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executive assistant office manager

patient care associate-gp 7 center-mount sinai hospital-part-time night-11:15pm–7:15am, eow Jobs in New York

clinical case manager

Project Renewal

Title: Case Manager
 Program: Clinton Residence
 Salary Range: $44,000 per year
 
Program Overview: 
Clinton Residence is a transitional treatment facility licensed and regulated by the NYS Office of Mental Health. The facility provides transitional housing for 57 formerly homeless, single adults with chronic mental illness, some of whom are dually diagnosed with a substance abuse disorder.
 
Essential Duties & Responsibilities: 
The essential duties of the Case Manager include but are not limited to the following activities:
 <ul>
<li>Provides direct services, including ongoing assessment, counseling, linkage to services and coordination of services for mentally ill, formerly homeless adults.</li>
<li>Responsible for developing individual service plans in collaboration with residents.</li>
<li>Conduct assessment, treatment planning and documentation in accordance with Office of Mental Health Guidelines.</li>
<li>Counsel residents in issues of money, medication management, activities of daily living.</li>
<li>Accompany and advocate on behalf of the residents with community based services, as needed.</li>
<li>Create and lead groups addressing functional and psychosocial needs of residents.</li>
<li>Participate in weekly clinical team meetings and receive individual supervision.</li>
<li>Clinical Supervision and accumulation of clinical hours towards fulfillment of requirements for clinical licensure available for qualified candidates.</li>
</ul>
Qualifications: 
<ul>
<li>Minimum of a bachelor’s degree in a Human Services field and experience working with mentally ill adults including the formerly homeless</li>
<li>Master’s Degree preferred</li>
<li>Bilingual in Spanish Preferred</li>
</ul>

Case Manager

Urban Pathways

<div>
 The salary range is based on several factors, including, but not limited to, overall experience, relevant experience, education level, certifications, applicable skills, and expertise.
 
 
 
 Hybrid: 4 days in office/1 day remote
 
 
 
 
 Join UP! We are lighting the path home, one person at a time.
 
 
 
 
 About Urban Pathways
 
 
 
 
 Since 1975, Urban Pathways has engaged New York City&rsquo;s most vulnerable residents, people on the streets or in areas unfit for human habitation, &ldquo;lighting the path home, one person at a time.&rdquo; Urban Pathways is a catalyst for transformative change in the lives of unhoused adults, empowering them to discover their inherent strengths and abilities. We provide essential support and foster an environment where individuals can redefine their narratives and become their best selves.
 
 
 
 
 Responsibilities
 
 
 
 Reporting to the Director of Social Services/Social Services Supervisor, the Case Manager provides and documents clinical and case management services for assigned clients.
 
 
 <ul>
 <li>
 Provides comprehensive case management services for assigned clients, including but not limited to crisis intervention, advocacy, assistance in problem-solving, assessment, conflict resolution, entitlements, training on daily living skills, and referrals.
 </li>
 <li>
 Assesses client needs and develops service plans and client objectives to achieve self-sufficiency.
 </li>
 <li>
 Conducts field work, including but not limited to home visits, escorting clients to appointments, and outreach.
 </li>
 <li>
 Monitors client medication as required.
 </li>
 <li>
 Maintains and submits all necessary documents and reports as required by Urban Pathways, regulatory, and funding agency policies, procedures, and regulations.
 </li>
 <li>
 Attends staff meetings, training, and supervisory sessions as required.
 </li>
 <li>
 Develops and maintains relationships with community services and resources.
 </li>
 <li>
 Performs all other duties as assigned.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 A bachelor&rsquo;s degree is required. A bachelor&rsquo;s degree in social work or another related field is preferred.
 </li>
 <li>
 Minimum one year of clinical, individual, or group counseling experience with persons living with a mental health condition, formerly homeless people preferred.
 </li>
 <li>
 Strong computer skills and knowledge of Microsoft Office (e.g., Word, Outlook, Excel, etc.).
 </li>
 <li>
 Strong interpersonal skills and the ability to work as part of a team.
 </li>
 <li>
 Strong written and verbal communication skills.
 </li>
 <li>
 Familiarity with online chart record databases such as AWARDS is a plus.
 </li>
 <li>
 Bilingual English or Spanish is a plus.
 </li>
 <li>
 Required to work a flexible schedule, including weekends, holidays, and evenings.
 </li>
 <li>
 A clean driving record is a plus.
 
 
 </li>
 </ul>
 
 Urban Pathways offers a comprehensive benefits package designed to support the well-being and professional growth of our employees.
 
