Health Information Management -HIM - Coder - Inpatient -REMOTE
Rome, NY jobs
Health Information Management - HIM - Coder - Inpatient
The Inpatient Coder is responsible for coding discharged inpatient encounters. May work in collaboration with Clinical Documentation Improvement nurses. Utilizes Clintegrity encoder for DRG assignment. Submits coding queries as necessary for appropriate provider clarification. Maintains coding knowledge and certifications. Maintains working knowledge of Medicare rules and regulations.
Understands importance coding plays in the revenue cycle process
Meets or exceeds coding productivity and quality standards
Assists with DRG appeals as necessary
Assists Coding Manager with identifying problems or trends that need immediate attention
Adheres to all department and hospital policies and procedures
High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC) required.
KNOWLEDGE AND SKILLS REQUIRED:
Must possess critical thinking and analytical skills. Knowledgeable in medical terminology, anatomy and physiology, ICD-10 and PCS coding guidelines, CPT, HCPCS, and basic coding principles according to whether assigned to inpatient or outpatient duties.
About Rome Health
Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College.
The best care out there. Here.
Advanced Practice Clinician (Hybrid)
New York, NY jobs
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.
Registered Clinical Dietitian Specialist
Grand Junction, CO jobs
The Registered Dietitian Specialist facilitates the nutrition care process in specialty care areas or specialized populations with a moderate degree of autonomy, using experience-based knowledge, nutrition assessment, and diagnostic reasoning skills and competencies.
Posting Specifics
Pay Rate: Based on Experience
Shift Details: Full-time (40 hrs/wk). 5 days per week - 8-hour daytime workdays. It does include some weekends and holidays that rotate amongst the team. You cannot work remotely for this position. Currently, this position has no on-call requirements (i.e., needing to be on-call for certain shifts). However, during a scheduled weekend, Sundays are on-call.
Department: Intermountain St. Mary's Regional Hospital Food and Nutrition
Essential Functions
Provides Medical Nutrition Therapy to individuals with specialized health conditions and or in specialized populations.
Uses the Nutrition Care Process to facilitate the provision of more complex nutrition care with moderate autonomy and supportive guidance from advanced practice dietitians.
Uses advanced counseling techniques to influence behavior change.
Uses technology in estimating needs and nutrition goals (ex: indirect calorimetry, nutrient analysis software, glucometers, etc.)
Mentors newly graduated dietitians, dietetic interns, and clinical diet techs.
Applies research to improve patient outcomes. Implements the latest evidence-based care with the interdisciplinary team and in updating care practices/processes within the facility.
Manages nutrition care across the continuum including durable medical equipment order writing.
Registered Dietitian Nutritionist order writing privileges per policy/protocol.
Skills
Specialty Medical Nutrition Therapy
Complex Problem Solving
Advanced Counseling Techniques
Nutrition Focused Physical Exam
Nutrition Related Technology Proficiency
Research Study Interpretation
Mentoring
Professional Communication
Qualifications
Registered Dietitian with the Commission on Dietetic Registration.
For graduates after Jan 1, 2024, completion of a minimum of a master's degree by an accredited university. Education is verified.
Completion of an ACEND accredited Didactic Program in Dietetics, Dietetic Internship, Coordinated Program, or graduate-level competency-based dietitian nutritionist program.
State licensure or certification in accordance with the primary state of practice requirement for Registered Dietitians. If the primary state of practice requires licensure or certification, this must be obtained within 6 months of hire.
Demonstrated ability to apply the Nutrition Care Process in multiple patient populations and/or disease types.
Demonstrated ability to interpret and apply evidence-based research to clinical practice.
2 or more years of dietetics experience in a clinical setting, preferred.
Experience in managing patients in a specialty area, preferred.
Relevant dietetics-related specialty practice credential (CNSC, CSP, CDCES, CSO, CSR, CSOWM, etc.), preferred
Physical Requirements
Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.
For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Physical Requirements:
Physical Requirements
Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.
For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Location:
St. Marys Regional Hospital
Work City:
Grand Junction
Work State:
Colorado
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$32.02 - $49.44
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Dosimetrist, Remote
Columbus, GA jobs
Responsibilities:
Dosimetrist, FT, Piedmont Columbus John B. Amos Cancer Center, "Hybrid "
RESPONSIBLE FOR: Measuring and generating radiation dose distributions and calculations under the direction of the Radiation Physicist and Radiation Oncologist.
