11703 A G Rn Coordinator jobs in New York

Salary:
Pay: $36.00 - $48.00 / hour

Overview:

Are you a detail-oriented Registered Nurse with a strong understanding of reimbursement processes and a passion for advocacy? Join Elderwood Administrative Services as an RN Appeals Coordinator and play a key role in ensuring accurate and timely resolution of Medicare and Insurance appeals and denials across our growing network of senior care communities.

• Elderwood is a recognized leader in senior care across the Northeast, offering a full continuum of services including independent living, assisted living, skilled nursing, subacute rehab, memory care, and more. We pride ourselves on quality care, exceptional outcomes, and supportive services to residents and employees alike.

Position Overview:

• As the RN Appeals Coordinator, youll manage the appeals and denials process for Medicare and Insurance claims across Elderwoods portfolio. This is a critical role that blends clinical expertise with strong organizational, documentation, and communication skills.

RN Appeals Coordinator:

• Coordinate and track all Medicare and Insurance documentation and/or refund requests, appeals and/or denials.
• Communicates with billing departments, regional reimbursement and rehab teams to coordinate efforts for responding to requests in a timely fashion.
• Conduct site visits to review records prior to submitting.
• Provide feedback to facility staff regarding areas of potential improvement. Record all appeals activity and trend patterns identified if applicable.
• Communicate with central billing regarding outstanding or paid accounts.
• Provide updates to team regarding status of outstanding accounts.

RN Appeals Coordinator:

• Minimum of RN Associate Degree
• Long Term Reimbursement and RAC Certification a plus
• Knowledge of MDS and RUGs as well as minimum of 2 years in long term clinical experience

RN Clinical Coordinator

Saturday & Sunday - Every Other Weekend
12-hour shifts - (8:00 am - 8:30 pm)

Job Description:

This position assumes responsibility for the coordination and delivery of nursing care and implements the policies and procedures of the facility and the nursing department on weekends. This position supervises the staff of the assigned unit. In addition, manages all nursing activities for residents on the assigned unit. This 24-hour management will be in accordance with federal, state, and local standards, guidelines, and regulations that govern the facility and as directed by the Director of Nursing or designee. The highest degree of quality care is to be maintained at all times.

Minimum Qualification:

• A graduate of an accredited School of Nursing (BSN preferred).
• Possess an active licensure as a Registered Professional Nurse.
• Three (3) to five (5) years-related experience working in a healthcare facility.
• Two (2) years of supervisory experience.
• Strong verbal, written, computer and leadership skills required.

• No Mandated Shifts.
• Daily Pay.
• Generous PTO Structure for Full Time employees with no waiting period.
• Health/Health Reimbursement Account/Dental/Vision Plans available.
• Company Provided Life Insurance for Full Time employees.
• Retirement Plans.
• Tuition Reimbursement.
• On the Centro Bus Line.
• Free parking.

• Oversees overall operations of the office-based vascular lab.
• Interviews, hire and supervise office staff.
• Assesses, plans, implements, and monitors budget activities for the office-based vascular lab.
• Responsible for the evaluation of staff performance. Conduct regular staff meetings.
• Oversees the orientation and training of new employees as outlined in their job descriptions.
• Plans, develops, and implements standards to ensure quality of care in the office-based vascular lab.
• Manages accounts receivables and reporting.
• Oversees coding and billing processes.
• Coordinates staff and doctors work schedules.
• Develops policies/procedures as appropriate.
• Responsible to keep up to date with insurance requirements.
• Addresses all practice physician needs and concerns. Develops and maintains relationship with outside practice managers.
• Manage scheduling of vascular procedures and coordinate with other departments to ensure optimal use of resources.
• Conduct performance evaluations and provide ongoing feedback and professional development opportunities.
• Ensure that all vascular procedures meet the established quality standards and protocols.
• Monitor compliance with healthcare regulations and accreditation requirements, including maintaining proper documentation.
• Implement and oversee infection control practices and safety measures.
• Address patient concerns and resolve any issues related to the vascular services provided.
• Ensure that all vascular diagnostic equipment is properly maintained, calibrated, and updated.
• Stay current with advancements in vascular technology and recommend upgrades or new equipment as needed.
• Prepare for and participate in accreditation surveys and inspections.
• Performs other duties as assigned.

