East End Hospice jobs

Manages, coordinates, facilitates and supports the members of the interdisciplinary team in provision of hospice care to patient/families of VNS Health Hospice Care Program, including After Hours. Ensures the implementation of clinical/quality improvement initiatives for hospice services in compliance with regulatory requirements. Demonstrates knowledge and commitment to excellence in clinical practice and customer service. Works under general direction. • Ensures the use of an interdisciplinary approach to assess the medical, physical, social, emotional and spiritual needs of the patient. Ensures that support and direction to patient's families are provided in accordance with the patient's Interdisciplinary Plan of Care/Hospice Care mission, objectives, policies and procedures. • Participates in Hospice Team meetings, IDG management meetings, and serves on relevant committees for the purposes of information exchange, team collaboration, development of procedures and documentation tools, development of quality and training. • Ensures full regulatory compliance with Hospice Conditions of Participation and standards through review, monitoring and audit (ad hoc / regular) of files, processes and procedures. • Collaborates with Quality Improvement/Education in the development and implementation of quality improvement and educational activities to ensure professional practice standards are consistently met for each member of the team. Participates in the design, implementation, evaluation and modification of quality initiatives and educational plans. • Initiates, coordinates, performs and assists in the analysis of clinical, regulatory and fiscal practice. Assists leadership in achieving Hospice Care goals, objectives, and fiscal targets by providing support with compliance and/or innovation to achieve improvement. • Manages the day to day operations of the department, which includes effective caseload or visit management, achievement of productivity and revenue/expenditure targets for Hospice Care. • Completes all work assignments, which includes audits, reports and projects. • Performs all duties inherent in a managerial role. Ensures effective staff training, evaluates staff performance, provides input for the development of the department budget, and hires, promotes, and terminates staff and recommends salary actions as appropriate. • Facilitates and manages the interdisciplinary group for provision of an effective and comprehensive hospice services to patient/families of VNSNY Hospice Program. • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Licensed and currently registered to practice as Nurse Practitioner in New York State and DEA license preferred Education: Bachelor's Degree in Nursing from an approved program accredited by the National League of Nursing or Health or Human Services field or the equivalent work experience required Work Experience: Minimum of three years clinical experience in hospice required Effective oral, written and interpersonal communication skills required Clinical management experience preferred Knowledge of personal computer operations, including MS Office applications preferred Pay Range USD $98,200.00 - USD $130,800.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Provides support to new Physical Therapists as they begin their career. Provides physical therapy services to meet the needs of the patient/client and manages/coordinates the delivery of cost-effective multidisciplinary health care services for a caseload of patients/clients consistent with VNS Health philosophy, policy, goals and objectives, and Standards of Physical Therapy. Attends seminars on applied learning topics, reflects on clinical experiences in supportive group setting, and shares insights with peers. What We Provide Generous paid time off (PTO), starting at 31 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do Participates in classroom learning activities which include topics such as critical thinking, evidence-based best practice assessments, care planning, evaluation of care, and therapeutic interventions. Shadows physical therapists to get field experience. Reviews experiences in group debriefs. • Provides physical therapy services to VNS Health home care patients through comprehensive assessment. Develops and implements a plan of care consistent with the VNS Health's goals and Rehabilitation policies and procedures. Documents content and process of all services provided in accordance with government regulations/requirements, and VNS Health policies, practices, and procedures. Initiates and maintains written (including clinical and progress notes) and verbal communications with team members and management to assure optimal patient/client care. Provides therapeutic care in accordance with VNS Health policies, practices, procedures, and Standards of Rehabilitative care, which may require standing, stooping, sitting, crouching, bending, and stretching to deliver patient/client care. Transports and utilizes required medical equipment and other supplies using VNS Health designated/supplied carrying case weighing approximately 25 - 30 lbs. to and from patient/client homes/care facilities. Follows work procedures in relation to established workflows. Maintains productivity sufficient to meet VNS Health goals. Travels to patient/clients' homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct care to the patient/client. Assumes responsibility for personal professional growth through attendance at in-services, training, continued formal education and select journal readership. Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a physical therapist in New York State required Education: Bachelor's Degree in Physical Therapy from a program approved by the New York Department of Education required or Master's Degree in Physical Therapy from a program approved by the New York Department of Education preferred Work Experience: Recently received Physical Therapist license and less than one year of clinical work experience in field of physical therapy required Pay Range USD $77,200.00 - USD $96,500.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. What We Provide Personal and financial wellness programs Opportunities for professional growth and career advancement Internal mobility and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes. Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate. Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted. Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings. Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required Valid driver's license, as determined by operational/regional needs may be required Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred Must be certified by ANCC or another accrediting Nurse Practitioner body - in order to bill Medicare and meet credentialing requirements required For Psychiatric Nurse Practitioners only: Current PMHNP-BC certification required Education: Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required For Psychiatric Nurse Practitioners only: Master's Degree in psychiatric-mental health Nurse Practitioner required PhD in psychiatric-mental health Nurse Practitioner preferred Work Experience: Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred Clinical home care experience or two years managerial experience preferred Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required Bilingual skills, as determined by operational needs required Pay Range USD $58.30 - USD $77.72 /Hr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Provides physical therapy interventions to designated patients under the supervision of a Physical Therapist (PT). Assists in monitoring patient progress through observations and follows up with supervising therapist. Works under PT supervision as required under NY State Education law. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What you will do: Follows established physical therapy plan of care, including physical therapy interventions and patient/caregiver education. Modifies specific treatment procedures in accordance with PT plan of care and Physical Therapy Assistant (“PTA”) scope of practice. Documents all care provided and maintain records per VNS Health policy and standards. Assists in monitoring patient progress through observation and follows up with Supervising Therapist in accordance with VNSNY policy. Complies with scope of practice for PTA, including a co-visit with Physical Therapist on all initial PTA visits and keeps PT informed. PT will re-assess patient every 6 visits or 30 days (whichever comes first). Manages assigned caseload; provides physical therapy services to patients as directed per PT plan of care. Participates in VNS Health meetings, including but not limited to, interdisciplinary team meetings, in-service and training programs, rehab services meetings and caseload reviews. Travels to patients' homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct care to the patient. Assists patients with therapeutic interventions and activities of daily living, which may require positioning, moving, transferring and lifting patients of varying body sizes and physical conditions, with and without assistance and as appropriate, instructing, demonstrating and verifying capabilities of family members and/or paraprofessionals. Ability to use and assist patient with use durable medical equipment as a component of the plan of care, including but not limited to wheelchairs, patient transfer lifts, ambulatory devices, slings, splints, orthoses, prostheses, and exercise/strengthening equipment. Provides care in accordance with Agency policies, practices, procedures and standards, including professional practice standards of care, which may require standing, stooping, sitting, crouching, twisting, reaching, bending and stretching to deliver patient care. Transports and utilizes required technology devices (tablet), infection control materials and supplies using VNS Health designated/supplied carrying case (backpack) weighing approximately 15 - 20 lbs to and from patient homes/care facilities, VNS Health offices and therapists' home. Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: New York State Certification as Physical Therapist Assistant Required Valid driver's license may be required, as determined by operational/regional needs. Education: Associate's Degree as Physical Therapist Assistant from a New York State approved program or whose educational credentials have been approved equivalent by New York State Required Work Experience: Minimum of two years experience in clinical patient care (per NY State Education Law) Required Bilingual skills may be required, as determined by operational needs. Basic PC skills Preferred Pay Range USD $33.88 - USD $42.35 /Hr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Conducts comprehensive assessment of member UAS-NY for potential new members and existing members' conditions clinical, environmental, and social to establish an individual plan of care needed to maintain the member safe in the community. Identifies solutions that promote high quality and cost-effective health care services. Manages requests for services from providers, members, and care management team and renders clinical determinations in accordance with VNS Health Plans policies as well as applicable state and federal regulations. Works under general supervision. • Conduct face-to-face or telehealth UAS-NY assessments according to state guidelines, policies, procedures, and protocols • Utilize clinical skills to assess and document all aspects of the potential members long-term community-based needs • Communicate with members, families, providers, and other parties as needed to complete an accurate comprehensive assessment • Utilizes VNS Health and state-approved assessment questionnaire, guidelines, and documentation as well as interviews with members, family, and care providers in decision-making • Performs in-home assessment for members who have identified significant changes in condition since last in-home assessment; provides comprehensive review and determination of member's needs, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans including upstate and downstate counties • Performs in-home assessment on members to determine the appropriate service plan, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans • Explains VNS Health Plan benefits, including an explanation of the member's handbook • Ensures compliance with state and federal regulatory standards and VNS Health Plans policies and procedures • Identifies opportunities for alternative care options and contributes to the development of a safe member centered service plan • Consult with supervisor and others in overcoming barriers in meeting goals and objectives • Maintains current knowledge of organizational or state-wide trends that affect member eligibility • Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals, Compliance, Membership Eligibility Unit, Quality as needed • Participates in requests for out-of-network services when a member receives services outside of VNS Health Plans network services • Keeps current with all health plan changes and updates through on-going training, coaching and educational materials • Participates in special projects and performs other duties as assigned Qualifications Licenses and Certifications: Current license to practice as a Registered Professional Nurse in New York State required. Certified Case Manager preferred. Education: Bachelor's Degree in nursing or equivalent work experience required. Master's Degree in nursing or equivalent work experience preferred. Work Experience: Minimum two years of clinical assessment, homecare or hospital experience required. Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills required. Demonstrated strong relationship management skills, including a high degree of psychological sophistication and non-aggressive assertiveness required. Demonstrated successful conflict management skills and negotiation of “win-win” solutions required. Working knowledge of Microsoft Excel, Power-Point, and Word required. Knowledge of Medicaid and/or Medicare regulations required. Working Knowledge of UAS-NY preferred. Pay Range USD $85,000.00 - USD $106,300.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Cooperstown Center is hiring a Registered Dietitian (RD) in Cooperstown, NY. Assess / monitor the residents' nutritional status, provide recommendations to medical staff, and develop adequate care plans Evaluate special needs of residents regarding nutrition support, skin breakdown, and significant weight issues Coordinate procurement of nutrition support supplies and oral supplements with outside vendors as well as involved department heads Monitor resident meal service to ensure diet modifications are followed Educate residents, families and staff in concepts of nutrition & diet modification Routinely evaluate Dietary Care plans for effectiveness to ensure high quality of care Meet weekly with interdisciplinary team to review and adjust residents' plan of care Work closely with Speech-Language Pathologist to ensure appropriate mechanically altered diets are provided for residents with dysphagia Reviewing all menu changes to ensure they follow facility's policies/procedures & State/Federal guidelines Update diet order and menu changes in computer menu software on a daily basis Supervising & working closely with the dietary team to provide excellent resident care Conduct audits of areas relevant to providing quality nutrition care on a routine basis Ensure facility is in compliance with regulations and policies on weight monitoring Communicate with interdisciplinary team on a daily basis to provide quality care to residents REQUIREMENTS: Must be a Registered Dietitian Degree in Nutrition or Dietetics Exceptional interpersonal & leadership skills Knowledge of applicable state and federal guidelines Computer literacy and proficiency with EMR software and computer-based menu systems About us: Cooperstown Center for Rehabilitation and Nursing is a 174-bed rehabilitation and skilled nursing facility located in the heart of the Mohawk Valley and just minutes away from the National Baseball Hall of Fame and Museum. Cooperstown Center is committed to ensuring the highest quality of life for all our residents, helping each to get stronger, healthier, and happier. We're a community of friends, neighbors, and family living life to the fullest, and we want all residents to leave Cooperstown Center with dignity and independence. Cooperstown Center is a proud member of the Centers Health Care Consortium. Equal Opportunity Employer -M/F/D/V

General facility maintenance and repair duties as directed. Pneumatic and direct digital control experience. Knowledge of air conditioning and refrigeration including ice machines. Experienced in troubleshooting and repair of HVAC equipment. Ability to cut and thread pipe to meet base fabrication needs. Maintain and install filter systems. Some knowledge of medical gas systems. Install and maintain circulating pumps. Knowledge of high-pressure steam boilers and delivery systems. Estimate and requisition materials needed for projects. Working knowledge of OSHA, State, DOH and Hospital Safety Standards. Ability to analyze and troubleshoot Electrical controls. Additional electrical experience is helpful. Experienced in all forms of soldering. Ability to understand and complete preventative maintenance programs. Be able to perform heavy lifting and climbing. Ability to perform snow removal duties including shoveling salting and working knowledge of snow plow operations. Strong self-motivation is expected. Core Job Responsibilities 55% Work order response: but not limited to area temperature problems throughout the Facility. Replacing/repairing pump and circulators. Repairing and charging refrigerant systems. Adding or moving equipment for construction projects. 25% Preventive maintenance duties: Typical but not limited to filter changes, coil cleaning, and belt changes. Ice machine cleaning and service. 10% Compliance with regulatory responsibilities: Ensure appropriate function is maintained to comply with various regulatory agencies. Refrigerant reclaiming, and Fire barrier repair. 10% Quality Improvement: to look for ways to improve the patient/visitor experience. Update heating and cooling systems. Modifying or move HVAC components or sensors for improve comfort. Education/Experience Requirements Required: High School or equivalent, 5 years of HVAC Experience Preferred: Associates or higher degree 3-5 years of Healthcare Facilities or Trade Experience Licensure/Certification Requirements Required: Universal Refrigerant Reclaiming license Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 89077 Department ENGINEERING Shift Days Shift Hours Worked 7.50 FTE 0.94 Work Schedule UFCSM Employee Status A1 - Full-Time Union 2006 - UFCW Pay Range $21 - $27 Hourly