Qualifications - External
Qualifications:
MINIMUM EDUCATION REQUIRED:
Bachelor's Degree in any discipline.
If hired prior to January 2025, will only require certification by the Medical Dosimetry Certification Board
(MDCB).
MINIMUM EXPERIENCE REQUIRED:
Three years of clinical experience in a radiation therapy department as a radiation therapist or medical
dosimetrist
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
Board Eligible by the MDCB (Medical Dosimetrist Certification Board)
Obtains Dosimetrist certification within 13 months of hire date.
Participation in the learning plan activities as required by MDCB (Medical Dosimetrist Certification Board).
Business Unit : Company Name: Piedmont Columbus Midtown
Senior Counsel - Healthcare IT and AI Technology Contracts
North Canton, OH jobs
Full-Time, 40 hours/week
Monday - Friday 8 am - 5 pm
Onsite
The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer.
Responsibilities:
Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools.
Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions.
Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers.
Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices.
Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs.
Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed.
Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape.
Identify and assess legal, operational, and compliance risks in IT contract.
Other duties as assigned.
Other information:
Technical Expertise
Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation.
Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators.
Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments.
Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation.
Education and Experience
Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date.
Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required.
Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT).
Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking.
Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams.
Full Time
FTE: 1.000000
Status: Onsite
Business Development Executive Healthcare
Rochester, NY jobs
Location: Rochester, NY (In-person preferred; Remote option available for the right candidate) Employment Type: Full-time | Seniority Level: Executive Industry: Healthcare Staffing | Functions: Sales, Business Development, Operations
About the Role:
We are seeking a highly motivated, strategic, and results-driven Business Development Executive to join our executive sales team. As a rapidly expanding healthcare management and staffing firm, we are looking for an experienced sales executive to drive aggressive business growth, strengthen client partnerships, and spearhead the strategic expansion of the DelphiHealthcare business line in a pure "hunter" role.
This executive role will focus on identifying new business opportunities, cultivating relationships with hospital and healthcare system leadership, and executing high-level growth and operational strategies. The ideal candidate brings proven experience in healthcare staffing, possesses existing relationships with key healthcare executives, demonstrates exceptional business development leadership, and exhibits a true business ownership mentality.
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Key Responsibilities
Business Development Leadership
· Develop and implement a comprehensive business development strategy
· Lead new client acquisition and build long-term partnerships with target hospitals, health systems, clinics, and other healthcare organizations
· Represent all lines of Delphi management business, including hospitalist, emergency medicine, anesthesia, and urgent care staffing services
· Create and deliver compelling sales presentations, proposals, and marketing materials
Strategic Relationship Management
· Identify and drive opportunities for expansion within existing accounts
· Attend client meetings, conferences, and industry events to enhance company visibility
· Serve as a key liaison between executive leadership, business development, and recruiting teams
Operational Oversight
· Partner with internal teams to ensure operational excellence and fulfillment of client needs while identifying cross-selling opportunities
· Track performance, KPIs, and growth metrics across DelphiHealthcare business line
· Maintain and manage a structured sales pipeline using CRM systems for accurate forecasting of new accounts/contracts
· Document calls, emails and meetings using CRM system and maintain accurate account records/notes for active opportunities and target lists
Outreach & Market Growth
· Conduct targeted outreach including cold calling, digital prospecting, in-person visits, and strategic follow-up. Some travel required for in-person visits/cold calling
· Analyze industry trends to identify emerging markets, service lines, and competitive opportunities
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Required Qualifications
· Minimum 5 years of successful business development or sales experience in the healthcare staffing industry preferred
· Demonstrated success in generating new business, scaling operations, and managing key accounts
· Bachelor's degree required; Master's degree preferred
· Exceptional communication, negotiation, and presentation skills
· Proficiency with CRM platforms and Microsoft Office Suite
· Ability to manage multiple priorities and work cross-functionally in a fast-paced environment
· Willingness to travel up to 50%
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Work Location
· Rochester, NY office preferred
· Remote option available for highly qualified candidates with strong industry experience
Data Entry Clerk - Remote Work From Home II
College Park, MD jobs
About the job Data Entry Clerk - Remote Work The Customer Service / Data Entry Representative will provide a wide variety of administrative and staff support services for our claims coordination team. Please note that this is a remote position. We will provide you with the equipment as long as you have your own high-speed internet connection.
