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The Middlesex Corporation is a nationally recognized and award-winning leader in the heavy civil construction industry. Since 1972, the family business founded by Robert W. Pereira has developed an extensive client and project list through its consistent efforts to safely build America's infrastructure. The Middlesex Corporation specializes in building and reconstructing highways, bridges, marine, rail, and transit facilities through its collaborative team approach and focus on core values. In addition, Middlesex Asphalt in Central Florida is one of the largest and most productive asphalt plants in the United States with Middlesex Paving earning an equally solid regional presence and reputation.

Position Summary:

The Rail Laborer supports Heavy/Civil Construction projects with a focus on rail operations by performing tasks such as site preparation, material handling, and equipment operation. Emphasizing safety, teamwork, and quality, this role ensures efficient and effective contributions to rail-related construction activities in diverse outdoor environments.

Responsibilities:

• Comply with (and actively promote) all Safety policies and procedures including reporting all accidents, incidents and near misses to ensure adherence to our Number One Core Value – Safety, first in everything we do.
• Must understand and comply with all Company safety policies and procedures.
• Clean or prepare construction sites to eliminate possible hazards.
• Excavate by hand ditches or trenches, backfill excavations, or compact and level earth to grade specifications, using picks, shovels, pneumatic tampers, or rakes.
• Position, join, align, or seal structural components, such as concrete wall sections or pipes.
• Load, unload, or identify building materials, machinery, or tools, distributing them to the appropriate locations, according to project plans or specifications.
• Position or dismantle forms for pouring concrete, using saws, hammers, etc.
• Complete equipment reports on rack truck, compressors.
• Must have knowledge and understanding of the procedures to use the tools and equipment safely and properly.
• Organize and maintain tool trailers in a neat and orderly fashion.

Qualifications:

• Must have 2-5 years of Heavy/Civil Construction experience.
• Rail experience preferred.
• Must be able to follow verbal instructions.
• Maintain good health status and flexibility to bend, push, pull, stoop and/or twist.
• Must be able to perform strenuous work in varying weather conditions.

Necessary Attributes:

• Must possess the ability to adapt to different personalities and management styles.
• Team player and with strong interpersonal and verbal skills.
• Reliance on experience and judgment to plan and accomplish goals.
• Dedicated and hard working.
• Strong commitment to success of all.
• Possess a strong work ethic.
• Demonstrate the upmost professionalism in how you represent yourself.
• Show quality in everything you do.
• Lead with integrity while producing high quality work.

We offer our full-time and eligible part time team members a comprehensive benefits package that's among the best in our industry. Benefits include medical, dental and vision plans covering eligible team members and dependents, employee assistance programs, life insurance, disability, top-tier 401k with matching, tuition reimbursement, industry leading referral program, and generous paid time off.

Position Summary

A leading railroad construction and maintenance contractor is seeking an experienced Rail Project Manager to oversee projects throughout the Southeast. This role is responsible for managing field operations, crews, subcontractors, budgets, schedules, and client relationships while ensuring projects are delivered safely, on time, and within scope.

The ideal candidate has a strong background in railroad construction, track work, or heavy civil infrastructure, with proven experience managing multiple crews and complex, time-sensitive projects.

Key Responsibilities

• Oversee full lifecycle of railroad construction and maintenance projects
• Manage project budgets, schedules, and cost controls
• Coordinate field crews, subcontractors, and equipment resources
• Serve as primary point of contact for railroad clients and stakeholders
• Ensure compliance with FRA, OSHA, and railroad-specific safety regulations
• Conduct site visits to monitor progress and quality standards
• Prepare project updates, reports, and documentation
• Identify and mitigate risks, delays, and cost overruns
• Collaborate with estimating and operations teams during pre-construction planning
• Maintain strong client relationships and support business growth initiatives

Qualifications

• 5+ years of project management experience in railroad, track, or heavy civil construction
• Strong understanding of rail infrastructure, maintenance-of-way, or related services
• Experience managing multiple field crews and subcontractors
• Proven ability to manage budgets and control costs
• Knowledge of FRA regulations and railroad safety standards
• Ability to travel to job sites as needed (regional travel required)
• Strong leadership, communication, and problem-solving skills
• Proficiency in Microsoft Office and project management software

