Nurse manager jobs in Newark, NJ

Responsibilities: Implements administrative goals and policies and interprets objectives of Nursing Services to the nurses on the units. Assist in ensuring appropriate staffing is met during shift. Rounds the nursing units daily to ascertain the condition and needs of the residents and informs Director of Nursing of all changes and related problems. Observes nursing care of the residents to ensure that orders are carried out as directed and treatment is administered in accordance with physician's instructions. Assists with orientating newly employed nurses and clinical placement of nursing students. Arranges hospital transfer of residents. May render nursing care, administer medication and perform treatments. Assists in planning, developing, organizing and implementing departmental goals and objectives. Ensure appropriate staffing levels are met for each unit by coordinating with Staffing Coordinator. Exhibits creativity and initiative in pursuing organizational and departmental growth and development.

Provides care management for clients in collaboration with the Wellness case management team consistent with WeCARE and the VNS Home Care policy and requirements of the Wellness Care Management program. Facilitates the coordination of services between the varying providers for clients with complex psychiatric and/or co-morbid medical conditions who are deemed to be temporarily unable to work. Ensures efficient and successful access and linkage to the full array of necessary physical and behavioral health services. Coordinates effective communication between all providers to the ultimate benefit of the patient. Works under close supervision. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 20 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 401k retirement saving program Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement and CEU credits What You Will Do Reviews and utilizes completed medical and mental health assessments from the ResCARE clinical team when initiating the wellness plan for clients on the temporarily unable to work track. . Confirms acuity level of identified client and tailors services plan accordingly. Develops and monitors wellness plan on behalf of clients with untreated or unstable medical and/or mental health conditions adversely affecting the level of employability. Coordinates and integrates a written, coordinated wellness plan in cooperation with the client the client's family, and/or other providers serving the client. Performs and maintains effective care management for a caseload of clients, as assigned, from wellness initiation to wellness completion. Meets with assigned clients to monitor progress and compliance with the wellness plan. Tracks/ monitors client progress and produces/maintains detailed, accurate and timely case notes. Reviews cases for completeness of documentation. Develops inventory of resources that will meet the clients' needs as identified in the assessment process. Becomes familiar with service providers in the community where the clients resides in order to mitigate barriers to wellness plan compliance such as transportation, childcare etc. Provides linkage, coordination with, referral to and follow-up with appropriate ongoing service providers. Participates in meetings with service providers to coordinate service and follow up to ensure client's compliance with and timely completion of the wellness plans and required documentation. Works collaboratively with team members to provide outreach (Via Phone calls, Emails, Texts and Field visits) to clients who have failed to comply with the process of the initiated wellness plan and wellness care management services. Provides information and assistance through advocacy and education to client/family on availability and eligibility of entitlements and community services. Assists with arranging escorts and transportation for clients to appropriate facilities/agencies, as necessary. Participates in initial and ongoing trainings as necessary to maintain basic level of knowledge related to serious physical ailments as defined by HRA. Collaborates with the wellness health team to develop psycho-educational plans for client's wellness plan process and medication compliance. Maintains updated clients' case records through the WeCARE wellness care management and HRA platforms, and coordinates effective electronic communication throughout all provider databases, as needed. Maintains case records in accordance with the wellness care management policies/procedures, agency standards and regulatory requirements. Participates and consults with team supervisor in case conferences, staff meetings, and discharge planning meetings to determine if client requires an alternate level of care or is appropriate for discharge. Participates in special projects and performs other duties as assigned. Qualifications Education: Bachelor's Degree in a human services or related field required Master's Degree program in human services or related field preferred Work Experience: Minimum of two years of experience providing direct services to seriously mentally ill patients/clients required Effective oral/written/interpersonal communication skills required Bilingual skills preferred, and may be required as determined by operational needs. Basic computer skills required Pay Range USD $23.17 - USD $28.96 /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.

“WHEN YOU WORK FOR US, WE WORK FOR YOU.”Travel OR RN Weekly Gross Pay: $2057.00 - $2257.00 Assignment length: 13 Weeks Minimum years of relevant experience in healthcare: 2 years Job type: Traveler Shift: Day (3x12) Certifications: BCLS/BLS/ACLS Position Highlights 13-week travel contract Competitive weekly pay package Work with an experienced clinical and recruiting team Quick start options available (inquire for details) Titan Medical is looking for travelers to fill a Travel OR position for a 13-week assignment in Westwood, NJ! Call Titan for additional details. ************** Benefits Day-one medical, dental & vision insurance Loyalty bonus after 2,080 hours Life and short-term disability 401(k) with employer match Referral bonus up to $1,500 24/7 recruiter support Licensure and CEU reimbursement Experienced clinical team available to support you throughout your assignment Titan Medical App available on the Apple Store & Google Play Why Travel with Titan Medical Titan Medical provides access to thousands of travel nursing and allied health jobs nationwide. Your dedicated recruiter will help you: Build a strong traveler profile by improving your résumé and showcasing your skills Increase your chances of landing the assignment you want Travel with a top healthcare staffing company in the industry Ready to apply or want more information? Call ************** to connect with Titan Medical today!

This role serves as a strategic partner and operational leader within the Medical Affairs organization, supporting US field initiatives. The position partners with cross-functional teams to drive operational excellence, strategic planning, and project execution to support the US Field Medical Team Key Responsibilities: • Lead strategic planning and operational activities across Field Medical Affairs, including development of work plans, project milestones, and resource allocation. • Provides meeting management support for national MSL team meetings and leadership team meetings • Utilize data analytics to uncover areas of opportunities with US Field Medical to enhance performance, efficiency and project management, tracking productivity and operational excellence with key performance indicators (KPIs) • Support execution of field strategies and launch planning where applicable • Support implementation of CRM system enhancements, design and operationalization • Facilitate training, onboarding, and development programs for Medical Affairs staff • Prepare and manage communications, presentations, and leadership updates. Capabilities: • Strong project management and strategic planning skills • Ability to lead cross-functional initiatives and manage external partnerships • Experience in data analysis and performance tracking • Knowledge of compliance, regulatory, and legal frameworks in medical operations Requirements: • BS required, Master's degree preferred • Senior Manager: 2+ years experience in Medical Affairs roles; Associate Director: 5+ years experience in Medical Affairs roles • Proven track record in project leadership and operational excellence.

Compensation: $300k- $350k per year Job Type: Full-time, Monday-Friday A major New York City health system is seeking a Chief Nurse Officer to lead facility-wide nursing operations, education, strategy, and quality initiatives. Reporting to the Chief Executive Officer and the system's Chief Nursing Executive, this leader will oversee nursing performance, implement standardized best practices, and ensure safe, high-quality, patient-centered care across the organization. Key Responsibilities Oversee all day-to-day nursing operations and ensure patient satisfaction, staff engagement, quality care, and financial goals are met. Lead the development and implementation of nursing education programs, operational standards, and organizational policies. Plan, direct, and evaluate clinical and operational performance improvement initiatives that align with system-wide objectives. Present research and evidence-based recommendations to strengthen nursing practice and promote a collaborative, information-sharing environment. Partner with senior leadership, medical staff, and cross-functional departments to develop and integrate clinical strategies, nursing policies, and operational standards. Direct nursing training programs and oversee recruitment, development, credentialing, competency reviews, and retention of nursing personnel. Foster strong labor-management partnerships, participate in union forums, and maintain effective communication with nurse leaders and staff. Collaborate with multidisciplinary teams to ensure coordinated, comprehensive patient care and ongoing assessment of equipment, systems, and operational needs. Ensure compliance with all regulations, legislation, and nursing standards; address bioethical, public policy, and legal issues impacting patient care. Plan and administer operating, staffing, and capital budgets; oversee financial performance and expense controls. Perform related duties as required. Benefits Health Insurance Plans Flexible Spending Account Programs Management Benefits Fund (MBF) Tuition Reimbursement Vacation and Sick Leave Family & Medical Leave Act (FMLA) Special Leave of Absence Coverage (SLOAC) Additional Leave Options Retirement Savings Plans (NYCERS, VDC, TDA 403B, 457, NYCE IRA) Additional Savings Plan Options Transit Benefits Municipal Credit Union (MCU) Membership Qualifications Valid New York State RN license Master's Degree in Nursing Administration or a related field Eight (8) years of nursing experience, including six (6) years in administration or management Prior CNO Experience required

Recruiting Director of Nursing/Chief Nursing Officer Kingsboro Psychiatric Center (KPC), a Joint Commission accredited Office of Mental Health (OMH) facility is recruiting a Director Nursing 3 (Psychiatric) to serve as the Chief Nursing Officer and a member of KPC's executive leadership team. As the Chief Nursing Officer (CNO), you will provide leadership and strategic oversight for all inpatient, outpatient, community, and residential nursing and direct care services at KPC. The CNO is a KPC policymaker that sets the vision for nursing care delivery and professional practice models that align with KPC and OMH mission and values to ensure high quality, patient-centered care. Duties include, but are not limited to: Serving as a member of the KPC Cabinet and Executive leadership team and contributing to organizational planning, policy development, and decision-making processes Implementing compliance and regulatory process structures to meet Joint Commission National Patient Safety Goals and Standards and OMH regulatory requirements Analyzing and reporting on regulatory compliance and leading survey readiness initiatives Overseeing the integration of mental health, primary care, and substance abuse treatment to support person-centered treatment, rehabilitation, and recovery Addressing critical change management factors essential to support a culture of excellence in patient care Overseeing safety initiatives and working with KPC committees including infection control and safe patient handling Mentoring and professional development of nursing staff, managers, and educators; establishing and implementing a progressive vision for the training, and continuing education for nursing and direct care staff Overseeing recruitment, retention, supervision, and evaluation of nursing and direct care staff Monitoring staffing, assignments, and scheduling to ensure quality care About KPC KPC, located in Brooklyn, New York, is a community-based mental health facility providing inpatient and outpatient services. KPC delivers person-centered care for young adults through geriatric individuals with muti-faceted needs, including complex and co-occurring psychiatric and medical histories, significant substance use, trauma, and forensic histories. KPC delivers comprehensive, integrated services to hospitalized patients and operates three Transitional Living Residences; an 80-bed Family Care Program with certified homes in the community; a satellite clinic on campus; and two community-based outpatient clinics located in the Canarsie and Williamsburg neighborhoods. The clinics provide assessment and treatment planning; health screening and referrals; discharge planning; verbal therapies; medication therapy; medication education; symptoms management; psychiatric rehabilitation readiness determination; case management; crisis management; clinical support; mobile outreach; and family support services. About OMH OMH operates the largest state mental health system in the country, with 23 hospitals, 90 clinics, two world-class research institutes, a secure residential center, and a network of community services. OMH hospitals are all Joint Commission-accredited and recognized as among the best mental health hospital systems in the United States. OMH believes everyone should have an equal opportunity to achieve mental wellness. This means implementing services and policies to reduce disparities in access, quality, and treatment outcomes for historically marginalized, underserved, and unserved populations. If you would like to join KPC and contribute to a workforce dedicated to public service, we offer: Generous paid time off, including vacation, sick, and personal leave as well as thirteen (13) paid holidays Option to choose a NYS health insurance plan that meets your needs. No Cost dental and vision coverage. Enrollment in the New York State and Local Retirement System (NYSLRS) and Deferred Compensation Minimum Qualifications Possession of a license and current registration as a registered professional nurse in New York State and Five (5) years of post-licensure clinical and administrative nursing experience; two (2) years of this experience must have been at a managerial level with overall responsibility for the development, implementation, and evaluation of nursing programs and services in a mental health, developmental disabilities, addictions, or long-term care setting or psychiatric program in a health care setting Substitution: Master's degree in nursing can substitute for one (1) year of non-managerial post-licensure clinical nursing experience. Notes Background check is required. Candidates may be required to pay the associated fees. Employment is contingent upon complying with and satisfactorily meeting the background check requirements. It is the candidate's responsibility to clearly demonstrate how they meet the minimum qualifications. Vague or ambiguous information will not be interpreted in the candidate's favor. If appointed and you fail to maintain your license and/or registration once you are appointed, action will be taken to remove you from the position. In order to be hired and to maintain your employment, candidates cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists. If appointed and subsequently listed as an excluded individual or entity on any of these lists, you may be terminated from your employment. If appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Office of Employee Relations at ************** or via email at ***************. The Mission of the New York State Office of Mental Health is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances.Applicants with lived mental health experience are encouraged to apply. The Office of Mental Health embraces diversity and promotes a workplace in which individual differences are recognized, appreciated, and respected. The New York State Office of Mental Health is an equal opportunity/affirmative action employer.

