All Metro Health Care Jobs

- 109 Jobs
  • Home Care RN Clinical Supervisor- Per Diem

    All Metro Health Care 4.3company rating

    All Metro Health Care Job In Corning, NY

    Apply today and become a valuable member of Modivcare PCS. All Metro Health Care, a Modivcare Personal Care Service, is looking for a Per Diem RN Supervisor- Home Care. You will have the opportunity to make a meaningful impact on the lives of our clients and foster the professional growth of our home health aides. • Pay per Visit • Sup/Post Hospital: $60 • Reassessment: $75 • Initial Admission: $90 weekday/ $125 weekend • Visiting Client Territory: Corning • Schedule: Visits planned with the required presence of the patient's aide. • Office Address: 4 East William Street, Corning, NY 14830 You will... • Performs on-site supervisory and teaching visits to evaluate caregivers • Provides clinical orientation to caregivers on assigned home care cases. • Participates in the training of new nurses and in-services for field staff. • Performs initial nursing assessments • Counsels patient/caregiver in meeting nursing and related needs. • Assigns and coordinates services provided. • Assists physician in developing a plan of treatment/care and makes necessary revisions based upon patient's condition/needs. • Prepares clinical progress notes ensuring any changes in the patient's condition is reported • Monitors clinical records for complete and accurate documentation. We are excited to speak to someone with the following… • Registered Nurse (RN) • CPR Certified • 1 year of Home Care experience required • 1 year of supervisory or management experience required • Valid NYS Driver's License, insurance, registration, and reliable car We live and lead by our Values… • We treat everyone with dignity and RESPECT • We earn the TRUST of our members, and each other • We provide RELIABLE services that open doors • We serve with courtesy and COMPASSION • We prioritize SAFETY • We communicate with purpose and TRANSPARENCY We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace
    $54k-84k yearly est. 3d ago
  • Behavioral Health Case Manager I

    Carebridge 3.8company rating

    New York, NY Job

    Position specific details: The successful candidate will be within 50 miles of an Elevance Pulse Point location. Hours: Monday - Friday, 10-6:30pm EST The Behavioral Health Case Manager I is responsible for performing case management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Primary duties may include but are not limited to: * Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment. * Monitors and evaluates effectiveness of care plan and modifies plan as needed. * Supports member access to appropriate quality and cost-effective care. * Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. Position requirements: * Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work, counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. * Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. * Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred. For Government business only: LAPC, LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $62,640 to $112,752 Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $62.6k-112.8k yearly 10d ago
  • Strategic Human Resources Business Partner

    Carebridge 3.8company rating

    Middletown, NY Job

    Human Resources Business Partner (HR Business Partner) Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles of the New York, Latham, or Middletown, New York PulsePoint office locations. The Human Resources Business Partner is responsible to solve organizational challenges through people-related solutions and serve as an integral part of a market, assigned area(s) of a market or enterprise area's mid to senior-level leadership team, to understand every aspect of the business and be a thought leader on human capital and organizational topics. How you will make an impact: * In partnership with assigned Senior Human Resources Business Partner (HRBP), design and execute the end-to-end human capital strategy that will drive the business to meet its goals. * This role requires a combination of hands-on and strategic reasoning and thinking, use of data to guide work, being comfortable challenging convention and, in some cases, influencing line and mid-level leaders to reassess how work is done. * Partner with a cross-functional group of subject matter experts within HR centers of excellence and assigned Senior HRBP(s) to design and execute the strategy for how the business staffs, onboards, develops, motivates, retains and organizes work. * As a core part of this hands-on work, this position will execute programs to support associates, including compensation, performance management, organizational design, succession planning, diversity and inclusion, organization culture, rewards and recognition, and talent management. * Responsible for being a subject matter expert on organizational and people related planning and execution. * Provide insightful data to guide decision making and offer proactive solutions, solving problems and getting to the root cause of any issue, regardless of complexity. * Consult with mid-level and line managers to create comprehensive people plans to influence lasting and sustainable efficiencies. * Design and quickly implement solutions that cut across multiple disciplines, even those beyond human capital and organizational solutions. * Strong analytical and problem solving skills, ability to analyze data, understand trends, including the development and monitoring of the EEO/AA action plan for designated site/location; develop recommendations for action based on the analysis. * Ability to influence through strong relationships, expertise and data and can manage multiple stakeholders. * Comfortable rolling up your sleeves to get things done. * Strong sense of the importance of teamwork and collaboration. * Superior communication skills and the ability to communicate large, complex change. Minimum Requirements: Requires a BA/BS degree and a minimum of 3 years of relevant work experience, including HR experience, business partner or generalist experience with data, analysis, trends and reports; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: * Strongly preferred HR designation (SHRM-CP or SHRM-SCP). * Advanced Microsoft Excel skills strongly preferred. * Experience in leading strategic HR projects strongly preferred. * Experience with performance development/succession planning preferred. * Experience with organizational design preferred. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $74,760 to $128,160. Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $74.8k-128.2k yearly 10d ago
  • Childcare Childcare Worker