 
 
 
 These benefits include:
 
 
 
 <ul>
 <li>
 Healthcare Coverage: Medical, dental, and vision insurance plans to keep you and your family in good health.
 </li>
 <li>
 Retirement Savings: A 403(b) plan and a 401(a) with employer annual contribution to help you plan for a secure financial future.
 </li>
 <li>
 Paid Time Off: Generous paid time off, including vacation, holidays, and personal days.
 </li>
 <li>
 Professional Development: Opportunities for continuous learning and professional development to enhance your skills and advance your career.
 </li>
 <li>
 Flexible Work Arrangements: Work-life balance is important to us, and we offer flexible work arrangements to accommodate your needs.
 </li>
 <li>
 Wellness Programs: Employee wellness programs, including fitness initiatives and mental health support.
 </li>
 <li>
 Employee Assistance Program (EAP): Confidential counseling and support services for personal or work-related issues.
 </li>
 <li>
 Employee Recognition: Recognition programs to celebrate and reward outstanding contributions.
 </li>
 </ul>
</div>

Oak Street Health, part of CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
Company: Oak Street Health
Title: RN, Case Manager
Location:
University Ave
1953 University Ave, Bronx, NY 10453
Washington Heights
4405 Broadway, New York, NY 10040<ul><li>Subject to adjustment based on clinic needs</li></ul><ul><li>Eligible candidates may receive a sign‑on bonus as part of the offer package.</li></ul>
Role Description: 
In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for complex patients. This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ensuring effective team-based care. It is a field-based, in-person/on-site role, requiring strong relationships between patients, providers and care team members.
Core Responsibilities:<ul><li>
Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization.</li><li>
Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics.
</li><li>Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team.</li><li>
Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members.</li><li>
Collaborates patient&rsquo;s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression.
</li><li>Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings.</li><li>
Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits.
</li><li>Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care.</li><li>
Educate patients and families, empowering them in their care, and advocating for their needs.</li><li>
Document visits in electronic health record according to internal standards</li><li>
Other duties as assigned.</li></ul> 
What are we looking for?<ul><li>
Fluency in Spanish or other languages spoken by people in the communities we serve, required</li><li>
Current RN license in assigned state is required; Bachelor degree in nursing preferred.</li><li>
Minimum of 6-8 years nursing experience.</li><li>
Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience</li><li>
2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred.</li><li>
Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources.</li><li>
A flexible and positive attitude</li><li>
Comfort with ambiguity and change</li><li>
High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution.</li><li>
Access to reliable transportation and ability to travel throughout the communities OSH serves</li><li>
US work authorization</li><li>
Someone who embodies being Oaky</li></ul>
What does being Oaky look like?<ul><li>
Radiating positive energy</li><li>
Assuming good intentions</li><li>
Creating an unmatched patient experience</li><li>
Driving clinical excellence</li><li>
Taking ownership and delivering results</li><li>
Being relentlessly determined</li></ul>
Why Oak Street Health?
Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move! With over 200+ locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission.
Oak Street Health Benefits:<ul><li>
Mission-focused career impacting change and measurably improving health outcomes for Medicare patients</li><li>
Paid vacation, sick time, and investment/retirement 401K match options</li><li>
Health insurance, vision, and dental benefits</li><li>
Opportunities for leadership development and continuing education stipends</li><li>
New centers and flexible work environments</li><li>
Opportunities for high levels of responsibility and rapid advancement</li></ul> 
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. 
Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$72,627.00 - $155,538.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 06/30/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Registered Nurse - Case Manager - Bronx

