Job Openings
Healthcare Compliance Attorney
Healthcare Compliance Attorney
Healthcare Compliance Attorney
- Support skilled nursing, assisted living facilities and other healthcare institutions in managing the complex and dynamic corporate compliance terrain through continued training, communication, advocacy and legal insight.
- Ensure activities are compliant with legal and ethical obligations, including Anti-Kickback Statute, Stark Law, False
- Support skilled nursing, assisted living facilities and other healthcare institutions in managing the complex and dynamic corporate compliance terrain through continued training, communication, advocacy and legal insight.
- Ensure activities are compliant with legal and ethical obligations, including Anti-Kickback Statute, Stark Law, False Claims Act, HIPAA, state laws, regulations, industry guidance and best practices.
- Manage and conduct complex investigations relating to potential violations of policies and procedures, state and federal laws and/or regulations.
- Draft Business Associate Agreements, Non-Disclosure Agreements, Medical Director Agreements and other covenants based upon complex federal and state provisions.
Regional Operations Director
Healthcare Compliance Attorney
Healthcare Compliance Attorney
Provide operations guidance and recommendations to multiple nursing home facilities in accordance with applicable local, state and federal regulations. You will also ensure the implementation of written policies and procedures that reflect the goals and objectives of the facility and administrative team.
- In-depth knowledge of Nursin
Provide operations guidance and recommendations to multiple nursing home facilities in accordance with applicable local, state and federal regulations. You will also ensure the implementation of written policies and procedures that reflect the goals and objectives of the facility and administrative team.
- In-depth knowledge of Nursing Home or Long Term care facilities
- LNHA certification and any type of compliance certification would be preferred
- Thorough knowledge of applicable state/federal regulations regarding nursing home operations is necessary.
- Proven track record of Compliance and Regulation success for Nursing Homes
- Proficiency in applying compliance standards, procedures and techniques is required in performing compliance reviews.
- A BS/BA degree or equivalent experience in healthcare administration is preferred.
- Strong professional attitude and have the ability to work with and communicate effectively with all levels of management
Compliance Nursing Director
Healthcare Compliance Attorney
Compliance Nursing Director
We are looking for an experienced Registered Nurse (RN) to join our Corporate Compliance Team with the ability to develop and execute new ways of delivering a compliance program
- Must have Director of Nursing experience in a Nursing Home or Long-Term health care
- Must have Compliance and Auditing experience
- Must have in-depth working knowled
We are looking for an experienced Registered Nurse (RN) to join our Corporate Compliance Team with the ability to develop and execute new ways of delivering a compliance program
- Must have Director of Nursing experience in a Nursing Home or Long-Term health care
- Must have Compliance and Auditing experience
- Must have in-depth working knowledge of Nursing Home, Long-term care or Assisted Living Facilities
- Experienced reviewing compliance documentation
- Knowledge of EMR systems and PCC
- Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities.
- Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices
- In-depth knowledge of Nursing Homes/ Long Term Health Care
- EMR system - PCC
- Audit Problem solving skills
- Documentation Review and nd ability to multi-task
- Good communication skills
- Excellent teamwork skills
- People Leadership
Corporate MDS Nurse
Executive Assistant/ Project Manager
Compliance Nursing Director
- Serve as one of our MOS/Billing/Assessment experts.
- Together with your peers, use the information you have, and gather what else is necessary, to determine whether our clients are fulfilling their governmental obligations.
- Research/investigate compliance related issues. Offer well thought out and researched advice utilizing the facts, your
- Serve as one of our MOS/Billing/Assessment experts.
- Together with your peers, use the information you have, and gather what else is necessary, to determine whether our clients are fulfilling their governmental obligations.
- Research/investigate compliance related issues. Offer well thought out and researched advice utilizing the facts, your research, knowledge of the industry, education, training, and critical reasoning skills to analyze, form opinions, make objectively supportable judgments, and implement corrections/solutions.
- Create and deliver client and team facing presentations (teaching others, learning from others and learning from teaching).
- Use Data. Utilize client data to find and address warning signs, systematic weakness and opportunities for improvement. Utilize client wide and industry data to provide insights about industry or portfolio changes, norms and general relationship between values.
