Rcm Jobs in Usa
124 positions found — Page 7
Clinic Nurse / Registered Nurse / Bilingual Spanish
Bronx, NY | Onsite | Monday–Friday, 8:30 AM–5:00 PM
Salary: $108,000–$112,000 + Strong Benefits
A large, mission-driven healthcare program specializing in comprehensive care for the elderly population is seeking an experienced Clinic Nurse (RN) to join its Bronx-based clinic team. This is a staff, onsite role offering a stable schedule, collaborative environment, and competitive compensation.
The Clinic Nurse plays a key role in supporting participants’ medical, functional, and psychosocial needs while ensuring smooth day-to-day clinic operations.
Key Responsibilities
- Assess participants’ physical, functional, and psychosocial needs using professional nursing judgment, observation, and interview skills
- Document and communicate changes in participant condition to appropriate members of the interdisciplinary care team
- Regularly update the interdisciplinary team on participants’ medical, functional, and psychosocial status
- Support the daily operations of the clinic, ensuring efficient workflow and timely completion of clinical procedures
- Administer vaccinations and tests, including:
- Influenza, COVID-19, pneumonia, hepatitis, and PPD for participants
- TB tests or QuantiFERON blood tests for employees, as indicated
- Perform blood draws as needed
- Coordinate with transportation vendors to ensure participants arrive to scheduled appointments
- Collaborate with scheduling staff to ensure participants are seen in clinic as required
- Maintain accurate daily and weekly clinic logs and track required health screenings (PHS)
- Monitor clinic supplies and ensure timely reordering of expiring items
- Notify Nurse Manager or Program Director of equipment issues or operational concerns
- Demonstrate strong time management and prioritization, working independently with minimal supervision
- Interact professionally and compassionately with participants and families
- Participate in ongoing professional development and in-service education
Qualifications
- Current New York State Registered Nurse (RN) license
- Bilingual in Spanish (required)
- Experience with blood draws
- Strong clinical assessment, communication, and organizational skills
- Experience working with elderly or medically complex populations preferred
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Job Summary:
The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes.
Essential Functions:
- Ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status.
- Authorizes covered services and coordinates care regardless of payer.
- Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team.
- Works with member/family to maintain the most independent living situation possible
- Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings.
- Regularly assesses members for ongoing eligibility for services based on the specific plan’s eligibility criteria.
- Performs home visits as required to assess members’ living situation, cultural influences, functional and cognitive needs.
- Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member.
- Ensures appropriate, safe plan for members’ discharge from their plan.
- Identifies same day grievances, investigates and documents accordingly. Documents any grievance according to plan policy.
- Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM).
- Responds to members’ requests in the designated timeframes and completes Initial Adverse Determinations (IAD) as indicated
- Identifies members requiring Care Management Review (CMR), evaluates documentation provided by the IDT including hospital or nursing home discharges planners, and formulates appropriate plan of care.
- Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes.
- Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members’ needs.
- Perform any other job related duties as requested.
Education and Experience:
- Associates degree in Nursing from an accredited nursing program required
- Bachelor's degree in Nursing preferred
- Three (3) years of experience as a registered nurse required
- Clinical experience in geriatrics and/or managed long-term care experience preferred
- Experience using multiple languages may be required based on operational needs
Competencies, Knowledge and Skills:
- Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
- Ability to communicate effectively with a diverse group of individuals
- Ability to multi-task and work independently within a team environment
- Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
- Adhere to code of ethics that aligns with professional practice
- Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
- Strong advocate for members at all levels of care
- Strong understanding and sensitivity of all cultures and demographic diversity
- Ability to interpret and implement current research findings
- Awareness of community & state support resources
- Critical listening and thinking skills
- Decision making and problem-solving skills
- Strong organizational and time management skills
- Bilingual speaking and writing skills are preferred
Licensure and Certification:
- Current, unrestricted Registered Nurse licensure in the state of New York required
- Case Management Certification preferred
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- Up to 25% (regular) travel may be required to travel to different locations, including homes, offices, or other public settings, to perform work duties
Compensation Range:
$100,000 - $115,000.. We takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
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Job Title: Clinical Director – Adult Medicine (MD or DO)
Position Type: Full-Time
Location: Hartford, CT
$220k - $300k DOE
Are you an Internal Medicine or Family Physician with a passion for adult medicine? Are you ready to step into a leadership role in a dynamic healthcare environment? We are seeking a Clinical Director of Adult Medicine to lead a thriving department committed to delivering the highest quality of care.
This role is ideal for a dedicated physician eager to combine clinical expertise with administrative leadership. While substantial administrative experience is often expected, we welcome candidates with minimal experience who demonstrate exceptional drive, clinical knowledge, and leadership potential.
What You'll Do:
As Clinical Director, you'll collaborate with key leaders to oversee the Adult Medicine Department, ensuring excellence in clinical operations, patient satisfaction, and financial performance. You'll provide direct patient care while leading initiatives to continuously improve workflows, support your team, and enhance patient outcomes.
Key Highlights of the Role:
- Serve as a key leader within the department, reporting to the Chief Medical Officer.
- Provide oversight for recognized programs, including a top-performing Ryan White program and an NCQA-accredited diabetes program.
- Work closely with the Nurse Manager, Practice Manager, and Director of Infectious Diseases to optimize department operations.
- Mentor and supervise providers, including advanced practitioners (APRNs, PAs).
- Contribute to the department’s strategic goals and foster a culture of teamwork and continuous improvement.
Compensation:
Competitive salary ranging from $220,000 to $300,000, based on experience and qualifications.
Qualifications:
- Board certification in Internal Medicine or Family Medicine.
- Graduate of an accredited medical school.
- Experience working with underserved populations with complex medical needs.
- Strong leadership skills, with experience in recruitment, retention, and supervising clinical staff.
- Familiarity with compliance standards, electronic health records, and strategic planning.
- Commitment to providing patient-centered, quality care.
- Exceptional communication and interpersonal skills to collaborate with teams, patients, and external stakeholders.
Why Join Us?
This organization offers a supportive and rewarding environment, dedicated to serving the community and improving lives.
Benefits Include:
- Comprehensive health, dental, and vision insurance.
- Generous PTO and 9 paid holidays.
- Employer-paid life and disability insurance.
- 401(k) plan with up to 4% employer match.
- Participation in the NHSC Loan Repayment Program.
- Access to Employee Assistance Programs and leave programs for bereavement, military, and maternity needs.
COVID-19 Vaccination Policy:
Employees must be fully vaccinated against COVID-19 unless approved for a medical or religious accommodation.
Ready to Take the Next Step?
If you’re eager to grow your career while making a meaningful impact, we’d love to hear from you. Apply today to learn more about this exciting opportunity!
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Certified Nursing Assistant / CNA / DuPage County / SNF – FT, PT, PRN
We are hiring CNA staff *TODAY*! RCM is actively recruiting reliable and experienced CNA staff to support the DuPage County Care Center (5 star rated LTC)! All shifts available – Day, Evening, and Night. We are in search of experienced CNAs that are interested in joining a compassionate and supportive team while working in an environment that is committed to providing quality care.
CNA RESPONBILITIES:
- Changing, feeding, and bathing residents; attending to other personal and grooming needs
- Serving meals to residents and feeding those unable to feed themselves
- Performing incontinence checks on every resident every two hours
- Providing basic skin care to residents
- Noting any unusual changes in residents condition and reporting them to the RN
- Transferring residents to and from commode, bed and wheelchair
- Taking residents’ temperatures and vital signs
- Turning and positioning immobile residents every two hours
- Maintaining resident quarters in neat and orderly condition
CNA Minimum Requirements:
- Active Illinois CNA License
- (2) Years CNA Experience within a Long Term Care Facility
- CPR BLS
- Physical & PPD (annual)
- Gait Belt
CNA Benefits:
- Competitive pay rates! Benefits offered if meeting and maintaining minimum (30) hours/week. If eligible, you can sign up for Medical, Dental, Vison. 401K. Flexible Schedules. Referral Bonuses
CNA Responsibilities:
- Staffing CNA’s - All (3) Shifts – (7:00AM-3:00PM, 3:00PM-11:00PM, & 11:00PM-7:00AM)
- Our biggest need currently is – Daytime shift Thursday through Monday!
CNA Compensation:
- Pay Range: $19-$24 an hour
INDCHIN
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Certified Nurse Assistant (CNA)
CNAs needed in Staten Island, Manhattan, The Bronx, and Westchester!
New grads and nurses with less than a year of experience are welcome to apply!!
About Us:
RCM Health Care Services’ mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates.
As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates to reach their career and life goals.
We proudly hold the Joint Commission Gold Seal of Approval as well.
CNA Job Type:
- Full-time, Per diem, Part-time
CNA Must have:
- CNA License required to apply
- AHA BLS-CPR required
- COVID Vaccination required
CNA Position:
- All shifts available - 8 hour shifts
CNA Benefits Available:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
CNA Compensation:
- $21-$25/hr.
INDNYN
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Job Title: Licensed Practical Nurse (LPN) – Wellness Center
Location: Senior Living Facility
Start Date: January 1st (preferred)
Position Overview:
We are seeking a compassionate and reliable Licensed Practical Nurse (LPN) to support the daily operations of our Wellness Center within a senior living facility. The LPN will provide basic clinical assessments, assist residents with general health concerns, and ensure appropriate escalation for more serious medical needs. The ideal candidate is dependable, attentive, and comfortable working with senior populations.
Key Responsibilities:
- Provide routine clinical support, including monitoring and recording vital signs such as blood pressure and heart rate.
- Assist residents with general, non-emergency ailments and health questions.
- Identify symptoms or situations requiring higher?level medical intervention and promptly coordinate additional support or emergency assistance.
- Maintain accurate and timely documentation of resident interactions.
- Prepare and submit a weekly report summarizing the number of residents seen and services provided.
- Collaborate with facility staff to ensure resident safety and well-being.
- Uphold all health, safety, and confidentiality standards in accordance with facility policies and state regulations.
Qualifications:
- Active and unencumbered LPN license and BLS.
- Previous experience working in senior living, wellness centers, or similar environments preferred.
- Strong communication and assessment skills.
- Ability to work independently and manage multiple resident needs.
- Compassionate, patient, and resident-focused.
Compensation:
- $38-41/hr.
Schedule & Start Date:
- Candidate must be available to start in January, ideally January 1st.
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We have headquarteerd in Bloomfiled Hills, MI and have 16 offices spread across six countries.
We partner with Fortune 500 companies to address complex business challenges.
Our services span AI, IT staffing, cloud computing, engineering, mobility, testing, and more.
Certified with CMMI Level 3 and ISO standards, V2Soft is committed to quality and security.
Beyond our work, we actively support local communities and non-profits, reflecting our core values.
Join us to be part of a dynamic and impactful global company! Please visit us at to know more .
Must Have Skills: NICE Actimize Modules: experience with ActOne, Actimize Intelligence Server (AIS), Risk Case Manager (RCM), CDD Database Expertise: Proficiency in SQL and PL/SQL for data mapping, querying, and managing complex databases, particularly Oracle and MS SQL Server.
Development & Scripting: Strong coding skills in Java, along with experience in UNIX/Linux environments.
System Configuration: Building and customizing RCM workflows, AIS visual modeling, alert management, and UDM (Unified Data Model).
Integration & Tools: Experience using APIs (REST/SOAP), Autosys/Control-M for scheduling, and tools like JIRA or HP QC ALM.
Nice to Have Skills: Financial Crime & Compliance: Strong knowledge of Anti-Money Laundering (AML), Trade Surveillance, KYC, and Fraud Detection.
Process Analysis: Ability to translate complex business requirements into technical, automated solutions.
Education: Bachelors required.
V2Soft is an Equal Opportunity Employer ( EOE).
We welcome applicants from all backgrounds, including individuals with disabilities and veterans.
to view all of our open opportunities and to learn more about our benefits.
Revenue Cycle Clinical Documentation Manager – Urgent Care
If you are a Production Coder, Multi-Specialty Coder, Manager of Coding and Clinical Documentation, Manager of Clinical Documentation integrity, Manager of Documentation Excellence and Coding, or Director of Clinical Documentation Improvement with 5 years of healthcare RCM leadership experience in Coding / Clinical Documentation improvement (CDI), then you need to read on...
Revenue Cycle Clinical Documentation Manager Opportunity Description
Our client is a well-established National Urgent Care organization. They have a current opening for a Revenue Cycle Clinical Documentation Manager based in the Nashville, TN, Tampa, FL, or Denver, CO markets. This is a Remote position. RHIA, RHIT, or CPC certifications are highly preferred.
Revenue Cycle Clinical Documentation Manager Job Requirements
- Five years of healthcare experience in Coding / Clinical Documentation (CDI)
- RHIA, RHIT, CPC certifications are highly preferred
- Bachelor's degree required
Revenue Cycle Clinical Documentation Manager Job Responsibilities
- Helps to manage all Coding and Coding-related process flows
- Provides clinical documentation improvement, working with center staff and vendors as necessary
- Manages coding education for Urgent Care Centers and BPO Vendors
Business Analyst - Healthcare RCM
4 month contract + renewals
Onsite in Quincy, MA one Wednesday per month.
Position Overview
- The client is seeking to hire a Business Analyst to join their collaborative team.The Business Analyst (BA) will work on their established team functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community.
- BA should be well versed in health plan management, operational concepts, and the systems development lifecycle.
- Preference will be given to candidates with Medicaid systems experience well as claims and business knowledge of the MassHealth program.
- The BA must have sufficient knowledge of the entire scope of the health care business to ensure that the development and testing work within their functional area is compatible with the system.
Standard Practice AI is using voice AI to power a new layer of critical healthcare infrastructure.
We automate complex outbound phone calls for healthcare organizations. Our AI voice agents dial, wait on hold, navigate IVR menus, and fully complete calls to payors, providers, and patients. By automating access to offline / siloed data, we allow customers to focus on higher value tasks and generate more revenue, faster.
We've raised $10 million from Tiger Global, Wing Venture Capital, A* Capital, and Expa, and are growing fast. Our office is located in Flatiron, New York City.
The Role
Standard Practice AI is seeking a high-agency Sales Development Representative to drive our top-of-funnel sales efforts.
Responsibilities
- Spearhead outbound prospecting for RCM/billing firms and healthcare provider organizations
- Schedule initial meetings and qualify new sales opportunities
- Manage your own book of accounts and set the strategy for effective sales management
- Partner with leadership, marketing, product, and other teams to craft messaging and prioritize strategic opportunities
- Exceed regular pipeline metrics to help achieve sales goals
We’re looking for
- 1+ year(s) of experience in sales, business development, or customer success, bonus if within healthcare, AI, revenue cycle management, or enterprise software
- Proven ability to build a qualified sales pipeline
- Experience with sales tools and an understanding of how to book intro meetings with prospects
- Excellent written and verbal communication skills; ability to interface with key decision makers
- Uncompromising perseverance and the winning attitude required to speak with new accounts every day and follow-up diligently
- Strong work ethic - a self starter who can operate with a high degree of autonomy
Benefits
- Competitive salary and commission-based compensation package
- Structured onboarding and training program to help you advance your career in B2B sales
- Excellent medical, dental, and vision plans
- Unlimited vacation
- Budget for the technology tools you need
- Education stipend