Essential Duties And Responsibilities
You will primarily be doing data entry of claims information into our claims management systems. Follow up on missing information in order to process the claim. Review invoices to ensure accuracy. Compile reports from systems with claims information. Required: High school diploma 6 months to 1 year of work experience Basic computer and typing skills
Are you 18 years of age or older or can you demonstrate legal capacity to enter a contract? Must be willing to submit to a background investigation any offer of employment is conditioned upon the successful completion of a background investigation
We offers competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function) training programs, matching gift program, and more.
PB Analyst
Cleveland, OH jobs
Epic Professional Billing certification required
100% remote
up to $115k DOE
The PB/HB Analyst is responsible to resolve technical and application issues and support ongoing workflow and optimization issues. This position oversees the design, configuration, testing and support of Epic Patient Billing.
Responsibilities
Design, build and test Epic Patient/Hospital Billing software, including current- and future-state workflows
Troubleshoot and resolve issues, conforming to client change control and change management policies
Work in a complex and quick-moving client environment, meeting all project timelines and critical path requirements.
May be required to participate in 24-hour on-call rotations
Participate in project planning and manage applicable responsibilities
Facilitate and participate in team meetings and work groups
Minimum Requirements
BA with 5+ years' revenue cycle operational experience in healthcare setting
3+ years Epic HB/PB Analyst experience with current Epic certification
Psychologist
New York, NY jobs
MONTEFIORE EINSTEIN SEEKING FULL-TIME PSYCHOLOGISTS
Montefiore Einstein's subsidiary, University Behavioral Associates, is seeking to hire Licensed Psychologists for our WeCARE program. WeCARE is an employment program serving welfare recipients with medical and/or mental health disorders.
The Psychologist's role is to determine the employability of people with mental health disorders and assist with federal disability applications. We are seeking NYS-licensed psychologists with experience in disability evaluations and good writing skills. We have positions available in both our Bronx and Queens locations.
We offer competitive salary and excellent benefits includes a faculty appointment in the Department of Psychiatry and Behavioral Sciences at Albert Einstein College of Medicine. There may be the opportunity for remote work 1-2 days per week.
Salary Range: $100-$135K (100% Grant Funded)
Location: Grand Concourse Bronx, NY or and Queens, NY
For positions that have only a rate listed, the rate displayed is the hiring rate but could be subject to change based on shift differential, experience, education, or other relevant factors.
Diversity, equity, and inclusion are core values of Montefiore Einstein. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.
Montefiore Einstein is an equal employment opportunity employer. Montefiore Einstein will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
Applications Systems Analyst Sr - Epic Beaker
Morrisville, NC jobs
Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The responsibilities of this role will focus primarily on supporting our Lab operational teams using Epic Beaker AP/CP and Non-Epic lab systems and workflows, providing innovative solutions to enhance functionality, and troubleshooting issues effectively. Crucial to the position is the ability to work collaboratively with their team to optimize workflows and tools, adhering to our guiding principles and governing structure.
You will be expected to become an expert in Epic Beaker AP/CP and Non-Epic Lab workflows.
You will be expected to take call on a rotation and respond to requests effectively, updating your team/manager on issues that require escalation. While this position is remote working, you will be expected to go onsite across the state for go-lives and required meetings.
A CLS/MT/MLT and Epic certification in Epic Beaker AP/CP will be minimum requirements. The ideal candidate will have CLS/MT/MLT certifications, an understanding of laboratory services workflows, basic Epic Beaker AP/CP knowledge, excellent communication and teamwork skills, and a willingness to learn in an ever-expanding field.
Assists other IT teams with selection and provides technical evaluation of products / tools to ensure that the proposed solution adheres to enterprise-wide requirements, adapts to new requirements and changing technologies in order to meet business standardization protocols and objectives. May provide guidance to Applications System Analysts to ensure best practices, standard methodologies and processes are executed.
Develops and maintains clear, understandable documentation to describe program development and modification, as well as troubleshooting. Updates system and support documentation as necessary to reflect changes to programs, solutions, reports and interfaces.
Evaluates requests and consults in design for new or modified computer programs, solutions, reports and interfaces to determine feasibility and compatibility with current system. Identifies and recommends solution development for larger and complex projects and ensures best practice development. Formulates and develops plans at a high level and documents required steps to achieve stated requirements. Functions as a technical consultant to the health system and maintains high service levels. Updates management, customers and others as appropriate on a timely basis regarding progress on assigned tasks, projects and issues, via written or oral reports
Bachelor's degree in Computer Science, Information Systems Management or related field (or equivalent combination of education, training and experience).