Preferred Qualifications

• Experience working directly with Class I railroads or short-line rail companies
• PMP certification (preferred but not required)
• Experience with environmental or infrastructure projects

Compensation & Benefits

• Competitive salary (based on experience)
• Performance-based bonus opportunities
• Company vehicle or vehicle allowance
• Health, dental, and vision insurance
• 401(k) with company match
• Paid time off

In a world of possibilities, pursue one with endless opportunities. Imagine Next! At Parsons, you can imagine a career where you thrive, work with exceptional people, and be yourself. Guided by our leadership vision of valuing people, embracing agility, and fostering growth, we cultivate an innovative culture that empowers you to achieve your full potential. Unleash your talent and redefine what's possible.

Parsons is looking for a Change Manager to join our team! In this role, you'll have the privilege of working on the premier Infrastructure project in the country, as well as receive all of the benefits of working for Parsons! This Program is the most urgent infrastructure program in the country - a comprehensive set of rail investments that will improve commuter and intercity services, add needed resiliency and, in its later stages, create new capacity between Newark NJ and NYC.

The Gateway Program is the most urgent infrastructure program in the country a comprehensive set of rail investments that will improve commuter and intercity services, add needed resiliency and, in its later stages, create new capacity between Newark, New Jersey and New York City, the busiest section of the Northeast Corridor (NEC). The first phase of the Gateway Program includes the Hudson Tunnel Project (HTP), which includes the construction of a new two-track tunnel under the Hudson River connecting to Penn Station New York as well as the full rehabilitation of the existing 110-year-old North River Tunnel. The Gateway Development Commission (GDC), established through bi-state legislation, is responsible for the financing and development of the Hudson Tunnel Project.

As a tri-venture partner with Parsons, Arcadis, and Mace (MPA) is the Delivery Partners (DP) to provide advice, leadership, and support to GDC for the development and implementation of HTP. This is a master service with task order contracts for a 15-year contract encompassing a broad range of strategic advisory services, project management, design management, construction management, stakeholder coordination, federal compliance, operations support, office administration, and related services.

What You'll Be Doing:

• Lead and coordinate change management activities across all HTP Packages and Project Contracts, ensuring alignment with the HTP Project Management Plan (PMP) and GDC procedures.
• Evaluate proposed changes to scope, schedule, and cost from GDC, SEPs, and Project Contractors, providing technical assessments and recommendations.
• Manage the Notice of Proposed Changes (NPC) Log and ensure timely updates and documentation of all change activities.
• Collaborate with the GDC Program Office and SEP teams to develop negotiation strategies and coordinate responses to claims and change requests.
• Review and support the approval process for Contractor-Initiated Change Order Requests (CICs), ensuring compliance with project objectives and contractual obligations.
• Maintain version control and historical records of all approved changes, ensuring transparency and traceability.
• Provide input into change-related reporting and dashboards, supporting program-level oversight and decision-making.
• Support continuous improvement of change control processes and tools, contributing to the refinement of workflows and documentation standards.

What Required Skills You'll Bring:

• Bachelor's Degree and 10+ years of related experience.
• Proven experience in change management within large-scale infrastructure or transportation programs.
• Strong understanding of project controls, contract administration, and technical review processes.
• Excellent analytical, negotiation, and communication skills.
• Familiarity with PMIS platforms and document control systems.
• Ability to manage multiple stakeholders and coordinate across teams.
• Bachelor's degree in Engineering, Construction Management, or a related field preferred.
• Equivalent professional experience may be considered.
• Requires a comprehensive knowledge of industry business practices and the negotiation of prime contracts.
• Incumbent must also possess strong written and oral communication skills, excellent interpersonal skills, and a working knowledge of PC software packages typically associated with contract administration.
• Proven ability to perform in a management capacity is also required.

What Desired Skills You'll Bring:

• Experience working with or for a large agency such as MTA, NYDOT, etc.
• Experience working on Mega-Project in the Rail and Transit industry.

Salary Range: $120,800.00 - $217,400.00

We value our employees and want our employees to take care of their overall wellbeing, which is why we offer best-in-class benefits such as medical, dental, vision, paid time off, Employee Stock Ownership Plan (ESOP), 401(k), life insurance, flexible work schedules, and holidays to fit your busy lifestyle!

