Uphams Corner Health Center jobs - 80 jobs

Manages, plans, and organizes enterprise revenue cycle transformation initiatives; participates in the ongoing process to identify opportunities to refine applications and workflow to meet business objectives, including assimilating applications, workflows, and operations to improve efficiency and outcomes internally and patient service externally. Job Responsibility Provides leadership to Revenue Cycle team members and supervisors by communicating and guiding toward achieving department objectives. Develops, communicates, and builds consensus for goals in alignment with the health system. Executes workplans to complete enterprise design; implementation of enterprise revenue cycle the health systems and transformed workflows. Establishes ongoing performance improvement infrastructure, including governance bodies, workgroups, and processes to facilitate a culture and expectation regarding ever-improving outcomes and efficiencies. Designs training program to effectively balance classroom, web-based and practical application forums to manage the diverse educational needs of adult learner demographic. Collaborates with revenue cycle leadership to routinely monitor strategic operating goals and objectives and confirm ongoing transformation alignment with goals. Collaborates with revenue cycle and practice senior leadership to evolve access to critical data to support ongoing business analytics and intelligence; develops and oversees financial management including budget, salary, capital, and revenue projections. Measures organizational performance against goals and objectives; develops financial programs consistent with changing regulatory and fiscal environment in accordance with health the health system's mission and vision. Manages administrative direction of assigned department(s), assesses and makes recommendations to improve the efficiency of current the health systems/ processes. Selects, develops, manages, and evaluates direct reports; oversees the selection, development, management and evaluation of indirect reports. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. 6-8 years of relevant experience and 2-5 years of leadership / management experience, required. This position will be hybrid to 1111 Marcus Avenue, New Hyde Park, Monday-Friday 8am-5pm. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates queries and have follow up discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded. 3.Works with physicians on assigned patient care units to clarify clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests clarification of clinical documentation from the physician(s) on a concurrent basis as needed to ensure documentation is complete and accurate prior to discharge. 5.Ensures the level of service rendered to patients, and the patient's severity of illness is accurately documented and recorded. 6.Follows up on CDI queries as needed to ensure appropriate documentation is recorded in the medical record. 7.Interacts with physicians as needed to discuss and advise on clinical documentation requirements and provides timely and accurate responses to clinical documentation and coding questions. 8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS-DRG and APR NY and APR National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures. 9.Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart. 10.Reconciles reviewed cases to update any changes in status, procedures/treatments, and confer with providers to finalize diagnoses. 11.Educates medical staff on clinical documentation opportunities that impacts the accuracy of the medical record. 12.Inputs outcome data in the CDI software to be able to track response to queries. Responsible for file maintenance including entry into database for tracking and trending audit results. Communicate findings of potential or missed diagnoses and the revenue impact that were discovered during the chart audit. 13.Regularly exercises independent judgment on matters of significance within defined procedures todetermine appropriateactions/approaches 14.Understands department,division, corporate strategy and operating objectives, including impacts 15.Normally receives general instructions on routinework, detailed instructions on new projects or assignments 16.Majority of contact is within own function, area, or department and may be customer service oriented 17.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here but considered related are not essential functions. Job Qualification + Graduate from an accredited School of Nursing required. Must obtain a Bachelor of Science in Nursing degree within 5 years of employment date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. (CCDS, CDIP, CCEDS or CCS). + 1-3 years of relevant CDI experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $78000-$130000/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

Coordinates the daily activities of staff and information systems activities of organization departments. Assesses and monitors staff productivity through standards and metrics to optimize performance and increase efficiency. Collaborates with Information Services and Finance departments to ensure optimal system-wide best practices. Plans, manages and organizes service delivery initiatives involving networking, integration, systems, security, data center, and related vendors in support of various organization daily operations, projects and initiatives; manages various related information systems and facilitates synchronization with other systems in the organization. Job Responsibility Provides strategic advice and guidance to the Revenue Cycle Quality and Performance Management function. Identifies, and reports statistics, trends, and analysis to management; analyses data, prepares and presents project reports for management, clients or others. Performs ad-hoc analyses on an as need basis; identifies, recommends, and implements approved process improvements. Defines