Care Management, Care Coordinator, Utilization Management

07602 Hackensack, New Jersey Hackensack Meridian Health

Posted 15 days ago

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Job Description

Our team members are the heart of what makes us better.
At **Hackensack Meridian** **_Health_** we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The **Care Management, Care Coordinator, Utilization Management** is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements and follows the state of New Jersey regulations for Nursing.
**Education, Knowledge, Skills and Abilities Required** :
+ BSN or BSN in progress and/or willing to acquire within 3 years of hire or transfer into the position
+ Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills.
+ Excellent verbal, written and presentation skills
+ Moderate to expert computer skills
+ Familiar with hospital resources, community resources, and utilization management
**Licenses and Certifications Required** :
+ NJ State Professional Registered Nurse License.
+ AHA Basic Health Care Life Support HCP Certification.
**Licenses and Certifications Preferred:**
+ Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case Management Association (ACMA) certification strongly preferred.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Minimum rate of $111,924.80 Annually
HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:
+ Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
+ Experience: Years of relevant work experience.
+ Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
+ Skills: Demonstrated proficiency in relevant skills and competencies.
+ Geographic Location: Cost of living and market rates for the specific location.
+ Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
+ Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.
Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.
In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.
HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER
All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.
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RN-Management

11210 Brooklyn, New York White Glove Placement

Posted today

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Job Description

RN-Management

Estimated Gross Weekly Wage $2877

Location Brooklyn, NY

Schedule *BSN RQD*Days Days Shift 5x8 8am - 4pmExempt Position with no OTMUST have ED experience for this rol

Start Date 10/22/2025

Assignment Length 13 weeks

Job Type Travel

Job ID

Minimum Requirements

  • State Licensure: A valid RN license in the state of practice
  • Clinical Rotations: Minimum of 2 years recent RN experience
  • Certificaton: BCLS, ACLS, NRP, & PALS according to the specialty assigned
Benefits
  • Unmatched Job Opportunities: Access the largest, most reliable job database, updated in real-time to ensure you see the latest openings.
  • Competitive Edge: Benefit from direct facility relationships for front-of-the-line access to jobs, many with quick, same-day offers.
  • Expert Career Guidance: Work with a dedicated recruiter to achieve your dream career. We offer travel, per diem, and permanent positions with the expertise to support your success.
  • Top-Notch Support and Experience: Enjoy competitive weekly pay and a team dedicated to your happiness 24/7.
    Our comprehensive benefits package includes:
  • Premium Insurance: Medical and dental coverage from day one.
  • Housing Benefits: Paid company housing or a generous housing stipend with pet accommodations for approved travelers.
  • Paid Sick Time: Accrue one hour of paid sick leave for every 30 hours worked.
  • Benefits Debit Card: Receive a $100 monthly benefits debit card.
  • Hot Discounts: Enjoy discounts on theme parks, movie tickets, shopping deals, hotels, and more.
  • Travel Discounts: Plan special stays and save with our partnerships with Hotel Engine and Wyndham Hotels and Resorts.
  • Empowerment Program: Participate in promotions, events, and fun activities with White Glove.

Join us to experience the advantages of working with the largest healthcare staffing company in the industry. Your dream job awaits!

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My Profession Is Select ProfessionNursingAlliedLocum Tenens