CLS/MT/MLT and Epic certification in Epic Beaker AP/CP
If a Bachelor's degree: Four (4) years of experience with IT systems and/or related operational experience.
● Six (6) years of IT systems and/or related operational experience.
● If a High School diploma or GED: Eight (8) years of IT systems and/or related operational experience.
Highly responsive to internal customers.
Legal Employer: NCHEALTH
Organization Unit: ISD Clinical Systems
Work Type: Full Time
00 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Exempt From Overtime: Exempt: Yes
d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.
Director, Government and External Relations
Remote
This is a remote opportunity based in Columbia, SC, to work at the statehouse. This position supports both our Greenville, SC, market and Roper St. Francis Healthcare in Charleston, SC. Travel will be expected to both of those locations.
Summary of Primary Function/General Purpose of Position
The Director of Government and External Relations will manage successful statewide relations at all levels of government and among community leaders, state trade associations and other external constituents of importance to implement the state and federal public policy and advocacy agenda of Bon Secours Mercy Health (BSMH) within the State of South Carolina. The Director will report to the System Chief Advocacy & Government Relations Officer while supporting the priorities of internal CEOs in Greenville and in Charleston to effectively advocate and manage external relations with statewide influence. In addition, engaging internal subject matter experts across the spectrum of BSMH is essential. This will ensure an evidence-based approach to developing legislative, regulatory and community solutions on matters such as public program funding for patient care and workforce development affecting clinical operations and external relations priorities across the State of South Carolina.
Essential Job Functions
Support system-wide legislative, regulatory and advocacy priorities in the State of South Carolina through effective internal and external relations management, including, but not limited to community leaders, trade associations, and government officials. The Director will serve on the Advocacy & Government Relations Committee and Government Reimbursement Council at the system level while developing a strategic statewide vision to achieve goals and objectives that are reflective of the communities we serve and support the current and future needs of BSMH throughout the State of South Carolina.
Manage government relations/advocacy agenda on a statewide basis as directed and ensure implementation of system and local priorities in Greenville and in Charleston with internal key stakeholders.
Foster and influence relationships throughout the state and in concert with internal regional stakeholders that result in favorable legislative & regulatory outcomes and build strategic alliances to augment external reputational management and system growth.
Enhance Bon Secours Mercy Health's public reputation as a relied upon and trusted resource by identifying public and private sector community-based interfaces and partnerships throughout our service areas.
Provide legislative, regulatory and health industry intelligence to inform strategic impact analyses in concert with internal content experts that lead to politically viable solutions for the future success of our health system.
Identify opportunities to coordinate appropriate Advocacy interface with internal Mission, Foundation, Community Health and Marketing/Communication leader(s) in regional coalitions and partnerships, and to assure adequate representation of the ministry on related issues in the communities we serve.
Create effective grass-tops and grassroots support and mobilization, and strong trade association and business organization relations with an emphasis on those organizations where BSMH personnel serve in a board or committee capacity.
Identify opportunities to organize grass-tops network and mobilize internal grassroots support for legislative and advocacy issues when appropriate.
Champion internal process to develop action plan for executive and clinician engagement on government matters, as well as governmental, industry trade / business organization, and community boards of interest.
Partner with internal Foundation personnel to identify local, state and federal grant opportunities to address various community health needs.
Lead and manage local market / regional Advocacy outreach in Greenville and in Charleston through education and lobbying strategies with designated internal personnel to realize a positive impact and favorable outcome for legislative & regulatory policy issues and external relations more broadly.
Maintain registration as a state lobbyist on behalf of BSMH and ensure compliance of all related reporting requirements.
Employment Qualifications
Required Minimum Education: Bachelor's Degree in Political Science, Public Policy, Public Administration, Journalism or related degree
Preferred Education: Master's Degree
Minimum Years and Type of Experience: 5-7 years in an external relations capacity
Other Knowledge, Skills and Abilities Required: Effective communicator with excellent interpersonal relationship skills, understanding of government, and strategic agility to collaborate in a complex organization
Other Knowledge, Skills and Abilities Preferred: Analytical and business acumen (healthcare experience a plus), and adaptable to change
Insurance Eligibility Coordinator
Washington, DC jobs
The Insurance Eligibility Coordinator is responsible for verifying patient insurance coverage, ensuring accurate benefit information, and supporting efficient revenue cycle operations. This role works closely with patients, insurance carriers, clinical staff, and billing teams to confirm eligibility, resolve coverage discrepancies, and help prevent claims denials.