and develops business plan and determines time-frame, funding limitations, procedures, staffing requirements and allotment of resources to various phases of the business; manages activities of business staff to ensure project progress is on schedule and within budget. Establishes work plan and staffing for each business phase and arranges for recruitment or assignment of business staff; reviews status reports and modifies schedules and/or plans as required. Confers with staff to outline work plan and assign duties, responsibilities and scope of authority; provides business staff with technical advice and problem resolution; implements solutions in response to issues, customer complaints, regulatory changes, and insurance related updates in order to promote timely and efficient revenue cycle operations. Ensures the integrity of various related information systems and facilitates synchronization with the other systems throughout the organization; works with Information Services, vendor and customers to develop business proposal outlining deliverables, requirements, risks, assumptions, key stakeholders, roles and responsibilities and budget. Manages business activities with organizations or agencies outside the organization; monitors vendor performance on deliverables and takes corrective action as necessary. Tracks actual performance against planned business performance, analyze variances and participates in problem solving to ensure all customer needs are met while maintaining control of the project. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. 10+ years of relevant experience and 2+ years of leadership / management experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

La Clínica del Pueblo STAFF PSYCHIATRIST - PART TIME POSITION Job Title: Staff Psychiatrist - Part Time Department: Patient Services Supervisor: Amina Chaudhry Classification: Exempt/ Salaried - Part Time Synopsis: Under the direction of the Chief Health Officer (CHO) or their designee, the Staff Psychiatrist will be responsible for providing a full range of psychiatric services to a diverse patient population served by La Clínica Del Pueblo (LCDP). They will collaborate with an interdisciplinary team including primary care and behavioral health clinicians, nurses, care coordinators, and health educators. They will also participate in organization-wide quality improvement initiatives. This position is a part time, hybrid in person/remote opportunity, with expected hours up to 24 hours weekly. Qualifications: Required Education and Experience: MD or DO from an accredited medical school with completion of an accredited psychiatry residency. Board certification or board eligibility (BC/BE) in Psychiatry. Current license (or eligibility to obtain a license) to practice in the District of Columbia and Maryland. Current DEA/CDS (or eligibility to obtain DEA/CDS) in the District of Columbia and Maryland. Proficiency in telehealth platforms and electronic health records. Bilingual Spanish and English. Preferred Education and Experience: MD or DO from an accredited medical school with completion of an accredited psychiatry residency. Board certification or board eligibility (BC/BE) in Psychiatry. Current license (or eligibility to obtain a license) to practice in the District of Columbia and Maryland. Current DEA/CDS (or eligibility to obtain DEA/CDS) in the District of Columbia and Maryland. Proficiency in telehealth platforms and electronic health records. Bilingual Spanish and English. Duties and Responsibilities : Direct Patient Care: Provide a full range of psychiatric services to assigned patients, including: Assessment, screening, diagnosis, and treatment of patients with mental health conditions and substance use disorders. Prescription, direction, and administration of psychotherapeutic treatments or medications to treat mental, emotional, or behavioral disorders. Collaboration with physicians, psychologists, social workers, nurses, or other professionals to discuss treatment plans and progress. Participation in treatment team activities to include the development and periodic review of patient treatment plans. Provide consultative support and in-service education for primary care clinicians and other clinical staff. Assist with psychiatric emergencies and crisis interventions at La Clinica Del Pueblo, providing assistance to behavioral health and primary care clinicians as needed. Be available for back up consultation to on-call providers for psychiatric emergency calls after hours and on weekends for patients under their care. Demonstrate professionalism and integrity in all aspects of patient care and administrative work. Effectively engage patients in their care. Use diagnostic testing appropriately yet cost-effectively. Maintain accurate, timely documentation in the electronic health record, ensuring HIPAA compliance and adherence to FQHC, state, and federal regulations. Participate in peer-review and other quality-improvement initiatives. Deliver care in-person and via telehealth, adapting modality to patient needs and clinical appropriateness. Collaborate with primary care and behavioral health teams to provide integrated care. Perform other related duties as assigned. Program Management: Participate in multidisciplinary team meetings and case conferences. Provide consultation, education, and support to primary care and behavioral health staff. Contribute to program development, quality improvement, and workforce training initiatives. Compliance: Support compliance with telehealth policies, licensure, and credentialing requirements. Policy and Procedures: Assist the CHO and Director of Behavioral Health in developing and updating clinical protocols for care delivery, emergency management, and transitions of care. Communication: Communicate effectively with patients, families, and staff, using appropriate technology platforms and maintaining professional boundaries. Ensure timely response to patient and team communications.