- Design and drive audit and investigatory process with emphasis on factual accuracy, identification of applicable policies/procedures, standards, rules and regulations, applicability of facts to standards, quality of outcome, root cause analysis, closing all loops and developing ways to assess effectiveness of remedial measures.
- Provide opinion and insight to support legal defense work.
- Contribute to our internal efforts to improve our capabilities and to increase our efficiency and efficacy using technology as a first resort. Utilize our Data team members and ask for what you believe will make us better.
- Help to build buy-in and support for a collaborative work environment where diversity is honored and caring for outcome is a must.
- Enhance the organization's the CEO and the coos reputation.
- Stay up to date by learning from your peers, participating in educational opportunities, and independent research.
- Assist our Data Team in tracking, interpreting and communicating the meaning of quality, survey, staffing and other data and in the finding statistical relationships by providing hypothesis, explaining process and rules, assisting in the interpretation of data and challenging assumptions of others when warranted.
- Use your knowledge to help your colleagues gain understanding that you possess; bring your perspective to discussions; effectively communicate to make us and our clients smarter and more capable.
- Be ethical. Do not break the law or encourage others to do so and abide by the terms of our Loyalty Agreement.
- Be a part of our team and assist in other ways as needed.
Executive Assistant/ Project Manager
Executive Assistant/ Project Manager
Executive Assistant/ Project Manager
Responsibilities Include:
- Meeting Management
- Schedule meetings in Outlook, acquire secure call-in account and distribute information when appropriate
- Prepare meeting agendas and ensure executive is prepared to provide status update from previous meetings actions to increase executives productivity
- Arrange domestic and
Responsibilities Include:
- Meeting Management
- Schedule meetings in Outlook, acquire secure call-in account and distribute information when appropriate
- Prepare meeting agendas and ensure executive is prepared to provide status update from previous meetings actions to increase executives productivity
- Arrange domestic and international travel, transportation and logistics
- Project Management
- Create and maintain daily update of project actions and prioritized to-do list for executive with detail, deadlines, owner(s), follow-up and outcomes
- Participate as necessary on projects to troubleshoot obstacles, determine approach for solutions, compile data, assemble necessary resources and report on recommendations
- General Administrative
- Drafting correspondence, editing of documents and conduct research
- Obtain facility financials from CFO to review with executive in preparation for weekly staff meeting
- Organize personal mail and prepare for executives action on items
Qualifications:
- Bachelors degree in Business or Certificate in project management or related field
- Minimum of 6 years of advanced administrative/project experience supporting senior level management
- Self-motivated with the desire and ability to take responsibility for outcomes while exercising independent judgment while managing executive towards achieving deadlines
- Broad Big-Picture view with a positive can-do approach to getting work done with low maintenance and no drama
- Demonstrated ability to anticipate issues that may arise while taking initiative and acting with a high level of sense of urgency and resolution
- Ability to work in a fluid environment where assignments are time sensitive and can change frequently
- Ability to partner and work cooperatively with all levels of Executive Leadership and Senior Management
- Highly organized, detail-oriented self starter who is resourceful and can think outside the box
- Strong organizational skills and the ability to be extremely flexible while managing conflicting, shifting, and competing priorities with minimal supervision
- Effectively and successfully respond to problem situations and prioritize issues
- Advanced experience with Microsoft Office (Outlook, Word, PowerPoint, Excel) or Google Suite
Requirements:
- Position if full-time, non-exempt, 40 hours per week
- Position is office based in Valley Stream, NY
Paralegal
Executive Assistant/ Project Manager
Executive Assistant/ Project Manager
• Court filings/tracking of matters and deadlines;
• Preparing closing books for transactions;
• Assisting with retainers and billing;
• Assisting in ensuring local rules are followed concerning submissions;
• Reviewing documents for productions;
• Filing & Researching
• Drafting correspondence and documents;
• Assisting in the creation and enf
• Court filings/tracking of matters and deadlines;
• Preparing closing books for transactions;
• Assisting with retainers and billing;
• Assisting in ensuring local rules are followed concerning submissions;
• Reviewing documents for productions;
• Filing & Researching
• Drafting correspondence and documents;
• Assisting in the creation and enforcement of policies and procedures;
• Evaluate and/or help ensure appropriate investigation of Compliance Complaints, root cause analysis, remedial efforts and post correction audits;
• Assist in updating Compliance Handbook for Clients;
• Other tasks as needed.