Northern Riverview Healthcare Center is hiring a Director of Social Work (DSW) in Haverstraw, NY. Directs, establishes & plans the overall policies/goals for the Social Services Dept Responsible for assessments, care planning & helping residents adjust Supervision of Department Staff Discharge Planning at start of admission Occasional Community Outreach Familiar with a variety of concepts, practices & procedures A wide degree of creativity and latitude is expected Relies on extensive experience & judgment to plan and accomplish goals REQUIREMENTS: 2+ years of Management Experience in LTC settings LSW - MSW Knowledge of applicable State & Federal guidelines Exceptional interpersonal & leadership skills About us: Northern Riverview Healthcare Center is a 180-bed skilled nursing and assisted living facility that also houses the Northern Riverview Health Care Center. This beautiful facility offers comprehensive short-term rehabilitation and long-term skilled nursing services, not to mention panoramic views of the Hudson River. Our desirable location and multi-disciplinary approach are designed to help you improve your overall well-being. Northern Riverview is a proud member of the Centers Health Care consortium. Equal Opportunity Employer -M/F/D/V

The Patient Financial Representative is responsible for the accurate and timely verification of insurance and benefit information for patients receiving inpatient medical, inpatient psychiatric, observation, ambulatory surgery and/or outpatient procedure related services. Plays a key role in the organization's financial health by obtaining or ensuring that insurance authorizations or pre-authorizations are on file and accurate prior to the service being rendered. This position must also ensure patient demographic and insurance information is correct, resulting in accurate claims for reimbursement. Position provides excellent customer service during all interactions. Core Job Responsibilities For designated services, this position is responsible for ensuring that each patient account has accurate insurance information entered in the correct billing order and that each insurance listed has been verified as eligible for the designated date of service range. For each insurance, benefit information is obtained and documented. Verification and benefit information can be obtained via electronic or verbal method but must be completed prior to services being rendered. Position must have or develop excellent working rapport with surgeons' office staff, as well as hospital nursing staff. For pre-scheduled services, this position is responsible for verifying that authorization is on file with each of the appropriate insurance companies and that authorization is accurate based upon location, CPT code, service type, surgeon, date range and any or all other necessary elements to secure payment for services rendered. For emergent or urgent services, this position is responsible for accurately and timely requesting that each verified insurance company has been notified of patient services being rendered and also request authorization for requested services. Position must have or develop excellent working rapport with insurance company representatives, surgeons' office staff, as well as hospital nursing staff. Ensures each patient account has accurate insurance information entered in the correct billing order and that each insurance company listed has been verified as eligible for the designated date of service range. Secures and documents any and all authorization requirements in appropriate computer systems with relevant information to capture authorization timely. Enters pertinent information in all necessary systems. Retains any written documents received. Performs related duties as assigned. Education/Experience Requirements REQUIRED: High school diploma or equivalent. Minimum 3 years of pre-authorization and/or insurance verification experience. Demonstrated computer proficiency and ability to learn new applications rapidly. Strong documentation skills. Strong follow up skills, accuracy and attention to detail. Excellent customer service and interpersonal skills. Ability to work under restrictive time. PREFERRED: Associate's degree in healthcare related field. 4 years or more of hospital, medical office, coding or billing experience; or 6 years of experience in other healthcare related field. Proficient with EMR, QES, MIDAS, SIS and related computer programs. Licensure/Certification Requirements PREFERRED: Medical terminology certification. Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 95876 Department PATIENT ACCESS SVCS Shift Days Shift Hours Worked 8.00 FTE 0.19 Work Schedule HRLY NON-UNION Employee Status A7 - Occasional Union Non-Union Pay Range $19 - $25/Hourly #Evergreen

We're not just a workplace - we're a Great Place to Work certified employer! Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members! Location: Rye Brook, NY Days: Monday - Friday Hours: 8:00 AM - 4:30 PM Salary range: $30.00 - $48.00 /hour pay Full-time: Benefit Eligible In this role, you will: The Molecular Technologist is responsible for performing moderate and high complexity clinical sample testing within the Molecular Diagnostic Laboratory. Performs daily laboratory testing and analyzes, reviews, and reports test results. Maintains proficiency on a wide variety of molecular methods and technologies. Assists in training of personnel and competency assessments. Performs high complexity clinical assays according to written SOPs Ensures specimen integrity by adhering to the laboratory's procedures for specimen handling and processing. General laboratory operations: keeping a neat work area, attending meetings, and complying with laboratory procedures and safety practices Analyzes reviews, and reports test and quality control results and takes remedial action when indicated Enters and verifies data within the clinical LIMS system Maintain analytical instruments, schedules authorized routine service, and maintains instrument documentation Performs, enters, and maintains Quality Control assessments and data Monitors laboratory data systems, conducts statistical metric analysis Performs and documents reagent Quality Control verification File documentation associated with daily production runs. All you need is: B.S. degree in Medical Technology or Chemical, Biological, or Physical Science AND three years of pertinent laboratory experience OR an M.S. degree in Medical Technology or Chemical, Biological, or Physical Science AND one year of pertinent laboratory experience. New York State License as a Clinical Laboratory Technologist, Histocompatibility, and/or Molecular. We'll give you: Appreciation for your work A feeling of satisfaction that you've helped people Opportunity to grow in your profession Free lab services for you and your dependents Work-life balance, including Paid Time Off and Paid Holidays Competitive benefits including medical, dental, and vision insurance Help saving for retirement, with a 401(k) plus a company match A sense of belonging - we're a community! We also want you to know: This role will have routine access to Protected Health Information (PHI). Employees will be trained on reasonable safeguards and are expected to maintain strict confidentiality, as well as abide by all applicable privacy and security standards. Employees are expected only to access PHI when it is required to fulfill job duties. Sonic Healthcare USA, reserves the right to pay more or less than the posted range. Any difference between actual compensation and the posted range will be based on factors other than race, color, religion, sex (including pregnancy) or national origin. Scheduled Weekly Hours: 40 Work Shift: Job Category: Laboratory Operations Company: CBL Path, Inc. Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This position is responsible for completing assigned routines that will maintain resident clothing and linen in a clean, sanitary, and useable condition. Work is performed in accordance with Federal, State and local regulations, facility policies and procedures, established regulatory and accreditation requirements as well as the philosophy goals and objectives of the facility and the Laundry department. Core Job Responsibilities Perform day to day laundry functions assigned including sorting, counting, and washing of personal linens, bibs, tablecloths and other launderable items. Collect, sort, and prepare for washing all items to be either laundered in the facility or to be removed for laundering purposes. Fold, count, stack, hang, and distribute resident personal laundry and clean linen daily. Label all resident personal clothing and return to resident within 3 days of receiving clothing. Mend resident clothing (i.e. buttons, hems, etc.) and report any item that cannot be mended to Nurse Manager. Turn in all articles found to Lead Laundry Aide. During emergency conditions, assure that clean laundry, linen, and garments are distributed to designated areas as directed. Assure that infection control and standard precaution practices are maintained when performing laundry procedures. Remove dirt, dust, and grease film from equipment or floor surfaces using proper cleaning/disinfecting solutions including cleaning dust traps in dryers daily. Assure that assigned work areas are maintained in a clean, safe, and sanitary manner. Assist callers with their request/complaint or refers to appropriate personnel to ensure successful result of call. Education/Experience Requirements Required: High school diploma or equivalent Preferred: Laundry experience Licensure/Certification RequirementsDisclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 96469 Department LAUNDRY - RNC Shift Days Shift Hours Worked 7.50 FTE 0.94 Work Schedule HRLY NON-UNION-LONG TERM CARE Employee Status A1 - Full-Time Union Non-Union Pay Range $16.15 - $18.95 Per Hour

Manages and oversees the administration of a Behavioral Health Services (BHS) program, including the appropriate utilization and management of staff and the quality of program participants care with an emphasis upon an inter-disciplinary team approach to the delivery of care. Works under general direction. What We Provide Attractive sign-on bonus and referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do Provides clinical supervision to staff including assigning, monitoring and evaluating cases for clinical team(s). Conducts regularly scheduled team meetings. Provides back-up coverage for program leadership as required. Manages triage and case assignment procedures, new referrals, liaison activities, and staff scheduling to insure adequate coverage at all times. Collaborates with other team members and Behavioral Health Services (BHS) leadership in formulating clinical and administrative policies and procedures, preparing policy and procedure manuals, implementing and maintaining established policies and procedures, and proposing modifications and revisions of policies and procedures, as indicated. Collects, tracks, and monitors progress and outcomes for all staff assigned to the team(s); produces and maintains detailed reports for all data pertinent to the program. Reports relevant data to funders and central administration as needed. • Oversees the maintenance of updated case records for team(s) through EMR and coordinates effective electronic communication throughout all provider databases, as needed. Maintains case records in accordance with program policies/procedures, as well as VNS Health, city, and state standards and regulatory requirements. Monitors the program budget and is knowledgeable of all financial aspects of the program, including, but not limited to, reimbursement and purchasing. Ensures volume and productivity meet program standards and operations. Oversees compliance of quality and performance indicators, and supervises staff to achieve goals. Performs internal audits to ensure compliance with policies and procedures and takes corrective action, as necessary to address deficiencies. Provides clinical subject matter expertise and serves as a resource to supervisors, clinicians and staff. • Provides assessment, direct services to program participants and families in the community; advises and consults in case conferences, staff meetings, and discharge planning as needed. Promotes positive relationships within VNS Health and other community service organizations. Serves as program liaison to other community agencies, negotiating formal liaison and organizing consultation and education for referral sources. Participates in 24/7 on-call coverage schedule and performs on-call duties, as required. Investigates complaints registered by program participants, completes Incident Reports and other safety and quality reports within required time frames. Collaborates with program leadership and other staff in the development and implementation of in-service education programs. Performs all duties inherent in a supervisory role. Ensures effective staff training, interviews candidates for employment, evaluates staff performance and recommends hiring, promotions, salary actions, and terminations, as appropriate. Oversees the development of systems and records for billing each MCO. Qualifications Licenses and Certifications: Valid New York State driver's license may be based on program needs required License and current registration to practice as a Nurse, Social Worker, Psychologist, Marriage and Family Therapist, Mental Health Counselor or other related license in the State of New York required For IMT: LCSW required or LMHC Education: Master's Degree degree in Social Work, Psychology, Marriage and Family Therapy, Mental Health Counseling, Nursing or other related field required Work Experience: Minimum of five years of supervisory and administrative experience with demonstrated competency in program management, budget management, and community relations required Strong interpersonal and leadership skills required. Knowledge of Microsoft applications required For Adult Services: Prior experience working in a community behavioral health care setting required Experience with EMR systems preferred Knowledge of city and state agency and/or managed care functioning preferred Pay Range USD $77,200.00 - USD $96,500.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