Coordinates the daily activities of staff and information systems activities of organization departments. Assesses and monitors staff productivity through standards and metrics to optimize performance and increase efficiency. Collaborates with Information Services and Finance departments to ensure optimal system-wide best practices. Plans, manages and organizes service delivery initiatives involving networking, integration, systems, security, data center, and related vendors in support of various organization daily operations, projects and initiatives; manages various related information systems and facilitates synchronization with other systems in the organization. Job Responsibility * Provides strategic advice and guidance to the Revenue Cycle Quality and Performance Management function. Identifies, and reports statistics, trends, and analysis to management; analyses data, prepares and presents project reports for management, clients or others. * Performs ad-hoc analyses on an as need basis; identifies, recommends, and implements approved process improvements. * Defines and develops business plan and determines time-frame, funding limitations, procedures, staffing requirements and allotment of resources to various phases of the business; manages activities of business staff to ensure project progress is on schedule and within budget. * Establishes work plan and staffing for each business phase and arranges for recruitment or assignment of business staff; reviews status reports and modifies schedules and/or plans as required. * Confers with staff to outline work plan and assign duties, responsibilities and scope of authority; provides business staff with technical advice and problem resolution; implements solutions in response to issues, customer complaints, regulatory changes, and insurance related updates in order to promote timely and efficient revenue cycle operations. * Ensures the integrity of various related information systems and facilitates synchronization with the other systems throughout the organization; works with Information Services, vendor and customers to develop business proposal outlining deliverables, requirements, risks, assumptions, key stakeholders, roles and responsibilities and budget. * Manages business activities with organizations or agencies outside the organization; monitors vendor performance on deliverables and takes corrective action as necessary. * Tracks actual performance against planned business performance, analyze variances and participates in problem solving to ensure all customer needs are met while maintaining control of the project. * Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification * Bachelor's Degree required, or equivalent combination of education and related experience. * 10+ years of relevant experience and 2+ years of leadership / management experience, required. * Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Advises and counsels admitted patients of financial responsibility and self-payments. Processes payments, issues patient receipts, and maintains collection log. Job Responsibility + Interviews patients to obtain necessary financial and insurance information. + Verifies patients insurance and collects additional insurance such as No Fault and Workers Compensation. + Performs financial assessment of patients; refers potential Medicaid cases to Medicaid Investigator. + Gathers documentation and assists in the completion of the Financial Assistance Program (FAU) application process. + Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital. + Establishes patients' pro-rated financial obligations and sets-up payment arrangements/contracts. + Follows up on scheduled payments via mail and telephone. + Processes applications for Section 1011, where applicable. + Maintains daily work log of payments collected. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification + High School Diploma or equivalent required. + 1-3 years of relevant experience, required. This position will be fully remote Monday-Friday from 9am-5pm. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $34820-$51950/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

Plays a critical role in developing and implementing labor relations strategies, providing expert guidance to both management and junior team members, and supporting all aspects of labor relations strategy. While facilitating labor agreements, analyzing collective bargaining agreements and providing contract interpretation guidance, this role will also mentor and develop less experienced team members, ensuring consistent application of best practices and fostering a collaborative work environment. Job Responsibility 1.Provides guidance and mentorship to junior human resources and labor relations specialists on labor relations, fostering their professional development and ensuring consistent application of best practices. 2.Oversees the administration of existing contracts, ensuring compliance and resolving interpretation issues. Provides expert advice to management on contract provisions and their implications. 3.Oversees the collection, analysis, and dissemination of information related to labor contract administration and negotiations. Develops and maintains tools and resources for effective contract management. Manages requests for information (RFIs) and ensures accurate and timely responses. 4.Serves as the primary liaison with shared services departments and other stakeholders to gather necessary information and ensure alignment on labor relations matters. Builds and maintains strong relationships with union representatives and management. 5.Prepares comprehensive reports, presentations, and other communication materials for senior leadership regarding labor contract administration, negotiations, and other labor relations matters. Effectively communicates complex information to diverse audiences. 6.Oversees the implementation of new and revised labor contracts, including leading implementation meetings, preparing and updating implementation reports, and tracking progress. Collaborates with stakeholders to ensure smooth and effective implementation. 7.Develops and delivers training programs on labor contracts, labor relations practices, and collective bargaining agreement interpretation for both management and employees. Mentors junior team members on training delivery and content development. 8.Provides expert guidance and advice to management and HR colleagues on all aspects of labor relations, including contract interpretation, grievance handling, and dispute resolution. Serves as a resource for junior team members, providing support and guidance on complex issues. 9.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification *Bachelor's Degree or equivalent combination of education and related experience, required. *Master's Degree or equivalent combination of education and related experience, preferred. *5-7 years of prior technical experience, preferred. ***Additional Salary Detail** The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $79880-$136340/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility Serves as liaison between the patient and facility/physician and the third party payer. Prepares and defends level of care and medical necessity for assigned case. Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness of admission and continued length of stay. Ensures compliance with current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness and intensity of services provided. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Inpatient clinical experience; 4+ years preferred. Prior Acute Case Management and/or Utilization Review experience, preferred. Must have experience with Milliman Care Guidelines and/or InterQual. Hours/Shift Fully remote role Days: Sunday - Thursday Hours: 8:00am - 4:00pm *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Supervises and coordinates the staff and daily operations of the Financial Services department to ensure proper registration, verification, authorization, billing, and collection of patient services. Job Responsibility Promotes Financial Services department goals by selecting, motivating, and training capable team members. Leads the activities of assigned Financial Services team members by communicating and providing guidance toward achieving department objectives. Supervises daily operations and oversees the activities of registration, verification, authorization, billing, and collection of patient services. Acts as a primary liaison to all payors, patients, patient accounts, clinicians, and/or other practice areas; ensures proper billing and follow-up; collaborates with the Patient Accounts to optimize billing flow. Advises management of systemic issues and high risk/high exposure situations; recommends solutions; develops and implements policies and procedures to facilitate registration, verification, authorization, billing, and collection activities to maximize operational efficiency. Supervises, hires, trains, disciplines, and evaluates staff. Ensures performance appraisals are completed in a timely manner; trains new employees on departmental policies and procedures, as well as, processes and systems, including but not limited to, Rehabilitation Tool-Kit (RTK), ZirMed and IDX. Informs staff of changes in policies, procedures, processes and systems, as well as, new insurance regulations. Maintains daily workflow in order to expedite processing while ensuring quality care and customer service. Maintains attendance, payroll records, and processing of time-off requests. Performs department audits to ensure compliance with regulatory standards and payor requirements; prepares and monitors statistical, quality improvement and staffing reports. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Associate's Degree required, or equivalent combination of education and related experience. 4-6 years of relevant experience and 0-2 years of leadership / management experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Obstetrics and Gynecology Service Line lead for data acquisition, analysis, presentation and integrity. Capable of collaborating with Service Line Leaders in Quality and Safety, Operations and Finance and Quality Improvement and Research Efforts related to data. Shapes the strategic direction of the organization and the supporting IT systems and architectures. Job Responsibility Knowledgeable in the use of Vizient data system and analysis-supports the use of Vizient data by Service Line Leadership Knowledgeable in the use of EPIC EMR software from the clinical and revenue cycle components. Facilitates dashboard development for various service line leader needs. Leads monthly OB-IT Taskforce, collaborating with clinical and informatics stakeholders on various topics and leads steps to resolution Maintains knowledge of emerging technological trends and utilizes this knowledge to educate both IT and the business on opportunities to build better IT solutions that support and drive business decisions. Defines the architecture and technology needs of the organization based on new and emerging technologies, and establishes priorities and strategies consistent with business goals and economic viability. Establishes foundation architecture for organization to standardize on hardware and software usage. Serves as a consultant and advisor to senior IT leadership on advanced technologies and evaluates the business impact through cost/benefit analysis. Recommends and incorporates technology with long-term business plans. Transfers knowledge of key learnings throughout the enterprise, and establishes and communicates strategic and technological plans. Has comprehensive knowledge of the field's concepts and principles. Focuses on administering established policies and procedures but may have some impact on departmental budgeting, strategic planning, and procedural change. Leads and directs the work of other employees and has full authority for personnel decisions. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. 10 + years of relevant experience and 2 + years of leadership / management experience, required. HIGHLY PREFERRED EPIC Certification: Cogito, Stork modules Strong data analysis/presentation skill sets *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Performs a variety of functions and technical procedures necessary for patient admission, assessment, diagnosis, treatment, follow-up, and outcome evaluation. Participates in performance improvement, research, and educational activities. Job Responsibility * Takes initial patient histories and performs physical examinations. * Initiates, documents, and communicates the plan of care and follows up to ensure complete screening and preparation of patients. * Performs daily patient rounds. * Writes orders for medications, laboratory work, and diagnostic tests. * Interprets laboratory and test results. * Confers with attending physicians, residents, nursing staff, and/or other care providers to ensure optimum quality of patient care. * Upon discharge, notes discharge summaries, prescriptions, and any referrals on patient charts. * Informs patients of the necessary post-discharge care instructions. * Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification * Bachelor's Degree, required. Graduate of an accredited (Accreditation Review Committee for Physician Assistant Programs ARC-PA) program, required. * Current license to practice as a Physician Assistant (PA) by the New York State Department of Education, required. * Current NCCPA Certification from the National Commission on the Certification of Physician Assistants (NCCPA), required. * Current BLS certification, required. OR * Master's Degree in a Nurse Practitioner Program and National Board Certification in specialty area required. * Current license to practice as a Nurse Practitioner in New York State, and current license to practice as a Registered Professional Nurse in New York State, required. * Has a collaborative practice agreement with designated protocols filed with NYS Department of Education OR collaborative relationship attestation as per the Nurse Practitioner Modernization Act 2015. * Current BLS certification, required. * Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Performs a variety of registration, insurance verification, scheduling and billing duties in support of inpatient and outpatient access to medical services. Completes complex tasks. May aid or train other Representatives in responsibilities. Job Responsibility + Performs admissions, registration and scheduling activities. Obtains necessary demographic and insurance information and enters data into computer system, which may include patients on Medicare/Medicaid; + Verifies patient insurance coverage and other related data. Obtains patient insurance authorization required for services; Documents authorization approvals and denials in computer systems; may financially screen patients, evaluating and assessing all self-pay patients pre-registered or inpatient/outpatient, to establish method of payment; Informs and counsels patient/patient representative regarding available financial assistance; Collects money due from patient at time of service; May preform billing, receivable and related functions. + May follow through on any open self-pay accounts including monthly payment amounts for purposes of collection. + Assists and/or trains new employees as instructed by supervisor or manager. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification + High School Diploma or equivalent required. + 3-5 years of relevant experience, required. This will be Fully remote Wednesday- Friday 9a-5p and Saturday-Sunday 8a-4p *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $41780-$64340/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