Essential Functions:
Verify patient insurance eligibility and benefits using electronic systems, payer portals, and direct insurance carrier communication.
Accurate document coverage details, copayments, deductibles, prior authorization requirements, and plan limitations. Prepare and submit claims in a timely and accurate manner.
Obtain Authorizations as required.
Identify and correct rejected claims for prompt resubmission
Submit and follow up on authorization requests.
Follow up on denied or unpaid claims and work to resolve discrepancies.
Post payments and adjustments to patient accounts in a timely manner.
Communicate with insurance companies and internal staff regarding billing inquiries or issues.
Maintain up-to-date knowledge of payer rules, policy changes, and medical coverage guidelines.
Protect patient privacy and maintain compliance with HIPAA and organizational standards.
Support revenue cycle improvement initiatives related to eligibility and insurance workflows.
Participate in team meetings and contribute to quality improvement initiatives.
Adhere to practice policies, procedures, and protocols including confidentiality.
Other tasks as assigned.
Travel: 100% Remote
Supervisory Responsibilities:
N/A
Qualities & Skills:
Strong understanding of insurance plans, terminology, HMOs, PPOs, Medicare/Medicaid and commercial payer policies in NJ, NY, & PA.
Excellent communication, customer service, and problem-solving skills.
Proficiency with medical practice management software, EHR systems, and payer portals.
Ability to multitask and work in a fast-paced environment.
Strong Knowledge of Microsoft Office Suite.
Comfortable working independently and collaboratively.
Outstanding problem solver and analytical thinking skills.
Attention to detail and ability to prioritize.
Ability to maintain confidentiality.
Experience in Behavioral health is preferred.
Education & Experience:
High School diploma or equivalent required.
1-2 years of experience in medical insurance verification, medical billing, or related roles
Compensation details: 20-24 Hourly Wage
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Social Worker - Hybrid Flex (LMHC- LMSW - LCSW)
Utica, NY jobs
The Licensed Mental Health Counselor/Social Worker will assess mental illnesses, recommend, develop and implement therapeutic treatment plans for individuals experiencing emotional or psychological distress, address mental health disorders, offer individualized treatment plans, and engage patients in therapy sessions to manage and overcome mental health issues. Runs group and individual therapy sessions.
This role may work in either a hospital or outpatient setting.
Clinical Assessment and Treatment:
Conduct thorough assessments of patients' mental health status and needs.
Develop and implement individualized treatment plans based on assessment findings.
Provide evidence-based therapeutic interventions, including individual, group, and family therapy.
Monitor and evaluate patients' progress, adjusting treatment plans as necessary.
Patient Care:
Establish and maintain therapeutic relationships with patients, demonstrating empathy and understanding.
Provide crisis intervention and support as needed, including managing emergencies and coordinating care.
Provide direct counseling services and recommendations to facilitate movement through the continuum of care.
Educate patients and their families about mental health conditions and treatment options.
Documentation and Compliance:
Maintain accurate and up-to-date patient records, including assessment notes, treatment plans, and progress reports.
Ensure all documentation meets regulatory and organizational standards.
Comply with confidentiality and ethical guidelines in accordance with HIPAA and other relevant regulations.
Collaboration and Coordination:
Collaborate with psychiatrists, psychologists, social workers, and other healthcare professionals to ensure comprehensive care.
Participate in multidisciplinary team meetings and contribute to care planning.
Liaise with community resources and agencies to facilitate additional support and services for patients.
Professional Development:
Stay current with developments in the field of mental health counseling through continuing education and professional training.
Participate in supervision and peer review processes to enhance clinical skills and professional growth.
REQUIRED:
Master's in counseling, psychology or a closely related field from a program accredited by the Commission on the Accreditation of Counseling Related Education Programs (CACREP).
Experience with diverse patient populations and a variety of mental health issues.
Strong clinical assessment and therapeutic skills.
Excellent communication and interpersonal skills, with the ability to build rapport with patients and collaborate effectively with a team.
Proficient in EHR (Epic) systems and basic computer applications.
Ability to handle crisis situations with composure and professionalism.
Compassionate, empathetic, and non-judgmental approach to patient care.
Strong organizational skills and attention to detail.
Ability to work independently and manage time effectively in a fast-paced environment.
Radiologist, Breast Imaging, Hybrid
New York, NY jobs
A top community hospital serving a culturally diverse area of New York City, is seeking a Radiologist, Breast Imaging, to join their team. The Mammography and Women's Imaging department handles a significant number of studies and biopsies annually, providing crucial services to the community. State-of-the-art equipment, including 3-D Hologic Dimension machines, CT scanners, MRI, ultrasound, and nuclear medicine, is available to support the diagnostic and screening needs.
Job Responsibilities
Collaborate with the Mammography and Women's Imaging department, performing approximately 11,000 Mammogram studies and around 1,100 biopsies each year.
Utilize advanced equipment, including 3-D Hologic Dimension machines, Hologic stereotactic machine, CT scanners, PET/CT scanner, MRI, ultrasound, and diagnostic x-rays/fluoroscopy suites.
Work alongside a team of full-time Mammographers, supported by Nurses, technologists, and Breast Imaging Supervisor.
May involve faculty appointment at a top medical school.
Full time or Part time
Hybrid schedule
Job Requirements
Board-certified or eligible in Radiology.
Must be licensed to practice in the State of New York.
Job Perks
Competitive salary, great benefits, and other attractive incentives
Generous PTO
All major insurances (health, life, disability)
Work-life balance is valued
Visa (J1/H1B) sponsorship is available.
Supportive and experienced leadership.
Collaborative, flexible, and academically focused environment.
Unionized Position: Promotes a healthy work-life balance and robust employee support.
Diverse and Inclusive Environment: The hospital staff speaks over 130 languages, fostering a culturally rich and inclusive workplace.
Stability and Collaboration: Opportunity to work with a long-term, stable, and collaborative multidisciplinary team.
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The likely salary for this position will be based on qualifications, experience, and education.
If you are passionate about what you could accomplish in this role, we would love to hear from you!
Head of Product
Atlanta, GA jobs
Our client, a profitable B2B SaaS company in the event tech space, is looking for a Head of Product to own the product vision, strategy, and execution.
As the voice of the customer, you will turn customer insights into a clear product roadmap and deliver features that drive growth and keep users engaged.
Role Overview
This is a leadership role focused on product strategy, design, and go-to-market. You will lead the product and design teams, partnering closely with the Head of Engineering to bring the product vision to life. Your success will come from leading through influence and ensuring the "what" and "why" of the product are clear and effectively executed.
Key Responsibilities
Product Leadership & Vision:
Define and communicate the product vision and strategic priorities.
Lead and mentor the product and design teams to create exceptional user experiences.
Product Strategy & Roadmap:
Own and maintain a prioritized product roadmap based on data and research.
Use customer feedback, market analysis, and product data to make decisions.
Customer Research & Insights:
Gather and analyze customer feedback through interviews, surveys, and analytics.
Work with Sales and Customer Success to identify and prioritize customer needs.
Go-to-Market & Collaboration:
Partner with Marketing and Sales to ensure successful product launches.
Provide teams with the messaging and training needed for new releases.
Qualifications
Must-Haves:
Previous experience as a Head of Product or VP of Product in a high-growth B2B SaaS company.
Deep expertise in product-led growth (PLG) with a track record of improving free-to-paid conversion.
Proven ability to use data and customer insights to guide product decisions.
Experience leading remote-first product and design teams.
Nice-to-Haves:
Background in bootstrapped or lean startup environments.
Experience with event tech, EdTech, or marketplace platforms.
Familiarity with the education, healthcare, or corporate training markets.
Compensation & Benefits
Compensation: A competitive package including base salary, a target bonus, and a long-term incentive (equity).
Benefits:
Comprehensive medical, dental, vision, and life insurance.
Unlimited PTO and paid holidays.
A fully remote-first work culture.
Annual company offsites in amazing locations (past trips include Brazil 🌎).
A high-ownership, low-bureaucracy environment.
RN Registered Nurse Full Time PAT Remote after Training
Syracuse, NY jobs
*Employment Type:* Full time *Shift:* *Description:* Posting This RN position includes incorporating approved processes, systems, protocols and tools when screening incoming colleagues, providers, vendors and visitors entering Trinity Health facilities. These screening protocols follow CDC and other regulatory guidelines and internal procedures. This opportunity is located in our Preadmission Testing (PAT) department in the medical office building (MOB) on our main campus.
