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  • 5297 W Copans Rd, Margate, FL 33063, USA ● Req #11822
    Wednesday, May 22, 2024
    Job Summary:   The document tracking clerk is responsible for administrative tasks in support of the Document Tracking Department. This includes sorting/uploading of digital paperwork, data entry, outbound calls to physicians offices and patients, and review of orders.   Essential Duties and Responsibilities:   Review of unsigned physician orders to establish correct communication methods and assigned providers Communicates with physician offices to maintain preferred delivery methods and cont ... More
  • 465 Smith St, Farmingdale, NY 11735, USA ● 75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #11966
    Friday, May 17, 2024
    JOB SUMMARY: The Intake Representative position is responsible for reaching out to CPHL Managed Long Term Care Plan (MLTCP) referrals by phone; carefully explaining plan benefits and enrollment procedures; determining patient’s current services and what they are looking for today; and appropriately scheduling Intake RNs for in-home assessments. The Intake Representative acts as in-house liaison for RNs working in the field, insures that UAS’ (New York State’s clinical assessment tool) are a ... More
  • 5297 W Copans Rd, Margate, FL 33063, USA ● Req #11658
    Thursday, May 16, 2024
    JOB SUMMARY: The Coordinator is responsible for coordinating HHA, LPN and RN placement to the clients and clerical functions.  The Coordinator interacts with family members and clients alike and ensures their care needs are being met.  He/she functions under the direction of the Administrator. DUTIES AND RESPONSIBILITIES: Understands software program HHAX and is responsible for daily attendance, prebilling and running reports. Answers telephone, records and relays messages to appropriate person ... More
  • 75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #11964
    Monday, May 13, 2024
    Quality Management Clinical Analyst Duties and Responsibilities Incident reporting: logging, investigation, ensures written report on file, assists clinical managers with written reports, collates information on a quarterly basis. Provides education to clinical staff regarding risk management and incident reporting.  Medicare expedited appeals. Review case, writes detailed notice, ensures all information is sent to the QIO. Conducts quarterly utilization review including the preparation of the ... More
  • 75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #11963
    Monday, May 13, 2024
    Quality Management Assistant Duties and Responsibilities Provides general clerical assistance to the QM Director/Compliance Officer and the QM Clinical Analyst such as faxing, copying, scanning and file maintenance.  Medical Record Requests: receives and logs requests, obtains necessary authorizations for release of PHI, prints record for QM clinical review. Works collaboratively with Accounts Receivable to prepare invoices and ensures fees are collected and records are released after receipt ... More
  • 75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #11961
    Monday, May 13, 2024
    Director of Quality and Compliance The Director of Quality and Compliance strives to ensure that all Agency personnel adhere to regulatory requirements, including but not limited to the Federal Conditions of Participation (COPs), New York State Department of Health Regulations outlined in NYCRR 10 section 763, Medicare and Medicaid billing rules and other governmental oversight and that services provided meet the highest quality standards.  This position also performs a variety of other duties ... More
  • 5297 W Copans Rd, Margate, FL 33063, USA ● Req #11959
    Wednesday, May 8, 2024
    PRIMARY RESPONSIBILITIES:            Responsible for assisting all clinical intake staff with clerical functions. Performs planning and scheduling functions for all skilled nursing services. Staffs each case appropriately, following guidelines set by the Director of Intake. Forwards all pertinent intake information to COC prior to the initial visit. Consistently maintains the availability list of nurses. Obtains and maintains information related to scheduled time off of COCs. Obtains ... More
  • 75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #660
    Friday, May 3, 2024
    JOB SUMMARY:   As an integral part of the Grievance and Appeals (G&A) Department, the G&A Coordinator lends their support in processing member-related grievances and appeals across CPHL’s various lines of business. Process includes gathering, documenting, tracking, and pursuing resolution of complaints in accordance with regulatory and organizational guidelines to the member’s satisfaction.     PRIMARY RESPONSIBILITIES:    Logs and tracks verbal or written member grievances and ... More