Tono Health is pioneering the future of specialty medicine, starting with dermatology. While patients wait months for appointments, Tono connects the healthcare ecosystem-Primary Care, Urgent Care, and Health Systems-to world-class dermatologists in days, not months. Tono Health is one of the fastest-growing specialty access platforms in the country. We are now in 32 states and reach over 80% of the US population. We are building a state-of-the-art commercial and clinical hub designed to optimize collaboration. You will be working directly with the co-founders and our elite team of dermatologists and engineers, many of whom have joined us from Amazon, Apple, Twitter, and top-tier institutions including Columbia, Einstein, Harvard, Mount Sinai, and Memorial Sloan Kettering (MSK). Together, we're building a company at the intersection of medicine and technology to unlock new possibilities. We're proud to be backed by leading investors, including Village Global, a venture firm backed by some of the world's most successful entrepreneurs, including Bill Gates, Jeff Bezos, Michael Dell, and chaired by Reid Hoffman. We are also partnered with HOF Capital, bringing a global network of over 240 strategic industry leaders across 37 countries, and Oncology Ventures, whose deep expertise supports our ambitious goal to transform supportive oncology care. Job Summary: Clinical Partnerships Manager This is Tono's first commercial hire. We are looking for a Strategic Builder-Operator to architect our sales engine in the NYC Metro area and beyond. This role combines the high-velocity execution of pharma field sales with the strategic relationship building of enterprise tech sales. You are not just running a route; you are building an ecosystem. We are looking for someone who can grind in the field-visiting clinics and solving workflow bottlenecks-but who is equally comfortable "meeting them where they are." Whether that means working the floor at a national conference, hosting a dinner for Key Opinion Leaders (KOLs), or navigating a complex health system partnership, you are the face of Tono's growth. The role responsibilities are 50% field execution, 30% strategic partnerships, 20% systems building. 1. Field execution High-Velocity Outreach: Maintain a consistent presence in high-priority Primary Care, Urgent Care, and Oncology clinics across the Tri-State area. Consultative Activation: You aren't just dropping off brochures. You are consulting with practice managers to optimize their referral workflows, onboarding them to Tono Connect, and embedding Tono as their default dermatology partner. Drive Utilization: Monitor referral patterns and re-engage clinics to ensure ongoing adoption and provider satisfaction. 2. Ecosystem building Meet Them Where They Are: Execute a multi-channel strategy. Identify and attend the conferences, society meetings, mixers, and dinners where clinical decision-makers congregate. Conference Strategy: Represent Tono at regional and national events (e.g., ASCO, local Medical Society meetings). You will work the floor, generate leads, and build Tono's brand presence. Enterprise Navigation: Move beyond the front desk. Build relationships with Medical Directors, referral managers, and Clinical Leads to drive system-wide adoption rather than just single-clinic usage. 3. Architect the commercial playbook Build the Playbook: Document what works. You will create the "Tono Sales Standard", defining our pitch, our objection handling, and our segmentation strategy. Data & Infrastructure: Implement and manage our CRM (Salesforce/HubSpot) to track both high-volume field visits and long-cycle enterprise relationships. Future Leadership: Assist in designing the organizational structure, recruiting, and mentoring the next cohort of territory representatives as we scale. Qualifications: 5-8+ years of experience in healthcare sales (Pharma, MedTech, Diagnostics, or Provider Relations), Partnerships, or B2B SaaS. Proven Top Performer: Track record of ranking in the top 10% of your sales force (President's Club, Circle of Excellence, etc.). The "Builder" Mindset: You are tired of bureaucracy and want to build a department from scratch. You are comfortable operating independently without a pre-written manual. Strong Local Network: Deep knowledge of the NY/NJ provider landscape (health systems, independent practices, urgent cares). Conference & Networking Pro: You are comfortable working a booth, navigating a conference hall, and building relationships outside of the clinic walls. Tech-Forward: Proficiency with CRM tools and modern tech stacks; ability to sell a digital platform (Tono Connect). Excellent Communication: Ability to build trust quickly with physicians, practice managers, and front-desk staff. Compensation & Benefits Target Salary: $120,000+ and performance bonuses Performance Incentives: Bonuses are tied to clinic activation, platform adoption, and system-building milestones (strictly compliant with federal/state regulations). Meaningful equity Medical benefits Growth opportunities in a fast-scaling, mission-driven organization Opportunity to lead marketing for what could become one of the most iconic healthcare brands of our time Personal Characteristics Integrity and trust: A trusted confidant to the founders, able to handle sensitive information and make decisions aligned with Tono's values. Startup mindset: Positive, curious, adaptable, and driven to make a significant impact in a fast-paced environment. Desire to compete and win: You don't just want to participate in the market; you want to dominate it. You measure success by results and refuse to settle for second place. Bias to action: Comfortable with ambiguity and urgency, with a natural inclination to roll up your sleeves and get things done. Prioritized and organized: Skilled at managing a packed schedule and prioritizing effectively to ensure nothing falls through the cracks. Relentless drive for excellence: Holds themselves and others to the highest standards, continually seeking improvement and delivering exceptional results. Desire to work with the best: Motivated by collaborating with top-tier talent in a high-performance, mission-driven environment. Location preference: Strong preference for New York City-based candidates for proximity to Tono's clinical, engineering, and business teams.