    Gotham Companies 3.4company rating

    New York, NY Job

    PAY RATE $16-$20.50/HR WITH A $300 BONUS! We are looking for candidates who have worked as direct support professionals, paraprofessionals, teachers assistants or candidates with child care experience in general (not including private care babysitting) who have two or more years experience working with people with disabilities or children. Childcare workers are to encourage the healthy growth of the children at the facility located in mid-town Manhattan. You will watch over a child in a one to one setting or a small group setting (3-6) in what is referred to as a "POD" room with another childcare worker. Location: Midtown Manhattan Requirements to be interviewed: Passionate about the welfare of Children An up-to date resume reflecting two years or more experience working as the above mentioned. Fingerprinted (you will need to pay $102 for fingerprints) Have your CPR certificate, if you do not have one or it is expired, you can go to nationalcprfoundation.com to obtain a new one (Roughly $13) A vaccine card with at least one dose or two doses (booster not required) Must have High School Diploma / Equivalent (GED) or highest achieved. If hired, here are the documents you will need to submit: State ID or Passport Social Security Card H.S Diploma or Equivalent Vaccine Card 10 Panel Drug Test Physical: PPD, Rubella, Rubeola, Mumps, Varicella SCR Form (Background check) and Fingerprinting (will be scheduled) PAY & SHIFT INFORMATION ****THIS IS A RELIEF POSITION, you cannot leave your shift until someone is able to relieve you of your child, you will be paid overtime for any time you stay after your shift ends after accruing 40 hours of work*** New Employees: $16.00 per hour for the first 90 days. *Covid Rates until further notice* After 90 days: Day 6:00am-2:00pm or 10:00am-6:00pm $19.25/hour WEEKEND - All weekend shifts (Saturday/Sunday) - $20.50/hour NIGHT - 12:00 am - 8:00 am - $19.50/hour (weekdays) EVENING - 4:00 pm - 12:00 am - $19.75/hour (weekdays) Incentive Plan: After every 13-week assignment we will award an incentive bonus of $300 depending on attendance and evaluations. Schedule: Tuesday through Saturday (Sunday/Monday off) Sunday through Thursday (Friday/Saturday off)
    $16-20.5 hourly 60d+ ago
  • HEDIS Business Information Consultant

    Carebridge 3.8company rating

    Middletown, NY Job

    Location: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days physically in office per week. Associates are required to live within a 50-mile radius and a 1-hour commute to one of our Elevance Health major office (PulsePoint) locations. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection. The HEDIS Business Information Consultant is responsible for serving as an expert in data analysis, reporting and formulating recommendations, and providing guidance to other data analysts. The position is part of the Enterprise HEDIS Analyst Team. It will be responsible for working with management and peers on the end-to-end HEDIS submissions for a grouping of contracts, audit activities, benchmarking, testing, measure validation, IDSS/PLD submission, state-required reporting, and health plan liaison. How You Will Make an Impact Primary duties may include, but are not limited to: * Creates and maintains databases to track business performance. * Analyzes data and summarizes performance using summary statistical procedures. * Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies. * Creates and publishes periodic reports, as well as any necessary ad hoc reports. * May require taking business issues and devising the best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. * May make recommendations based on data analysis. * Provides analytic consultation to other business areas, leadership, or external customers. * Data analysis and reporting encompasses a much higher level of complexity. * Use tools to enable HEDIS to measure deep dives and data quality review to improve HEDIS Ratings. Minimum Requirements: * Requires a BS/BA degree in a related field and a minimum of 5 years' experience; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, & Experiences: * Experience with relational databases and knowledge of query tools and statistical software is strongly preferred including SQL and TOAD for Oracle. * The ability to manipulate large sets of data is strongly preferred. * Strong analytical, organizational, presentation, and problem-solving skills strongly preferred. * Excellent training and communication skills preferred. * Understanding multiple data sources and formats and utilizing multiple data systems to analyze HEDIS results. * Advanced knowledge of HEDIS specifications, medical record review process including the sample and chase creation, and data analysis of HEDIS rates. * Experience completing HEDIS measure validations, knowledge of HEDIS software tools, and working with NCQA on HEDIS measure questions. * Experience testing HEDIS measures and validating HEDIS Results in HEDIS software. * Ability to articulate complex HEDIS measures. * Experience working with State and National HEDIS auditors. * Experience working with NCQA, CMS, and State regulatory agencies; knowledge of NCQA vendors. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $84,588 to $160,272. Locations: California; Colorado; District of Columbia (Washington, DC); Illinois; Maryland; Minnesota; Nevada; New York; & Washington State. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $84.6k-160.3k yearly 10d ago
  • Peer Support Specialist (Certification Required)

    Carebridge 3.8company rating

    New York, NY Job

    The Wellness & Recovery Specialist is responsible for care coordination activities focused on the Wellness and Recovery of members. Location: Remote. The ideal candidates will reside in the following states: Washington, Iowa, Louisiana, New Jersey, West Virginia, Wisconsin. * Peer Specialist Certification required* How you will make an impact: * Identifies opportunities for engagement of members and their families in forming a supportive, recovery network. * Develops and implements provision of psychiatric discharge planning education at Recovery and Resiliency sites. * Collaborates with Stabilization Teams as a member advocate in discharge planning education, resolution of barriers, and service transitions. * Acts as a resource for staff on decision making and problem solving. * Initiates and maintains contact with assigned individuals and providers to determine member's response to services. * Teach and role model the value of the member's recovery experience. * Models effective coping techniques and self-help strategies. * Serve as a recovery agent by providing and advocating for recovery-based services to assist the members in daily living. * Identify opportunities for engagement of members in forming a supportive, peer recovery network. * Assist members in working with their case manager or treatment team in determining the steps he/she needs to take to achieve these goals and self-directed recovery. * Assist members in setting up and sustaining self-help (mutual support) groups, as well as means of locating and joining existing groups. * Initiates and maintains contact with assigned members to determine members' engagement and response to services. * Assist members understand Peer Recovery resources available within the local community. * Assist members in identifying recovery resources, supports, remove barriers, and facilitate connections in the local community. * Collaborates with interdisciplinary teams as a member advocate in discharge planning education, resolution of barriers, and service transitions. * Acts as a resource for staff on decision making and problem-solving as it relates to the peer role. * Utilize tools such as the Wellness Recovery Action Plan (WRAP) to assist clients in creating their wellness and recovery plans. * Assist clients in developing empowerment skills and combating stigma through self-advocacy. Minimum Requirements: * Requires AA/AS and minimum of 2 years of experience in health services or behavioral health field or in a peer support services role; or any combination of education and experience, which would provide an equivalent background. * Peer Specialist Certification required. Preferred Skills, Capabilities, and Experiences: * One year experience working as a Peer Support Specialist, after receiving certification, or related equivalent experience. * Experience working with computers toggling back and forth through multiple screens. * Experience with researching resources. * Telephonic customer service. * Knowledge of the Recovery process and the ability to facilitate recovery using established standardized mental health processes. * Knowledge and skill to teach and engage in basic problem-solving strategies to support individual clients in self-directed recovery. * Knowledge of the signs and symptoms of mental illness & substance use disorders. * Knowledge and skills sufficient to use community resources necessary for independent living and ability to teach those skills to other individuals with severe mental illness. * Knowledge of how to establish and sustain self-help (mutual support) and educational groups by soliciting input from the mental health consumers on their strengths and interests. * Proven experience in health coaching and motivational interviewing techniques. * Demonstrated ability to work proficiently across multiple computer platforms simultaneously. * Excellent typing skills with attention to detail. * Strong communication skills, both written and verbal. * Knowledge of care-coordination and case management concepts strongly preferred. * BA/BS or MBA preferred. For candidates working in person or remotely in the below locations, the salary* range for this specific position is $23.09 - $34.64 Locations: Washington and New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $23.1-34.6 hourly 18d ago
  • Manager, Knowledge, Training and Support

