- Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing
- Understands and complies with long-term care policies and procedures, including those that regulate nursing facilities and assisted living communities
- Establishes and maintains effective relationships with members and their legal representatives, facility staff, PCPs and other collaborating physicians/providers
- Performs an initial comprehensive assessment on all newly enrolled members and bi-annually thereafter. Develops a member management care plan upon enrolment and updates it as needed when changes in condition warrant or following hospitalization. Meets with members and/or their legal representatives to review newly developed or modified care plans; involves the PCP in these meetings
- Completes follow-up and post-hospital assessments according to documented standard operating procedure
- Prescribes appropriate diagnostics and interventions to avoid unnecessary transfers/acute admissions
- Consults with hospital physicians following notification of member transfer
- Collaborates with UM staff and PCPs/facility staff to enable medical necessity determinations for requested medical services
- Educates members and/or their legal representatives in disease processes affecting members and ways to manage them effectively, as well as to promote wellness
- Provides counsel, support and education to facility staff
- Supports FCMs in developing and providing in-service educational programs to facility staff
- Participates in management meetings that include, but may not be limited to:
- Weekly case conference reviews
- Monthly staff meetings
- Schedule Joint Operating Committee meetings
- Quarterly Quality Improvement Committee meetings
- Continuing education/journal club programs
- Implements HEDIS measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of care and to promote the improvement of care management and delivery
- On-call for caseload during business hours. May require some participation in clinical on-call program as plan expands
- Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews
- Perform related duties as necessary and other duties as assigned
- Completion of Nurse Practitioner accredited program
- Current state RN license if Nurse Practitioner
- Current NP license
- Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), or the National Commission on Certification of (NCCPA)
- Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
- Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Landmark Motor Vehicle Safety policy
- 2+ years of clinical experience
- Knowledge of CPT, ICD-9 and HCPC codes
- Knowledge of clinical standards of care
- Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
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Full-time On Site Position in Manhattan As Author's
22 hours ago
Phyllis Chesler Organization New York, United States Full timeI am the author of 20 books, a retired professor, currently an active op-ed writer. I need a full-time personal and research assistant. This is not a corporate office job but one which requires a passionate and serious commitment to the work we will do together. · I am offering a ...
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Full Time Custodian
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Catholic Charities of the Archdiocese of Newark Newark, United States Full timeCatholic Charities of the Archdiocese of Newark is currently seeking a **full time Custodian** for its **WFD Cleaning Services program** located in **Newark, NJ.** The hours of the position are Monday through Friday 8:30am-4:30pm. · The Custodian will be responsible for cleaning ...
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Full Time Teller
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Full-time employee
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Matrix Dynamics New City, NY, United States Freelance**We are currently looking for several full-time employees to prepare new vehicles for customer delivery at Mercedes Benz in the Bremen factory in New City, NY. The work will be carried out in small teams during day shifts, with working hours scheduled between 7:00 am and approxi ...
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Full Time and Part Time Site Operatives
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GBG Group New York, United States**About Us**: · GBG Group is one of the largest stand-alone multi-disciplinary consultancy companies Worldwide. GBG currently has over 100 staff throughout the US, Europe and Australia, with over 40 years' experience working throughout the world. GBG US has two main consultancy s ...
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Red Knight Solutions, LLC New York, United States Full time**Red Knight Solutions is looking for a full-time receptionist to join our growing team.** · **Location**:250 Broadway, Suite 610, New York, NY, 10007 · **Pay**: $20.00/hour · **Benefits**: Major Medical · **Main Responsibilities** · Answer telephone & route calls to the appropri ...
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Full Time Medical Receptionist for a
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Napaanesthesia New York State, United States Full time26 Week On/Off Anesthesiologist - UPMC Hamot - Full Time page is loaded 26 Week On/Off Anesthesiologist - UPMC Hamot - Full Time · Apply locations UPMC Hamot Medical Center time type Full time posted on Posted 30+ Days Ago job requisition id JR7190 Erie,PA - USA Position Require ...
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61st Street Service Corp New York, United States Full time**Job Summary**: · The Dental Assistant will be responsible for assisting the Dentist in providing quality dental care in a high volume dental practice environment · **Responsibilities**: · - Seats and prepares patients for treatment · - Assist with Four Handed chair side duties ...
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Full Time Residential Assistant
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Catholic Charities of the Archdiocese of Newark Newark, United States Full timeCatholic Charities of the Archdiocese of Newark is one of New Jersey's largest non-profit social service agencies with programs and facilities serving Bergen, Essex, Hudson, and Union counties. · We are currently seeking a **full time residential assistant** for our **St. Rocco's ...
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Full Time Psychiatrist Position
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National Medical Association New York State, United States Full timeNYC Health + Hospitals Kings County is seeking a full-time Psychiatrist to join its dedicated behavioral health team in Brooklyn, New York. This position will provide direct psychiatric evaluations, assessments and treatments to adult patients admitted to inpatient care. The Psyc ...
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Full Time Psychiatrist Position
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Jackson + Coker New York State, United States Full timeFull-Time Inpatient Psychiatrist Locums Job in Queens Village, New YorkInpatient coverage needed.Weekly Direct Deposit+ Top Rated Malpractice Insurance+ In-House Travel Agency+ 24/7 Recruiter Availability + Single Point of Contact+ Experienced In-House Privileging CoordinatorsExp ...
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Medical Secretary #full Time
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61st Street Service Corp New York, United States Full time**Job Summary**: · The Medical Secretary will be responsible for the day-to-day operations of a high-volume practice of Neurology. · **Responsibilities**: · - Scheduling and confirming appointments for office visits and procedures; performing pre-registration intake for new patie ...
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Practice Associate #full Time
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Full Time Sampler position
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PacknWood New York, United States Full timeJob Description · Job DescriptionSalary: 15.00 · Our team is looking for highly motivated individuals for our Sample room. The purpose of this position is to prepare all sample requests and have them ready to ship, provide information to the team regarding the out of stock sample ...
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Bilingual Seit Teacher Full Time
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Manhattan Behavioral Center New York, United States Full time**About Manhattan Behavioral Center** · **New York City's Leading TransdisciplinarySM Center for Children with Autism** · Our collaborative and transdisciplinarySM applied behavior framework, consists of applied behavior analysis, special education, speech language therapy, physi ...
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Caesars Entertainment Atlantic City, United States Full time**ESSENTIAL FUNCTIONS**: · - Understands and responds to internal guests needs. Communicates in a friendly, respectful and understandable manner. Politely gives consistent, timely and accurate information and finds answer when unsure. Uses outlined service behaviors when encounte ...
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Labor Optimization Planner- Full Time
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Caesars Entertainment Atlantic City, United States Full time**ESSENTIAL FUNCTIONS**: · - Responds to and consistently meets the needs of internal clients. Supports and cultivates new ideas and methods to deliver business solutions. Identifies ways to increase efficiencies or improve product or service. Delivers assignments/projects on tim ...
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Full Time Condo Porter/super
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Building Equity Managment LLC New York, United States Full timeBuilding Equity Management, a leading Manhattan-based management company, is searching for a qualified individual to take over super and porter duties. · **Key Responsibilities**: · **Maintenance and Repairs**:Perform routine maintenance and repairs in common areas and individual ...
Emergency Medicine Full-Time position in New York, New York - Optum
Description
Primary Responsibilities:
Required Qualifications:
Preferred Qualifications: