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Extended Home Carespacer

Certified Home Care Agencyspacer

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Career Opportunities.

We are always looking for people who can help us carry out our mission – helping people with dignity and respect. To learn more about becoming part of the Extended Homecare team, fax your resume with cover letter to the human resources department at (212) 563-0775 or email HR Dept

  • MEMBER CARE ASSOCIATE (Bi-lingual English/Chinese) - MLTC

    Position Title:

    Member Care Associate

    Department:

    Care Management

    Reports To:

    Clinical Manager

    REQUIREMENTS & QUALIFICATIONS:
    1. High school diploma or GED required
    2. Basic computer skills (Microsoft Word, Excel, etc) required
    3. Basic knowledge of CPT codes medical terminology preferred
    4. Previous experience in Managed Care industry preferred
    5. Good communication and organizational skills.
    KEY RESPONSIBILITIES:
    1. The RN Care Manager develops and maintains strong, positive relationships with healthcare providers (acute, ambulatory, medical and behavioral) to ensure high-risk, high-cost members have open access and appropriate care.
    2. Care Manager ensures open flow of communication between providers, community-based teams and telephonic care coordination efforts
    3. Plans, implements, manages and evaluates the provision of services to ensure that all member needs are met and quality care is provided in accordance with Federal, State and Agency guidelines.
    4. Establishes and updates the care plan with written input from the members/caregiver(s), physician and other multidisciplinary health team members.
    5. Highly collaborative with existing care coordination and community health programs/teams to ensure that APS interventions are aligned and consistent with those efforts.
    6. Contacts and visits community providers (hospitals, ambulatory providers of medical and behavioral healthcare) who serve high-risk, high-cost members
    7. Delivers to provider(s) demographic, medication history, clinical alerts and evidence-based recommendations for high-risk, high-cost members.
    8. Provides consultation to providers on strategies to close gaps in care and reduce fragmentation of care, including leveraging care management staff to impact appointments, medication and treatment adherence.
    9. Maintains a case load (typically 60 or less members) of telephonically care managed high risk members.
    10. Completes all required documentation according to agency policy and in a timely manner which include; interdisciplinary enrollment, 485, physician orders, complaints / grievances and encounter notes.
    11. Manages the activity of the multidisciplinary team providing care to members as well as ensure that all visits scheduled and provided are authorized and covered by a physician order.
    12. Reviews reports, evaluates ongoing members care needs and communicates those needs to the physician.
    13. Maintains proficiency in clinical, administrative skills and maintains member’s electronic medical record.
    14. Demonstrates sound judgment and independent problem solving skills in order to initiate appropriate intervention with regard to member’s psychosocial and/or physical impairment.
    15. Facilitates the care of the member in the home setting by utilizing appropriate community resources, counseling and teaching member and member’s family and advocating on behalf of the member.
    16. Communicates case load and member care issues to the Clinical Manager.
    17. Care Manager updates and maintains member’s care plan, monitors any changes in member’s condition
    18. Develops, implements, and carries out a discharge plan in conjunction with the Primary field, member/caregiver and members of the health care team. Interprets agency policy to member and member’s families.
    19. Ensures that all visits made have prior authorization if required by the member’s managed care insurance company. Works collaboratively with managed care insurance company.
    20. Monitors the quality of therapeutic service through written and verbal communications with all disciplines. Participates in performance improvement activities, team meetings and orientation as requested.
    21. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
    22. Reports all suspected violations to supervisor, Compliance Officer or Compliance Hotline.
    23. Performs other nursing activities as directed.

    Apply Now

  • CARE MANAGER, RN (Bi-lingual English/Chinese) - MLTC

    Position Title:

    Care Manager, RN

    Department:

    MLTC

    Reports To:

    Clinical Manager

    Job Summary:

    RN Care Manager utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate long-term care services for Extended MLTC members through assessment and member-centered care planning, direct provider coordination and collaboration to promote effective utilization of available resources, optimal member functioning, and cost-effective outcomes.