    ADL 3.9company rating

    New York, NY Job

    Manager, Knowledge, Training and Support REPORTS TO: Director, Systems Strategy and Knowledge SUPERVISION EXERCISED: Knowledge, Training and Support Specialist Grade/Class: Grade E, Exempt, PSA Eligible ABOUT THE ORGANIZATION ADL is the leading anti-hate organization in the world. Founded in 1913, its timeless mission is “to stop the defamation of the Jewish people and to secure justice and fair treatment to all.” Today, ADL continues to fight all forms of antisemitism and bias, using innovation and partnerships to drive impact. A global leader in combating antisemitism, countering extremism and battling bigotry wherever and whenever it happens, ADL works to protect democracy and ensure a just and inclusive society for all. PRIMARY FUNCTION The Manager, Knowledge, Training, and Support plays a transformational role in ADL's Development Division by designing and leading a comprehensive training and support program that drives effective adoption of digital systems and development processes in support of evolving organizational needs. With a focus on centralizing organizational information and enhancing accessibility, the Manager leads knowledge management initiatives and collaborates across departments to ensure that training content and strategies align with user needs and organizational goals. This role integrates change management principles to support staff through system updates and process changes, fostering a culture of continuous learning. The Manager drives the creation of targeted training, knowledge, and support models to empower staff to fully utilize development tools, streamline processes, and maximize operational efficiency. Responsibilities Primary: Learning Program Design and Management Design, oversee, and project manage a comprehensive training and support program for Development systems and processes, promoting continuous learning and facilitating smooth adoption across the Development department. Provide direct supervision and mentorship to the Knowledge, Training, and Support Specialist, collaborating with and guiding their work on training content development, support efforts, and program delivery. Partner with IT to streamline the service model and support channels, ensuring responsive service and efficient issue resolution for all Development staff. Integrate systems training into new employee onboarding in collaboration with cross-functional teams, ensuring effective tool usage and business processes. Implement a learning management system to distribute trainings, and monitor completion and effectiveness, providing insights for ongoing improvement. Adapt training programs to accommodate remote learning, ensuring accessibility for all participants. Knowledge Management Initiative Project manage and collaborate with assigned subject matter experts to facilitate ongoing content updates and maintenance of Standard Operating Procedures (SOPs) for all ADL Development systems and processes. Change Communication Strategies Collaborate to develop and implement change management strategies that guide staff through system and process updates, enhancing adaptability and reducing transition challenges. Ensure change communications are clear and timely, keeping all stakeholders informed and prepared for new processes. Qualifications Skills: Strong project management skills with a proven ability to design and implement effective learning programs. Advanced proficiency in learning management systems and training delivery. Excellent communication and interpersonal skills, with the ability to present information clearly and effectively to diverse audiences. Strong analytical skills to assess training effectiveness and user engagement. Commitment to high standards of knowledge management and continuous improvement. Experience: Demonstrated experience in designing and managing training programs for various digital tools and systems. Proven ability to collaborate cross-functionally and drive initiatives that enhance operational efficiency and user experience. Experience leading teams and providing mentorship in a training or support capacity. Progressive experience in training, knowledge management, or organizational development, preferably within a nonprofit environment. Education: Bachelor's degree or equivalent professional experience. Work Environment: ADL is a hybrid environment. This role may require 3 days in person. Compensation: This position has a salary range of $46,000 to $81,000. This salary range is reflective of a position based in New York, New York. Please note that actual salaries are commensurate with experience and reflect the budget for a given position, and since ADL has a location-based compensation structure, there may be a different range for candidates in other locations. For an overview of our total rewards package, please visit ********************************** ADL aims to create a working environment where every employee can thrive professionally. Our mission-driven work is best accomplished in an environment that supports belonging. ADL values a diverse workplace and strongly encourages people of all races, religions, nationalities, genders, LGBTQ+ individuals, people with disabilities, and veterans to apply. ADL is an equal opportunity employer. Recruitment, hiring, promotions and other terms, conditions and privileges of employment shall be maintained in a manner which does not discriminate on the basis of age, race, creed, religion, color, national origin, sex, sexual orientation, gender expression, marital status, physical or mental disability, veteran status, or military status, or in violation of any applicable Federal, state or local laws. ADL will ensure that individuals with disabilities are provided reasonable accommodations to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. For individuals with disabilities who would like to request an accommodation to support the interview process, please contact People & Culture at ************************* . ADL will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Fair Credit Reporting Act, and all other applicable State, Local, and Federal laws. The information in this job description indicates the general nature and level of work expected of employees in this classification. It is not designed to contain, or be interpreted as, a comprehensive inventory of all duties, responsibilities, qualifications, and objectives required of employees assigned to this job, nor is it to be interpreted as a contract for Employment.
    $46k-81k yearly Easy Apply 53d ago
  • Stop Loss Local Bundled Sales Manager