The RN - Clinical Risk Manager (“CRM”) is responsible for identifying, assessing, and mitigating risks across the MVHS system while enhancing patient safety and quality of care. This position will administer MVHS's risk management program on a day-to-day basis, documenting, managing and analyzing risk management data, conducting proactive risk assessments, delivering targeted risk management education, and providing risk management consultation to ensure compliance with regulatory standards, promoting a culture of safety, throughout the organization. Responsible for management of pending insurance claims and partnering with brokers and insurers. Core Job Responsibilities Coordinates MVHS's clinical risk management program to meet the system's needs in a manner that fulfills our mission and strategic goals while complying with regulations, laws and accreditation standards. Follows a comprehensive enterprise risk management approach in risk identification, analysis, evaluation, mitigation and monitoring. Reviews and analyzes occurrence reports related to risk management, quality of care, regulatory issues, and insurance concerns. Participates in Root Cause Analysis investigations and coordinates with departments and clinical chairpersons for peer reviews. Prepares incident summary reports and provides all necessary documentation for investigations and resolutions. Submits reports to appropriate regulatory authorities as required. Monitors the risk management information system database for patient harm events or unanticipated outcomes and investigates accordingly. Participates in the peer review process and ensures safety solutions are implemented. Collaborates with on-site investigators and participates in risk management assessments. Serves as a resource person and presents risk management issues for discussion and evaluation. Identifies organizational risks through trend analysis. Prepares and presents reports to be presented to leadership regarding findings. Advises on the risk of current or future activities conducted throughout the system. Collaborates with other areas including Quality/Performance Improvement to establish quality and safety goals; participates on quality of care and patient safety committees. Reviews and/or drafts administrative policy and procedures that fall within the risk management domain. Provide guidance and advice regarding clinical risk management issues, policies, procedures and practices across MVHS system. Delivers educational programs to raise staff awareness of risk exposure and professional liability. Responds to inquiries regarding reports and professional liability matters in collaboration with legal department. Keeps current with regulatory requirements related to risk management. Manages insurance claims in coordination with other members of the legal/compliance department Maintains strong relationships with brokers, underwriters, and third party consultants as required. Works collaboratively with Compliance department to implement a comprehensive internal audit plan focused on high risk areas. Collaborate with leadership and cross functional teams to embed risk awareness into strategic planning. Serves as a member on various system risk/patient safety/quality committees to offer input and provide consultation on risk identification and reduction strategies. Partners with legal counsel to provide clinical knowledge an assistance throughout the litigation process to achieve resolution of incidents, claims and litigation matters. Is available to field inquiries from our staff outside of normal business hours. Performs related duties as directed. Education/Experience Requirements REQUIRED: Bachelor's degree in a related field. At least 5 years of experience that may include a combination of risk management, clinical, quality and/or legal work. Leadership, critical thinking and analytical skills. Outstanding written, verbal, presentation and interpersonal communication skills. PREFERRED: Master's degree in a related area. Paralegal, claim management or equivalent legal/risk experience. Licensure/Certification Requirements REQUIRED: Current NYS RN or allied health professional licensure. PREFERRED: CPHRM certification. Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 96387 Department LEGAL AND COMPLIANCE Shift Days Shift Hours Worked 8.50 FTE 1 Work Schedule SALARIED GENERAL Employee Status A1 - Full-Time Union Non-Union Pay Range $74k - $117k/Annually

Nursing Home Social Worker Amsterdam Nursing Home is actively seeking an experienced Social Worker for our Skilled Nursing Facility in the heart of New York City. Must have social work nursing home experience Maintaining and/or improving resident's ability to control everyday physical needs and mental/psychosocial needs Identifying individual social and emotional needs Developing and maintaining individualized care plans Participating in the planning of the resident's admission, community re-entry or transfer to another facility Participating in interdisciplinary care plan meetings to ensure treatment of the social and emotional needs of the resident REQUIREMENTS: Bachelor's Degree in Human Services, Psychology or Social Work Long Term Care/ Subacute Experience Required ABOUT US: With Columbia University and the Cathedral of St. John the Divine among its neighbors, Amsterdam House is located on Amsterdam Avenue at 112 street in New York City. The essence of Amsterdam includes a unique combination of old-world charm, comfortable surroundings, and a state-of-the-art clinical care. Our longstanding tradition of caring is carried out by an exceptional staff who are dedicated to the healing arts, providing each resident with the opportunity to thrive and achieve maximum comfort. Our reputation tells the story of our success. Having consistently earned a 5-star rating from CMS, we are proud to be ranked among the best nursing homes by the US News and World Report. AMS