Primary Specialty Primary SpecialityAudits Infection Control / RNBlood Bank TechNurse Aneshesiology / CRNACare Management / RNCardio Vascular Operating Room Tech (CV OR)Anesthesiology / MDCase Management / RNCath Lab TechCardiology / MDCath Lab / RNClinical Lab TechnologistDermatology / MDClinic / RNClinical Lab TechnicianEmergency Medicine / MDCorrections / RNCT TechEndocrinology / MDEducator / RNDialysis TechFamily Practice / MDEmergency Room (ER) / RNEKG TechGastroenterology / MDEmergency Room (ER) Pediatrics / RNEmergency Room (ER) TechGeneral Medicine / MDEndoscopy / RNEndoscopy TechInfectious Disease / MDHemo-Dialysis / RNEP Lab TechMaternal Fetal Medicine / MDHome Health / RNHistology TechNeurosurgeon / MDHome Health - UAS Assessments / RNMammography TechNICU (Neonatal ICU) / MDICU (Intensive Care Unit) / RNMonitor TechOB/GYN / MDICU (Intensive Care Unit) Cardio Vascular / RNMRI TechOncology / MDIV Team / RNNuclear Medicine TechOrthopedic Surgery / MDLabor & Delivery (L&D) / RNOB TechOtolaryngologist (ENT) / MDLong Term Care (LTC) / RNOperating Room Tech (ORT)Pediatrics / MDLong Term Care (LTC) Supervisor / RNRadiation TherapistPrimary Care / MDManagement / RNRespiratory TherapistPsychiatry / MDMedical Surgical (Med Surg) / RNSterile Processing TechRadiology / MDMotherbaby / RNRDMS / Ultrasound TechRheumatology / MDNew Grad / RNRDCS (Echo Tech) - Adult / Ultrasound TechSurgery / MDNICU (Neonatal Intensive Care Unit) / RNVascular (RVT) / Ultrasound TechSurgery-Cardiothoracic / MDOncology / RNVascular IR TechUrology / MDOperating Room (OR) / RNX-Ray / Radiology TechVascular Surgery / MDPACU / RNMAClinical PsychologistPediatrics / RNPCAEmergency Medicine / NPPICU (Pedicatric Intensive Care Unit) / RNPhlebotomist / PCAFamily Practice / NPPsychiatry / RNPCTGeneral Medicine / NPPsychiatry Emergency Room (ER) / RNPsychiatric Tech / PCTHospice / Palliative Care / NPRadiology / RNBHANeonatology / NPSchool / RNPharmacistOB/GYN / NPTeleHealth / RNOccupational TherapistNeurology / NPTelemetry / RNPhysical TherapistPrimary Care / NPWound Care / RNSpeech TherapistPsych / NPAssessments / LPNPhysical Therapist AssistantSurgery / NPCase Management / LPNLCSW / Social WorkerUrgent Care / NPClinic / LPNLMSW / Social WorkerEmergency Medicine / PACorrections / LPNSocial WorkerFamily Practice / PAEmergency Room (ER) / LPNOccupational Medicine / PAHemo-Dialysis / LPNPrimary Care / PALong Term Care (LTC) / LPNSurgery / PAMedical Surgical (Med Surg) / LPNUrgent Care / PANew Grad / LPNPediatrics / LPNPsychiatry / LPNTelemetry / LPNSchool / LPNWound Care / LPNLong Term Care (LTC) / CNACare Companion / CNASitter / CNAMedical Surgical (Med Surg) / CNANew Grad / CNAPsychiatry / CNA