Parsons is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, veteran status or any other protected status.

We truly invest and care about our employee's wellbeing and provide endless growth opportunities as the sky is the limit, so aim for the stars! Imagine next and join the Parsons questAPPLY TODAY!

The Middlesex Corporation is a nationally recognized and award-winning leader in the heavy civil construction industry. Since 1972, the family business founded by Robert W. Pereira has developed an extensive client and project list through its consistent efforts to safely build America's infrastructure. The Middlesex Corporation specializes in building and reconstructing highways, bridges, marine, rail, and transit facilities through its collaborative team approach and focus on core values. In addition, Middlesex Asphalt in Central Florida is one of the largest and most productive asphalt plants in the United States with Middlesex Paving earning an equally solid regional presence and reputation.

Position Summary:

The Superintendent – Rail is accountable for planning, organizing, directing units and managing all personnel and activities related to infrastructure construction and operations. The Track Superintendent ensures that the quality of work and materials are upheld and that the schedule is followed as planned as well as enforces and adheres to Company's safety policies and procedures.

Responsibilities:

• Comply with (and actively promote) all Safety policies and procedures including reporting all accidents, incidents and near misses to ensure adherence to our Number One Core Value – Safety, first in everything we do.
• Organize and plan the job with the Project Manager and assist as required.
• Direct oversight responsibility of time sheets for labor and equipment, as well as daily reports complete with quantities worked.
• Develop and maintain client, subcontractor and team member relationships.
• Responsible for maintaining and managing the overall bridge schedule.
• Review, maintain, and monitor crew's productivity and goals daily.
• Review cost reports monthly, initiate field change requests, and prepare vendor or subcontractor back charges with the Project Manager/Project Engineer.
• Enforce quality control and Company safety policies on all aspects of construction.
• Follows the project construction process and schedule to ensure that work is completed on time.
• Review and submit weekly accountability reports.
• Have a clear understanding of pay parameters and specifications by item.
• Provide General Superintendent with a three week look ahead schedule.
• Conduct daily huddles, stretching exercises, and weekly Tool Box Talk with crew.
• Provide Job Hazard Analysis prior to new work activities and review with crew.
• Develop material handling plans with Foremen.
• Identify extra work or change of conditions and report to Project Manager/Project Engineer.
• Ensure that delivery receipts are collected and submitted to field engineers.

Qualifications:

• B.S. in Civil/Transportation Engineering.
• Must have at least 5 years' experience in a heavy civil track/rail construction environment.
• OSHA 10.
• Knowledge of ballasted, embedded track and transit operations with respect to trades that relate to infrastructure maintenance and construction, railroad industry safety standards, material procurement and labor contracts.
• Extensive experience in the repair, testing, troubleshooting, maintenance, reconstruction, rehabilitation and installation of track and infrastructure components of a rapid transit system.
• Ability to schedule track outages with work train usage and power removal.
• Capable of estimating with respect to manpower and material support of operating and capital work and providing required tooling and equipment.

Necessary Attributes:

• Must possess the ability to adapt to different personalities and management styles
• Team player with strong interpersonal skills
• Self-starter with excellent verbal and written communication skills
• Dedicated and hard working
• Possess strong leadership qualities
• Above average organizational skills
• Strong commitment to success of all
• Possess a strong work ethic
• Demonstrate the upmost professionalism in how you represent yourself
• Show quality in everything you do
• Lead with integrity while producing high quality work

We offer our full-time and eligible part time team members a comprehensive benefits package that's among the best in our industry. Benefits include medical, dental and vision plans covering eligible team members and dependents, employee assistance programs, life insurance, disability, top-tier 401k with matching, tuition reimbursement, industry leading referral program, and generous paid time off.

This position is Overnight B Shift 6pm - 6:30am

Interstate Waste Services is the most progressive and innovative provider of solid waste and recycling services in the greater New York, New Jersey and Connecticut markets with a rail-served landfill in Ohio. IWS is committed to delivering high-quality waste, recycling and environmental services, while prioritizing the safety of our employees, customers and communities. We cater to a diverse range of industrial, medical and commercial/residential customers.

Founded in 1998, IWS has grown over the years through acquisitions, many of which were family-owned businesses that remain a part of our team today. Were proud to combine the resources of a large company with the values and care of a family-run business.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned.