Nurse Manager Department: Assisted Living Employment Type: Full-Time Schedule: Monday-Friday, 8:00 AM - 4:00 PM The Assisted Living Program Nurse Manager is responsible for the overall clinical and operational management of the assisted living nursing department. This role ensures high-quality, resident-centered care through effective staff leadership, interdisciplinary collaboration, regulatory compliance, and strong communication across care teams and partner agencies. Key Responsibilities Manage day-to-day nursing department operations, including staffing coverage, scheduling, supervision, and follow-up on complaints or concerns Create, maintain, and manage duty sheets for Resident Service Associates (RSAs) across all shifts Hire, train, evaluate, coach, and discipline RSAs providing direct resident care Coordinate and facilitate Home Health Aide in-service education and training programs Serve as the primary liaison with certified Home Health Agencies to coordinate resident health services Participate actively in interdisciplinary team meetings to support resident-centered care planning Establish workflows that promote effective communication, reporting, and emergency response Coordinate interdisciplinary care and maintain consistent communication with healthcare team members Monitor and coordinate resident tray service requests to ensure nutritional and service needs are met Conduct screenings of prospective residents to determine program eligibility Complete or oversee completion of Universal Assessment System (UAS) documentation per regulatory requirements Perform functional assessments for Enriched Housing residents as required Additional Responsibilities Ensure compliance with all federal, state, and local regulations related to assisted living and enriched housing Promote a culture of quality, safety, accountability, and resident dignity Maintain accurate documentation related to resident care and staffing Partner with leadership on continuous improvement initiatives Required Qualifications Active Registered Nurse (RN) license in good standing Experience in assisted living, enriched housing, long-term care, or community-based health services Proven leadership and staff management experience Strong understanding of regulatory requirements, resident assessments, and care planning Excellent communication, organizational, and problem-solving skills Preferred Qualifications Prior experience in a nurse manager role within assisted living or housing-based healthcare settings Selling Points Immediate hiring need with an early January start date Stable weekday schedule (no nights or weekends) Opportunity to lead and shape clinical operations during a key transition period

Nurse Manager - Operating Room (Evenings 1p - 11p) Employment Type: Full Time 4 10 hour shifts per week Job Description: We are working with a well known organization seeking an experienced Nurse Leadership candidate for their busy Perioperative Services department. This is an amazing place to continue growing your career! This is a large, busy Perioperative program - running 30+ rooms into the Evening hours. They are seeking a well established OR RN that wants to continue growing their career Schedule: Monday - Friday Day shift Weekend Leadership coverage is Administrative only - it is does via phone Weekend rotation is approximately 1 weekend every 8 weeks Qualifications: Must be an RN BSN degree required Masters degree preferred CNOR a huge plus Must have Operating Room experience Seeking a visible leader that works well with Patients/Family as well as with the Physicians Will oversee 30-40 staff Pay & Benefits: Organization is focused on a positive culture Strong benefits package Competitive pay package PTO and CME allowance

Join one of the most advanced cardiovascular programs in the nation as our Interventional Cardiology Manager. This is a rare opportunity to lead operations in one of the highest-volume Cath lab in New Jersey, featuring cutting-edge procedures, a robust regional cardiogenic shock program, one of the largest structural heart programs in the country, and the largest electrophysiology (EP) program in the state. We are expanding to include 7 cardiac Cath labs and 6 EP labs to meet growing demand and continue delivering exceptional care. Key Responsibilities: Direct and oversee daily operations of the cardiac catheterization and electrophysiology labs, ensuring optimal workflow and patient throughput. Ensure full compliance with federal, state, and institutional healthcare regulations and safety standards. Lead recruitment, onboarding, training, and performance management of Cath and EP lab personnel. Collaborate closely with physicians, nursing staff, and other departments to ensure seamless, high-quality patient care. Develop and manage the labs' operating and capital budgets, identifying opportunities for cost savings and resource optimization. Implement and monitor quality assurance initiatives, including clinical outcomes, patient satisfaction, and staff engagement. Drive continuous improvement through data analysis, benchmarking, and adoption of best practices in cardiovascular and electrophysiology care. Serve as a key liaison with hospital leadership, contributing to strategic planning and service line growth. Champion innovation in cardiovascular care, supporting the development and execution of advanced procedures and technologies. Support and expand the regional cardiogenic shock and structural heart programs through clinical leadership and multidisciplinary collaboration. Oversee the expansion and integration of new procedure rooms to accommodate growing patient volumes and service offerings. Qualifications: Bachelor's degree in Nursing, Healthcare Administration, or related field (Master's preferred) Current RN license or equivalent clinical credential Minimum of 5 years of experience in a cardiac catheterization or electrophysiology lab, with at least 2 years in a leadership role Strong knowledge of interventional cardiology and electrophysiology procedures, equipment, and protocols Demonstrated ability to lead multidisciplinary teams and manage complex operations Excellent communication, organizational, and problem-solving skills Proven track record of driving innovation and improving clinical outcomes in high-volume cardiovascular settings Our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. This Medical Center is a nationally-recognized leader in cardiology and heart surgery, orthopedics, gynecology, geriatrics, gastroenterology and GI surgery, pulmonology and lung surgery, and urology.

RN Case Manager / Utilization Review (Inpatient) Shift: Days, Monday-Friday 8:00 AM-4:00 PM; every other Saturday required (8:00 AM-4:00 PM) Guaranteed Hours: 40/week Contract Length: ~13 weeks Position Summary: RN Case Manager responsible for coordinating inpatient care, utilization management, and discharge planning. The role focuses on concurrent review, high-risk patient identification, collaboration with physicians and interdisciplinary teams, and communication with third-party payers to ensure appropriate level of care and timely discharge. Key Responsibilities: Perform concurrent utilization and continued-stay reviews Identify high-risk patients and develop discharge plans for uncomplicated cases Coordinate with physicians to establish and update time-oriented plans of care Communicate clinical information to third-party payers and complete retro reviews Monitor delays, duplication of services, and appropriateness of care Collaborate with social work and interdisciplinary teams to facilitate discharge Ensure accurate documentation and participation in quality and performance improvement activities Requirements: Active New York State RN license BSN required Minimum 3 years of direct patient care experience BLS and ACLS required Strong utilization review, discharge planning, and interdisciplinary collaboration skills Preferred: MSN CCM (Certified Case Manager) PALS Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts. Best Regards, Tabish Ahmad