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Management Trainee

07083 Union, New Jersey Cintas

Posted 16 days ago

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Job Description

**Requisition Number:**
**Job Description**
Cintas is offering an exciting Management Trainee program designed to kickstart your professional career. We are seeking a motivated and dynamic Management Trainee to join this well-structured program, where you'll gain in-depth knowledge of our business through hands-on rotations in various departments. This position is designed for individuals looking to develop their leadership skills and gain hands-on experience in various aspects of our business operations. The Management Trainee will work closely with experienced managers to learn about Outside Sales, Production/Warehouse Management, Office Management, Service Management and ultimately prepare you for career advancement opportunities within the company.
Key Responsibilities Include:
+ Rotate through departments immersing in the business from a leadership viewpoint.
+ Engage in outside sales activities to promote products and services while building customer relationships.
+ Provide exceptional customer service by addressing inquiries and resolving issues promptly.
+ Analyze sales data and assist in making informed business decisions.
+ Collaborate with key leaders on various projects related to sales management and operational efficiency.
+ Professional Development with access to Executive Leadership Seminars/Divisional Summits.
**Skills/Qualifications**
Required
+ Must have, or will obtain, a Bachelor's degree within six months
Qualified candidates must meet all requirements outlined by the Department of Transportation (DOT) for driving a regulated vehicle weighing more than 10,000 lbs. In order to comply with DOT requirements, qualified candidates must, prior to their first day of employment:
+ Have an active driver's license
+ Be at least 21 years of age
+ Obtain a DOT medical certification
+ Provide documentation regarding their previous employment
Preferred
+ Co-op or internship experience in a Customer Service, Sales, Production or Administrative role
+ A business or otherwise related academic major
+ A leadership/management role on campus or related extracurricular activities
Willingness to relocate regionally during, or at the end of, the program
**Benefits**
Cintas offers comprehensive and competitive medical, dental and vision benefits, with premiums below the national average. We offer flexibility with four different medical plan options; one plan is offered at zero cost.
Additionally, our employee-partners enjoy:
- Competitive Pay
- 401(k) with Company Match/Profit Sharing/Employee Stock Ownership Plan (ESOP)
- Disability, Life and AD&D Insurance, 100% Company Paid
- Paid Time Off and Holidays
- Skills Development, Training and Career Advancement Opportunities
**Compensation**
A reasonable estimate of base salary for this role is $64,000/Year. The range takes into account factors that are considered in making compensation decisions including, but not limited to, skill sets, experience and training, and other business and organization needs. Please note, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decision are dependent on the facts and circumstances of each decision.
**Company Information**
Cintas Corporation helps more than one million businesses of all types and sizes get Ready to open their doors with confidence every day by providing products and services that help keep their customers' facilities and employees clean, safe, and looking their best. With offerings including uniforms, mats, mops, towels, restroom supplies, workplace water services, first aid and safety products, eye-wash stations, safety training, fire extinguishers, sprinkler systems and alarm service, Cintas helps customers get Ready for the Workday®. Headquartered in the U.S., Cincinnati, OH, Cintas is a publicly held Fortune 500 company traded over the Nasdaq Global Select Market under the symbol CTAS and is a component of both the Standard & Poor's 500 Index and Nasdaq-100 Index.
Cintas Corporation is proud to be an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), national origin, age, genetic information, disability, protected veteran status, or any other characteristic or category protected by local, state, or federal law.
This job posting will remain open for at least five (5) days.
**Job Category:** Service
**Organization:** Rental
**Employee Status:** Regular
**Schedule:** Full Time
**Shift:** 1st Shift
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Management Trainee

07083 Union, New Jersey Cintas

Posted 16 days ago

Job Viewed

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Job Description

**Requisition Number:**
**Job Description**
Cintas is offering an exciting Management Trainee program designed to kickstart your professional career. We are seeking a motivated and dynamic Management Trainee to join this well-structured program, where you'll gain in-depth knowledge of our business through hands-on rotations in various departments. This position is designed for individuals looking to develop their leadership skills and gain hands-on experience in various aspects of our business operations. The Management Trainee will work closely with experienced managers to learn about Outside Sales, Production/Warehouse Management, Office Management, Service Management and ultimately prepare you for career advancement opportunities within the company.
Key Responsibilities Include:
+ Rotate through departments immersing in the business from a leadership viewpoint.
+ Engage in outside sales activities to promote products and services while building customer relationships.
+ Provide exceptional customer service by addressing inquiries and resolving issues promptly.
+ Analyze sales data and assist in making informed business decisions.
+ Collaborate with key leaders on various projects related to sales management and operational efficiency.
+ Professional Development with access to Executive Leadership Seminars/Divisional Summits.
**Skills/Qualifications**
Required
+ Must have, or will obtain, a Bachelor's degree within six months
Qualified candidates must meet all requirements outlined by the Department of Transportation (DOT) for driving a regulated vehicle weighing more than 10,000 lbs. In order to comply with DOT requirements, qualified candidates must, prior to their first day of employment:
+ Have an active driver's license
+ Be at least 21 years of age
+ Obtain a DOT medical certification
+ Provide documentation regarding their previous employment
Preferred
+ Co-op or internship experience in a Customer Service, Sales, Production or Administrative role
+ A business or otherwise related academic major
+ A leadership/management role on campus or related extracurricular activities
Willingness to relocate regionally during, or at the end of, the program
**Benefits**
Cintas offers comprehensive and competitive medical, dental and vision benefits, with premiums below the national average. We offer flexibility with four different medical plan options; one plan is offered at zero cost.
Additionally, our employee-partners enjoy:
- Competitive Pay
- 401(k) with Company Match/Profit Sharing/Employee Stock Ownership Plan (ESOP)
- Disability, Life and AD&D Insurance, 100% Company Paid
- Paid Time Off and Holidays
- Skills Development, Training and Career Advancement Opportunities
**Compensation**
A reasonable estimate of base salary for this role is $64,000/Year. The range takes into account factors that are considered in making compensation decisions including, but not limited to, skill sets, experience and training, and other business and organization needs. Please note, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decision are dependent on the facts and circumstances of each decision.
**Company Information**
Cintas Corporation helps more than one million businesses of all types and sizes get Ready to open their doors with confidence every day by providing products and services that help keep their customers' facilities and employees clean, safe, and looking their best. With offerings including uniforms, mats, mops, towels, restroom supplies, workplace water services, first aid and safety products, eye-wash stations, safety training, fire extinguishers, sprinkler systems and alarm service, Cintas helps customers get Ready for the Workday®. Headquartered in the U.S., Cincinnati, OH, Cintas is a publicly held Fortune 500 company traded over the Nasdaq Global Select Market under the symbol CTAS and is a component of both the Standard & Poor's 500 Index and Nasdaq-100 Index.
Cintas Corporation is proud to be an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), national origin, age, genetic information, disability, protected veteran status, or any other characteristic or category protected by local, state, or federal law.
This job posting will remain open for at least five (5) days.
**Job Category:** Service
**Organization:** Rental
**Employee Status:** Regular
**Schedule:** Full Time
**Shift:** 1st Shift
View Now

