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With the collaboration of the SBHC program manager, the NP is responsible for ensuring the SBHC site follows continuous quality assurance standards and meets DOH compliance, including but not limited to: timely submission of meeting minutes, completion of emergency drills, completion of environmental surveys, ensure adherence of all staff to HIPAA and HITECH requirements, etc.
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Qualified candidates will have prior LTSS or Medicare Inpatient Utilization Management experience within a Managed Care setting, LTSS, MLTC MAP, will have a NYS Registered Nurse License , familiar with MCG/Milliman/Interqual Guidlines and a desire to join a great team.
$102,000 - $107,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Director Care Coordination- Major Responsibilities Criteria A: Provides direct management to Care Coordination Staff. Director Care Coordination- Major Responsibilities Criteria A: Establishes and coordinates communication with all Utilization Regulatory Agencies i.e. Qualidigm, NGS, etc., State and Third Party Payers to address Utilization Management Issues and Denials.
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Ensures all staff have appropriate training and documentation as outlined in our SACC and NYC DOH license, including Fingerprint / NYS Sex Offender / & State Central Registry (SCR) clearances, Staff Annual Medical Form, Mandated Reporter Training and any other requirement as outlined in our contracts and/or license to operate a school aged program.
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Establish and engage direct and indirect reports into collaborative working relationships with MetroPlus Health Plan departments to address regulatory compliance activities.
$150,000 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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The Staff Psychologist/Clinician provides culturally informed direct mental health services to students; develops community-level programming to foster University-wide mental health wellness and education and collaborates with university staff, administrators, and faculty to provide outreach and consultation that supports the aims, objectives, and missions of C-CAPS and the university.
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We seek a highly skilled technologist with strong critical thinking and analytical abilities to independently perform in-vivo and in vitro clinical nuclear medicine diagnostic and therapeutic procedures per NYS-DOH requirements and ACR guidelines, while adhering to ALARA principles to protect patients and staff from radiation exposure.
$89,910 - $101,650 a yearFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Responsibilities for this role include but are not limited to the direct management of a union custodial staff, staff development, emergency response/ planning, supply ordering, inventory control, vendor management, management of repairs and maintenance activities.
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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$150,000 - $157,236 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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This role may also support our solid waste management, environmental services, geotechnical engineering, oil and gas, water resources, and construction administration practice areas. This role will support a wide range of projects related to our Renewable Energy practice area in the areas of erosion and sediment control design, stormwater management design, and land development engineering.
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Each Staff Attorney participates in various legal program functions, including: (1) initial intake and in-depth evaluation of cases for representation; (2) participation at community legal clinics; (3) information and pro se services at the immigration courts; and (4) direct representation of NYC based clients, including adults, unaccompanied minors, and adults with children (AWC) in removal proceedings.
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Oversee and occasionally direct audio production; talent casting, sound design, music development, and in-studio sessions. Lead and maintain strong design direction while collaborating across multidisciplinary teams - Visual Experience Design, Physical / Exhibit Design, Content, Project Management/Producers, and Creative Technology.
$100,000 - $130,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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In this role, the Psychiatric Nurse Practitioner will be responsible for providing general clinical care including assessments, medication management and medication administration. Familiarity with OASAS, OMH, and DOH regulations.
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Works with managers, pathologists and staff (through evaluation and project management) to improve daily operations as they relate to compliance and quality. Responsible for establishing a process to routinely monitor compliance with all regulatory agencies including (CAP, DOH, OSHA, EPA, FDNY, and Joint Commission), through assessments and audits.
$73,770.8 - $122,951.34 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Provides training to persons receiving services, families and/or direct care staff in specific supportive programs. Maintains active/up to date MD prescriptions as outlined by NYS Department of Health (DOH) and Office for People with Developmental Disabilities (OPWDD) depending upon work assignment.
ExpandApply NowActive JobUpdated 13 days ago
utilization management doh direct staff jobs Company: Metroplus Health Plan in Jersey City, NJ
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