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
Job Summary:
The Care Manager&mdash;Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs. This role involves conducting comprehensive assessments to evaluate members&rsquo; needs and addressing SDoH challenges by connecting them with appropriate resources and support services. The Social Worker provides education and guidance to members and their families on managing chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services, and collaborates with the interdisciplinary care team to ensure optimal health outcomes. Accurate and timely documentation of assessments and interventions is essential, as is participation in team meetings to discuss member status and care strategies.
Key Responsibilities:<ul><li>
50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care.</li><li>
Compiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the member&rsquo;s identified needs.</li><li>
Provides evidence-based disease management education and support to help the member achieve health goals.</li><li>
Ensure the appropriate members of the interdisciplinary care team are involved in the member&rsquo;s care.</li><li>
Provides care coordination to support a seamless health care experience for the member.</li><li>
Meticulous documentation of care management activity in the member&rsquo;s electronic health record.</li><li>
Collaborate with other participants of the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member&rsquo;s stable health condition.</li><li>
Identifies and connects members with health plan benefits and community resources.</li><li>
Meets regulatory requirements within specified timelines.</li><li>
The Care Manager RN supports other members of the Care Team through clinical decision making and guidance as needed.</li><li>
Additional responsibilities as assigned by leadership to support team objectives, enhance operational efficiency, and ensure the delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members.</li></ul>
Essential Competencies and Functions:<ul><li>
Ability to meet performance and productivity metrics, including call volume, successful member engagement, and state/federal regulatory requirements of this role.</li><li>
Conduct oneself with integrity, professionalism, and self-direction.</li><li>
Experience or a willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care.</li><li>
Familiarity with community resources and services.</li><li>
Ability to navigate and utilize various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records.</li><li>
Maintain strong collaborative and professional relationships with members and colleagues.</li><li>
Communicate effectively, both verbally and in writing.</li><li>
Excellent customer service and engagement skills.</li></ul>
Required Qualifications<ul><li>
Must have active and unrestricted Registered Nurse (RN) licensure in the state of NY</li><li>
Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the CM RN role.</li><li>
Access to a private, dedicated space to conduct work effectively to meet The requirements of the position.</li><li>
Confidence working at home / independent thinker, using tools to collaborate and connect with teams virtually.</li><li>
Minimum 3+ years of nursing experience</li><li>
Minimum 2+ years of case management, discharge planning and/or home healthcare coordination experience</li></ul>
Preferred Qualifications<ul><li>
Experience providing care management for Medicare and/or Medicaid members.</li><li>
Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health.</li><li>
Experience conducting health-related assessments and facilitating the care planning process.</li><li>
Bilingual skills, especially English-Spanish</li></ul>
Education<ul><li>
Associate&rsquo;s of Science in Nursing (ASN) degree and relevant experience in a health care-related field (REQUIRED)</li><li>
Bachelor&rsquo;s of Science in Nursing (BSN) (PREFERRED)</li></ul>
License<ul><li>
Must have active and unrestricted Registered Nurse (RN) licensure in the state of NY</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$66,575.00 - $142,576.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 04/03/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Case Manager Registered Nurse (Remote, New York License)

Segan Nemerov Singer Sonin

Job Summary We are seeking a proactive and detail-oriented case management paralegal for a boutique personal injury law firm.Duties<ul><li>Manage legal case files from intake though trial</li><li>Delegate and track all firm output including Summons &amp; Complaints, Discovery and Motions.</li><li>Provide executive administrative support including scheduling appointments, managing calendars, and handling phone etiquette</li><li>Draft, proofread, and review legal documents including discovery requests, and correspondence</li><li>Conduct interviews with clients and witnesses to gather pertinent case information</li><li>Assist with project management tasks related to ongoing cases or legal initiatives</li><li>Collaborate with team members to ensure timely completion of all legal administrative duties</li></ul>Qualifications<ul><li>At least 10 years of paralegal experience</li><li>Strong knowledge of personal injury law</li><li>Ability to prioritize tasks efficiently in a fast-paced environment</li><li>Experience with document management systems like CloudLex or eDOCS is highly desirable</li><li>Excellent writing skills for drafting legal documents and correspondence</li><li>Strong organizational skills with the ability to manage the firm&rsquo;s output</li><li>Attention to detail for proofreading and document review tasks</li><li>Effective interviewing skills for client interactions and witness statements</li></ul>Pay: $100,000.00 per yearBenefits:<ul><li>Health insurance</li></ul>Work Location: In person

