- Catholic Managed LTC Inc (New York, NY)
- …: Source and screen applicants, verify licenses, and assess competencies to ensure compliance and suitability. Collect all applicant documentation in accordance with ... regulatory and legal requirements. Evaluate candidate qualifications and refer top applicants to hiring managers based on hiring criteria. Create talent pipelines by networking, attending job fairs, and building partnerships with nursing schools and other… more
- Mary Manning Walsh (New York, NY)
- …A Registered Nurse who, under the direction of the nursing leadership is responsible for planning, directing, implementing, coordinating, and evaluating nursing care ... for a specific unit during her/his shift. - * Receives report from previous shift, making sure that he/she has received all pertinent information on each resident. - * Continuously evaluates behavior, symptoms, reactions and progress of residents and discusses… more
- Terence Cardinal Cooke Health (New York, NY)
- …: Under the direction and supervision of an RN or LPN, performs various resident care activities and related non-professional duties for the specific needs and ... comfort of the aged and those that need our help. Assist residents with activities of daily living to include: bathing, dressing, grooming and toileting. Transfer residents to and from activities and meals according to their individual service plans. Serve… more
- Terence Cardinal Cooke Health (New York, NY)
- …: The LPN is responsible for administration of all medications and treatments during their shift, according to the established medical and nursing care plan. Works ... under the direction of the Head/Charge Nurse to provideoptimum nursing care to all residents on the unit. Continuously evaluates behavior, symptoms, reactions and progress of residents and discusses findings with Nurse Manager/Charge Nurse. Administers and… more
- Catholic Managed LTC Inc (New York, NY)
- …Plans, organizes, and conducts a comprehensive program of individual and group nutrition services including provision of nutrition needs of the participant, clinical ... guidance, nutrition education and counseling to meet normal and therapeutic needs. Evaluates nutritional status of individual participants utilizing nutritional guidelines, professional knowledge, and interviewing skills to provide quality care. Develops and… more
- The Dominican Sisters FHS, INC (New York, NY)
- …Assesses and evaluates the health care needs of patients and families with consideration regarding physiological, psychological, social and environmental factors. ... Develops a care plan based on patient needs, physician orders, nursing assessment parameters and identified goals that are respectful of patient, family, community and company resources. Implements the care plan and revises it whenever necessary by regularly… more
- MetroPlusHealth (New York, NY)
- …Meets with applicant, family, and caregiver in person to determine if MLTC program applicants meet the clinical qualifications for enrollment. (ie, UAS score 5 or ... Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work… more
- MetroPlusHealth (New York, NY)
- …include the management of medical costs through timely prospective, concurrent, and retrospective review activities. Duties & Responsibilities Performs telephonic ... review for inpatient and outpatient services using InterQual with Secondary Dimensions & LOCADTR and OMH Criteria Sets Contributes to UM program goals and objectives in containing health care costs and maintains a high-quality medical delivery system through… more
- MetroPlusHealth (New York, NY)
- …Support migration to a new core claim system (Health Rules Payer or HRP) for Provider Network Operations team (PNO) Attend all needed HRP meetings through a phased ... Position Overview MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being… more
- MetroPlusHealth (New York, NY)
- …Oversees a team of regulatory compliance specialists for State products offered by MetroPlusHealth. Contributes to the annual Plan risk assessment, collaborating with ... the various Compliance teams, to assist the enterprise in identifying areas with potential compliance issues. Supports the completion and presentation of the Annual Compliance Work Plan and oversees completion of auditing and monitoring projects assigned to… more
- MetroPlusHealth (New York, NY)
- …Coordinates with Health Home Coordinators and LDSS/VFCA Care Managers to ensure that patient comprehensive treatment needs are met. Coordinates member's service needs ... with community agencies. Provide education and coaching to members' family. Conducts follow up quarterly assessment calls to Health Home Coordinators. Provide clinical guidance and support to assist members with achieving their goals. Have extensive knowledge… more
- MetroPlusHealth (New York, NY)
- …Oversee development and implementation of short/long term business objectives Direct and support initiatives to focus on projects with plan wide benefit in accordance ... with corporate budgetary objectives Ensure continuous delivery of IT services through oversight of service level agreements and monitoring of IT systems vendor performance Oversee functions performed by delegated vendor as it relates to benefit configuration,… more
- MetroPlusHealth (New York, NY)
- …Provides guidance to the CMs within the MLTC Department offering care management to members in several lines of business, particularly as it pertains to new processes ... and workflows which support program operations. Oversees utilization management of MLTC and PCS, including ensuring compliance with correct, timely review of cases and member/provider communication. Oversees daily monitoring of staff productivity and tracking… more
- MetroPlusHealth (New York, NY)
- …Develop and maintain strong relationship with external providers and internal partners to manage customer service experience. Own the day-to-day service experience of ... Position Overview Reporting to the Director of Provider Engagement, the Senior Account Manager, Provider Engagement will be responsible for driving client satisfaction by managing ongoing relationships and service delivery to client accounts. This role acts as… more
- DW Simpson (New York, NY)
- …Well known Life client has a great opportunity for a talented Actuary who will lead rate-setting and manage pricing for current MYGA/FIA products as well as ensure ... profitable growth of the company's annuity book through collaboration with corporate functions. The ideal candidate is an FSA or near-FSA with 7+ years of actuarial experience in life and annuity insurance. Must have a strong understanding of annuity products,… more
- DW Simpson (New York, NY)
- …In this role, you will perform reserve reviews, assist in the preparation of the year-end reporting, and work closely with underwriting, claims, finance, & pricing ... professionals. The ideal candidate will have passed at least 5 CAS exams, possess a commercial lines background, and be able to execute and lead concurrent projects. Experience with SQL, R, Python, or VBA required. ResQ knowledge is a plus. (#57859)… more
- DW Simpson (New York, NY)
- …This individual will manage & lead a team of analysts producing pricing analyses across Home, Auto, and Excess lines of business. The ideal candidate will be a new or ... near FCAS with 5+ years of actuarial pricing experience in Personal Home and/or Auto lines of business. Must possess strong knowledge of actuarial ratemaking methodologies, excellent analytical & quantitative skills, and proficiency with SAS, SQL, R, Python,… more
- DW Simpson (New York, NY)
- …P&C insurance client has a great opportunity for a student actuary with 3 or more CAS exams completed and at least 2 years of actuarial experience. The ideal ... candidate would have basic knowledge of P&C insurance, strong communication skills, and the ability to assist in the performance of reserve reviews, ad-hoc projects and process improvement efforts. Candidate must be detail-oriented, able to work in a team… more
- Together We Can Staffing Agency (New York, NY)
- Essential Functions Responsible for purchasing and servicing office equipment; orders and issues office supplies, stationery, business cards, and forms; operating ... office equipment Coordinate clerical functions such as keeping track of invoices, directing the processing and distribution of internal and external mail Assists with special project preparation, as deemed appropriate by immediate supervisor or management… more
- Together We Can Staffing Agency (New York, NY)
- …Assumes responsibility for continued professional growth through attendance/participation in conferences, training and continued education. Works with Rehabilitation ... Therapists and Recreation/Activities staff to create and coordinate walking, group exercise, and other programs that can be coordinated by the Activities staff for appropriate participants. Participates in special projects, and performs other duties as needed.… more