    Carebridge 3.8company rating

    New York Job

    has both office/remote expectations. The Stop Loss Local Bundled Sales Manager is responsible for developing and maintaining relationships with external clients and prospects, and targeted producer partners through the use of strong consultative skills. How you will make an impact: * Execute strategic sales and tactical plans on Stop Loss Bundled products by consulting with key decision makers and operational stakeholders in key states which include external producers, and senior leadership. * Provide ongoing support to regional leadership (state plan presidents) decision makers and support field sales team during request for proposal (RFP) processes. Interact directly with producer stop loss centers of excellence. * Assists in the development of strategic producer relationships and recommendations for increased retentions, sales, and revenue opportunities. * Partners with leadership and develops key programs which allow for growth and retention goals to be met. Minimum Requirements: * Requires a BA/BS and a minimum of 5 years of related stop loss experience; or any combination of education and experience which would provide an equivalent background. * Sales life and health license required in state(s) or territory selling. Preferred Capabilities, Experiences and Skills: * Strongly prefer program management and strategy experience. * Experience in stop loss preferred. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $82,156-$162,150. Locations: California; Colorado; District of Columbia (Washington, DC), Illinois; Maryland, Minnesota, Nevada; New York; Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $82.2k-162.2k yearly 14d ago
  • Audit & Reimbursement Sr

    Carebridge 3.8company rating

    East Syracuse, NY Job

    Audit & Reimbursement Senior ; US based. National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement Senior is responsible for coordinating all activities of an audit or reimbursement team in the initiation and completion of assignments which includes acceptance, tentative settlements, interim rate reviews, completion of the desk audit review, field audit or in-house audit, and the settlement process of the CMS cost reports. How you will make an impact: Primary duties may include, but are not limited to: * Perform audit work on complex audits. * Evaluate the work performed by the audit staff to assess the technical accuracy and accuracy of work papers and financial data related to the cost report. * Review of wage index, MSP audits, complex exception requests and CMS change requests. * Assist the leads and managers in training and development of the staff on current CMS regulations. * Will support the Appeal Unit with appeal issues as assigned. Participates in special projects and review of work done by lower level auditors as assign. * Analyzes and interprets data and makes recommendations for change based on their judgment and experience. * Provides oversight and leadership of the Part A provider enrollment function as needed. * Associates in this role are expected to maintain continuing education requirements. Minimum Qualifications: * Requires a BA/BS and a minimum of 8 years of audit/reimbursement or related Medicare experience; or any combination of education and experience which would provide an equivalent background. * This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years. Preferred Qualifications: * Accounting degree preferred. * Knowledge of CMS program regulations and cost report format preferred. * Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred. * MBA, CPA, CIA or CFE preferred. * Demonstrated leadership experience preferred. * A valid driver's license and the ability to travel may be required. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. For candidates working in person or remotely in the below locations, the salary* range for this specific position is $77,600-to $139,680 Locations: Colorado; Maryland, Minnesota, Nevada; New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $77.6k-139.7k yearly 18d ago
  • Per Diem Gynecologist

    Gotham Companies 3.4company rating

    New York Job

    Job Type: Part-time Pay: $140.00 - $150.00 per hour Gotham Companies is seeking a Gynecologist for a per diem schedule in the Parkchester neighborhood in the Bronx. Flexible schedule, 2x/week minimum Parking available on-site Scribe present in all patient appointments Modern, newly renovated facility with state-of-the-art equipment Job Summary: As a Gynecologist, you specialize in providing medical care and treatment to female patients, focusing on reproductive health, pregnancy, and gynecological disorders. Your primary responsibilities will include conducting examinations, diagnosing conditions, prescribing medications, and providing counseling and education to patients. About the Facility: This facility is a multispecialty diagnostic and treatment center with a team of dedicated healthcare professionals offering a range of medical specialties including Internal Medicine, Cardiology, Orthopedics, Gynecology, Podiatry, and Endocrinology. On-site radiology services also available. Responsibilities: Conduct routine gynecological examinations, including pelvic exams, Pap smears, and breast examinations. Diagnose and treat gynecological conditions and disorders, such as menstrual irregularities, pelvic pain, infections, and menopausal symptoms. Provide prenatal care to pregnant patients, including monitoring fetal development, performing ultrasounds, and managing high-risk pregnancies. Prescribe medications and treatments based on patient assessments and medical history. Educate patients about contraceptive options, family planning, sexually transmitted infections (STIs), and reproductive health. Collaborate with other healthcare professionals, including obstetricians, primary care physicians, nurses, and specialists, to provide comprehensive care to patients. Qualifications: Board certification (BC/BE) in Obstetrics and Gynecology Valid medical license to practice in New York State Completion of residency training in Obstetrics and Gynecology. Strong clinical skills and knowledge of gynecological conditions, treatments Compassionate and patient-centered approach to care. Commitment to providing high-quality, evidence-based care to patients. Willingness to adhere to ethical and professional standards of conduct. Physical Requirements: Ability to stand, walk, and perform surgical procedures for extended periods. Manual dexterity and fine motor skills for conducting examinations. Expected hours: No less than 16 per week Healthcare setting: Clinic Outpatient Primary care specialties: Internal Medicine Primary Care Schedule: 8 hour shift Application Question(s): Are you a board certified Gynecologist? License/Certification: license to practice in New York State (Required) Ability to Relocate: Parkchester, NY: Relocate before starting work (Required) Work Location: In person
    $140-150 hourly 60d+ ago
  • MED SURG Medical Assistant