Works under the direction of a Radiation Oncologist and performs responsibilities associated with the localization of tumors and the administration of radiation therapy. Possess knowledge in principles, practices and procedures involved with the operation of ionizing radiographic and radiation therapy equipment. The knowledge of human anatomy and proper positioning of the patient to provide radiation therapy treatment. Able to perform CT Simulations in accordance with the instructions of the radiation oncologist. Is responsible for patient safety protocols and adhere to departmental policies and procedures. Participates in the department's performance improvement and continuous quality improvement (CQI) activities. Maintains patient work flow and problem solve treatment issues. Have excellent technical and communication skills and shows ability to develop relationships with the staff, patients and families. Upholds NYS Licensure, registration in Radiologic Technology, ARRT and BLS certification. Core Job Responsibilities Delivery of Radiation Therapy Administer prescribed dose of radiation therapy under the direction of a radiation oncologist, in accordance with regulatory standards and hospital policies, practices and procedures, including but not limited to: • Positions patients for radiation therapy treatments with accuracy; utilizing image guidance. • Simulates patients under the guidance of radiation oncologist and make custom immobilization devices. • Performs daily quality assurance checks on linear accelerators and CT/simulation • Ensure that all applicable treatment information and quality assurance checks; regarding the proposed treatment plan is correct before the start of radiation. • Trains and supervises students during their clinical rotation, and or shadow program; Orient new radiation therapist and act as their mentor. • Acts as a consistent team member with patient care as the priority. Effectively rotates as needed with seamless efficiency. Able to treat efficiently with all radiation therapists • Able to effectively communicate with Radiation Oncologist, Dosimetrist, Physicist and support team. • Adheres to punch in/punch out policy. PEAR reports for missed punches are signed by supervisor before the end of the pay period • Correctly identify patient in ARIA and accurately deliver the treatment to correct patient. Identify each patient and treatment area prior to treatment according to policy. • Maintain patient confidence and protect operations by keeping information confidential Education/Experience Requirements Required: Graduate from an accredited School of Radiation Therapy Technology Preferred: Bachelor of Science in Radiation; AAS degree in Radiation Therapy also accepted. Licensure/Certification Requirements Required: Current NYS Licensure registration in Radiologic Technology Radiation Therapy . Registered with the American Registry of Radiologic Technologist (ARRT) Current Cardio Pulmonary Resuscitation Certification Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 93053 Department RADIATION MEDICINE Shift Days Shift Hours Worked 7.50 FTE 0.94 Work Schedule HRLY NON-UNION Employee Status A1 - Full-Time Union Non-Union Pay Range $34 - $59.85 Per Hour

LabCare Latham is seeking a full time Evening Lab Supervisor to join their team! This is a full time 40-hour work week, 11:30am-8:00pm. The Evening Clinical Laboratory Supervisor assists the Laboratory Manager in coordinating laboratory activities to ensure accurate, timely, and cost-effective testing of patient samples. This position supports quality management systems, maintains compliance with all state and federal regulations, and provides supervision and technical support to evening laboratory staff. Responsible for ordering and maintaining all laboratory supplies. Responsibilities: Include but are not limited to the following: Assists with scheduling, training, and competency assessments of laboratory staff. Participates in hiring, performance reviews, and disciplinary action as appropriate. Ensures proper collection, processing, and testing of all specimens per established protocols. Oversees Quality Control, Quality Assurance, and Proficiency Testing programs. Ensures Standard Operating Procedure Manuals (SOPMs) are current and signed off. Performs laboratory testing in chemistry, hematology, urinalysis, and immunology. Maintains detailed records of procedure performance, patient results, troubleshooting logs, and quality control. Reviews and verifies laboratory reports for accuracy and completeness before release. Notifies physicians and nurses of “red flag” or critical results per established policies. Maintains equipment and supply inventory; performs and documents preventive and corrective maintenance. Troubleshoots instrumentation issues and coordinates vendor service when necessary. Ensures compliance with all safety, infection control, and OSHA standards. Maintains a safe and clean work area, properly handling and disposing of biohazardous materials. Participates in continuing education and maintains documentation per NYS requirements. Builds a positive rapport within the organization and throughout the laboratory community. Oversees LIS communications and technical functions related to laboratory operations. Performs other duties as assigned to meet departmental needs. If you are interested in this opportunity and have the desired qualifications, please Apply Now! Compensation: $60,405.80-$98,000.00 CCP salary ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on several factors unique to each candidate, such as work experience, qualifications, and skills. Some roles may also be eligible for overtime pay. CCP's compensation packages go far beyond just salary. The company offers a comprehensive total rewards package that includes medical, dental, vision and life insurances, paid holidays, paid time off, retirement plan, and much more in a business casual environment! We welcome candidates who will bring diverse intellectual, gender and ethnic perspectives to Community Care Physicians. Community Care Physicians is an Equal Opportunity Employer.