    Qualifications and Experience:
    1. Current NYS RN License required.
    2. Bachelor’s degree in Nursing is preferred
    3. Minimum of 1 year recent nursing experience required
    4. MLTC Home Care experience preferred.
    5. Strong verbal/written communication skills
    6. Basic knowledge of Excel and Microsoft Word.
    Essential Duties and Responsibilities:
    1. The RN Care Manager plans, implements, manages and evaluates the provision of services to ensure that all members’ needs are met and quality care is provided in accordance with Federal, State and Agency guidelines.
    2. Maintains a case load of 120-150 members.
    3. Assigns administrative tasks to Care Management Associates, provides instructions and oversees completion of assigned tasks.
    4. Using the UAS assessments and interviews done by the Enrollment Nurses, identifies the risk factors, strengths and challenges, service needs of the member to keep him/her in their community setting.
    5. Establishes and updates the care plan with input from the member, caregiver(s), physician and other multidisciplinary health team members.
    6. Assist members with coordination of services both in-network and out of network as appropriate, including facilitating discharge from acute setting and alternate settings.
    7. Educates members and caregivers about disease process and recommends interventions to improve outcomes.
    8. Ensures open flow of communication between providers, community-based teams and telephonic care coordination efforts.
    9. Collaborates with other care coordination and community health programs/teams to ensure that all care management interventions are aligned and consistent.
    10. Creates and maintains member's electronic medical record. Completes all required documentation in a timely manner and according to agency policy, including care management and coordination notes, Plans of Care, interdisciplinary communications, incidents, complaints and grievances.
    11. Manages the activities of the multidisciplinary team providing care to members as well as ensures that all services scheduled and provided are authorized and ordered by a physician (if applicable)
    12. Reviews reports, evaluates ongoing members care needs and communicates those needs to the physician.
    13. Maintains proficiency in clinical and administrative skills
    14. Demonstrates sound judgment and independent problem solving skills in order to initiate appropriate intervention with regard to member's psychosocial and/or physical impairment.
    15. Facilitates the care of the member in the home setting by utilizing appropriate community resources, counseling and teaching member and member's family and advocating on behalf of the member.
    16. Communicates member care issues to the Clinical Manager.
    17. Develops, implements, and carries out a discharge plan in conjunction with the member, caregiver and members of the health care team.
    18. Interprets agency policy to member and member's family.
    19. Promptly addresses complaints that can be resolved in one day
    20. Assists Member Services, and QA/UM departments by providing records and materials needed for timely resolution of grievances.
    21. Participates in performance improvement activities, team meeting and orientation as requested.
    22. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
    23. Reports all suspected violations to supervisor, Compliance Officer or Compliance Hotline.
    24. Performs other duties as needed or assigned, travels to other Extended offices as needed.

    Apply Now

  • FFS ENROLLMENT SPECIALIST - RN (Bi-lingual English/Spanish, Chinese, Korean, Vietnamese) - MLTC

    Position Title:

    FFS Enrollment Specialist - RN

    Department:

    MLTCt

    Reports To:

    Executive Director - MLTC

    Job Summary:

    Responsible for enrollment of new members by collaborating with caregivers and PCP.

    REQUIREMENTS & QUALIFICATIONS:
    1. Current New York State License as Registered Nurse
    2. One (1) year general Medical – Surgical Nursing experience required
    3. Able to meet health standards of employment
    4. Must successfully complete orientation
    5. Prior home care experience preferred
    KEY RESPONSIBILITIES:
    1. Provides assessment of newly referred patients, assess health needs and eligibility for home care services.
    2. Develops and implement treatment plans in conjunction with the Home Care Coordinator, Physician, and patient/caregiver.
    3. Conferences with Care Manager and Enrollment Manager to assure appropriate services are in place.
    4. Documents accurately and completely in patients clinical record.
    5. Submits written documentation on timely basis in accordance with Agency policy.
    6. Makes referral for other services as needed.
    7. Maintains updated professional knowledge and participates in patient education programs to ensure optimum quality of patient care.
    8. Perform other nursing activities as directed.
    9. Conducts comprehensive clinical, psycho-social, and financial risk assessments of potential members for enrollment to the MLTC program across multiple regions. Evaluates appropriateness of membership based on NYS assessment criteria.
    10. Develops initial plan of care for new members, which includes selecting and authorizing services, supplies, equipment, environmental modification, durable medical equipment and medications, etc. Collaborates with Nurse Care Manager on implementation of the plan of care.
    11. Identifies appropriate home health aide hours based on Personal Care Assessment/other appropriate tools and program guidelines; with member and family regarding level of service.
    12. Obtain complete and accurate information for each potential enrollee. Approves eligibility of potential enrollee based on government standards and program criteria such as Universal Assessment Tool II, medical coverage, age, etc. Reviews application for completion and accuracy.
    13. Stays abreast of current and potential changes to federal, state and local statutes and regulations and applicable quality assurance standards. Makes recommendations to of Enrollment Manager based on changes.
    14. Makes recommendations in regard to enrollment policies and procedures. Adheres to MLTC rules and regulations.
    15. Participates in special projects and performs other duties, as required

    Apply Now

  • COORDINATOR OF CARE - Full Time Field Nurse – CHHA

    Position Title:

    Coordinator of Care , RN

    Department:

    CHHA

    Reports To:

    Clinical Manager

    Job Summary:

    Coordinates and provides high quality multidisciplinary health services for patients consistent with Agency philosophy, policy, goals and objectives as well as Standards of Nursing Practice.

    Qualifications and Experience:
    1. Licensure: License and current registration to practice as a Registered Professional Nurse in New York State required.
    2. Education/Experience: Graduate of an accredited school of nursing, with one year of health care experience preferred. Bachelor of Science in Nursing preferred.
    3. Excellent observation, verbal and written communication skills, problem solving skills, basic computer skills.
    4. Must be able to withstand prolonged or considerable walking, standing, reaching, stooping, bending, kneeling, or crouching.
    5. Must be able to lift, position, or transfer patients, as well as supplies and equipment. Minimum lifting required is 25 lbs.
    6. Must have visual acuity and hearing to perform required nursing skills.
    7. Valid malpractice insurance required.
    8. Valid driver’s license may be required, as determined by operational needs.
    Essential Duties and Responsibilities:
    1. Develops a Plan of Care based on assessment of patient's needs, condition, environment, and consultation with patient’s physician and other health care team members, at the time of initial visit.
    2. Responsible for the implementation and evaluation of individual patient Plan of Care.
    3. Provides skilled nursing care that conforms to EHC policy and procedures and established professional standards of care.
    4. Updates Plan of Care at least every 60 days and as necessary.
    5. Regularly conducts Case Conferences and maintains communication with Clinical Managers and other members of health care team.
    6. Documents care provided as per EHC policy and procedures.
    7. Maintains an ongoing responsibility for assigned caseload.
    8. Maintains productivity standards.
    9. Schedules work load for maximum efficiency.
    10. Adheres to EHC' mission, Code of Ethics, policies & procedures, state & federal regulations and JCAHO standards.
    11. Maintains a continuing knowledge of competencies related to the Nursing profession by participating in formal education programs, conference, workshops and professional organizations.
    12. Participates in Performance Improvement Process, in-services and mandatory meetings.
    13. Other duties as assigned.

    Apply Now

  • COMMUNITY OUTREACH LIAISON - RN - CHHA

    Position Title:

    Community Outreach Liaison , RN

    Department:

    CHHA

    Reports To:

    VP of Business Development and Community Outreach

    Job Summary:

    Acts as liaison between inpatient/outpatient facilities and Extended Home Care

    Qualifications and Experience:
    1. Excellent interpersonal, communication, and presentation skills.
    2. Strong strategic thinking, creative and positive personality, energetic, & initiative.
    3. Currently Registered Nurse registration with NYS Department of Education required
    4. Graduate of an accredited school of nursing required (BSN preferred)
    5. Two-three (2/3) years experience in a Certified Home Health agency required (MRDD experience preferred)
    6. ICD-9/ICD-10 coding required
    7. Computer literacy required
    Essential Duties and Responsibilities:
    1. Serves as a liaison between the inpatient/outpatient hospital/health facility and with Extended Home Care to obtain referral of patients who are in need of home care services upon discharge from the hospital/health facility.
    2. Evaluates patients referred for home care to determine eligibility for admission including obtaining completed and signed physician's orders.
    3. Interprets Agency policies and procedures to hospital/health facility staff, patients, and family members.
    4. Serves as an educational resource to the hospital and physicians concerning available home health services.
    5. Interviews the patient and family/caregiver in planning for hospital/facility discharge. Assesses for environmental barriers and/or needs to the patient’s release from the hospital/facility.
    6. Accepts patients for home health services in accordance with CHHA policies and procedures.
    7. Discusses with Director Community Outreach/Intake those patients who do not meet the CHHA”s admission criteria and patients with complex discharge planning needs.
    8. Participates in the development of the plan of treatment for each patient admitted for home health care services and identifies realistic goals based on the patient’s needs prior to the patient’s admission for home health care.
    9. Involves the physician, patient, and family/caregiver in formulating the plan of treatment.
    10. Ensures that arrangements are made for professional and Home Health Aide services, laboratory tests, and durable medical equipment for all patients discharged from hospitals and nursing homes as appropriate.
    11. Participates in Professional Advisory Committee meetings, Utilization Review.
    12. Notifies immediate supervisor of issues impede workflow process
    13. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
    14. Reports all suspected violations to supervisor, Compliance Officer or Compliance Hotline.
    15. Performs other duties as assigned.