• Conduct railcar and train movements; signal crew members for movement of the engine or train using lantern, hand, and/or flag signals or radio to indicate when to start, stop, back up, or set or release air brakes

• Observe, interpret, and relay arm, lantern or radio signals and all other indications affecting movement of a train

• Operate track switches (visually check switch condition and direction) to change the direction of the engine or cars within yard limits or on the main railroad; apply or release hand brakes to switch or perform other duties

• Inspect the condition of the train and equipment in movement and while stationary

• Couple air connections between railcars and railcar movers when making up trains

• Assist with other projects and perform other duties as assigned

• Ensure compliance with all train orders, signals, and railroad rules and regulations for safety, operations, and the Federal Railroad Administration (FRA)

• Monitor track conditions and report any issues

• Perform ER checks utilizing technology in the form of a tablet and/or computer for all arriving and departing trains

• Follow OSHA safety standards and wear required PPE

• Applicants must be at least 18 years of age and legally eligible to work in the United States.

• Ability to utilize technology in the form of a tablet and/or computer

• High school/GED education completed, higher education is a plus

• Must be able to lift/push/pull at least 50 pounds

• Minimum 1 year of rail conducting experience

• Able to work in an outdoor environment on a constant basis while being exposed to variable weather conditions, temperatures, chemicals, dust, fumes, smells, and loud noises.

This job description is intended to be an accurate representation of the general functions of the job, rather than exhaustive list of duties, responsibilities, or experience. Other duties may be assigned, requested, or required. Aspects of the job may be altered without notice.

Interstate Waste Services provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Interstate Waste Services is the most progressive and innovative provider of solid waste and recycling services in the greater New York, New Jersey and Connecticut markets with a rail-served landfill in Ohio! IWS is committed to delivering high-quality waste, recycling and environmental services, while prioritizing the safety of our employees, customers and communities. We cater to a diverse range of industrial, medical and commercial/residential customers.

Founded in 1998, IWS has grown over the years through acquisitions, many of which were family-owned businesses that remain a part of our team today. Were proud to combine the resources of a large company with the values and care of a family-run business.

• Conduct railcar and train movements; signal crew members for movement of the engine or train using lantern, hand, and/or flag signals or radio to indicate when to start, stop, back up, or set or release air brakes
• Observe, interpret, and relay arm, lantern or radio signals and all other indications affecting movement of a train
• Operate track switches (visually check switch condition and direction) to change the direction of the engine or cars within yard limits or on the main railroad; apply or release hand brakes to switch or perform other duties
• Inspect the condition of the train and equipment in movement and while stationary
• Couple air connections between railcars and railcar movers when making up trains
• Assist with other projects and perform other duties as assigned
• Ensure compliance with all train orders, signals, and railroad rules and regulations for safety, operations, and the Federal Railroad Administration (FRA)
• Monitor track conditions and report any issues
• Perform ER checks utilizing technology in the form of a tablet and/or computer for all arriving and departing trains
• Follow OSHA safety standards and wear required PPE

• Applicants must be at least 18 years of age and legally eligible to work in the United States.
• Ability to utilize technology in the form of a tablet and/or computer
• High school/GED education completed, higher education is a plus
• Must be able to lift/push/pull at least 50 pounds
• Minimum 1 year of rail conducting experience
• Able to work in an outdoor environment on a constant basis while being exposed to variable weather conditions, temperatures, chemicals, dust, fumes, smells, and loud noises.

This job description is intended to be an accurate representation of the general functions of the job, rather than exhaustive list of duties, responsibilities, or experience. Other duties may be assigned, requested, or required. Aspects of the job may be altered without notice.

Interstate Waste Services provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

In a world of possibilities, pursue one with endless opportunities. Imagine Next! When it comes to what you want in your career, if you can imagine it, you can do it at Parsons. Imagine a career working with exceptional people sharing a common quest. Imagine a workplace where you can be yourself. Where you can thrive. Where you can find your next, right now. We've got what you're looking for.