Documents and maintains compiled screening information as necessary within the scope of the RN role.
Reports to manager or identified escalation resources any issues or concerns and identifies person(s) who do not pass screening and/or compliance screening requirement guidelines per approved protocols.
A Registered Nurse (RN) is a licensed health care provider who provides nursing care under the direction of a physician, or other authorized health care provider. There is no independent component to the RN role.
The Nurse Practice Act defines the practice of a RN as "performing tasks and responsibilities within the framework of case finding, health teaching, health counseling, and provision of supportive and restorative care under the direction of a registered nurse or licensed physician, dentist, or other licensed health care provider legally authorized under this title and in accordance with the commissioner's regulations."
*ESSENTIAL FUNCTIONS*
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
As outlined in processes, practice guides and protocols and applying required systems and tools, performs specific health screening of persons entering Trinity Health facilities following established regulatory and Trinity Health guidelines and internal procedures.
May check temperature (no touch) and screens for symptoms by asking colleagues, providers, vendors and visitors a series of questions or ensuring that inquiry systems or electronic applications are used and that persons are approved for entry.
Provides masks as needed.
Educates those desiring to enter facilities on the practices and protocols for entry and re-entry.
Reports to manager or other identified escalation resources any person(s) who refuses and / or does not pass the screening and / or compliance screening requirement guidelines.
Monitors, organizes and keeps work areas sanitized and clean. Screenings may be required to take place outside the doors to Trinity Health facilities in order to maintain appropriate protection inside the buildings.
Ensures testing related supplies are properly maintained and available.
Maintains good rapport and cooperative relationships with colleagues, providers, vendors and visitors.
Approaches conflict in a professional, calm and constructive manner; escalates problem resolution to manager or other identified resources, as needed and according to protocols and processes. Creates a positive environment that promotes customer satisfaction.
Completes required training and sign off on usage of infrared thermometer and instructions needed to be followed.
Keeps abreast of updated internal instructions, processes, protocols and CDC and/or regulatory guidelines.
Performs other duties as assigned by the manager.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
*RESPONSIBILITIES:*
Ensures quality nursing care is rendered to all patients in accordance with the New York Nurse Practice Act, National Standards of Practice, and Nursing and Clinical Service standards of care and practice.
Utilizing the Nursing Process is involved in the provision of direct care of patients and families.
*PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS*
Operates in a healthcare, office or outdoor environment. Understands and follows infection control standards and complies with the use of personal protection equipment to prevent exposure and transmission of communicable disease.
Ability to stand or sit for long periods of time. Frequent walking, sitting, bending and stooping.
Must be able to hear and speak to those desiring to enter Trinity Health facilities and to communicate via phone, email and other electronic methods.
Must be able to adapt to frequently changing work priorities and be able to prioritize and balance the requirements of the job.
Ability to concentrate and pay close attention to details for over 90% of time
*Mission Statement:*
We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
*Vision:*
To be world-renowned for passionate patient care and outstanding clinical outcomes.
*Core Values:*
In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.
*Education, Training, Experience, Certification and Licensure:*
Graduation from an accredited school for Registered Nurse and current licensure, or eligibility for licensure, in the State of New York.
Maintains current BLS/CPR.
Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of expertise.
*Work Contact Group:*
All services, medical staff, patients, visitors, and various regulatory and professional agencies.
*Supervised by:*
Team Leader, Clinical Coordinator, Unit Manager, and Clinical Services/Nursing Administration.
*Diversity and Inclusion*
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Pay Range: $33.00 - $43.58
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates.
*Our Commitment *
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Physical Therapy Billing Specialist, Work from Home!
Sacramento, CA jobs
Job Description
Burger Rehabilitation Systems, Inc. has provided therapy services since 1978.
We seek a Billing Specialist to join our Customer Service Center team in a work from home full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. with a one-hour lunch.
We need someone to be local in the Sacramento, California, region.
This position requires a high school diploma or GED equivalent, required 1-3 years successful experience in Physical Therapy billing and collections, competency of Rain Tree or EMR equivalent and full knowledge of current billing policies.
Our team is solid and led by a popular Director. You may be required to come into the Folsom Office for training for a week or two, and rare, but possible, periodic Folsom meetings.
Under the general direction of the Patient Services Director, this position will be responsible for the collection of assigned clinic receivables or financial class receivables, to be determined.