Provides physical therapy interventions to designated patients under the supervision of a Physical Therapist (PT). Assists in monitoring patient progress through observations and follows up with supervising therapist. Works under PT supervision as required under NY State Education law. • Follows established physical therapy plan of care, including physical therapy interventions and patient/caregiver education. Modifies specific treatment procedures in accordance with PT plan of care and Physical Therapy Assistant (“PTA”) scope of practice. • Documents all care provided and maintain records per VNS Health policy and standards. • Assists in monitoring patient progress through observation and follows up with Supervising Therapist in accordance with VNSNY policy. • Complies with scope of practice for PTA, including a co-visit with Physical Therapist on all initial PTA visits and keeps PT informed. PT will re-assess patient every 6 visits or 30 days (whichever comes first). • Manages assigned caseload; provides physical therapy services to patients as directed per PT plan of care. • Participates in VNS Health meetings, including but not limited to, interdisciplinary team meetings, in-service and training programs, rehab services meetings and caseload reviews. • Travels to patients' homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct care to the patient. • Assists patients with therapeutic interventions and activities of daily living, which may require positioning, moving, transferring and lifting patients of varying body sizes and physical conditions, with and without assistance and as appropriate, instructing, demonstrating and verifying capabilities of family members and/or paraprofessionals. Ability to use and assist patient with use durable medical equipment as a component of the plan of care, including but not limited to wheelchairs, patient transfer lifts, ambulatory devices, slings, splints, orthoses, prostheses, and exercise/strengthening equipment. • Provides care in accordance with Agency policies, practices, procedures and standards, including professional practice standards of care, which may require standing, stooping, sitting, crouching, twisting, reaching, bending and stretching to deliver patient care. • Transports and utilizes required technology devices (tablet), infection control materials and supplies using VNS Health designated/supplied carrying case (backpack) weighing approximately 15 - 20 lbs to and from patient homes/care facilities, VNS Health offices and therapists' home. • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: New York State Certification as Physical Therapist Assistant Required Valid driver's license may be required, as determined by operational/regional needs. Education: Associate's Degree as Physical Therapist Assistant from a New York State approved program or whose educational credentials have been approved equivalent by New York State Required Work Experience: Minimum of two years experience in clinical patient care (per NY State Education Law) Required Bilingual skills may be required, as determined by operational needs. Basic PC skills Preferred Pay Range USD $33.88 - USD $42.35 /Hr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

VNS Health Home Care RNs redefine the standard of patient-centered care for New Yorkers while keeping them out of the crowded hospital system so they can heal and age where they are most comfortable- in their homes and community. Our nurses provide the Future of Care by meeting patients where they are. We design and deliver individualized care plans and exceptional clinical outcomes to our neighbors most in need. Be part of our 130-year history and innovative Future of Care built by visiting nurses like you. What We Provide Attractive sign-on bonus and referral bonus opportunities Generous paid time off (PTO), starting at 31 days and 9 paid company holidays No employee contribution cost or annual deductible for health insurance including Medical, Dental, and Vision for you and your loved ones w (Medical, Dental, Vision); Life and Disability Insurance Training: 4-weeks paid clinical orientation, preceptorship, and ongoing skills labs Tuition reimbursement following 6 months and CEU credits Employer-matched retirement savings program Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Opportunities to contribute to clinical research and other organizational projects What You Will Do Practice independently in the community as part of an interdisciplinary care team. Deliver personalized nursing and care management to patients in their home or care facilities. Constantly evaluate evolving patient needs and respond with plan of care adjustments. Qualifications Current license to practice as a Registered Nurse in New York State Minimum of one year nursing experience in a medical/surgical environment Valid driver's license or NYS Non-Driver photo ID card may be required For Hospice Only: Wound Care Certification required or willingness to obtain within one (1) year of hire preferred Certification in Hospice and Palliative Care Nursing preferred Pay Range per Visit: If you are applying to the per diem per visit version of this job, the hiring range is as follows: $69.34- $110.00 per visit. Pay Range USD $112,209.00 - USD $138,409.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Cutchogue - For elderly male patient who needs assistance with all daily living activities. 4 hrs. per day. 5-7 days per week. Please call for more information. Southold - For elderly female patient who needs assistance with all daily living activities. SUNDAY ONLY 10 AM TO 5 PM. Please call for more information. $25 PER HR. CALL ************ or APPLY ONLINE. HHA CERTIFICATION REQUIRED. SERIOUS INQUIRIES ONLY.