• Sterilizing the operating room and all surgical tools
• Responsible for reviewing the accuracy of printed records prior to placing in medical record and evaluate accuracy of data.
• Is knowledgeable of all equipment and supplies required for each case type and where they can be obtained.
• Demonstrates technical knowledge of procedures.
• Preps access site as ordered by physician pre-procedure
• Actively works to improve performance by seeking and acting on feedback from others.
• Participates in team huddle, time-out, and all aspects of procedure as suggested for patient safety.
• Demonstrates knowledge of patient safety standards and follows all hospital policies and procedures pertaining to patient safety.
• Setting up surgical instruments and keeping them organized during the procedure
• Passing surgical tools to the surgeon
• Following the surgeon's instructions and helping with technical procedures
• Monitoring the patient's vitals and identifying potential complications during the procedure
• Administering medication and treatments as needed and responding to medical emergencies
• Coordinating with the surgical team to ensure quality of care for the patient
• Assists during emergency resuscitation.
• Performs other duties as assigned.

• Bachelor of Science in Nursing, or BSN
• New York Registered Nurse (RN) License & Registration
• BLS/ACLS training required and accepted from the American Heart Association. No online programs from any organization will be accepted.
• Minimum with 2-3 years of experience preferred

• Independent individual with excellent written and verbal communication skills required in order to communicate clearly and effectively with patients, families, physicians, outside agencies and other hospital staff.
• Medical terminology preferred.
• Strong computer skills a must.
• Knowledge of EPIC Electronic Medical Record, radiology scheduling and insurance authorization.

• Oversees the identification and management of high-risk/high-cost assigned patients
• Ongoing communication and collaboration with inpatient, homecare, providers, and community-based organizations to ensure a patient centered care approach and optimal health.
• Establishes relationship with patient, identifying and documents goals of care and advanced directives.
• Refers to palliative care and hospice when appropriate
• Assesses patient's readiness to change
• Works with Care Manager Coordinator to ensure SDOH's are addressed
• Establishes solid working relationship with ED and Care Management teams in all CH Hospitals
• Attends hospital Readmission meetings
• Attends VBC payer clinical meetings as necessary
• Assists when needed with the coordination of care during all transitions within the healthcare continuum.
• Reveals ability to work autonomously and be directly accountable for results.
• Incorporates excellent written, verbal, and listening communication skills, positive relationship building skills, and critical analysis skills
• Possess the skill to function effectively in a fluid, dynamic, and rapidly changing environment
• Displays the proven ability to positively influence behavior and outcomes.
• Protects confidentiality of data and intellectual property; ensures compliance with national health information projection guidelines.
• Performs duties that may be in an embedded or remote environment.
• Serves as a role model for education and professional nursing practice

• CH Hospital onsite rounds as needed
• Other tasks and duties as required

• Requires Registered Nurse with current license. CCM or CCTM a plus but not required.
• BSN preferred
• Bi-lingual Spanish preferred
• Minimum of three years recent experience to match responsibilities above such as acute care, home health or skilled nursing facility with a demonstrated working knowledge of VBC.
• Experience as a Care Manager required.
• Experience with IT solutions such as electronic health record, learning management or disease/care management systems a plus.
• Critical thinking skills and ability to analyze complex data sets required. General computer knowledge and capability to use computers required.
• Must meet all productivity standards
• Must attend all required meetings remotely and in person as required
• Must have private, secured workplace