    The above information is intended to describe the general nature and level of work performed by employees in this position. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required of employees assigned to this job.

    Apply Now

  • RN – FEE-FOR-SERVICE - CHHA

    Position Title:

    Fee for Service, RN

    Department:

    CHHA

    Reports To:

    Nursing Supervisor

    Job Summary:

    Responsible for the planning, coordination, provision and evaluation of direct nursing services to the patients and their families.

    Qualifications and Experience:
    1. Current Registered Nurse with NYS Department of Education required.
    2. 1 year of medical/surgical nursing experience required. (MRDD and/or prior home care experience preferred)
    Essential Duties and Responsibilities:
    1. Provides skilled nursing on assigned patients according to medical orders, policies and procedures.
    2. Provides assessment of newly referred patients, assesses health needs and eligibility for home care services.
    3. Provides patient and family teaching prior to discharge and on an on-going basis.
    4. Develops and implements treatment plans in conjunction with the home care coordinator, physician, and patient/caregiver.
    5. Supervises home health aide accordingly to the agency policy.
    6. Reassesses patient’s needs for service on a continual basis and communicates any changes in patient’s status with physician and home care coordinator.
    7. Conferences with home care coordinator to assure continuity of care.
    8. Documents accurately and completely in patients clinical record.
    9. Submits written documentation on timely basis in accordance with agency policy.
    10. Makes referral for other services as needed.
    11. Plans, facilitates, and documents patient’s discharge from the agency.
    12. Maintains updated professional knowledge and participates in patient education programs to ensure optimum quality of patient care.
    13. Performs other nursing activities as directed.
    14. Demonstrates sound judgment by taking appropriate actions regarding suspected violations of corporate compliance regulations.
    15. Reports all suspected violations to supervisor, Compliance Officer or Compliance Hotline

    Apply Now

  • FEE-FOR SERVICE OCCUPATIONAL THERAPIST - CHHA

    Position Title:

    Occupational Therapist, Fee for Service

    Department:

    CHHA

    Reports To:

    Rehabilitation Manager

    Job Summary:

    To plan, implement and provide occupational therapy services as prescribed as by the attending physician.

    Qualifications and Experience:
    1. A license and current registration to practice as a Registered Occupational Therapist in New York State.
    2. Graduate of an Occupational therapy school approved by: The American Occupational Therapy Association; The Council on Medical Education and American OT Association of the Council on Medical Education of Hospitals for the American Medical Associate.
    3. Two (2) years institutional and/or home care experience required.
    4. Satisfy the state health status requirements.
    Essential Duties and Responsibilities:
    1. Assesses occupational therapy needs by applying objective diagnostic and prognostic test.
    2. Prepares initial assessment of the patient’s condition and perform periodic re-assessments.
    3. Prepare initial assessment of the patient’s condition and perform periodic reassessment.
    4. Develops a plan of care in accordance with the authorized practitioner’s prescription for therapy services.
    5. The plan must include the type of services rendered estimated duration of treatment, and amount and frequency of visits.
    6. The patient’s plan of care must include clearly defined, measurable short and long term goals with time frames to measure outcomes.
    7. Provides occupational therapy treatment according to established goals, in collaboration with the patient’s physician.
    8. Documents the patient’s response to treatment and modify the treatment plan and objectives as needed after notifying the patient’s physician.
    9. Instructs health care personnel, the patient and family in the techniques and principles necessary for safe management and maximum restoration of mobility and function.
    10. Completes cases conferences, 60 day, and transfer and discharge summaries when indicated.
    11. Prepares all documentation on the appropriate forms.
    12. Participates in the development and periodic revision of the physician’s Plan of treatment with the Home Care Coordinator.
    13. Participates in case conferences, staff meeting and in-service programs as requested.
    14. Participates in other related patient care and office activities as requested to facilitate ongoing coordination of services.
    15. Submits visit notes, at least weekly, or within 7 days after completion of each home visit,
    16. Provides written Home exercise programs to client and Home Care coordinator and instruct patient/family/caregiver as per physician’s instructions.
    17. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
    18. Reports all suspected violations to supervisor, Compliance Officer or Compliance Hotline.
    19. Performs other duties as assigned.