Renewal Memory Partners is an innovative homecare provider specializing in dementia. We uniquely combine a mission-driven approach with a concierge client experience. Our clients include many of New York's most accomplished families, as well as some of the city's most vulnerable. Holding Platinum SAGECare Certification, Renewal has a commitment to providing culturally competent care to LGBTQ+ older adults. We're seeking a full-time Director of Nursing to lead our tight-knit team as we grow. If you're passionate about dementia care, thrive in entrepreneurial environments, and want to shape the future of memory care, this is your opportunity to make a difference. Join a small yet mighty team where your voice truly matters. We invite you to watch Care Portraits, a video of our mission in action: ******************************************* What You'll Do Leadership & Administration Partner with the Senior Care Director in supervising the day-to-day operations of the Client Services team Lead and mentor a small team of RNs to ensure exceptional care and full NYS DOH compliance. Spearhead clinical quality improvement initiatives Cultivate meaningful, trust-based relationships with clients, their families, and Care Partners Fieldwork Conduct in-home clinical assessments Develop, review, and update Plans of Care for clients based on their unique health conditions and holistic needs Manage complex cases requiring discretion and sophisticated clinical judgment Maintain regular communication with families and key stakeholders Supervise and train home health aides and companions Participate in 24/7 remote on-call rotation What We're Looking For Must Have: ● Active New York State RN license ● Proven leadership experience managing nursing teams ● Genuine passion for dementia care (professional or personal connection to the dementia journey) ● Strong regulatory knowledge (NYS DOH experience preferred) ● White glove, concierge-caliber interpersonal skills You Are: ● A go-getter with an entrepreneurial spirit and a growth mindset ● Comfortable commanding respect while working collaboratively ● Tech-savvy and organized ● Based in Manhattan, Brooklyn, Queens, the Bronx, Westchester, northern New Jersey, or Long Island and comfortable commuting to Manhattan 3x/week ● Mission-driven and committed to person-centered care Why Join Us Competitive Package: $115,000 - $130,000 base salary plus benefits Benefits include performance-based bonuses; PTO; medical, dental, vision & life insurance; pre-tax commuter benefit; and generous 401(k) matching Flexibility & Balance: Hybrid schedule: 3 in-office/fieldwork days (Tues-Thurs, midtown Manhattan), 2 flexible days for additional fieldwork/work from home. Growth & Impact: Shape clinical operations as we expand our reach in NYC and Westchester County. About Us As a social enterprise and Certified B Corporation, we champion social and environmental causes while balancing profit and purpose. We're deeply committed to LGBTQ aging cultural competency and inspired by the teachings of dementia educator Teepa Snow. Since our founding, we've developed expertise in caring for people living with Alzheimer's disease and related dementias. Renewal Memory Partners is an Equal Opportunity Employer.

Our client, a leading provider of inpatient substance use treatment, is hiring a Director of Clinical Services. This is a high-impact leadership role managing all aspects of inpatient clinical operations, including staff supervision, program development, performance monitoring, and regulatory compliance. Key Responsibilities Lead and manage clinical operations for inpatient substance use programs Supervise and grow a team of counselors and incoming peer recovery staff Oversee treatment planning, case reviews, and daily clinical huddles Track and act on clinical performance metrics Ensure compliance with OASAS, JCAHO, and internal standards Collaborate with admissions, medical, and executive teams Provide direct clinical supervision as needed Onsite availability Monday-Friday; flexible in emergencies Qualifications Master's degree preferred (MSW, LCSW, LMSW, LMHC, LMFT, CASAC); bachelor's-level CASAC considered 3-5 years of addiction treatment experience; inpatient a plus 2+ years of leadership experience (manager/supervisor level acceptable) Data-driven, tech-savvy, and passionate about growth Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.