  • 5297 W Copans Rd, Margate, FL 33063, USA ● Req #525
    Tuesday, April 30, 2024
    Primary Responsibilities:   Provides case management through telephonic assessments, care planning, implementation, care coordination, monitoring and evaluation to ensure member receives services and supports required to meet psychosocial, educational and health care needs Develops, facilitates, and communicates a plan of care in partnership with the member, his/her significant other, primary caregiver, the primary and attending physicians, and various other providers involved in the member’s ... More
  • Bronx, NY, USA ● Req #8
    Monday, April 29, 2024
    Our NP CHAMPIONS advocate to improve the health and quality of life of our nursing home residents. Their goal is to create the ultimate healthcare experience that provides members, families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living. JOB SUMMARY:   The nurse practitioner treats acute and chronic conditions in place while maintaining the highest level of daily function possible.  Scope of responsibilities include building connec ... More
  • 75 Vanderbilt Ave, Staten Island, NY 10304, USA ● Req #266
    Monday, April 29, 2024
    JOB SUMMARY:   The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, maintains relationships, services our existing customers and secures new customers by consultative selling/marketing and performing all required tasks assigned by the Sales Field Manager. Incumbent will be responsible for educating and enrolling potential beneficiaries by explaining program benefits in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company poli ... More
  • 465 Smith St, Farmingdale, NY 11735, USA ● Req #279
    Monday, April 29, 2024
    Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with opportunities for cross-training and education, CPHL is the place for a fulfilling long-term career.   JOB SUMMARY:   Responsible for the timely and accurate adjudication of all claims for Centers Plan for Healthy Living (CPHL) products. Reviews and resolves pended and corrected claims. Analyzes claim ... More
  • Bronx, NY, USA ● Brooklyn, NY, USA ● Manhattan, New York, NY, USA ● Queens, NY, USA ● Staten Island, NY, USA ● Req #333
    Monday, April 29, 2024
    JOB SUMMARY:   The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new customers by consultative selling/marketing and performing all required tasks assigned by the Sales Manager. Incumbent will be responsible for educating and enrolling potential beneficiaries by explaining program benefits in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The Licensed Benefits ... More
  • Brooklyn, NY, USA ● Req #363
    Monday, April 29, 2024
    JOB SUMMARY:   The nurse practitioner treats acute and chronic conditions in place while maintaining the highest level of daily function possible for CPDL members.  Scope of responsibilities include building connections with members, designated representative and the interdisciplinary care team (ICT) through assessing needs, creating individualized care plans, coordination of care to ensure smooth transitions across settings.   PRIMARY RESPONSIBILITIES: Provide proactive primary and acute ... More
  • 5297 W Copans Rd, Margate, FL 33063, USA ● Req #375
    Monday, April 29, 2024
    SUMMARY:  The Transition of Care Specialist is responsible to assist in a safe and effective discharge of members from the hospital setting to the community. The Specialist serves as a bridge between professional staff in the care setting (i.e. hospital, physician, social worker and nurse).  The Transition of Care Specialist provides information and guidance and care coordination for effective care transition from hospital to community.  DUTIES AND RESPONSIBITIES:  Conducts telephonic assessmen ... More
  • Rockland County, NY, USA ● Req #384
    Monday, April 29, 2024
    Field Nurse RN (New Grad & Experienced) - Rockland County (Full-Time and Fee-for-Service) Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated Full Time, and Fee for Service, EXPERIENED & NEW GRADUATE REGISTERED NURSES for our CHAA division. We strive to provide QUALITY services to our patients. Reporting to the Coordinator Of Care (COC), the Field RN assesses, plans and coordinates home care ser ... More
  • Westchester County, NY, USA ● Req #385
    Monday, April 29, 2024
