Messages In This Digest (3 Messages)
- 1.
- LEAD: Director of Clinical Reimbursement- NJ From: Ann Bergquist
- 2a.
- "Resumes - What a Recruiter Sees" - Anne Pepper,President Pepper HR From: CareerNetworkingGroup@yahoogroups.com
- 3.
- LEAD: Experienced Programmer/Analyst required for Hedge Fund in NYC From: Ann Bergquist
Messages
- 1.
-
LEAD: Director of Clinical Reimbursement- NJ
Posted by: "Ann Bergquist" annber55@yahoo.com annber55
Wed Mar 2, 2011 3:06 pm (PST)
Please reply to Jack directly.
From Ann Bergquist
http://www.linkedin.com/in/annbergq uist
Can you recommend anyone for this Non-IT position. My Bergen County, NJ client is looking for a Director of Clinical Reimbursement-This person will assure the management of the Medicare, Managed Care and Medicaid reimbursement system for a number of skilled nursing facilities; Will be responsible for regulatory compliance and quality improvement efforts, in order to attain the appropriate Medicaid/Medicare reimbursement possible for the facilities; ensure that the services offered exceed standards. To $120,000.
Position Summary:
The Regional Director of Clinical Reimbursement assures the management of the Medicare, Managed Care and Medicaid reimbursement system for a region-specific number of skilled nursing facilities.
In this role you will be responsible for regulatory compliance and quality improvement efforts, in order to attain the appropriate Medicaid/Medicare reimbursement possible for assigned facilities. You will ensure that the services offered exceed federal, state, and company standards, and serve as a role model for ethical business practices according to standards. You will have 3 direct reports that assist with the oversight of Clinical Reimbursement.
Essential Duties and Responsibilities:
1.) Systems implementation and assessment
· Implement and direct Medicare and Medicaid auditing and systems review.
· Admission pre-screening review
· Admission documentation requirement review
· Financial documentation requirement review
· Clinical documentation assessment
· Strategic selection of assessment reference dates
· MDS accuracy
· ADL score tracking
· Denials management
· RUGs management
2.) Education and Training
· Provide Interdisciplinary Team Training
· MDS and PPS training
· Documentation requirements
· RUGs groups
· Admission strategies
· Role and responsibility of the Clinical Reimbursement Coordinator
· NJ Case mix
· Managed Care contracts and updates
· HIPPS coding
· Consolidated billing
· Update facilities on trends, developments, concepts and techniques in the Medicaid and Medicare fields that affect reimbursement services
· Engage facility management team in problem solving process to identify improvement opportunities and achieve solution
· Facilitate effective well-organized utilization meetings, establish productive objectives and follow through with action plans
· Evaluate performance of facility-based staff and make recommendations regarding staff assignments, assessment procedure and reimbursement systems. Ongoing evaluation of the effectiveness of reimbursement staff
· Fee schedules
· Industry updates and regulation changes
3.) Revenue Management
· Financial Analysis
· Rate projections
· Vendor contract strategies
· Monthly RUGs distribution
· Length of stay analysis
· Assist in Part B program development
· Assist in budget process.
4.) Overall Responsibilities:
· Management of Regional Clinical Reimbursement Specialists
· Education and Training
· Medicare and Medicaid updates
· Analysis trends
· General oversight
Recommended Qualifications:
Diploma and/or Degree from credentialed school of nursing. Currently licensed as a Registered Nurse in the state of practice.
· Minimum of 5 years of experience in long term care.
· Proven knowledge of quality improvement processes with an emphasis on Medicare, Managed Care and NJ Case mix for Skilled Nursing facilities.
· Multi facility experience with management skills
· Excellent oral and written communication skills.
· Work processing and related computer skills.
· Current licensing and credentials as required.
--------------------- --------- --------- --------- --------- -
Jack M Schwartz
Managing Director
ITech Recruiting LLC
516-826-4640 office
516-524-6010 cell
jackschwartz@itechrecruiting. com
--------------------- --------- --------- --------- --------- -
JACK SCHWARTZ is the Managing Director of Staffing at ITech Recruiting LLC. Previously, he was a V.P., Staffing Services at The Ayers Group, and he ran the NYC I.T. Contingency Search Practice for The Jarvis Walker Group (JWG). Before JWG, Jack was the CIO of the NPD Group, a market research firm. Prior to NPD, he managed three metropolitan area offices for Source EDP, a national IT search firm, and was a Senior Director of Applications Development for the Federal Reserve Bank of New York. