Req #1237Tuesday, 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 (Bilingual Preferred - Field Based)More
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Rockland County, NY, USA ● Req #1277Tuesday, 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 accor ...Read more about Licensed Practical Nurse (Rockland County)More
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75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #11379Tuesday, November 5, 2024JOB SUMMARY: The Training Coordinator works directly with Trainer/Auditors and reports to the Director of Training and Development. The primary objective is to provide overall support to the Training & Development team, handle office duties and optimize office operations. The Training Coordinator will provide oversight of the Tele-sales staff and ensure ongoing compliance, by conducting call monitoring. He/she will provide topic suggestions based on the findings for trainers/Auditors to utiliz ...Read more about Training CoordinatorMore
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75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #11414Tuesday, November 5, 2024Outreach and Retention Associate (ORA)–Medicare Advantage CPHL is a Medicare Advantage Prescription Drug plan serving Medicare eligible beneficiaries living in the 5 boroughs of New York City, Erie and Nassau County. If you are a professional, self-motivating, NYS DFS licensed producer*, CPHL has an excellent opportunity for you to advance your career. Overview: This position is responsible to provide a concierge experience to our members by providing new members additional educati ...Read more about Outreach and Retention AssociateMore
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JOB 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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Bronx, NY, USA ● Brooklyn, NY, USA ● Manhattan, New York, NY, USA ● Queens, NY, USA ● Staten Island, NY, USA ● Req #11437Tuesday, November 5, 2024Field Nurse RN (New Grad & Experienced) 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 caseload and provides s ...Read more about Field RN (All five boroughs)More
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Bronx, NY, USA ● Brooklyn, NY, USA ● Manhattan, New York, NY, USA ● Queens, NY, USA ● Staten Island, NY, USA ● Req #11438Tuesday, November 5, 2024JOB SUMMARY: The Field Intake Nurse is responsible for assessing a member’s eligibility for the Managed Long Term Care program. The Intake Nurse will conduct a face-to-face comprehensive assessment utilizing NYSDOH approved assessment tool (UASNY) with a potential member in his/her place of residence. The Intake RN also utilizes CPHL’s database of record, completing all necessary documentation to meet CPHL standards. This position requires thorough knowledge of CPHL’s program and services, ...Read more about Field Intake RN (All boroughs)More
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Bronx, NY, USA ● Brooklyn, NY, USA ● Manhattan, New York, NY, USA ● Queens, NY, USA ● Staten Island, NY, USA ● Req #11586Tuesday, November 5, 2024Description: The Home Health Aid provides personal care, home management and other related home health supportive services in accordance with the DOH Matrix entitled, "Permissible and Non-Permissible Activities: Home Health Aide Services", in order to assist the individual to continue living in their home environment when there are disruptions due to illness, disability, social disadvantage or other problems in the home. The Home Health Aide is under the direct supervision of the licensed nur ...Read more about Home Health Aide (All 5 Boroughs)More