94 Healthcare Professionals jobs in Roslyn Heights

Our client is seeking a seasoned Senior Healthcare Planner to support strategic development and operational planning for their main campus, including a significant new building project. This is a high-impact role that sits at the intersection of healthcare delivery, facility design, and operational optimization. This is a hybrid position based in Westchester County, NY.

Starting at $160,000/year.

Senior Healthcare Planner 's Responsibilities and Duties:

• Lead campus-wide planning initiatives tied to ongoing construction and operational enhancements.
• Identify critical clinical and support functions and recommend improvements to workflows, space utilization, and patient experiences.
• Translate clinical and operational needs into actionable plans, collaborating with leadership, clinical stakeholders, architects, and construction teams.
• Present findings, proposals, and updates to senior leadership with clarity and confidence.
• Partner across disciplines to align physical space with long-term institutional goals.

• Deep experience in healthcare, preferably from a hospital, design/architecture, or consulting firm with healthcare clients.
• Background in planning, operations, or construction with a strong understanding of how healthcare facilities function.
• Demonstrated ability to drive process improvements in complex environments.
• Strong communication and leadership skills, with experience presenting to executives.

Arete Technologies, Inc. offers a set of innovative Consulting and Outsourcing services, bridging the gap between requirements and outputs of various dexterous and facile companies worldwide. The thrust of providing global deliverables with focus on providing paramount and unsurpassed services combined with cost saving solutions to the clients.

We understand the business requirements in the present day corporate scenario and aspire to provide world-class services enabling the organization to burgeon and flourish while keeping the work-life balance intact. The Global delivery mechanism followed at Arete Technologies, Inc. saddles proficient schemas and unconventional channels to provide one-stop solutions for all your workforce needs.

Our team is an exquisite amalgamation of vast experiences of over 30 years in IT Consulting and Staffing industry. Connoisseurs in the field of staff augmentation for IT, we operate on 24 by 7 model with an aim of providing affordable and adept professionals with an assurance of satisfaction for both Consultants and Clients.

We are pre-eminent service providers in the field of staff augmentation, IT Consultancy, Software development, Web Development providing unexcelled services and focusing on both the employers and employees.

MUST HAVE:

Required Qualifications:

• Undergraduate Degree in IT, business management or healthcare-related field
• 7+ years of demonstrated experience as a Business Analyst
• 3+ years of healthcare data claim content experience. Must be familiar with claim structure data components and relationships
• 1+ years of experience working knowledge of administrative claims data and medical coding systems

Preferred Qualifications:

• Deep understanding of health care industry concepts (cost of care, health risk, quality of care, etc.)
• Familiarity with analytic grouping methodologies, including Symmetry ETG, ERG, EBM Connect, and DRG
• 5+ years working in a health care setting, preferably in a managed healthcare company
• Experience with statistical concepts
• Experience with project and/or product management and lifecycles
• Experience with Agile / Scrum and other SDLC methodologies

Local candidate only

Best Regards

Alka Bhatia

Apicha Community Health Center aims to improve community health by providing access to comprehensive primary care, preventive health services, mental health, and supportive services. The center is dedicated to delivering high-quality services that enhance the quality of life. It also advocates for and offers a welcoming environment for underserved and vulnerable populations.

Position Summary:

We’re looking for a compassionate, respectful professional full-time professional Healthcare Case Manager for our Jackson Heights location. The successful candidate will ensure the quality care of the Apicha CHC’s patients by promoting quality, and cost-effective outcomes. Provide case management services to children, families, and adults to ensure the services they receive are appropriate for their specific needs. A Healthcare Case Manager also works with the patient’s support systems to make sure care arrangements are in line with the needs of the patients with the input of the Care Team from multi discipline.

Job Responsibilities:

• Client Services and Direct Care – provide proactive primary case management to Apicha’s Primary Care Clinic including intake, comprehensive assessment/reassessment, and individualized care plan development to ensure access to medical care and other services including communication with Apicha multidisciplinary care learn at regular intervals to ensure patients have positive health outcomes.

• Work closely with the multidisciplinary care team, patient’s families/social support, and other services providers with interdisciplinary approaches at regular intervals to ensure patients have positive health outcomes conducting monitoring and evaluation of progress.

• Engage patients and families in developing positive, trusting relationships to healthcare.

• Help to manage emotional distress on the part of the patient or their family in resolving crisis situation. Use discretion and judgment when determining an appropriate course of action.