Management Trainee

10701 Yonkers, New York Cintas

Posted 17 days ago

Job Viewed

Tap Again To Close

Job Description

**Requisition Number:**
**Job Description**
Cintas is offering an exciting Management Trainee program designed to kickstart your professional career. We are seeking a motivated and dynamic Management Trainee to join this well-structured program, where you'll gain in-depth knowledge of our business through hands-on rotations in various departments. This position is designed for individuals looking to develop their leadership skills and gain hands-on experience in various aspects of our business operations. The Management Trainee will work closely with experienced managers to learn about Outside Sales, Production/Warehouse Management, Office Management, Service Management and ultimately prepare you for career advancement opportunities within the company.
Key Responsibilities Include:
+ Rotate through departments immersing in the business from a leadership viewpoint.
+ Engage in outside sales activities to promote products and services while building customer relationships.
+ Provide exceptional customer service by addressing inquiries and resolving issues promptly.
+ Analyze sales data and assist in making informed business decisions.
+ Collaborate with key leaders on various projects related to sales management and operational efficiency.
+ Professional Development with access to Executive Leadership Seminars/Divisional Summits.
**Skills/Qualifications**
Required
+ Must have, or will obtain, a Bachelor's degree within six months
+ Qualified candidates must meet all requirements outlined by the Department of Transportation (DOT) for driving a regulated vehicle weighing more than 10,000 lbs. In order to comply with DOT requirements, qualified candidates must, prior to their first day of employment:
+ Have an active driver's license
+ Be at least 21 years of age
+ Obtain a DOT medical certification
+ Provide documentation regarding their previous employment
Preferred
+ Co-op or internship experience in a Customer Service, Sales, Production or Administrative role
+ A business or otherwise related academic major
+ A leadership/management role on campus or related extracurricular activities
+ Willingness to relocate regionally during, or at the end of, the program
**Benefits**
Cintas offers comprehensive and competitive medical, dental and vision benefits, with premiums below the national average. We offer flexibility with four different medical plan options; one plan is offered at zero cost.
Additionally, our employee-partners enjoy:
- Competitive Pay
- 401(k) with Company Match/Profit Sharing/Employee Stock Ownership Plan (ESOP)
- Disability, Life and AD&D Insurance, 100% Company Paid
- Paid Time Off and Holidays
- Skills Development, Training and Career Advancement Opportunities
**Compensation**
A reasonable estimate of base salary for this role is $73,200. The range takes into account factors that are considered in making compensation decisions including, but not limited to, skill sets, experience and training, and other business and organization needs. Please note, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decision are dependent on the facts and circumstances of each decision.
**Company Information**
Cintas Corporation helps more than one million businesses of all types and sizes get Ready to open their doors with confidence every day by providing products and services that help keep their customers' facilities and employees clean, safe, and looking their best. With offerings including uniforms, mats, mops, towels, restroom supplies, workplace water services, first aid and safety products, eye-wash stations, safety training, fire extinguishers, sprinkler systems and alarm service, Cintas helps customers get Ready for the Workday®. Headquartered in the U.S., Cincinnati, OH, Cintas is a publicly held Fortune 500 company traded over the Nasdaq Global Select Market under the symbol CTAS and is a component of both the Standard & Poor's 500 Index and Nasdaq-100 Index.
Cintas Corporation is proud to be an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), national origin, age, genetic information, disability, protected veteran status, or any other characteristic or category protected by local, state, or federal law.
This job posting will remain open for at least five (5) days.
**Job Category:** Service
**Organization:** Rental
**Employee Status:** Regular
**Schedule:** Full Time
**Shift:** 1st Shift
View Now

Management Trainee

11053 Port Washington, New York Cintas

Posted 17 days ago

Job Viewed

Tap Again To Close

Job Description

**Requisition Number:**
**Job Description**
Cintas is offering an exciting Management Trainee program designed to kickstart your professional career. We are seeking a motivated and dynamic Management Trainee to join this well-structured program, where you'll gain in-depth knowledge of our business through hands-on rotations in various departments. This position is designed for individuals looking to develop their leadership skills and gain hands-on experience in various aspects of our business operations. The Management Trainee will work closely with experienced managers to learn about Outside Sales, Production/Warehouse Management, Office Management, Service Management and ultimately prepare you for career advancement opportunities within the company.
Key Responsibilities Include:
+ Rotate through departments immersing in the business from a leadership viewpoint.
+ Engage in outside sales activities to promote products and services while building customer relationships.
+ Provide exceptional customer service by addressing inquiries and resolving issues promptly.
+ Analyze sales data and assist in making informed business decisions.
+ Collaborate with key leaders on various projects related to sales management and operational efficiency.
+ Professional Development with access to Executive Leadership Seminars/Divisional Summits.
**Skills/Qualifications**
Required
+ Must have, or will obtain, a Bachelor's degree within six months
+ Qualified candidates must meet all requirements outlined by the Department of Transportation (DOT) for driving a regulated vehicle weighing more than 10,000 lbs. In order to comply with DOT requirements, qualified candidates must, prior to their first day of employment:
+ Have an active driver's license
+ Be at least 21 years of age
+ Obtain a DOT medical certification
+ Provide documentation regarding their previous employment
Preferred
+ Co-op or internship experience in a Customer Service, Sales, Production or Administrative role
+ A business or otherwise related academic major
+ A leadership/management role on campus or related extracurricular activities
+ Willingness to relocate regionally during, or at the end of, the program
**Benefits**
Cintas offers comprehensive and competitive medical, dental and vision benefits, with premiums below the national average. We offer flexibility with four different medical plan options; one plan is offered at zero cost.
Additionally, our employee-partners enjoy:
- Competitive Pay
- 401(k) with Company Match/Profit Sharing/Employee Stock Ownership Plan (ESOP)
- Disability, Life and AD&D Insurance, 100% Company Paid
- Paid Time Off and Holidays
- Skills Development, Training and Career Advancement Opportunities
**Compensation**
A reasonable estimate of base salary for this role is $73,200/Year. The range takes into account factors that are considered in making compensation decisions including, but not limited to, skill sets, experience and training, and other business and organization needs. Please note, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decision are dependent on the facts and circumstances of each decision.
**Company Information**
Cintas Corporation helps more than one million businesses of all types and sizes get Ready to open their doors with confidence every day by providing products and services that help keep their customers' facilities and employees clean, safe, and looking their best. With offerings including uniforms, mats, mops, towels, restroom supplies, workplace water services, first aid and safety products, eye-wash stations, safety training, fire extinguishers, sprinkler systems and alarm service, Cintas helps customers get Ready for the Workday®. Headquartered in the U.S., Cincinnati, OH, Cintas is a publicly held Fortune 500 company traded over the Nasdaq Global Select Market under the symbol CTAS and is a component of both the Standard & Poor's 500 Index and Nasdaq-100 Index.
Cintas Corporation is proud to be an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), national origin, age, genetic information, disability, protected veteran status, or any other characteristic or category protected by local, state, or federal law.
This job posting will remain open for at least five (5) days.
**Job Category:** Service
**Organization:** Rental
**Employee Status:** Regular
**Schedule:** Full Time
**Shift:** 1st Shift
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Management Trainee