    Gotham Companies 3.4company rating

    New York, NY Job

    Provides secretarial and clinical support to physicians and surgeons and performs administrative duties necessary to deliver quality patient care. Duties and Responsibilities May schedule appointments for patients. Take detailed clinical phone messages for physician or advanced allied healthcare provider. Acquire insurance authorizations for procedures and tests ordered by attending physician. May enter orders into the electronic medical record (EMR) system or prepare prescription refill requests on behalf of the physician for the review and approval by the ordering physician. Maintain logging system as required for tracking test results. Assist in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms). May schedule surgeries/procedures or work in conjunction with Surgical Coordinator verifying times with patients; preparing charts, pre-admissions and consent forms as necessary. May be responsible for Medical Assistant duties if qualified, such as performing venipuncture and/or EKGs, checking schedules and organizing patient flow; accompanying patients to exam/procedure room, assisting patients as needed with walking, transferring and dressing, as well as collecting and processing specimens and point of care testing, preparing for exam, etc. May assist physicians with various procedures, takes vital signs, relays instructions to patients and or families; answers calls and provides pertinent information. Retrieve physician correspondence from dictation service, edit where necessary. Prepare physicians' mail correspondence. Compile documents for surgical billing packages May maintain, adjust and confirm patient office schedule. Help direct patient flow during practice hours. Participate in revenue cycle processes. May perform medical scribe responsibilities. Performs other duties as assigned. Schedule Notes:9-5pm CMA required Skills: 3 years of related experience Certified Medical Assistant required if performing Medical Assistant duties Proficient in medical terminology and HIPAA guidelines Knowledge of electronic medical record and/or billing systems preferred, but not required Adaptability: Maintains effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements, or cultures. Applies Learning: Assimilates and applies new job-related information in a timely manner. Builds Customer Loyalty: Effectively meets customer needs; builds productive customer relationships; takes responsibility for customer satisfaction and loyalty. Builds Strategic Work Relationships: Develops and uses collaborative relationships to facilitate the accomplishment of work goals. Communication: Clearly conveys information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message. Contributes to Team Success: Actively participates as a member of a team to move the team toward the completion of goals. Decision Making: Identifies and understands issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or developing appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences. Initiates Action: Takes prompt action to accomplish objectives; takes action to achieve goals beyond what is required; is proactive. Manages Work (includes Time Management: Effectively manages one's time and resources to ensure that work is completed efficiently. Quality Orientation: Accomplishes tasks by considering all areas involved, no matter how small; shows concern for all aspects of the job; accurately checks processes and tasks Required PHLEBOTOMY PEDIATRIC CLINICAL MEDICAL ASSISTANT Additional Education: Associates Degree or High School Diploma/GED plus two years of related experience. Graduate of a Medical Assistant Program if performing clinical duties ;Languages: English Read Write Speak Spanish Read Write Speak English( Speak, Read, Write ) Spanish( Speak, Read, Write ) Job Category: Indir.PatientCare-NonClinical-Admin/Clerical
    $31k-38k yearly est. 40d ago
  • Provider Network Manager Sr-NY

    Carebridge 3.8company rating

    Middletown, NY Job

    JR140256 Provider Network Manager Sr The Provider Network Manager Sr. develops the provider network through contract negotiations, relationship development, and servicing. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups and ancillary providers, value-based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized Location: In This position will work a hybrid model (remote and office) and must live within 50 miles of our New York Pulse Point office locations. How will you make an impact: * Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development. * Works independently and requires high level of judgment and discretion. * May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management. * May collaborate with sales team in making presentations to employer groups. * Serves as a communication link between professional providers and the company. * Ensure that network composition includes an appropriate distribution of provider specialties. * Conducts more complex negotiations and drafts documents. * Prepare financial projections and conduct analysis. Minimum requirements: * Requires a BA/BS degree and a minimum of 5 years' experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: * Experience in fee schedule development using actuarial models strongly preferred. * Travels to worksite and other locations as necessary. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $ 118,250 to $ 154,800. Locations: New York, New York, and Middletown, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $118.3k-154.8k yearly 18d ago
  • Outreach Coordinator