    Field Nurse RN (New Grad & Experienced) - Westchester County Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated Full Time, and Fee for Service, EXPERIENED & NEW GRADUATE REGISTERED NURSES for our CHAA division. We strive to provide QUALITY services to our patients. Reporting to the Coordinator Of Care (COC), the Field RN assesses, plans and coordinates home care services for assigned patient ca ... More
  • Margate, FL, USA ● Req #389
    Monday, April 29, 2024
    Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated Full Time, EXPERIENCED & NEW GRADUATE REGISTERED NURSES for our CHAA division. We strive to provide QUALITY services to our patients. The RN Coordinator of Care (COC), responsible for organizing and directing home care services to patients.  Ensures appropriate coordination among all professional and paraprofessional services related to the car ... More
  • Nassau County, NY, USA ● Req #435
    Monday, April 29, 2024
    Field Nurse RN (New Grad & Experienced) - Nassau County Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated Full Time, and Fee for Service, EXPERIENED & NEW GRADUATE REGISTERED NURSES for our CHAA division. We strive to provide QUALITY services to our patients. Reporting to the Coordinator Of Care (COC), the Field RN assesses, plans and coordinates home care services for assigned patient caseloa ... More
  • Suffolk County, NY, USA ● Req #436
    Monday, April 29, 2024
    Field Nurse RN (New Grad & Experienced) - Suffolk County Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated Full Time, and Fee for Service, EXPERIENED & NEW GRADUATE REGISTERED NURSES for our CHAA division. We strive to provide QUALITY services to our patients. Reporting to the Coordinator Of Care (COC), the Field RN assesses, plans and coordinates home care services for assigned patient caselo ... More
  • Bronx, NY, USA ● Brooklyn, NY, USA ● Long Island, New York, USA ● Manhattan, New York, NY, USA ● Queens, NY, USA ● Staten Island, NY, USA ● Req #455
    Monday, April 29, 2024
    FEE FOR SERVICE - FIELD HOMECARE RN (All Five Boroughs) Come join our team of dedicated professionals. Take your career in a new direction. We are currently accepting applications for compassionate, motivated EXPERIENED REGISTERED NURSES for our CHHA division. We strive to provide QUALITY services to our patients.   Duties and Responsibilities The Field RN (Registered Nurse) performs home visits, assessments and follow up visits to patients. The RN advocates for quality patient care, collabor ... More
  • 5297 W Copans Rd, Margate, FL 33063, USA ● Req #459
    Monday, April 29, 2024
    Clinical ManagerResponsible for assuring the delivery of quality health care services to the patient. The Clinical Manager represents the agency by facilitating its mission and agency objectives.   Duties and Responsibilities Utilizes current nursing concepts and principles as well as understanding of coverage criteria to direct, supervise and ensure the quality of care provided by the Coordinators of Care (COC) and other Clinical staff Assures the periodic reassessment of and appropriate r ... More
  • 5297 W Copans Rd, Margate, FL 33063, USA ● Req #460
    Monday, April 29, 2024
    Job Summary: We are currently looking for Clinical Review RN’s to join our team. These positions are responsible for the review of the admission, resumption, recert and discharge assessments for Medicare, Medicaid, Medicare/Medicaid HMO cases to ensure diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Responsibilities Include: Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in complia ... More
  • 5297 W Copans Rd, Margate, FL 33063, USA ● Req #461
    Monday, April 29, 2024
    JOB SUMMARY:   The Grievance & Appeal Clinical Reviewer performs complex medical necessity reviewed on Initial Adverse Determinations or Organization Determinations that have been appealed.   The Clinical Reviewer will handle expedited and standard requests and ensures that the appeals are processed in accordance with regulations, compliance standards and policy and procedures. Investigation and preparation of case narratives and statements of position based on clinical information, benefits, ... More
  • 5297 W Copans Rd, Margate, FL 33063, USA ● Req #478
    Monday, April 29, 2024
    LPN We're expanding our footprint and seeking Full Time LPNs to join our Margate, Florida team. Duties and Responsibilities Implements plan of care initiated by the registered nurse. Provides accurate and timely documentation consistent with the plan of care. Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care. Informs Team Lead of issues pertinent to the care plan process and any known or perceived issues. Participates in coordin ... More