Our direct client is seeking a Director of Patient Care to join their team for a full-time, permanent opportunity. Job Summary: Oversees all clinical operations, performance improvement activities, training and supervision of nursing and field staff and medical compliance issues. Reports To: AVP, Home & Community Based Services and/or Chief Financial Officer Duties and Responsibilities: 1. Develops and administrates a clinical program for the delivery of care to clients. Participates in the development, updating and revision of agency policies and procedures. Interprets agency policies to staff, clients, families and other individuals or organizations as required. Ensures that clients are fully assessed upon admission to the agency. Ensures that clients are accepted for admissions according to the agency's criteria and policies. Ensures that a plan of care is developed and recommended for all clients receiving care. Provides for continuity in the care of clients by ensuring that the established plan of care is implemented. Ensures that all services provided to clients are coordinated to guarantee the provision of safe and adequate care. Ensures compliance by staff with all applicable Federal, State and local regulatory and accreditation standards. Ensures that required professional and ancillary services are provided when necessary. Covers for Staff Nurses when necessary. Ensures that clients' records are based on local, state and federal regulations as well as accreditation standards. Provides supervision to nursing and paraprofessional staff as required. Leads the quality assessment, quality program management and quality 2. Performance improvement strategies in collaboration with senior leadership and service delivery management. Works to advance, develop, implement and refine quality and safety programs at the inter-professional level through consultation, program activities and collaboration across company Health Plans. Participates in the development of quality metrics to support performance improvement initiatives and quality/compliance oversight. Serves as quality subject matter expert with other stakeholders to drive quality management strategy. Builds shared vision to incorporate a culture that is data driven and aligns with evidenced based best practices that are compliant with CMS and NYS DOH requirements. Facilitates and supports operational changes and activities which support quality improvement and clinical staff development goals. Works under general direction. Monitors and ensures the implementation of the performance improvement plan and program. Facilitates all performance improvement activities. Ensures compliance with complaint procedure. Receives, reviews and ensures compliance with incident/accident reporting procedures. Ensures compliance with infection control policies and procedures. Monitors quality of care delivered by staff through record review, conferences, supervisory visits and review of aggregated data. Participates in agency's P.I. plan by conducting and organizing data collection and tabulating results. Participates in defining, monitoring and interpreting standards of practice by all clinical staff. In collaboration with Senior Management, prepares schedules, agendas and minutes for the Performance Improvement committee. Facilitates performance improvement process teams. Provides progress report to Senior Management Reviews and analyzes data and ensures dissemination of appropriate information to staff. In collaboration with Senior Management analyzes and reviews the Performance Improvement Plan as needed. Identifies and recommends opportunities for improvement. Develops and implements performance improvement education programs and activities and participates in the orientation of all staff in performance improvement concepts. 3. Develops and administrates a program for the orientation, training and competency measurement for all field staff. Ensures the orientation of field staff to the agency's policies and procedures and their job responsibilities. Ensures that competencies of field staff are measured at the time of orientation, annually and as needed. Ensures that clinical staff receives required in-service programs. Develops in-service programs that meet government and accreditation standards and are clinically and educationally appropriate for the staff. Ensures that field staff is supervised via in-house visits and/or laboratory setting observations. Aggregates and analyzes data from tests and/or competency testing. Implements action plans to address findings. 4. Monitors the health status of staff. 5. Provides conflict resolution. 6. Demonstrates a commitment to customer service and quality care provisions. 7. Ensures that activities are cost effective. 8. Attends appropriate meetings, care conferences, in-services, etc. 9. Leads the development of the quality improvement program for assigned product lines. 10. Designs, initiates and leads strategies and projects that foster the application of continuous improvement principles and best practices among Medicare and Medicaid products, in collaboration with senior leadership and service delivery management. 11. Designs and evaluates clinical support and education programs that are integrated with and facilitate quality improvement strategies and achievement of the Enterprise's strategic objectives. 12. Develops strategic plans and policies for improved quality for all lines of business and works with senior leadership to ensure compliance with regulations. 13. Develops strategies and methods for the collection, analysis and dissemination of clinical performance data. 14. Serves as a subject matter expert to leadership, internal service delivery management and network providers in the areas of quality assessment and performance improvement initiatives. 15. Evaluates the impact of industry and regulatory changes on the Quality Improvement programs; recommends appropriate and necessary changes. Leads implementation of such changes. 16. Participates with other staff in interacting with regulatory, health and community agencies in identifying and influencing public policy issues that relate to the health plans. Represents the company internally and externally and increases public awareness of program through education, presentations and marketing of services. 17. Ensures quality initiatives are aligned with CMS triple aim framework: improving members' experience of care (including quality and satisfaction), improving the health of populations and reducing the per capita cost of healthcare. 18. Directs company quality metrics related to regulatory compliance and performance improvement initiatives. 19. Functions as the Quality liaison for the development of analytic systems and databases that support the development of systems and strategic initiatives as requested by the Enterprise. 20. Develops strategies and methods for collection, analysis and evaluation of the quality improvement projects. Oversees project work plans, including objectives, tasks and time frames to ensure deliverables are completed on time. Identifies and responds to changing project circumstances and communicates issues to leadership as appropriate. Initiates and leads project evaluation process at project close. 21. Keeps informed of the latest internal and external issues and trends in utilization and quality management through select committee participation, networking, professional memberships in related organizations, attendance at conferences/seminars and select journal readership. Revises/develops processes, policies and procedures to address these trends. 22. Collaborates with operations management in the development of action plans based on quality reviews and root cause analysis findings. Makes recommendations to appropriate staff and/or committees about findings of reviews, surveys and studies. Ensures corrective actions for regulatory issues, compliance or deficiencies identified in patient complaints/incidents are implemented effectively. 23. Performs all duties inherent in a senior managerial role. Ensures effective staff training and evaluates staff performance. Approves staff training, hiring, promotions and terminations and salary actions. Prepares and ensures adherence to the department budget. 24. Participates in special projects and perform other duties as required. Job Qualifications: Current license and registration to practice as a Registered Nurse in New York State. Bachelor's Degree in Nursing. Minimum of 3 years of clinical supervisory experience and 1 year of home care experience required. Current New York State Driver's license and access to a car.

JOB PURPOSE: The Nurse Educator will be driven by creating a learning experience that is as unique as those we are providing this resource to. And will apply the basic learning principles to develop a strategic education plan by reviewing the following areas: Data - An analysis of the current health care workforce and the needs of the future. Strategy - An overarching workforce planning approach. Planning - An approach to creating pipelines to fill future educational/resource/learning needs. Evaluation - The ability to monitor the effectiveness of the plan. The education department will work with the leaders of each area or identified subject matter experts to ensure that there is the development of a standardized/systematic curriculum that can be modeled after and re-enforced. Develop a targeted evaluation that will support fact findings and determine the need for prioritization of educational programs offering employees training and continuing education opportunities. JOB RESPONSIBILITIES: Develop and conducts Continuing Education programs for clinical staff. Conduct mandatory in-services for all staff. Conducts orientation program for new staff and coordinates a smooth transition to team with direct supervisors. Follow and evaluate newly employed nursing staff after the orientation period, conduct extra orientation if necessary, and recommend an extension of probation, or termination as indicated. Conduct and/or coordinator formal and informal education activities. Conducts ongoing education on EMR and new policies implemented within the organization. Conduct field visits with Nurses to assess competencies and provide clinical support. Ensure that staff attends in-services and keep track of staff attendance of in-service. Assist in nursing staff recruitment by interviewing and recommending applicants for employment. Develop and implement focused clinical studies, maintain database, and produce written reports to support conclusions. Coordinate with the Quality Department on Infection Control for updates and current practice to ensure all staff are educated. Develop and implement an annual nurse competency assessment program. Contribute to the development and revision of clinical policies and procedures, and educational and training materials. Participate in Quality Assessment activities including chart audits, vendor audits, and environmental safety. Participate in performance improvements project and committee Participate in special activities of the department and institutional as assigned. Only act within the scope of the individual's authority to practice. Meet a standardized set of competencies for the specific position description established by the PACE organization before working independently. Schedule: 8:30AM - 5:30PM Weekly Hours: 40 QUALIFICATIONS: Education: Bachelor of Sciences in Nursing; Master's Degree, preferred. Experience: Minimum of five (5+) years of experience conducting training classes or as an Education Coordinator in a healthcare facility. Minimum of one (1) year of experience working with a frail or elderly population or, if the individual has less than one (1) year of experience but meets all other requirements, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring. License: Current active and unrestricted license in NYS as a Registered Nurse, required. Additional Requirements: Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State in which the healthcare professional will perform the function. Be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact. Must have excellent written and computer skills. Physical Requirements Individuals must be able to sustain certain physical requirements essential to the job. This includes, but is not limited to: Standing - Duration of up to 6 hours a day. Sitting/Stationary positions - Sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods. Lifting/Push/Pull - Up to 50 pounds of equipment, baggage, supplies, and ability to lift patients safely and using OSHA guidelines, etc. Bending/Squatting - Must be able to safely bend or squat to care for patients, use medical supplies, etc. Stairs/Steps/Walking/Climbing - Must be able to safely maneuver stairs, climb up/down, and walk to access work areas Position requires the individual to be able to travel, and walk between sites/locations and work areas throughout the day. Agility/Fine Motor Skills - Must demonstrate agility and fine motor skills to operate and activate equipment, devices, instruments, and tools (ie. typing, use of medical supplies, equipment, etc.) Sight/Visual Requirements - Must be able to visually assess patients, read orders type/write documentation, etc. with accuracy. Audio Hearing and Motor Skills (language) Requirements - Must be able to listen attentively and document information from patients, community members, providers, etc., and intake information through audio processing with accuracy. In addition, must be able to speak comfortably and clearly with language motor skills for customers to understand the individual. Cognitive Ability - Must be able to demonstrate good decision-making, reasonableness, cognitive ability, rational processing, and analysis to satisfy essential functions of the job.

NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers. NYC Health + Hospitals/Correctional Health Services is one of the nation's leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation's largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City's criminal justice reform efforts. Work Shifts Time: 8:00 AM - 4:00 PM Days: Monday to Friday Facility: Trailer 4 at Rikers Island Duties & Responsibilities This position works under the direction of the Assistant Chief of Service, Medicine, exercises wide latitude of independent judgment and initiative in supervision of overall administration and management of the Medicine Department. The position assumes full responsibility and authority in areas delegated. May direct a group of services across multiple jail facilities. Responsibilities include: (Detailed Task) Serve as the clinical director for Complex Care, providing clinical supervision to clinicians (1 NP, 1 RN) who supporting care delivery and coordination for the more medically complex patients in the jails. This role encompasses the following responsibilities: Establishing clinical criteria for inclusion. Defining the overarching vision and program objectives. Attending weekly Complex Care rounds to ensure the effective delivery of care. Consulting on Complex Care patients and offering clinical guidance and support to front-line providers within jail facilities. Providing direct patient care at least 50 percent of schedule Serving as a clinical point of contact for colleagues from other departments as needed. Delivering patient education related to complex diagnoses. Ensuring that patients are assigned to medically appropriate housing areas on Rikers Island. Providing clinical input and support for medically appropriate discharge plans for patients being discharged to the community, including necessary medications and follow-up appointments. Ensure safe transitions and coordination of care between the jail and external facilities, including the following tasks: Obtaining and reviewing external medical records for comprehensive patient assessment. Reviewing the daily hospital census of Correctional Health Services (CHS) patients. Collaborating with the Complex Care Nurse Practitioner to schedule appropriate specialty appointments, track these appointments, and communicate care plans to all relevant parties within CHS to ensure proper execution. Engaging with hospitalists and inpatient specialty teams when CHS patients are hospitalized and as they transition back to the jail or community. Arranging expedited admissions to the hospital and ensuring the success of planned admissions for Complex Care patients. Collaborate with other CHS teams regarding shared patients, with particular emphasis on those involved in Mental Health Discharge Planning and Re-entry and Transition Services. Participate in clinical release work and support legal advocacy in concert with the Clinical Court Advocacy (CCA) team by: Acting as a resource to resolve clinical inquiries from CCA staff (social workers) and providing input regarding patient eligibility for CCA services. Interfacing with legal representatives to furnish relevant clinical information pertinent to a patient's legal case. Composing letters that detail medical conditions for legal documentation. Assuming on-call responsibilities for critically ill patients, ensuring timely communication with hospital staff, CHS leadership, and legal representatives regarding urgent cases. Engage in the planning, development, and implementation of programs, policies, procedures, and evaluative monitoring techniques designed to fulfill the objectives established by CHS and Health and Hospitals Corporation (HHC) leadership. Minimum Qualifications 1. Master's degree from an accredited college or university in Hospital or Health Care Administration, Public Health or a related discipline and five (5) years of high-level responsible experience in Hospital, Business, or Public Administration or a Health Care Administrator in a position of direct responsibility for operations of a major part or all of a, health care setting, including substantial exposure in meeting community health needs; or 2. Bachelor's degree from an accredited college or university in disciplines, as listed in “1” above; and six (6)years of high-level experience in areas as described in “1” above. Department Preferences Board Certified or eligible in geriatrics and/or palliative care A background in social medicine, social determinants of health, justice advocacy, primary care, and panel management. A commitment to health equity and ensuring healthcare access for underserved populations. The ability and willingness to collaborate with a diverse range of individuals, including the capacity to communicate with respect and effectiveness with patients, clinical and non-clinical staff, and Department of Corrections personnel. Experience working in a jail environment or with individuals who have a history of justice involvement. Publications in peer-reviewed journals and/or presentations at academic conferences. Expertise in program implementation, program management, and quality improvement. Strong communication and presentation abilities, with proficiency in Microsoft Office applications (i.e., Microsoft Word, PowerPoint, Excel). An equivalent combination of the above qualifications is considered satisfactory. Registration to practice medicine in New York State. Board Certified or eligible in Internal Medicine, Emergency Medicine, or Family Medicine ACLS/BLS Certification (training available) and Infection Control Certification Federal DEA License Benefits NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts Loan Forgiveness Programs for eligible employees College tuition discounts and professional development opportunities College Savings Program Union Benefits for eligible titles Multiple employee discounts programs Commuter Benefits Programs