Legal Nurse
Regional Reimbursement Director
Legal Nurse
Job Overview:
We are seeking a highly skilled and experienced legal nurse to join our team. The ideal candidate will work with attorneys and compliance professionals as an expert in medical cases, bridging the gap between the legal and medical worlds.
Responsibilities/ Requirements:
- Analyzing medical records
- Conducting research
- Defining stan
Job Overview:
We are seeking a highly skilled and experienced legal nurse to join our team. The ideal candidate will work with attorneys and compliance professionals as an expert in medical cases, bridging the gap between the legal and medical worlds.
Responsibilities/ Requirements:
- Analyzing medical records
- Conducting research
- Defining standards of care in medical malpractice cases
- Evaluating strengths and weaknesses of cases
- Writing or interpreting medical language in legal documents
- Educating lawyers and clients about medical affairs
- Determining plaintiffs’ future medical needs and costs for care
- Participating in medical exams
- Testifying as expert witnesses
- Qualifying estimates for costs associated with long-term care
- Locating evidence and getting it ready for trial
- Helping attorneys prepare for depositions and trials
Qualifications
- Patient care experience in nursing settings
- Strong knowledge of physiology, medical terminology, and anatomy
- Familiarity with HIPAA regulations and medical documentation
- Experience in medical records management
- Premium skills in critical care, nursing home, hospital, and ICU settings
- Bonus: Previous experience in a law office or paralegal work
- Experience in nursing homes or long-term care is a plus!
Risk Manager
Regional Reimbursement Director
Legal Nurse
Qualifications
• Current licensure as a registered professional nurse in New York State
• Knowledge of New York State Department of Health Regulations, CMS standards and The Joint Commission’s standards for long term care facilities
• Able to work well with adult and geriatric populations
Responsibilities
• The Clinical Risk Manager coordina
Qualifications
• Current licensure as a registered professional nurse in New York State
• Knowledge of New York State Department of Health Regulations, CMS standards and The Joint Commission’s standards for long term care facilities
• Able to work well with adult and geriatric populations
Responsibilities
• The Clinical Risk Manager coordinates the reporting and investigating of clinical occurrences and completes his/her assignment in a manner consistent with the organization’s mission, values, goals and objectives to ensure customer safety and satisfaction
• Interprets and communicates facility and department of nursing missions and resident/patient care standards to staff, residents/patients and family members
• Creates an environment that is conducive for the continuity of resident care and puts into place corrective actions to maintain a safe clinical care environment
• Compiles data on occurrences and for Performance Improvement Projects
• The Clinical Risk Manager reports to the Director of Nursing Services
• Reviews reports for accuracy and completion
• Coordinates for the completion of the report (obtains needed statements, reviews surveillance video, ensures care plan is updated, etc) with Nurse Managers, and submits to nursing administration as per policy and procedure
• Ensures timely completion of grievances, involving nursing and submits completed grievance forms to Nursing Administration
• Compiles falls data including information on the number of falls, location of the fall, any injury that resulted from the fall, etc
• Reviews 24 hour shift to shift reports and reconciles with accident reports submitted
• Coordinates investigations as directed
• Prepares summary of findings and an action plan as needed to remediate any deficits
Regional Reimbursement Director
Regional Reimbursement Director
Regional Reimbursement Director
Qualifications
• Experience in healthcare, collections, systems and accounting
• Experience with Medicare, Medicaid and private pay
• Ability to use computerized systems
• Excellent verbal, written and organizational skills
• Ability to work well under pressure
• Ability to apply knowledge in state specific Medicaid and Medicare RUG/PDPM meth
Qualifications
• Experience in healthcare, collections, systems and accounting
• Experience with Medicare, Medicaid and private pay
• Ability to use computerized systems
• Excellent verbal, written and organizational skills
• Ability to work well under pressure
• Ability to apply knowledge in state specific Medicaid and Medicare RUG/PDPM methodologies
• Working knowledge of state and federal regulations governing the MDS and billing processes within a nursing facility
• Ability to conduct themselves with a fair, honest, consistent, and professional temperament
• Deadline driven, detail-oriented individual with strong analytical capabilities