    The above statement reflect the general details considered necessary to describe the principal functions of the jobs as identified, and shall not be considered as detailed description of all work requirement that may be inherent in the position.

    Apply Now

  • FEE-FOR SERVICE PHYSICAL THERAPIST - CHHA

    Position Title:

    Physical Therapist, Fee for Service

    Department:

    CHHA

    Reports To:

    Rehabilitation Manager

    Job Summary:

    To plan, implement and provide physical therapy services as prescribed as prescribed by the attending physician.

    Qualifications and Experience:
    1. A license and current registration to practice as a Registered Physical Therapist in New York State.
    2. Graduate of a physical therapy school approved by: The American Physical Therapy Association; The Council on Medical Education and American PT Association of the Council on Medical Education of Hospitals for the American Medical Associate.
    3. Two (2) years institutional and/or home care experience required.
    4. Satisfy the state health status requirements.
    Essential Duties and Responsibilities:
    1. Assesses physical therapy needs by applying objective diagnostic and prognostic test.
    2. Prepares initial assessment of the patient’s condition and perform periodic re-assessments.
    3. Develops a plan of care in accordance with the authorized practitioner’s prescription for therapy services.
      1. The plan must include the type of services rendered estimated duration of treatment, and amount and frequency of visits.
      2. The patient’s plan of care must include clearly defined, measurable short and long term goals with time frames to measure outcomes.
    4. Provides physical therapist treatment according to established goals, in collaboration with the patient’s physician.
    5. Documents the patient’s response to treatment and modify the treatment plan and objectives as needed after notifying the patient’s physician.
    6. Instructs health care personnel, the patient and family in the techniques and principles necessary for safe management and maximum restoration of mobility and function.
    7. Completes cases conferences, 60 day, and transfer and discharge summaries when indicated.
    8. Prepares all documentation on the appropriate forms.
    9. Participates in the development and periodic revision of the physician’s Plan of treatment with the Home Care Coordinator.
    10. Participates in case conferences, staff meeting and in-service programs as requested.
    11. Participates in other related patient care and office activities as requested to facilitate ongoing coordination of services.
    12. Submits visit notes, at least weekly, or within 7 days after completion of each home visit,
    13. Provides written Home exercise programs to client and Home Care coordinator and instruct patient/family/caregiver as per physician’s instructions.
    14. Performs other duties as assigned.
    15. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
    16. Reports all suspected violations to supervisor, Compliance Officer or Compliance Hotline.

    The above statement reflect the general details considered necessary to describe the principal functions of the jobs as identified, and shall not be considered as detailed description of all work requirement that may be inherent in the position.

    Apply Now

  • FEE-FOR SERVICE SPEECH-LANGUAGE PATHOLOGIST - CHHA

    Position Title:

    Speech-Language Pathologist, Fee for Service

    Department:

    CHHA

    Reports To:

    Rehabilitation Manager

    Job Summary:

    To provide service to patients who have speech and language problems, as ordered by the primary medical doctor.

    Qualifications and Experience:
    1. A license and current registration to practice as a Speech-Language Pathologist in New York State.
    2. Certification of clinical competence in speech pathology granted by American Speech language and Hearing Association
    3. A master degree is required
    4. One full year of supervised institutional and one year home care experience is preferred.
    5. Meets state health status requirements.
    Essential Duties and Responsibilities:
    1. Assesses patient’s speech and language abilities and deficits
    2. Prepares an initial assessment of the patient’s condition and perform periodic reassessments.
    3. Develops a plan of care in accordance with the authorized practitioner’s plan of treatment for therapy services and according to agency policies.
    4. The plan of care must include the type of services rendered, an estimated duration of treatment, the frequency of visits with clearly defined, measurable short and long term goals.
    5. Provides rehabilitative services for speech and language disorders to meet established treatment goals.
    6. Selects and use appropriate diagnostic and therapeutic techniques and materials.
    7. Documents type of treatment and patient’s response on designated clinical progress notes.
    8. Prepares 60- day summaries of service and discharges summaries on appropriate forms.
    9. Participates in the review, revision and implementation of patient care policies and procedures, relating to speech-language pathology.
    10. Instructs other health care personnel, the patient and other care takers in methods to assist patient in home therapy programs to improve, correct, and/or accept the patient’s disability.
    11. Participates in the development and periodic revision of the plan of care forms established for the patient.
    12. Collaborates with other health care team members on as ongoing basis to ensure continuous coordination.
    13. Participates in inter-disciplinary and case conferences, staff meetings and in service programs as required.
    14. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
    15. Reports all suspected violations to supervisor, Compliance Officer or Compliance Hotline.