Parsons is looking for an amazingly talented Project Controls Manager to join our team! In this role you will have the privilege of working on the premier Infrastructure project in the country, as well as receive all of the benefits of working for Parsons! This Program is the most urgent infrastructure program in the country - a comprehensive set of rail investments that will improve commuter and intercity services, add needed resiliency and, in its later stages, create new capacity between Newark NJ and NYC.

The Gateway Program is the most urgent infrastructure program in the country a comprehensive set of rail investments that will improve commuter and intercity services, add needed resiliency and, in its later stages, create new capacity between Newark, New Jersey and New York City, the busiest section of the Northeast Corridor. The first phase of the Gateway Program includes the Hudson Tunnel Project, which includes the construction of a new two-track tunnel under the Hudson River connecting to Penn Station New York as well as the full rehabilitation of the existing 110-year-old North River Tunnel. The Gateway Development Commission is responsible for the financing and development of the Hudson Tunnel Project.

As a tri-venture partner with Parsons, Arcadis, and Mace (MPA) is the Delivery Partners to provide advice, leadership, and support to GDC for the development and implementation of HTP. This is a master service with task order contracts for a 15-year contract encompassing a broad range of strategic advisory services, project management, design management, construction management, stakeholder coordination, federal compliance, operations support, office administration, and related services.

Position Overview: Develops, manages, and/or executes all phases of the project controls effort (mainly cost management and reporting). Typically manages large-sized projects. The incumbent utilizes widely diversified knowledge of project controls activities, and draws upon extensive experience and exposure to various types of projects and clients.

Specific Responsibilities:

• Lead the cost management and reporting functions on a large construction development program.
• Provides guidance, direction, and specialized assistance to project for the resolution of difficult and complex project control problems.
• Interfaces with clients, attends regular meetings, and provides statistical reports.
• Manages a team of Project Control Engineers/Specialists who are qualified to analyze, evaluate, and forecast project costs, as well as performance against an established schedule with critical milestones.
• Assesses the impact(s) of design/construction changes and schedule slippages.
• Oversees the development and maintenance of an established reporting system to show the hierarchy of cost plans and schedules; keeps project and company management fully informed.
• Recommends and oversees the customization of project control reporting systems and reports to meet specific project requirements.
• Creates statistical / cost reports for management on a recurring or ad hoc basis.
• May be required to make informal or formal presentations.
• Performs other responsibilities associated with this position as may be appropriate.

Education/Experience: Bachelor's degree in Engineering or Construction Management (or related field). 15-20+ years of related experience, including supervisory/managerial experience. Strong cost management and reporting background is required.

Skills/Competencies: Requires basic engineering knowledge in electrical, mechanical, civil, or a related fields. Proficient PC skills including a proficiency in various Project Controls Software and Microsoft Office Suite. Proven ability to perform in a supervisory capacity. Thorough knowledge of industry practices is required.

Security Clearance Requirement: None This position is part of our Corporate team. For over 80 years, Parsons Corporation, has shaped the future of the defense, intelligence, and critical infrastructure markets. Our employees work in a close-knit team environment to find new, innovative ways to deliver smart solutions that are used and valued by customers around the world. By combining unique technologies with deep domain expertise across cybersecurity, missile defense, space, connected infrastructure, transportation, smart cities, and more, we're providing tomorrow's solutions today. Salary Range: $128,700.00 - $231,700.00 We value our employees and want our employees to take care of their overall wellbeing, which is why we offer best-in-class benefits such as medical, dental, vision, paid time off, Employee Stock Ownership Plan (ESOP), 401(k), life insurance, flexible work schedules, and holidays to fit your busy lifestyle! Parsons is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, veteran status or any other protected status. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as the sky is the limit, so aim for the stars! Imagine next and join the Parsons questAPPLY TODAY!