Harrison, New York Stephanie Jackson Agency

Posted today

Job Viewed

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Job Description

Job Description

Job Description

The Stephanie Jackson Agency is looking for innovative sales professionals to join our team. We market much needed Life and Supplemental Health Benefits to working American families on a needs basis in a business to business format and to individuals. In fact, for more than 40 consecutive years, Liberty National has earned the A+ (Superior) Financial Strength Rating from A.M. Best Company. We have a highly competitive Agent compensation plan and the opportunity to choose your career path (including management).

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Director, Provider Data Management - Inventory Management - Remote

10701 Yonkers, New York Molina Healthcare

Posted 13 days ago

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Job Description

**Job Description**
**Job Summary**
Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
**Knowledge/Skills/Abilities**
- Strategically plans, leads, and manages the overall Provider Information process functions.
- Directs the development, implementation and maintenance of provider data in the claims payment system.
- Supports critical business strategies by providing systematic solutions and or recommendations on business processes.
- Organizational expert in responding to legislative and regulatory developments and audits as it relates to provider information. Supports others in facing out to regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc.
- Engages with IT and other departments to implement changes to business processes and systems for Corporate Operations PMO.
**Job Qualifications**
**Required Education**
Graduate Degree or equivalent combination of education and experience
**Required Experience**
7-9 years
**Preferred Education**
Graduate Degree or equivalent combination of education and experience
**Preferred Experience**
10+ years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJCorp
#LI-AC1
Pay Range: $97,299 - $227,679 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Epic Case Management - Senior Product Services & Management Analyst

11022 Great Neck, New York Northwell Health

Posted 4 days ago

Job Viewed

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Job Description

Req Number

Highly Preferred: Epic Case Management / Clindoc certification required

Job Description

Supports and enhances products on larger, more complex or multiple products for enterprise resource planning, budgeting, data warehousing, and financial reporting. Collaborates with Finance and vendors to ensure products and solutions are properly supported. Provides support to ensure all products are functioning optimally, data integrity is intact and financial reports are in alignment with are produced timely and accurately. Participates in implementing or enhancing products and solutions following the hybrid product/project development and implementation lifecycle.

Job Responsibility

  • Supports various financial systems within the portfolio, following the support model, while providing excellent customer service to all customers and end users.

  • Analyzes and troubleshoots production problems; escalates issues and executes solutions.

  • Works as a project / product lead on larger, more complex projects and/or on multiple projects and solutions.