Job Title: Care Coordinator RNDepartment: Physician Practice Management Location: St. Lawrence Internists Office, Massena, NY Hours Per Week: 40 scheduled weekly hoursSchedule: 8-hour day shifts SUMMARY: The Care Coordinator works in collaboration and continuous partnership with chronically ill or "high-risk" patients and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach. Facilitates "shared goal model" within and across settings to achieve coordinated high-quality care that is patient and family centered that address. Acts as a liaison between patients and the healthcare system. Ensures that patients receive the care they need and that they understand their medical condition, medications, and other instructions. Coordination of patient-care services to help reduce costs by reducing duplication of services.RESPONSIBILITIES:Care Coordination Systematically identifies individual patients and plans, manages and coordinates their care, based on condition, needs and on evidence-based guidelines based on quality goals of organizations and population needs.Provides assessment, care planning and coordination, and advocacy to patients and their families.After assessing the health status of patients, develops, formulates, implements, and revises self-management care plans with a shared-goal model, incorporating patient specific education as appropriate for high risk patients and others, as defined by the practice.Evaluation of patient responses to interventions, identifying and developing strategies to barriers in achieving positive clinical outcomes.Coordinates care with community and regional ancillary health services for extended needs of patients and ensures that patient specific care plans are developed and documented by the practice clinical team.Educates patient/family regarding relevant wellness issues, disease process, and treatment plan, if not bringing to the attention of the physician.Educates patients with appropriate method suitable for individual learning abilities regarding diet, medication, or test needs, if not bringing to the attention of the physician.Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources.Promote timely access to appropriate care.Increase utilization of preventative care.Reduce emergency room utilization and hospital readmissions.Increase comprehension through culturally and linguistically appropriate education.Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s).Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals.Tracks and reports on patient progress.Manage referrals, when needed, to appropriate agencies required to assist the patient in achieving the goals and objectives defined in their Care Plan.Defines and directs patients and/or families to appropriate resource utilization.Increase patients' ability for self-management and shared decision-making.Connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, reduce social barriers to care, and decrease health care costs.Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g. request interpreters as appropriate, transportation services, or prescription assistance.)Assist with data collection and generation of patient registry reports. •Attends and participates in team/educational conferences as needed.Care Delivery Maintains safe and effective nursing care rendered directly or indirectly, adjusting nursing care processes as necessary to ensure optimal patient care.Triage patient phone calls.Provide medication reconciliation.Pre-Visit planning prior to physicals of patients identified in registry.Performs RN-Led Annual Wellness VisitsMake adjustments in patients' medications following physician directed guidelines to achieve therapeutic levels. Evaluates patient response to those interventions.Placing orders for lab tests, immunizations or ancillary testing per protocol, under provider guidance.Assist & manage follow-up care as requested by Primary Care physician.Leads patient care team in daily and/or weekly huddle discussions to prepare for the day or week ahead.Works closely with community resources to coordinate care needed by high risk patients, as defined by the practice.Under direction of practitioners, communicate test results and care plans to patients/families.Assists and completes various forms for the patient.Responsible for coordinating and leading patient support groups and/or shared medical appointments.Quality & Regulatory Participates in Performance Improvement/Continuous Quality Improvement activities, as assigned.Works with PPM management team to comply with all established standards and regulations per DNV standards and hospital compliance requirements.Works with PPM management team to resolve clinical issues (processes, performance, etc.) to identify opportunities for improvement.Adheres to CPH and PPM policies and procedures, protocols, guidelines, etc.People Serve as a mentor and a resource provider for clinic and hospital staff.Provide education to patients and significant others, as well as staff.Maintains a level of communication that exceeds the person's expectations in every encounter.REQUIRED QUALIFICATIONS:Completion of an accredited Registered Nurse training program. BSN preferred.Current, unrestricted New York State registered professional nursing licenseCertification through the American Academy of Ambulatory Care Nursing in Care Coordination and Care Transitions required within 18 months of employment required.Chronic Disease Self-Management Certification required within 12 months of employment.Willingness to obtain ongoing and up to date population specific educationPREFERRED QUALIFICATIONS:3-5 years' experience in clinical or community resource settings; Care coordination and/or case management experience is desirable.Experience with Patient-Centered-Medical Home desirable.Experience with health IT systems and reports is desirableLocal knowledge about and connections to community health care and social welfare resources is desirableAbility to speak a relevant second language is desirableEDUCATION:LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS:M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE:$28.37 - $52.88CITY:MassenaPOSTAL CODE:13662The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.Rochester Regional Health is an Equal Opportunity/Affirmative Action Employer.Minority/Female/Disability/Veterans by a prospective employee and/or employee's Physician or delegate will be considered for accommodations.

PURPOSE AND SCOPE:

Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.  As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.
• Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.
• Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.
• Participate in patient care plan meetings.
• Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.
• Train and orient staff as necessary.
• Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
• Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
• Maintain overall shift operation in a safe, efficient, and effective matter.
• With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
• Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.
• Supervise all documentation of patient information.
• Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
• Assess daily patient care needs and develop and distribute patient care assignments appropriately.
• Assume primary responsibility in an emergency situation.
• Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
• Monitor and supervise all patient care activity during dialysis and assist as necessary.
• Collaborate with direct patient care team in making decisions to benefit patient care.
• Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis.
• Administer medications to patients per physician’s orders.
• Act as the subject matter expert and as a resource for staff members.
• Supervise and participate in completion of short and long term care plans.
• Admit new patients according to facility procedure.
• Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.
• Supervise the safe and effective use of all equipment involved in direct patient care.
• Operate all dialysis related and emergency equipment safely and efficiently when needed.
• Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
• Complete Nurse’s Technical Training Program/Water Quality Facility
• Assist with special projects or other duties as assigned by the Facility Administrator
• Assist with the interviewing of potential direct patient care staff
• Promote efficient use of medical supplies.
• Attend and participate in monthly Quality Assurance meetings.

Additional responsibilities may include focus on one or more departments or locations.  See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS :

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.
  • The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.

• Travel to regional, Business Unit and Corporate meetings may be required.

SUPERVISION:

• Direct Patient Care Staff, Ward Clerk as assigned.

EDUCATION :

• Graduate of an accredited school of Nursing (R.N.)
• Must be registered and licensed to practice in the applicable State.

EXPERIENCE AND REQUIRED SKILLS :

• Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.
• Medical/surgical nursing preferred.
• Supervisory or management experience preferred.
• Certified in CPR or successfully complete course in CPR certification.