Summary:

The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and guidelines related to UM. This nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• The prior authorization role completes an assessment of a proposed service to determine if the beneficiary has eligible coverage for the service and if it is medically necessary.
• Promote quality, cost-effective outcomes through prior authorization and concurrent review of requested services for medical necessity based upon evidence-based clinical guidelines.
• Identify and present cases of possible quality of care deviations, questionable admissions, and prolonged lengths of stay to the Medical Director for further determination.
• Appropriately refer beneficiaries who have complex or chronic conditions, a need for transition of care, disease management support, or other identifiable needs for coordination of the beneficiary’s member’s health care for behavioral health care management.
• Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
• Protect the confidentiality of data and intellectual property; assures compliance with national health information guidelines.
• Analyze clinical information submitted by medical providers to evaluate the medical necessity, appropriateness, and efficiency of the use of medical services, procedures, and facilities.
• Perform provider outreach to address post-hospital discharge services, redirection to in-network providers for appropriate steerage, durable equipment usage, and utilization of other medical services and/or procedures and other necessary telephonic follow-up.
• Utilize the nursing process and critical thinking skills to provide oversight of services and evaluation of service options.
• Ability to work in a variety of settings with culturally diverse communities with the ability to be culturally sensitive and appropriate. 
• Must have excellent communication skills (written and verbal), clinical judgment, initiative, critical thinking, and problem-solving abilities.
• Must be able to take after hour calls to meet business requirements as needed.

Job Requirements:

Education/Skills

• Graduate of an accredited school of vocational nursing or equivalent required
• Associate’s (ADN) or Bachelor’s (BSN) in Nursing preferred

Experience

• 3 – 5 years of nursing experience preferred
• Experience in Microsoft software (e.g., Outlook, Teams, Word, and Excel) required
• General computer knowledge and capability to use computers required

Licenses, Registrations, or Certifications

• LVN license in the state of employment or compact required
• RN license in state of employment or compact preferred

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

885522: NP / PA / Independent Reviewer UAS Contractors (New York State)

Med-Scribe, Inc. is a healthcare staffing service recruiting top-notch employees all throughout New York State for over 30 years! We are partnered with a large multi-national company dedicated to strengthening communities and improving the lives of those they serve by facilitating connections to government health and human services.

We are in search of experienced clinicians to join a UAS Home Care Project. In this role, you will be responsible for independent review and evaluation of completed UAS reassessments for appropriateness of long-term care services for consumers, in accordance with Medicare and Medicaid guidelines.

These are contractor positions ? which allow for flexibility in scheduling, at your own pace training, and pay at $100/hr.

In this role, you will be scheduled for in person appointments with members of the long term care population, who are applying for Managed Long Term Care services (MLTC). Your clients will have already completed a UAS evaluation with a Registered Nurse, and your role will be to determine whether MLTC and home care services are adequate for the patient?s care, or if they should instead be admitted to a supportive facility. Each appointment will last approximately 1.5 hours ? 30 minutes of preparation time, 30 minutes meeting with the member, and 30 minutes completing and submitting your determination. Additional compensation is offered for longer appointments.

Schedules are arranged according to your availability; however hours are not guaranteed. You must be willing to work at least 9 hours weekly, within operation hours which run Monday ? Friday 8AM ? 7PM, and Saturday between 10AM-6PM. Candidates who are unable to work during these operation hours, or who cannot commit to 9 hours weekly will not be considered.

Expect to travel! Appointments will be scheduled anywhere within the county or counties of your choice, based on your availability. Candidates covering multiple counties will receive more hours. Please note, you must choose one full county to be considered!

Current openings include:

• Chemung County
• Steuben County

Minimum Qualifications:

• NYS Certified Nurse Practitioner License plus 3600 hours of experience OR
• NYS Certified Physician Assistant License
• An active NYS Medicaid number
• 2 years of prior experience within home care, geriatrics, or community health populations
• Willing to travel for in person appointments, with reliable transportation

Contractors will be compensated for each completed assessment, and will receive partial compensation for interrupted assessments.

These roles are 1099 contractor positions, and do not include benefits.

Follow us on Facebook for automatic updates to our listings!

To be considered, please visit our website at and reference job number 885522.

Med-Scribe is an equal opportunity employer. In accordance with anti-discrimination law, it is the purpose of this policy to effectuate these principles and mandates. Med-Scribe prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Med-Scribe conforms to the spirit as well as to the letter of all applicable laws and regulations.

#IND1

Job Type: Contract

Pay: $100.00 per hour

People with a criminal record are encouraged to apply

Application Question(s):

• Do you currently have an active NYS Medicaid Provider Number?

Experience:

• geriatric, community health, or home care: 1 year (Required)

License/Certification:

• NYS Nurse Practitioner or Physician Assistance License (Required)

Work Location: Hybrid remote in Elmira, NY 14901