• Build and maintain professional relationship with patients, as well as business type relationship with outside service providers.

• Manage conflict, promote change and growth, and facilitate self-management of all patients.

• Provides clinic-based health education in conjunction with regularly schedules primary care visits.

• Obtain prior authorization for pharmacy and/or medical services as required by patient’s health insurance plan.

• Represent Apicha CHC to promote services and recruit patients specifically individual with low income and/or community of color including participate in events

• Collaboration and Services – use strong collaborative abilities to put together plans for patient care by working with patients and their families to discover their specific needs and coordinating with outside companies to ensure proper care.

• Identify, coordinate and link patients with additional services, e.g. specialty care, entitlements, mental health and substance use treatment, comprehensive case management, community follow-up case management, AIDS Drug Assistance Program (ADAP), as needed and report outcome to the multidisciplinary care team including timely follow-up.

• Response to telephone, e-mail, referral inquiries of services available at the Agency and other requests for information in timely manner.

• Work as a part of multidisciplinary care team and for continuous quality improvement (CQI) activities as a part of Department of Support Services.

• Communicates in a timely manner with the multidisciplinary care team (medical providers, therapist, patient’s legal guardian, psychiatrist, pediatrician, and other specialty case manager) about missed or rescheduled appointments and any special assistance required, i.e. interpreter, transportation, and/or cultural to ensure continuity of care.

• Participates internal and external meetings/trainings including assists as requested and appropriate.

• Compliance – maintains patient’s records in an updated (real-time), organized, and legible condition including completes and submits pertinent forms, reports, and summaries in a timely manner.

• Maintain accurate records of services rendered.

• Maintain accurate reporting in both electronic and paper record to ensure and meet all documentation and data reporting requirements of the center.

• Adheres to Apicha CHC policy and procedure as required that inclusive of NYC, NYS, and Federal requirements, as well as Apicha’ s Department of Support Services.

  Qualifications:

• Bachelor’s degree in related field (i.e., health, nursing, mental health, child and family studies, public health, or other human services fields) with 2 years of qualifying experience required. May consider bachelor’s degree in non-related field with 4 years of relevant work experience.

• Experience working with target populations strongly preferred. The target populations: including but not limited to: children and family, individuals with Serious Mental Illness, developmental disabilities, serious substance use disorders (SUDs), Individuals with high risk of or living with HIV/AIDS, chronic hepatitis, and other individuals with social needs.

• Fluency in Spanish or one of Asian languages preferred.

• Excellent written and verbal communication skills in English required.

• Ability to work effectively in both a collaborative as well as individual setting

• Ability to use and adapt to various applications (Outlook, Word, Excel, PowerPoint, eCW, eICARE, AZARA, HCS, MAPP, Healthix, PSYCKES, etc.) required.

• Excellent customer service skills to assist in resolving patients and/or providers concerns.

• Ability to work flexible hours including some evenings and weekends required.

• Ability to multitask and manage multiple projects in a stressful environment is strongly recommended.

At Apicha, we believe that serving the needs of our staff is just as important as serving the needs of underserved people of New York City as such we are proud to offer our team members a competitive employee benefits package which include 11 Paid Holidays, vacation and sick leave, Health Insurance Coverage, Flexible Spending Account, Life Insurance, Employee Assistant Program just to name a few.

Technical Skills• Background in Healthcare experience• Very strong SAS skills• Adept in Data Manipulation (Excel / SQL / SAS) o Working with MS Office suite, especially Excelo Creating and executing queries in SQL Server and SAS• Deep understanding of the healthcare industry• The candidate will not only be looking at the data, but will also need to be able to interpret the output and provide recommendations, reports with trend analysis, Clinical data gap reports, comparison analysis reports• Main aspect of the job is reporting but need someone who is business savvy and has strong analytical thinking. • Knowledge and experience of Clinical data• Familiarity with Inovalon QSI-XL • Health care domain knowledge with exposure to diagnosis codes, procedure codes and pharmacy code. Job Role• Ability to:o Manage the quality of the Clinical data in an effective manner to achieve all the business goals. o Manage Clinical quality Measureso Follow HIPAA security and privacy rules in order to maintain compliance and prevent unauthorized access to PHIo Run SQL Queries through Microsoft SQL Server, Toad and Teradata in order to pull data from database and to provide that data to the business team for their analysis