Paralegal/Case Manager

ReCor Medical

<div><div>At Recor Medical, we are pioneering Ultrasound Renal Denervation (uRDN) therapy to treat hypertension, the leading cardiovascular risk factor in the world. With our Paradise&trade; uRDN System, we&rsquo;re on a mission to provide the millions of people who suffer from hypertension with a non-drug and minimally invasive option to lower their blood pressure. Join us on our journey and make a meaningful impact on the lives of people around the globe.</div><div></div><div>
Position Summary: 
The primary responsibility of the Sales Territory Manager, New York City/ Long Island will be towards the launch and sales of Recor Medical products and /or services to assigned accounts within a given territory. The Sales Territory Manager, New York City/ Long Island is responsible for increasing sales according to corporate objectives and will report directly to the Regional Sales Director, Northeast. This individual will be responsible for New York City / Long Island region.</div><div> 
Responsibilities including but not limited to: 
<ul><li>Launch Paradise (Ultrasound Denervation System), the first ever renal denervation product into the market</li><li>Develop a launch account strategy and business plan to maximize device penetration</li><li>Work through target accounts purchasing processes and VAC committees by building key account champions and presenting a strong value proposition</li><li>Increase Recor Medical sales by developing new users and driving specific focus on the high volume HTxn prescribers and interventionalists</li><li>Work as part of a collaborative team and routinely share case experiences and challenges to help others overcome similar obstacles. Meet or exceed sales objectives</li><li>Participate in the preparation of plans and campaigns, business plans, and product development plans, encompassing therapy awareness programs to grow the business</li><li>Build meaningful partnerships with KOLs and other high-volume interventionalists in target accounts and converting them to commercial opportunity</li><li>Develop belief and clinical confidence with R&amp;D use among new and existing users, fellows, support staff</li><li>Setting physician expectations before, during and after a case by painting a picture of what success looks like for the physician, staff, and administration</li><li>Anticipating and adapting to challenges, and coaching physician and staff through complex clinical situations</li><li>Use corporate programs and resources to drive adoption with new and existing users</li><li>Monitor consignment inventory and expiry dates of products within their sales territory</li><li>Provide market intelligence to sales management and participate in the development of sales forecasts and strategies</li><li>Negotiating all aspects of launching a new technology</li><li>Delivering tools and resources to facilitate adoption, including customized training plans for physicians, administration, and staff</li></ul></div><ul><li>Articulating clinical and economic value proposition and success stories to all stakeholders</li><li>Guiding new users through the certification process</li><li>Develop and manage administrative functions within the territory including general organization such as time management, weekly call activities, expense reports, travel itineraries, territory coverage in general, trunk stock and consignment inventory if provided</li><li>Operate the CRM (Salesforce customer relationship management) system and ensure information is available with the company on a timely and accurate manner</li><li>Adherence to customer account policies and procedures where applicable</li></ul><div> 
Requirements: 
<ul><li>Bachelor&rsquo;s degree in science or business</li><li>7-10+ years of interventional cardiology device selling experience in a complex and highly clinical hospital setting</li><li>Experience launching a disruptive new technology in the cardiology space, and successfully changing treatment algorithms</li><li>Understand what is needed to sell a premium product, with demonstrated success selling clinical and economic value, and overcoming barriers to adoption with external customers:</li></ul></div><ul><li><div>
Interventional cardiologists and catheterization lab clinical staff, Purchasing directors, hospital administration</div></li><li><div>
Comfortable presenting clinical and economic data, interpreting and demonstrating trends from the data and presenting data to physicians, hospital executives, and other clinical and non-clinical personnel in a compelling and credible fashion</div></li><li><div>
Experience calling on multi-functional stakeholders in a hospital and</div></li><li><div>
building relationships with key thought leaders</div></li><li><div>
Complete mastery of the cardiovascular anatomy, physiology and interventional procedures</div></li><li><div>
Full understanding of interventional products, and the different products from the companies in this space commonly used</div></li></ul><ul><li>Consistent success working in a variety of business conditions and in a collaborative environment</li><li>Experience providing clinical training and leadership. Documented success in training interventional cardiologists on products and procedures</li><li>Demonstrated skills in sales planning, organization, and execution. Continual self-development and passion for a mission</li><li>Must reside in New York/ Long Island</li></ul><div></div><div>
Pre-Employment Requirement</div><div>
At Recor Medical, patient safety and compliance are at the heart of everything we do. To support these standards, employment for all field-based roles is contingent upon successfully completing a pre-employment background check and drug screen. These steps help ensure we bring the highest level of integrity and accountability to the physicians and patients we serve.</div><div></div><div>
Radiation Safety Requirement</div><div>
Certain field-based roles at Recor Medical require work in environments where radiation sources (e.g., x-ray equipment) are in use. Employees in these roles will be issued a personal dosimetry badge to monitor occupational exposure and are required to wear it in accordance with company policy and applicable regulatory standards. This program is designed to ensure compliance with federal and state regulations and to maintain radiation exposure at levels that are As Low As Reasonably Achievable (ALARA). Additional guidance and protective equipment, as necessary, will be provided as part of onboarding and ongoing safety training.</div><div></div><div>
Salary Range: $120,000- $140,000 (Annual Base Salary)</div><div>
The successful candidate's starting base pay will be determined based on job-related skills, experience, qualifications, work location and market conditions. The expected base pay range for this role may be modified based on market conditions.</div><div></div><div>
Equal Employment Opportunity 
At Recor Medical, we value bringing together individuals from diverse backgrounds to develop new and innovative solutions for patients. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information gender identity or expression, sexual orientation, marital status, protected veteran status, or any other legally protected characteristic.</div><div></div><div>
Respecting your privacy is an essential part of the Company&rsquo;s privacy program and we are committed to the proper handling of Personal Information collected or processed in connection with an Applicant&rsquo;s application for employment, a Contract Worker&rsquo;s work, or a Former Employee&rsquo;s employment at Recor. Refer to our <div>Applicant, Contract Worker &amp; Former Employee Privacy Policy</div> for more detail information.</div></div>