    Venture Forthe 3.7company rating

    Syracuse, NY Job

    Venture Forthe is a premier home health care agency in Western New York that operates on the fundamental premise that every individual has the right to remain independent and make their own choices. We advocate for the needs and goals of our clients, because everyone deserves to choose their own path through each stage of life. Venture Forthe's commitments to treating people with respect, compassion, and honesty don't end with our clients. When you work for Venture Forthe, this family-owned company treats you as part of that family. We empower our employees to turn a job into a career, and we take pride in rewarding the hard work it takes to achieve your goals. Our team is always growing. We are currently hiring for an Outreach Coordinator in our Syracuse Area! As the Intake and Community Outreach Coordinator is responsible for the identification of potential Venture Forthe clients. This involves meeting with clients and families in the community and in their homes. After the initial meeting this person is responsible for making the appropriate medical/social referral and securing all necessary documentation. Additionally this person is responsible for: Developing and maintaining relationships with community referral sources such as, but not limited to, hospitals, doctor's offices, nursing homes, and community service agencies. Serving as a liaison in matters relating to referral source satisfaction and needs determination. Attending events, coalition meetings, and accepts leadership roles in various community boards. Identifying and sourcing opportunities to promote company within the respective targeted communities and audiences. Other duties as assigned. Requirements QUALIFICATIONS: Bachelor's/Associates Degree preferred or 2 years direct experience in Health and Human services in lieu of Bachelor's/Associates Degree. Experience working with, and knowledge of Medicaid Waiver Programs is preferred. Seasoned professional with a minimum of 2-3 years of healthcare experience in marketing and servicing referral sources is preferred. Ability to effectively prepare and present company presentations to a variety of audiences. Expert communication and interpersonal skills. Possess exceptional organization skills, self-directed and possess an entrepreneurial spirit. Competent knowledge base of healthcare and its applications in home care. Have experience working in healthcare and have existing and/or the potential to develop industry relationships is preferred. The position covers the greater Rochester area, including surrounding areas. Expected travel up to 80%. CUSTOMER SERVICE/INTERPERSONAL SKILLS Maintains appropriate office presence; Assists other employees where needed; Responsible and cooperative with participants/families, supervisors, fellow employees, and providers; Maintains friendly working atmosphere; Maintains professional attitude; Maintains professional appearance; Accepts constructive criticism as evidenced by appropriate changes in behavior; Utilizes established channels of communication; Recognizes, accepts and respects people as individuals; and Recognizes limitations and seeks assistance appropriately. SPECIALIZED SKILLS AND TECHNICAL COMPETENCIES: Word Processing/Spread Sheets Data manipulation Systems development Multidisciplinary understanding of the corporation Critical thinking PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.LIGHT WORK: Exerting up to 20 pounds of force occasionally and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work. WORK ENVIRONMENT: Office and Community We offer a full benefits package including health insurance with employer contribution) vision insurance, dental insurance, short-term disability supplement, critical illness, FSA/DCA, Health Saving Account, Employer Assistance Program, hospital indemnity, Employee Discount Programs PTO, 401k w/ match, and more, plus room for growth and advancement! Venture Forthe Inc. is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of any kind. Venture Forthe, Inc. is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. Salary Description $28.85/hr
    $28.9 hourly 11d ago
  • Medical Managment Clinician Associate (US)

    Carebridge 3.8company rating

    New York Job

    Medical Management Clinician Associate Location: The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Schedule: Monday through Friday 8:00 am - 5:00 pm. The Medical Management Clinician Associate responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical policies. Focuses on less complex and potentially higher volume benefit plans and/or contracts, following standard procedures that do not require the training or skill of a registered nurse. How you will make an impact Primary duties include, but are not limited to: * Confirms medical services are appropriate based on assigned benefit plan, medical policies, clinical guidelines, plan benefits, and/or scripted algorithms within scope of licensure. * Work may be facilitated, in part, by algorithmic or automated processes. Handles less complex benefit plans and/or contracts. * Conducts and may approve precertification, concurrent, retrospective, out-of-network, and/or appropriateness of treatment setting reviews by assessing clinical information against appropriate medical policies, clinical guidelines, and the relevant benefit plan/contract. * May process a medical necessity denial determination made by a Medical Director. * Refers complex or non-routine reviews to more senior nurses and/or Medical Directors. * Does not issue medical necessity non-certifications. Minimum Requirements: * Requires H.S. diploma or equivalent. * Requires a minimum of 2 years of clinical experience and/or utilization review experience. * Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required. * Multi-state licensure is required if this individual is providing services in multiple states. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $27.27 to $40.91p/h. Locations: New York. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $27.3-40.9 hourly 4d ago
  • MED SURG Patient Care Technician

    Gotham Companies 3.4company rating

    New York, NY Job

    Pay rate ranges from $21.32 to $23.22 based on experience. Unit Notes:Certified Patient Care Tech for Women's Health Candidate must be female Mon-Fri - 8hr shifts Cancellation Policy:None Charting System:Allscripts BSN Required:False License to Submit:Yes Trauma Level: Care Setting:Acute Division:Allied Shift Notes: Required Certifications:BLS, Certified Patient Care Technician (CPCT) via AAH, Certified Patient Care Technician (NCPT) via NCCT, Certified Patient Care Technician (PCTC) via AMCA
    $21.3-23.2 hourly 2d ago
  • National Account Consultant

    Carebridge 3.8company rating

    Middletown, NY Job

    Location: This position will work a hybrid model (in office 1-2 days a week), and the ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations listed on this requisition. The National Account Consultant is responsible for day-to-day service for a complex account within National. This role assists the Senior Account Executive and team in supporting a dedicated National Account client with approximately 215,000 enrolled medical subscribers. This role will support the Client Executive with strategies for retention and growth. Compensation: Competitive base pay + eligibility for a Sales Incentive Plan and commission. How you will make an impact: * Advises clients on developing and designing specific benefit plans that will best meet the client's needs. * Directs and coordinates benefit design issues and modifications with internal operations and implementation staff in support of client needs. * Analyzes client needs and developed, designed, and recommended/implemented product improvements or additions to increase sales. * Develops relationships with and responds to inquiries from existing accounts, members, and brokers. * Builds relationships with clients to understand the client's benefits and objectives. Influences companies or clients to add additional products or services to the existing account (up sell). * Delivers on client commitments. * Understands the client and market to anticipate needs, along with the ability to articulate these requests in a meaningful way within Anthem. * Acts as the lead in coordinating all internal partners to meet and exceed client expectations, which will drive opportunity for additional growth and product sales. * Coaches and mentors' others as needed. * Travels as necessary to meet with prospective clients or other principals. Minimum Requirement: * Requires a BA/BS and a minimum of 5 years within account management or any combination of education and experience that would provide an equivalent background. * Sales license required or the ability to obtain one within 60 days of hire. Preferred Experience, Skills, and Capabilities * Experience in client-facing or client support roles for National Accounts, specifically with experience supporting employers with 50,000 or more employees, is strongly preferred. * A strong background in the health insurance industry is preferred. * Demonstrated experience working as part of a health benefits team, showcasing expertise in health benefits administration and client support preferred. For candidates working in person or remotely in the below locations, the salary* range for this specific position is $77,968 to $127,584. Locations: Illinois, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $78k-127.6k yearly 12d ago
  • Manager, Knowledge, Training and Support

    Adl 3.9company rating

    New York, NY Job

    Manager, Knowledge, Training and Support REPORTS TO: Director, Systems Strategy and Knowledge SUPERVISION EXERCISED: Knowledge, Training and Support Specialist Grade/Class: Grade E, Exempt, PSA Eligible ABOUT THE ORGANIZATION ADL is the leading anti-hate organization in the world. Founded in 1913, its timeless mission is “to stop the defamation of the Jewish people and to secure justice and fair treatment to all.” Today, ADL continues to fight all forms of antisemitism and bias, using innovation and partnerships to drive impact. A global leader in combating antisemitism, countering extremism and battling bigotry wherever and whenever it happens, ADL works to protect democracy and ensure a just and inclusive society for all. PRIMARY FUNCTION The Manager, Knowledge, Training, and Support plays a transformational role in ADL's Development Division by designing and leading a comprehensive training and support program that drives effective adoption of digital systems and development processes in support of evolving organizational needs. With a focus on centralizing organizational information and enhancing accessibility, the Manager leads knowledge management initiatives and collaborates across departments to ensure that training content and strategies align with user needs and organizational goals. This role integrates change management principles to support staff through system updates and process changes, fostering a culture of continuous learning. The Manager drives the creation of targeted training, knowledge, and support models to empower staff to fully utilize development tools, streamline processes, and maximize operational efficiency. Responsibilities Primary: Learning Program Design and Management Design, oversee, and project manage a comprehensive training and support program for Development systems and processes, promoting continuous learning and facilitating smooth adoption across the Development department. Provide direct supervision and mentorship to the Knowledge, Training, and Support Specialist, collaborating with and guiding their work on training content development, support efforts, and program delivery. Partner with IT to streamline the service model and support channels, ensuring responsive service and efficient issue resolution for all Development staff. Integrate systems training into new employee onboarding in collaboration with cross-functional teams, ensuring effective tool usage and business processes. Implement a learning management system to distribute trainings, and monitor completion and effectiveness, providing insights for ongoing improvement. Adapt training programs to accommodate remote learning, ensuring accessibility for all participants. Knowledge Management Initiative Project manage and collaborate with assigned subject matter experts to facilitate ongoing content updates and maintenance of Standard Operating Procedures (SOPs) for all ADL Development systems and processes. Change Communication Strategies Collaborate to develop and implement change management strategies that guide staff through system and process updates, enhancing adaptability and reducing transition challenges. Ensure change communications are clear and timely, keeping all stakeholders informed and prepared for new processes. Qualifications Skills: Strong project management skills with a proven ability to design and implement effective learning programs. Advanced proficiency in learning management systems and training delivery. Excellent communication and interpersonal skills, with the ability to present information clearly and effectively to diverse audiences. Strong analytical skills to assess training effectiveness and user engagement. Commitment to high standards of knowledge management and continuous improvement. Experience: Demonstrated experience in designing and managing training programs for various digital tools and systems. Proven ability to collaborate cross-functionally and drive initiatives that enhance operational efficiency and user experience. Experience leading teams and providing mentorship in a training or support capacity. Progressive experience in training, knowledge management, or organizational development, preferably within a nonprofit environment. Education: Bachelor's degree or equivalent professional experience. Work Environment: ADL is a hybrid environment. This role may require 3 days in person. Compensation: This position has a salary range of $46,000 to $81,000. This salary range is reflective of a position based in New York, New York. Please note that actual salaries are commensurate with experience and reflect the budget for a given position, and since ADL has a location-based compensation structure, there may be a different range for candidates in other locations. For an overview of our total rewards package, please visit ********************************** ADL aims to create a working environment where every employee can thrive professionally. Our mission-driven work is best accomplished in an environment that supports belonging. ADL values a diverse workplace and strongly encourages people of all races, religions, nationalities, genders, LGBTQ+ individuals, people with disabilities, and veterans to apply. ADL is an equal opportunity employer. Recruitment, hiring, promotions and other terms, conditions and privileges of employment shall be maintained in a manner which does not discriminate on the basis of age, race, creed, religion, color, national origin, sex, sexual orientation, gender expression, marital status, physical or mental disability, veteran status, or military status, or in violation of any applicable Federal, state or local laws. ADL will ensure that individuals with disabilities are provided reasonable accommodations to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. For individuals with disabilities who would like to request an accommodation to support the interview process, please contact People & Culture at ************************* . ADL will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Fair Credit Reporting Act, and all other applicable State, Local, and Federal laws. The information in this job description indicates the general nature and level of work expected of employees in this classification. It is not designed to contain, or be interpreted as, a comprehensive inventory of all duties, responsibilities, qualifications, and objectives required of employees assigned to this job, nor is it to be interpreted as a contract for Employment.
    $46k-81k yearly Easy Apply 10d ago
  • Process Improvement Analyst - FEP

    Carebridge 3.8company rating

    New York Job

    Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations listed. Federal Employee Program - FEP, is a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the foundation upon which we are creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. The Process Improvement Analyst is responsible for identifying process improvement strategies to achieve quality goals. How you will make an impact: * Conducts assessments of current processes, reports and procedures. * Identifies process improvements and recommends solutions for corrective, preventive actions. * Collects data and performs quantitative analysis to substantiate assumptions. * Performs any necessary ad hoc reporting. * Collaborates with others to create training and documentation required by the changes. * Measures outcomes of quality improvements using metrics and benchmarking criteria. * Documents quality initiatives for regulatory requirements. Minimum Requirements: Requires a BA/BS and minimum of 3 years operational experience in healthcare, including minimum of 2 years experience of process improvement, workflow analysis, project management; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: * Prior Time Study experience highly preferred. * Experience in data analysis preferred. * MODAPTS certification preferred. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $59,388 to $89,082 Locations: New York, Nevada In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $59.4k-89.1k yearly 10d ago
  • Per Diem ENT Physician