• Good communication skills – verbal and written.

The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.
 
Annual Rate: $95000.00 - $159000.00

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

A Great Place to Work

Ludlowe is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work and US News & World Report Best Nursing Home , we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team!

What You'll Do:

As the Staff Development Coordinator, you will design, implement, and oversee training programs for our team. Your expertise and guidance will empower our staff to provide high-quality care and achieve clinical program objectives aligned with our mission. Your leadership will contribute to the enhancement of our care standards, resident well-being and the professional growth of our team.

Key Responsibilities:

• Develop, coordinate, and deliver orientation and ongoing training programs that ensure the delivery of exceptional care to our residents
• Assess training needs, develop curriculum, and implement educational strategies
• Collaborate with department heads to ensure training aligns with regulatory requirements and best practices
• Provide mentoring, coaching, and support to staff to enhance their skills and performance
• Coordinate orientation of all new employees to ensure a successful new-hire start and regulatory compliance
• Evaluate training effectiveness and make recommendations for improvements Maintain accurate records of training activities and staff certifications
• Drive a culture of continuous improvement and innovation in nursing care

If you are passionate about driving excellence locally and transforming care across the long-term care industry, we invite you to join our team as a Staff Development Coordinator! Mentor and inspire a team of healthcare professionals in an organization where your expertise and dedication are valued and appreciated.

What We Offer

As an affiliate of National Health Care, our Ludlowe team enjoys:

• Competitive compensation and benefits package including a 10% defined contribution retirement plan
• Comprehensive training and mentorship
• Opportunities for professional growth and development
• Supportive and collaborative work environment
• The chance to make a meaningful difference in the lives of our residents

What You'll Bring:

Qualifications of a Staff Development Coordinator include:

• Valid state nursing license
• Advanced degree or certification preferred
• Experience in a nursing leadership role in a Long-Term Care setting preferred
• Knowledge of regulatory requirements and best practices in staff education and development
• Commitment to resident-centered care and excellence in healthcare delivery
• Inspirational leader with a focus on innovation and quality improvement
• Compassionate and empathetic approach to patient care
• Interest in the nursing needs of the aged and the chronically ill with the ability to work with both
• Excellent communication, instructional and presentation skills Strong clinical, interpersonal and organizational skills
• Ability to work effectively in a dynamic and fast-paced environment

We Hire for Heart!

National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence.  Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report.  When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.

A Great Place to Work

Ludlowe is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work and US News & World Report Best Nursing Home , we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team!

What You'll Do:

As the Staff Development Coordinator, you will design, implement, and oversee training programs for our team. Your expertise and guidance will empower our staff to provide high-quality care and achieve clinical program objectives aligned with our mission. Your leadership will contribute to the enhancement of our care standards, resident well-being and the professional growth of our team.

Key Responsibilities:

• Develop, coordinate, and deliver orientation and ongoing training programs that ensure the delivery of exceptional care to our residents
• Assess training needs, develop curriculum, and implement educational strategies
• Collaborate with department heads to ensure training aligns with regulatory requirements and best practices
• Provide mentoring, coaching, and support to staff to enhance their skills and performance
• Coordinate orientation of all new employees to ensure a successful new-hire start and regulatory compliance
• Evaluate training effectiveness and make recommendations for improvements Maintain accurate records of training activities and staff certifications
• Drive a culture of continuous improvement and innovation in nursing care

If you are passionate about driving excellence locally and transforming care across the long-term care industry, we invite you to join our team as a Staff Development Coordinator! Mentor and inspire a team of healthcare professionals in an organization where your expertise and dedication are valued and appreciated.

What We Offer

As an affiliate of National Health Care, our Ludlowe team enjoys:

• Competitive compensation and benefits package including a 10% defined contribution retirement plan
• Comprehensive training and mentorship
• Opportunities for professional growth and development
• Supportive and collaborative work environment
• The chance to make a meaningful difference in the lives of our residents

What You'll Bring:

Qualifications of a Staff Development Coordinator include:

• Valid state nursing license
• Advanced degree or certification preferred
• Experience in a nursing leadership role in a Long-Term Care setting preferred
• Knowledge of regulatory requirements and best practices in staff education and development
• Commitment to resident-centered care and excellence in healthcare delivery
• Inspirational leader with a focus on innovation and quality improvement
• Compassionate and empathetic approach to patient care
• Interest in the nursing needs of the aged and the chronically ill with the ability to work with both
• Excellent communication, instructional and presentation skills Strong clinical, interpersonal and organizational skills
• Ability to work effectively in a dynamic and fast-paced environment

We Hire for Heart!

National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence.  Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report.  When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.