Essential duties and responsibilities include the following. Other duties may be assigned.
1. Aggressively work aging's and follow through to complete resolution on all accounts. Be prepared to discuss or prepare listing of accounts over 90 days with explanations for the Patient Services Director's review. Work the highest dollar amounts first.
2. Review electronic claims denials daily to ensure timely collections. Review all paper claims prior to billing.
3. Run insurance bills including electronic claims as directed.
4. Bill secondaries and send appropriate paperwork as required for timely collections.
5. Research, reprocess and appeal claim denials and information requests.
6. Send/release statements timely as directed.
7. Prepare any needed account adjustments and non-contractual write offs for supervisor's approval.
8. Research and prepare patient refund requests on credit balances monthly and give to the Patient Services Director for review and payment.
9. Submit accounts for collections/letter service consideration to supervisor for approval.
10. Submit accounts for bad debt adjustment to supervisor for review.
11. Submit credit balances to supervisor for appropriate action by 12/31 of each year.
12. Monitor lien accounts and follow up needed in order to ensure lien limits are followed or resolved and accounts are resolved timely. Apply appropriate set-up and interest fees.
13. Assist patients in a professional and timely manner and refer any unresolved problem accounts to supervisor as needed.
14. Ensure accurate entry of all charges and patient data entry for Assisted Living billing, (if assigned).
15. Ensure complete and accurate entry of patient data in RT and TS per the deadlines set by the Patient Services Director including but not limited to the insurance, onset date for Medicare patients after charges are extracted and other pertinent information required for accurate billing and copayment collection.
16. Complete related work as assigned, including but not limited to charge entry as required.
Compensation starts at $20.00 per hour.
QUALIFICATION REQUIREMENTS: Ability to alphabetize and file efficiently, working knowledge of Microsoft EXCEL and WORD experience preferred. Ability to organize and type professional letters to customers as needed, ability to multi-task, must be able to perform 10-12 thousand key strokes per hour.
EDUCATION and/or EXPERIENCE:
High school diploma or GED equivalent. One - three years' experience plus successful experience in medical billing and collections required.
Benefits include competitive compensation, direct deposit, employee assistance programs and may include:
Retirement Benefits - 401(k) Plan
Paid Time Off (PTO)
Continuing Education
Medical, Dental and Vision
Legal Shield
Life Insurance
Long Term Disability Plans
Voluntary Insurances
ID Shield
Nationwide Pet Insurance
APPLY NOW: Click on the above link “Apply To This Job”
Interested in hearing about other Job Opportunities? Contact a member of the Burger Recruiting Team today!
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F. ************
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Our Mission Statement:
We proudly acknowledge we are in business to provide rehabilitation services that make a POSITIVE difference in the lives of our patients, their families, our staff and the community at large.
Easy ApplySenior Counsel - Healthcare IT and AI Technology Contracts
Hudson, OH jobs
Full-Time, 40 hours/week
Monday - Friday 8 am - 5 pm
Onsite
The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer.
Responsibilities:
Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools.
Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions.
Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers.
Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices.
Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs.
Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed.
Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape.
Identify and assess legal, operational, and compliance risks in IT contract.
Other duties as assigned.
Other information:
Technical Expertise
Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation.
Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators.
Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments.
Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation.
Education and Experience
Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date.
Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required.
Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT).
Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking.
Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams.
Full Time
FTE: 1.000000
Status: Onsite
Physician / Radiology / Louisiana / Locum Tenens / Remote Radiologist - MSK, Body, Neuro, Dx Job
Alexandria, LA jobs
Remote General Radiologist neededM-F 8a-4:30p CST Need someone with at least 2 weeks a month availability Modalities: CR, RF, US, CT, MRAdditional desired subspecialty - Body, MSK or NeuroVolume expectation - 75 RVU's per shift RPCE Tech Stack , Powerscribe 4.
0For additional details on this opportunity or others, please contact Cheryl at or.
If this position isnt the right fit, we have a variety of other opportunities available and would love to help you find the right match.
Join us in providing outstanding care while enjoying the flexibility and rewards of a locum tenens role!
Health Information Management (HIM) Coder - Outpatient - PER DIEM
Rome, NY jobs
Job Description
Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO.
•Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred
•Experience with Clintegrity, Paragon, One Content helpful
•Fully remote after training
Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required.
Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems.
Excellent oral and written communication skills. Must have a positive, respectful attitude.
About Rome Health
Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.