    Gotham Companies 3.4company rating

    New York Job

    Job Type: Part-time Pay: $144.00 - $150.00 per hour Gotham Companies is seeking a ENT Physician in the Parkchester neighborhood of the Bronx. Flexible schedule, 1x/week minimum Parking available on-site Scribe present in all patient appointments Modern, newly renovated facility with state-of-the-art equipment Job Summary: As an ENT Physician, you will specialize in diagnosing and treating disorders of the ear, nose, throat, head, and neck. Your primary responsibilities will include conducting patient consultations, performing diagnostic tests and procedures, prescribing medications to improve patients' ear, nose, and throat health. About the Facility: This facility is a multispecialty diagnostic and treatment center with a team of dedicated healthcare professionals offering a range of medical specialties including Internal Medicine, Cardiology, Orthopedics, Gynecology, Podiatry, and Endocrinology. On-site radiology services also available. Responsibilities: Evaluate patients presenting with ear, nose, throat, head, and neck symptoms, including hearing loss, sinus congestion, sore throat, and swallowing difficulties. Perform comprehensive physical examinations of the head and neck, including otoscopy, nasal endoscopy, and laryngoscopy, to assess patients' ENT conditions. Order and interpret diagnostic tests, such as audiograms, CT scans, MRI scans, and flexible laryngoscopies, to aid in the diagnosis and management of ENT disorders. Develop individualized treatment plans for patients based on their diagnoses, medical histories, and preferences, utilizing a combination of medications, and therapies. Educate patients about their ENT conditions, including the underlying causes, potential complications, and treatment options, to facilitate shared decision-making and promote patient engagement in their care. Provide postoperative care and follow-up to monitor patients' recovery progress, address any complications or concerns, and optimize outcomes. Collaborate with other healthcare professionals, including primary care physicians, audiologists, speech therapists, and oncologists, to provide coordinated, multidisciplinary care to patients with complex ENT conditions. Stay current with advancements in otolaryngology research, treatments, and guidelines through continuing medical education (CME), professional development activities, and participation in medical conferences and seminars. Adhere to ethical and professional standards of conduct, including maintaining patient confidentiality, respecting patients' autonomy, and providing compassionate, patient-centered care. Qualifications: Board certification (BC/BE) in Otolaryngology-Head and Neck Surgery. Valid medical license to practice in NYS Excellent communication and interpersonal skills. Compassionate and patient-centered approach to care. Ability to work effectively in a team environment. Commitment to evidence-based practice and continuous quality improvement. Willingness to adhere to ethical and professional standards of conduct. Physical Requirements: Ability to perform physical examinations including fine motor skills and hand-eye coordination. Stamina to handle long hours in patient care. Expected hours: No less than 8 per week Healthcare setting: Outpatient Schedule: 8 hour shift Application Question(s): Are you a board certified ENT physician? Experience: ENT: 2 years (Preferred) License/Certification: license as a ENT physician (Preferred) Ability to Relocate: Parkchester, NY: Relocate before starting work (Required) Work Location: In person
    $144-150 hourly 60d+ ago
  • Medical Management Nurse

    Carebridge 3.8company rating

    Middletown, NY Job

    Office Location: Atlanta, GA; Indianapolis, IN; Latham, NY; Middletown, NY; New York, NY; Chicago, IL, St. Louis, MO; Durham, NC; Cincinnati, OH; or Nashville, TN. This is a virtual role. However, associates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office (PulsePoint) location listed above. The Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary. Works with healthcare providers to understand and assess a member's clinical picture. Utilizes nursing judgment to determine whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not satisfy relevant clinical criteria. Acts as a resource for Clinicians. May work on special projects and helps to craft, implement, and improve organizational policies. How You Will Make an Impact Primary duties may include but are not limited to: * Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. * Works with healthcare providers to promote quality member outcomes, optimize member benefits, and promote effective use of resources. * Determines and assesses abnormalities by understanding complex clinical concepts/terms and assessing members' aggregate symptoms and information. * Assesses member clinical information and recognizes when a member may not be receiving appropriate type, level, or quality of care, e.g., if services are not in line with diagnosis. * Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. * May make recommendations on alternate types, places, or levels of appropriate care by leveraging critical thinking skills and nursing judgment and experience. * Collaborates with case management nurses on discharge planning, ensuring patient has appropriate equipment, environment, and education needed to be safely discharged. * Collaborates with and provides nursing consultation to Medical Director and/or Provider on select cases, such as cases the nurse deems particularly complex, concerning, or unclear. * Serves as a resource to lower-level nurses. * May participate in intradepartmental teams, cross-functional teams, projects, initiatives and process improvement activities. * Educates members about plan benefits and physicians and may assist with case management. * Collaborates with leadership in enhancing training and orientation materials. * May complete quality audits and assist management with developing associated corrective action plans. * May assist leadership and other stakeholders on process improvement initiatives. * May help to train lower-level clinician staff. Minimum Requirements: * Requires a minimum of associate's degree in nursing. * Requires a minimum of 4 years managed care experience and requires a minimum of 2 years clinical, utilization review, or case management experience; or any combination of education and experience, which would provide an equivalent background. * Current active, valid and unrestricted RN license and/or certification to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Skills, Capabilities & Experiences: * Utilization management experience. * Strong of computer skills. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $93,888 to $123,228 Locations: Illinois, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $93.9k-123.2k yearly 4d ago

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