Responsibilities
• Promote the capturing of appropriate clinical reimbursement for services provided, while ensuring highest level of revenue integrity with support of corporate established reimbursement initiatives
• Optimize reimbursement and identify opportunity through tracking, trending, and analyzing relevant data with supervisor guidance
• Perform auditing activities as outlined by the Director of Clinical Reimbursement
• Provide management level presentation materials during quarterly meetings as outlined
• Provide ongoing communication with the facility Administrators, MDS staff, and clinical staff as relates to current state and federal regulation governing billing and reimbursement in respective region
• Other related duties as assigned
Revenue Cycle Director
Revenue Cycle Director
Regional Reimbursement Director
Position Summary
The Director of Revenue Cycle is responsible for overseeing the entire revenue cycle process within the
organization, ensuring efficiency, compliance, and optimization to maximize cash flow. This role includes
serving as the OMIG Compliance Officer for Medicaid, tasked with maintaining regulatory compliance
and managing aud
Position Summary
The Director of Revenue Cycle is responsible for overseeing the entire revenue cycle process within the
organization, ensuring efficiency, compliance, and optimization to maximize cash flow. This role includes
serving as the OMIG Compliance Officer for Medicaid, tasked with maintaining regulatory compliance
and managing audits. The Director will report directly to the Chief Operation Officer and collaborate
closely with various departments to achieve financial objectives.
Essential Duties and Responsibilities
· Oversee the workflow of the revenue cycle team, ensuring clear accountability and performance standards.
· Supervise billing, collections, and payment processes to ensure timely submission of claims and effective management of accounts receivable.
· Identify and implement process improvements to enhance efficiency and reduce revenue leakage throughout the revenue cycle.
· Serve as the OMIG Compliance Officer for Medicaid, ensuring adherence to all relevant regulations and payer guidelines. Conduct regular audits to identify discrepancies and maintain compliance.
· Manage medical records and insurance audits, ensuring that services are accurately documented and billed. Collaborate with clinical teams to resolve documentation issues.
· Analyze claim denials and develop strategies to prevent future occurrences. Work with relevant departments to address issues impacting revenue.
· Foster relationships with finance, clinical, and operations teams to streamline processes from patient care to payment collection.
· Prepare detailed reports on revenue cycle performance, trends, and forecasts to support strategic decision-making.
· Stay up to date on payor policies and guidelines and help organization achieve compliance.
· Mentor and develop revenue cycle staff, providing training and performance evaluations to
promote a culture of accountability and continuous improvement.
Facilitate communication and collaboration across departments to ensure alignment with financial objectives.
· Participates in and leads EOS meetings on a weekly basis.
· Performs other duties as assigned.
Qualifications
Education and Experience
· Bachelor’s degree in business, finance, healthcare administration, or a related field; master’s preferred.
· 7+ years of experience in revenue cycle management, with at least 3 years in a leadership role.
· Strong understanding of healthcare billing practices, payer regulations, coding (CPT, ICD-10), and
financial processes.
Skills and Abilities
· Excellent verbal and written communication skills.
· Strong analytical and problem-solving abilities.
· Proficiency in revenue cycle management soware, electronic health records (EHR), and data
· analytics tools such as Power BI.
· Leadership skills with a focus on team development and motivation.
· Ability to prioritize tasks, delegate effectively, and maintain integrity and confidentiality.
You want, we get and we do it right!
We have a network of over 500 healthcare communities. We have the ability and the flexibility to match the right candidate with the right healthcare facility
We take time to get to know each of our candidates to give you the highest rate of success. We understand that changing jobs is a stressful but also an exciting time in one’s life. We are here to support you throughout the entire process and after.
We understand that looking for the right candidate is stressful, time consuming and drains community resources but also provides for higher caliber talent.
We get Healthcare, we speak Healthcare.
Our success is only measured by the success of each of our placements. We are confident that our personal approach to healthcare recruiting will work for you!