    The above statement reflect the general details considered necessary to describe the principal functions of the jobs as identified, and shall not be considered as detailed description of all work requirement that may be inherent in the position.

    Apply Now

  • RN RISK ADJUSTMENT CODER - MLTC

    Position Title:

    RN Risk Adjustment Coder

    Department:

    MLTC

    Reports To:

    EXECUTIVE DIRECTOR

    Job Summary:

    Responsible for performing audits of clinical records to ensure all assigned ICD-10 codes are appropriate, accurate, and supported by the written clinical documentation in accordance with all state and federal regulations and internal policies and procedures.

    Qualifications and Experience:
    1. Current NYS RN License required.
    2. Bachelor’s degree in Nursing is preferred
    3. Sound knowledge of ICD-10 coding guidelines and regulations and MLTC Risk Adjustment Methodology is required, current AAPC or similar certification preferred.
    4. Minimum of 2 years recent and related experience in clinical record documentation review, diagnosis coding, and/or auditing. MLTC experience preferred.
    5. Strong verbal/written communication skills.
    6. Experience with Microsoft Office products (Word, Excel, and Power Point).
    Essential Duties and Responsibilities:
    1. Reviews clinical records to ensure all assigned ICD-10 codes are accurate and supported by clinical documentation.
    2. Identifies and communicates documentation deficiencies to clinicians to improve documentation for accurate risk adjustment coding
    3. Provides position-specific training on ICD-10 coding and Risk Adjustment Methodology for staff members at the onset of the hiring process as well as on a continuous basis, creates training materials and presentations as needed.
    4. Effectively communicates the audit process and results to the appropriate departments and management.
    5. Assists senior level staff in providing recommendations for process improvement, so that productivity and quality goals can be met or exceeded and operational efficiency and financial accuracy can be achieved.
    6. Maintains current knowledge of ICD-10 codes, CMS documentation requirements, and state and federal regulations; maintains current AAPC/AHIMA certification if applicable.
    7. Participates in performance improvement activities, UAS reviews, clinical audits, team meetings, and orientation as requested.
    8. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
    9. Performs other duties as needed or assigned, travels to other Extended MLTC’s offices as needed.

    The above statement reflect the general details considered necessary to describe the principal functions of the jobs as identified, and shall not be considered as detailed description of all work requirement that may be inherent in the position.

    Apply Now

  • MEDICAL BILLER

    Position Title:

    MEDICAL BILLER

    Department:

    EHC

    Job Summary:

    Ensures all billing data is entered accurately and in a timely basis.

    Qualifications and Experience:
    1. High school diploma and 2-3 years of medical billing experience required; college degree and home care experience preferred.
    2. Demonstrated planning, analytical, and good problem-solving skills.
    3. Good communication and interpersonal skills.
    4. Must be organized and detail oriented.
    5. Computer literate.
    Essential Duties and Responsibilities:
    1. Inputs information in billing software.
    2. Submits billing to Medicaid, Medicare and HMO on timely basis.
    3. Makes necessary billing adjustments.
    4. Ensures timely processing of payment received and analyzes A/R balance for collection.
    5. Maintains accurate record keeping in a confidential manner, as per agency policies and procedure.
    6. Follows-up on denials and underpayments.
    7. Reports to the supervisor when billing issues arise.
    8. Notifies supervisor of problems impede job performance.
    9. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
    10. Reports all suspected violations to supervisor, Compliance Officer or Compliance Hotline.
    11. All other duties as assigned.

    We offer competitive salaries and excellent benefits including training, support and professional growth.

    The above statement reflect the general details considered necessary to describe the principal functions of the jobs as identified, and shall not be considered as detailed description of all work requirement that may be inherent in the position.