Manages, plans, and organizes enterprise revenue cycle transformation initiatives; participates in the ongoing process to identify opportunities to refine applications and workflow to meet business objectives, including assimilating applications, workflows, and operations to improve efficiency and outcomes internally and patient service externally. Job Responsibility * Provides leadership to Revenue Cycle team members and supervisors by communicating and guiding toward achieving department objectives. * Develops, communicates, and builds consensus for goals in alignment with the health system. * Executes workplans to complete enterprise design; implementation of enterprise revenue cycle the health systems and transformed workflows. * Establishes ongoing performance improvement infrastructure, including governance bodies, workgroups, and processes to facilitate a culture and expectation regarding ever-improving outcomes and efficiencies. * Designs training program to effectively balance classroom, web-based and practical application forums to manage the diverse educational needs of adult learner demographic. * Collaborates with revenue cycle leadership to routinely monitor strategic operating goals and objectives and confirm ongoing transformation alignment with goals. * Collaborates with revenue cycle and practice senior leadership to evolve access to critical data to support ongoing business analytics and intelligence; develops and oversees financial management including budget, salary, capital, and revenue projections. * Measures organizational performance against goals and objectives; develops financial programs consistent with changing regulatory and fiscal environment in accordance with health the health system's mission and vision. * Manages administrative direction of assigned department(s), assesses and makes recommendations to improve the efficiency of current the health systems/ processes. * Selects, develops, manages, and evaluates direct reports; oversees the selection, development, management and evaluation of indirect reports. * Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification * Bachelor's Degree required, or equivalent combination of education and related experience. * 6-8 years of relevant experience and 2-5 years of leadership / management experience, required. This position will be hybrid to 1111 Marcus Avenue, New Hyde Park, Monday-Friday 8am-5pm. * Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Assists processing payments, issues patient receipts, and maintains collection log. Job Responsibility Verifies patients insurance and collects additional insurance such as No Fault and Workers Compensation. Performs financial assessment of patients. Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital. Establishes patients' pro-rated financial obligations and sets-up payment arrangements/contracts. Follows up on scheduled payments via mail and telephone. Maintains daily work log of payments collected. Operates with direct guidance and work assignments are generally straightforward and of moderate complexity. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. 0-1 years of relevant experience, required. This position will be hybrid, Monday-Friday from 9am-5pm (some 10am-6pm coverage may be needed) *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Plays a critical role in developing and implementing labor relations strategies, providing expert guidance to both management and junior team members, and supporting all aspects of labor relations strategy. While facilitating labor agreements, analyzing collective bargaining agreements and providing contract interpretation guidance, this role will also mentor and develop less experienced team members, ensuring consistent application of best practices and fostering a collaborative work environment. Job Responsibility 1.Provides guidance and mentorship to junior human resources and labor relations specialists on labor relations, fostering their professional development and ensuring consistent application of best practices. 2.Oversees the administration of existing contracts, ensuring compliance and resolving interpretation issues. Provides expert advice to management on contract provisions and their implications. 3.Oversees the collection, analysis, and dissemination of information related to labor contract administration and negotiations. Develops and maintains tools and resources for effective contract management. Manages requests for information (RFIs) and ensures accurate and timely responses. 4.Serves as the primary liaison with shared services departments and other stakeholders to gather necessary information and ensure alignment on labor relations matters. Builds and maintains strong relationships with union representatives and management. 5.Prepares comprehensive reports, presentations, and other communication materials for senior leadership regarding labor contract administration, negotiations, and other labor relations matters. Effectively communicates complex information to diverse audiences. 6.Oversees the implementation of new and revised labor contracts, including leading implementation meetings, preparing and updating implementation reports, and tracking progress. Collaborates with stakeholders to ensure smooth and effective implementation. 7.Develops and delivers training programs on labor contracts, labor relations practices, and collective bargaining agreement interpretation for both management and employees. Mentors junior team members on training delivery and content development. 