Sales Territory Manager - New York/ Long Island

Medix™

<div>
 
 
 Claims Specialist (Contract)
 
 
 
 
 Location:
 
 New Yor (remote)
 
 
 
 Duration:
 
 Contract 6 months with possible extension
 
 
 
 Schedule:
 
 Full-time, Monday&ndash;Friday
 
 
 Flexible shifts:
 
 7:00 AM &ndash; 3:30 PM or 9:00 AM &ndash; 5:30 PM (EST)
 
 
 
 
 
 
 
 Job Summary
 
 
 
 The Claims Specialist will coordinate activities critical to the successful completion of clinical studies and review projects. This role supports appeal and dispute adjudication programs by monitoring requests, coordinating with clinical partners, managing provider and contractor interactions, tracking deliverables, and supporting cross-functional communication. The ideal candidate is highly organized, detail-oriented, and comfortable working in a fast-paced, deadline-driven environment.
 
 
 
 
 
 
 Key Responsibilities
 
 
 <ul>
 <li>
 Serve as the primary point of contact for appeal and dispute adjudication programs
 </li>
 <li>
 Liaise with healthcare plans, providers, patients, and clients to coordinate requests, correspondence, and case documentation
 </li>
 <li>
 Monitor appeal/dispute status and communications via client portals
 </li>
 <li>
 Conduct initial eligibility reviews and recommend appropriate courses of action to internal teams and leadership
 </li>
 <li>
 Track and assign cases using commercial and custom software applications
 </li>
 <li>
 Compile and distribute case documentation to billers, coders, nurses, physicians, clinicians, and key stakeholders
 </li>
 <li>
 Monitor and report on key performance indicators (KPIs), including timeliness, accuracy, quality standards, and contractual deadlines
 </li>
 <li>
 Identify workflow barriers, recommend process improvements, and implement approved solutions
 </li>
 <li>
 Present case and project updates during team huddles and scrums using an agile, iterative approach
 </li>
 <li>
 Schedule and facilitate team status meetings; document decisions, assigned tasks, and next steps
 </li>
 <li>
 Prepare billing invoices upon case completion and coordinate with Finance and Accounting to track payments
 </li>
 <li>
 Mentor and train new staff on processes and case progression
 </li>
 <li>
 Perform additional duties as assigned
 </li>
 </ul>
 
 
 
 
 
 Education &amp; Experience Requirements
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree (or higher) in healthcare, business, management, digital studies, or a related field
 
 plus 2 years
 
 of collaborative project support experience
 </li>
 <li>
 
 OR
 
 </li>
 <li>
 Associate&rsquo;s degree in a related field
 
 plus 3 years
 
 of collaborative project support experience
 </li>
 </ul>
 
 
 
 
 
 Qualifications
 
 
 <ul>
 <li>
 Experience with collaborative project management software and electronic documentation systems
 </li>
 <li>
 Strong problem-solving skills and ability to work collaboratively with medical, analytical, and administrative teams
 </li>
 <li>
 Excellent written and verbal communication skills, including professional phone etiquette
 </li>
 <li>
 Ability to work independently with minimal supervision
 </li>
 <li>
 Flexible, innovative, and creative mindset with strong multitasking abilities
 </li>
 <li>
 Proven ability to meet deadlines in a time-sensitive environment
 </li>
 </ul>
 
 
</div>

Claims Specialist - 251247

Explore 577+ Clinical case manager in New York this March. Find roles across top companies and apply now to boost your career.

577 clinical case manager jobs In New York

Case Manager

Case Manager

Registered Nurse - Case Manager - Bronx

Case Manager Registered Nurse (Remote, New York License)

Paralegal/Case Manager

Sales Territory Manager - New York/ Long Island

Claims Specialist - 251247