    Apply Now

  • ENROLLMENT SPECIALIST - RN - MLTC

    Position Title:

    Enrollment Specialist - RN - Full Time – New York, NY

    Department:

    MLTC

    Reports To:

    Clinical Manager

    Job Summary:

    Reporting to the Clinical Manager of Extended MLTC, we currently seek a nurse professional to be responsible for the enrollment of new members in collaboration with caregivers and PCP.
    We offer competitive salaries and excellent benefits including training, support and professional growth.

    Qualifications and Experience:
    1. Current New York State License as Registered Nurse.
    2. One (1) year general Medical – Surgical Nursing experience required.
    3. Able to meet health standards of employment.
    4. Must successfully complete orientation.
    5. Prior home care experience preferred.
    Essential Duties and Responsibilities:
    1. Provides assessment of newly referred patients, assess health needs and eligibility for home care services.
    2. Develops and implement treatment plans in conjunction with the Home Care Coordinator, Physician, and patient/caregiver.
    3. Conferences with Care Manager and Enrollment Manager to assure appropriate services are in place.
    4. Documents accurately and completely in patients clinical record.
    5. Submits written documentation on timely basis in accordance with Agency policy.
    6. Makes referral for other services as needed.
    7. Maintains updated professional knowledge and participates in patient education programs to ensure optimum quality of patient care.
    8. Perform other nursing activities as directed.
    9. Conducts comprehensive clinical, psycho-social, and financial risk assessments of potential members for enrollment to the MLTC program across multiple regions.
    10. Evaluates appropriateness of membership based on NYS assessment criteria.
    11. Develops initial plan of care for new members, which includes selecting and authorizing services, supplies, equipment, environmental modification, durable medical equipment and medications, etc. Collaborates with Nurse Care Manager on implementation of the plan of care.
    12. Identifies appropriate home health aide hours based on Personal Care Assessment/other appropriate tools and program guidelines; with member and family regarding level of service.
    13. Obtain complete and accurate information for each potential enrollee. Approves eligibility of potential enrollee based on government standards and program criteria such as Universal Assessment Tool II, medical coverage, age, etc. Reviews application for completion and accuracy.
    14. Stays abreast of current and potential changes to federal, state and local statutes and regulations and applicable quality assurance standards. Makes recommendations to Enrollment Manager based on changes.
    15. Makes recommendations in regard to enrollment policies and procedures. Adheres to MLTC rules and regulations.
    16. Participates in special projects and performs other duties, as required.

    The above statement reflect the general details considered necessary to describe the principal functions of the jobs as identified, and shall not be considered as detailed description of all work requirement that may be inherent in the position.

    We offer competitive salaries and excellent benefits including training, support and professional growth.

    Extended Home Care Agency is an Equal Opportunity Employer.

    Apply Now

  • ENROLLMENT COORDINATOR - MLTC

    Position Title:

    Enrollment Coordinator - Full Time – Staten Island, NY

    Department:

    MLTC

    Reports To:

    Intake & Outreach SupervisoR

    Job Summary:

    Reporting to the Intake & Outreach Supervisor of Extended MLTC, we currently have an excellent position available for an individual to be responsible for ensuring all Enrollment criteria are met. Also collaborates with the Medicaid Specialist.
    We offer competitive salaries and excellent benefits including training, support and professional growth.

    Qualifications and Experience:
    1. High School Graduate.
    2. Minimum 2 years experience in Home Care.
    3. Good interpersonal skills.
    4. Proficient use of computers.
    5. Knowledgeable in Microsoft office; Words, Outlook, Excel, and PowerPoint.
    Essential Duties and Responsibilities:
    1. Receives all calls from interested parties for potential enrollees.
    2. Completes pre-enrollment screening form for all potential enrollees.
    3. Ensures all enrollment criteria is met.
    4. Collaborate with Medicaid Specialist regarding Medicaid related issues.
    5. Collaborate with Intake Nurse and clinical manager for all enrollment matters.
    6. Schedules assessments for eligible members with Enrollment Specialists.
    7. Performs other duties as needed.

    The above statement reflect the general details considered necessary to describe the principal functions of the jobs as identified, and shall not be considered as detailed description of all work requirement that may be inherent in the position.

    We offer competitive salaries and excellent benefits including training, support and professional growth.

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