8.Provides expert guidance and advice to management and HR colleagues on all aspects of labor relations, including contract interpretation, grievance handling, and dispute resolution. Serves as a resource for junior team members, providing support and guidance on complex issues. 9.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification * Bachelor's Degree or equivalent combination of education and related experience, required. * Master's Degree or equivalent combination of education and related experience, preferred. * 5-7 years of prior technical experience, preferred. * Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates queries and have follow up discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded. 3.Works with physicians on assigned patient care units to clarify clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests clarification of clinical documentation from the physician(s) on a concurrent basis as needed to ensure documentation is complete and accurate prior to discharge. 5.Ensures the level of service rendered to patients, and the patient's severity of illness is accurately documented and recorded. 6.Follows up on CDI queries as needed to ensure appropriate documentation is recorded in the medical record. 7.Interacts with physicians as needed to discuss and advise on clinical documentation requirements and provides timely and accurate responses to clinical documentation and coding questions. 8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS-DRG and APR NY and APR National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures. 9.Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart. 10.Reconciles reviewed cases to update any changes in status, procedures/treatments, and confer with providers to finalize diagnoses. 11.Educates medical staff on clinical documentation opportunities that impacts the accuracy of the medical record. 12.Inputs outcome data in the CDI software to be able to track response to queries. Responsible for file maintenance including entry into database for tracking and trending audit results. Communicate findings of potential or missed diagnoses and the revenue impact that were discovered during the chart audit. 13.Regularly exercises independent judgment on matters of significance within defined procedures todetermine appropriateactions/approaches 14.Understands department,division, corporate strategy and operating objectives, including impacts 15.Normally receives general instructions on routinework, detailed instructions on new projects or assignments 16.Majority of contact is within own function, area, or department and may be customer service oriented 17.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing required. Must obtain a Bachelor of Science in Nursing degree within 5 years of employment date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. (CCDS, CDIP, CCEDS or CCS). 1-3 years of relevant CDI experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

La Clínica del Pueblo STAFF PSYCHIATRIST - PART TIME POSITION Job Title: Staff Psychiatrist - Part Time Department: Patient Services Supervisor: Amina Chaudhry Classification: Exempt/ Salaried - Part Time Synopsis: Under the direction of the Chief Health Officer (CHO) or their designee, the Staff Psychiatrist will be responsible for providing a full range of psychiatric services to a diverse patient population served by La Clínica Del Pueblo (LCDP). They will collaborate with an interdisciplinary team including primary care and behavioral health clinicians, nurses, care coordinators, and health educators. They will also participate in organization-wide quality improvement initiatives. This position is a part time, hybrid in person/remote opportunity, with expected hours up to 24 hours weekly. Qualifications: Required Education and Experience: * MD or DO from an accredited medical school with completion of an accredited psychiatry residency. * Board certification or board eligibility (BC/BE) in Psychiatry. * Current license (or eligibility to obtain a license) to practice in the District of Columbia and Maryland. * Current DEA/CDS (or eligibility to obtain DEA/CDS) in the District of Columbia and Maryland. * Proficiency in telehealth platforms and electronic health records. * Bilingual Spanish and English. Preferred Education and Experience: * MD or DO from an accredited medical school with completion of an accredited psychiatry residency. * Board certification or board eligibility (BC/BE) in Psychiatry. * Current license (or eligibility to obtain a license) to practice in the District of Columbia and Maryland. * Current DEA/CDS (or eligibility to obtain DEA/CDS) in the District of Columbia and Maryland. * Proficiency in telehealth platforms and electronic health records. * Bilingual Spanish and English. Duties and Responsibilities: Direct Patient Care: * Provide a full range of psychiatric services to assigned patients, including: * Assessment, screening, diagnosis, and treatment of patients with mental health conditions and substance use disorders. * Prescription, direction, and administration of psychotherapeutic treatments or medications to treat mental, emotional, or behavioral disorders. * Collaboration with physicians, psychologists, social workers, nurses, or other professionals to discuss treatment plans and progress. * Participation in