Newark Community Health Centers, Inc., FQHC, is a multi-cultural, Patient Centered Medical home- Level III that provides primary care services (Family/Adult Medicine, Pediatrics, OB/GYN, and Dental) and social services. We are dedicated to meeting the health care needs of the medically underserved in the greater Newark area. Join us as we expand! The Director of Nursing (DON) is responsible for the leadership and organization of the nursing team. The DON will also function as a Risk Manager for the organization in collaboration with the Chief Compliance Officer in providing a high level of quality of care to the community while ensuring compliance in nursing and related services. Responsibilities: Supervise and oversee all licensed nursing and medical assistant staff Responsible for nursing staff performance, retention and development Oversee infection control and immunization program Monitors nursing and nutrition departments' utilization and productivity. Coordinates and implements policies/protocols for quality and utilization of services, infection control and patient care Supervise office workflows and recommend improvements to promote reduced patient wait time and increased patient education and satisfaction Reports on nursing department program activity as required by local, state, and federal agencies, funding sources and NCHC policies on a timely basis Qualifications: Bachelor's degree from an accredited college plus 5 years in a primary care clinical setting and 3 years in a supervisory / administrative role Current NJ RN License Current Basic Life Support Certification Possess strong communication and leadership skills

Compass Healthcare Consulting & Placement is conducting a search for an experienced RN Administrator for Admissions, Intake & Outreach for a Hospital located in the Bronx, NY. New York State Registered Nurse and Masters Degree in Nursing is required. Opportunity for Clinical RN Administrative Leader for Facility Administrator role. Qualified candidates will have 10-15 years of Management experience, 5+ years experience as a Department Head and 3+ years as an RN Administrator or VP level within a Hospital setting. RN Administrator for Admissions, Intake & Outreach is responsible for overseeing the functions and activities associated with Community Outreach Services, Admitting, and Intake. Reports directly to the Vice President for Admitting, Intake and Outreach Services and maintains an open dialogue with the senior leadership of the hospital and referring partners. Responsibilities: Continuously monitors and assesses the delivery of services provided by the Community Outreach, Admitting and Intake implementing changes when appropriate. Acts as liaison between Hospital and referring institutions and providers. Actively engages in the ongoing marketing of programs and services provided by the Hospital. Works cooperatively with other departments, provider referrers and managed care organizations to facilitate the admission of patients to the various programs provided by the Hospital. Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital. Oversees the appeals process for those cases for which reimbursement has been denied. Conducts interdepartmental meetings related to the quality and utilization of clinical services. Serves on various Hospital committees as assigned. Attends meetings and seminars as appropriate. Ensures all related manuals are kept current. Works within legal, ethical practice standards to his/her position as well as the Hospital's Code of Conduct. Complies with appropriate policies and procedures and brings potential compliance matters to the supervisor or compliance officer. Oversees and participates in the budget process for his/her assigned departments. Completes Introductory and Annual Performance Appraisals for all direct reports. Reviews Introductory and Annual Performance Appraisals for other assigned staff. Oversees the interface with the Finance Office regarding pertinent insurance information, e.g. Medicare, Medicaid and Commercial Insurance. Elicits recommendations regarding continuous improvement of patient safety from staff. Encourages reporting of occurrences without fear of reprisal. Participates in the development of recommendations for improvement in patient safety based on staff recommendations. Participates in the implementation and monitoring of patient safety programs. Maintains current knowledge of regulatory requirements which may impact on the delivery of patient services. Integrates the services of the departments supervised into the day-to-day activities of the Hospital in support of its philosophy and mission. Develops appropriate goals and objectives for departments supervised. QUALIFICATIONS: Master of Nursing Degree required. NYS unencumbered Registered Nurse License required. Ten (10) to fifteen (15) years of management experience, five (5) of which must be at the department head level. Three (3) years' experience as an Administrator or Vice President preferred. Excellent interpersonal skills. Ability to interface with all levels of personnel. Excellent written and verbal communication skills. Ability to analyze detailed statistical and other pertinent data. Knowledge of and experience in Quality Assessment and Improvement, Utilization Review. Ability to develop management systems to track data over time. Competitive Salary $190,000.00 - $210,000.00 and excellent Benefits Package! 401(k), Dental insurance, Employee assistance program, Employee discount, Free parking, Gym membership, Health insurance, Health savings account, Life insurance, Paid sick time, Paid time off, Retirement plan, Tuition reimbursement, Vision insurance Qualified Candidates Please Apply Now for Immediate Consideration!

Our client, a large nonprofit hospice and palliative care company is seeking a qualified candidate to join their team. In this role, we are looking for someone who is a Registered Nurse in the state of New York to work in the appeals and grievances department. This is a fantastic opportunity for a registered nurse to work for a nonprofit healthcare company Pay $56.00 per hour The job is a full time role with possibility of conversion in 2026. 4 days remote 1 day onsite Job responsibilities for the Registered Nurse: · Determines types of reconsiderations, redeterminations, action appeals, grievances, and grievance appeal · Investigation of Provider, Subscriber, Membership and Pharmacy Appeals to include: Reimbursement, Coding, Benefits, Pre-existing Conditions, Prior Approval, Medical Necessity, Precertification, Continued Stay, Reduction, Termination, and Suspension of services. · Investigate and respond to written and/or verbal appeals and grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS, and DOH regulations. · Documents all relevant information in the Appeals and Grievances determination process in the appropriate designated areas. · Tracks departments' compliance with requested action as a component of the Appeals and Grievance and determination process. · Presents cases to Appeals & Grievances File Review. · Attend and represent A&G at NYS Fair Hearings/OTDA/ALJ Hearing Qualifications needed for Registered Nurse: · Graduate of accredited nursing program. · BSN or equivalent experience required. · 2 years of managed care or hospital-based utilization/ case management experience · 2 years minimum of clinical experience · Licensed Registered Nurse in New York State · Must be proficient in MS Word, Excel and desktop software knowledge preferred.