  • Collaborates with multiple product teams and solution teams, IT and Business Product Managers, IT Business

  • Solutions Leads, and other key stakeholders.

  • Implements or enhances systems, following the software and solution delivery lifecycle and hybrid project management methods.

  • Maintains direct responsibility for successful outcome of assigned project(s) and solutions; interacts with end users to assist in collecting, documenting, and analyzing business requirements; communicates clearly and timely with customers and end users.

  • Creates clear, technical designs, and specifications; develops solutions and communicates requirements to external developers.

  • Develops, coordinates, and executes detailed test plans.

  • Trains end users and documents processes for knowledge transfer.

  • Identifies and documents solution related risks and issues; providing guidance and documentation, including scope of work, objectives, timelines, and quality of deliverables.

  • Follows policies to ensure business requirements are appropriately translated and communicates risks to stakeholders.

  • Keeps current with new functionality or technical offerings related to financial systems as well as with accounting concepts pertinent to healthcare finance.

  • Recommends and implements improvements to end user processes as they relate to financial systems.

  • Operates under limited guidance and work assignments involve moderately complex to complex issues where the analysis of situations or data requires in-depth evaluation of variable factors.

  • Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

  • Bachelor's Degree required, or equivalent combination of education and related experience.

  • Master's degree in Computer Science, Business, or Engineering, preferred.

  • 3-5 years of relevant experience, required.

  • Excellent strategic thinking, project management, and time management skills, preferred.

  • Strong organization, communication, and collaboration skills, preferred.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The salary range for this position is $85,090-$147,220/year

It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

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Epic Case Management - Senior Product Services & Management Analyst

11020 Great Neck, New York Northwell Health

Posted 8 days ago

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Job Description

**Req Number**
Highly Preferred: Epic Case Management / Clindoc certification required
Job Description
Supports and enhances products on larger, more complex or multiple products for enterprise resource planning, budgeting, data warehousing, and financial reporting. Collaborates with Finance and vendors to ensure products and solutions are properly supported. Provides support to ensure all products are functioning optimally, data integrity is intact and financial reports are in alignment with are produced timely and accurately. Participates in implementing or enhancing products and solutions following the hybrid product/project development and implementation lifecycle.
Job Responsibility
+ Supports various financial systems within the portfolio, following the support model, while providing excellent customer service to all customers and end users.
+ Analyzes and troubleshoots production problems; escalates issues and executes solutions.
+ Works as a project / product lead on larger, more complex projects and/or on multiple projects and solutions.
+ Collaborates with multiple product teams and solution teams, IT and Business Product Managers, IT Business
+ Solutions Leads, and other key stakeholders.
+ Implements or enhances systems, following the software and solution delivery lifecycle and hybrid project management methods.
+ Maintains direct responsibility for successful outcome of assigned project(s) and solutions; interacts with end users to assist in collecting, documenting, and analyzing business requirements; communicates clearly and timely with customers and end users.
+ Creates clear, technical designs, and specifications; develops solutions and communicates requirements to external developers.
+ Develops, coordinates, and executes detailed test plans.
+ Trains end users and documents processes for knowledge transfer.
+ Identifies and documents solution related risks and issues; providing guidance and documentation, including scope of work, objectives, timelines, and quality of deliverables.
+ Follows policies to ensure business requirements are appropriately translated and communicates risks to stakeholders.
+ Keeps current with new functionality or technical offerings related to financial systems as well as with accounting concepts pertinent to healthcare finance.
+ Recommends and implements improvements to end user processes as they relate to financial systems.
+ Operates under limited guidance and work assignments involve moderately complex to complex issues where the analysis of situations or data requires in-depth evaluation of variable factors.
+ Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
+ Bachelor's Degree required, or equivalent combination of education and related experience.
+ Master's degree in Computer Science, Business, or Engineering, preferred.
+ 3-5 years of relevant experience, required.
+ Excellent strategic thinking, project management, and time management skills, preferred.
+ Strong organization, communication, and collaboration skills, preferred.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $85,090-$147,220/year
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
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