treatment team activities to include the development and periodic review of patient treatment plans. * Provide consultative support and in-service education for primary care clinicians and other clinical staff. * Assist with psychiatric emergencies and crisis interventions at La Clinica Del Pueblo, providing assistance to behavioral health and primary care clinicians as needed. * Be available for back up consultation to on-call providers for psychiatric emergency calls after hours and on weekends for patients under their care. * Demonstrate professionalism and integrity in all aspects of patient care and administrative work. * Effectively engage patients in their care. * Use diagnostic testing appropriately yet cost-effectively. * Maintain accurate, timely documentation in the electronic health record, ensuring HIPAA compliance and adherence to FQHC, state, and federal regulations. * Participate in peer-review and other quality-improvement initiatives. * Deliver care in-person and via telehealth, adapting modality to patient needs and clinical appropriateness. * Collaborate with primary care and behavioral health teams to provide integrated care. * Perform other related duties as assigned. Program Management: * Participate in multidisciplinary team meetings and case conferences. * Provide consultation, education, and support to primary care and behavioral health staff. * Contribute to program development, quality improvement, and workforce training initiatives. Compliance: * Support compliance with telehealth policies, licensure, and credentialing requirements. Policy and Procedures: * Assist the CHO and Director of Behavioral Health in developing and updating clinical protocols for care delivery, emergency management, and transitions of care. Communication: * Communicate effectively with patients, families, and staff, using appropriate technology platforms and maintaining professional boundaries. * Ensure timely response to patient and team communications.

Supervises and coordinates the staff and daily operations of the Financial Services department to ensure proper registration, verification, authorization, billing, and collection of patient services. Job Responsibility + Promotes Financial Services department goals by selecting, motivating, and training capable team members. + Leads the activities of assigned Financial Services team members by communicating and providing guidance toward achieving department objectives. + Supervises daily operations and oversees the activities of registration, verification, authorization, billing, and collection of patient services. + Acts as a primary liaison to all payors, patients, patient accounts, clinicians, and/or other practice areas; ensures proper billing and follow-up; collaborates with the Patient Accounts to optimize billing flow. + Advises management of systemic issues and high risk/high exposure situations; recommends solutions; develops and implements policies and procedures to facilitate registration, verification, authorization, billing, and collection activities to maximize operational efficiency. + Supervises, hires, trains, disciplines, and evaluates staff. + Ensures performance appraisals are completed in a timely manner; trains new employees on departmental policies and procedures, as well as, processes and systems, including but not limited to, Rehabilitation Tool-Kit (RTK), ZirMed and IDX. + Informs staff of changes in policies, procedures, processes and systems, as well as, new insurance regulations. + Maintains daily workflow in order to expedite processing while ensuring quality care and customer service. + Maintains attendance, payroll records, and processing of time-off requests. + Performs department audits to ensure compliance with regulatory standards and payor requirements; prepares and monitors statistical, quality improvement and staffing reports. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification + Associate's Degree required, or equivalent combination of education and related experience. + 4-6 years of relevant experience and 0-2 years of leadership / management experience, required. ***Additional Salary Detail** The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $64350-$86060/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility + Serves as liaison between the patient and facility/physician and the third party payer. + Prepares and defends level of care and medical necessity for assigned case. + Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. + Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness of admission and continued length of stay. + Ensures compliance with current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness and intensity of services provided. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification + Graduate from an accredited School of Nursing. + Bachelor's Degree in Nursing, preferred. + Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. + Inpatient clinical experience; 4+ years preferred. + Prior Acute Case Management and/or Utilization Review experience, preferred. + Must have experience with Milliman Care Guidelines and/or InterQual. Hours/Shift + Fully remote role + Days: Sunday - Thursday + Hours: 8:00am - 4:00pm *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $78000-$130000/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.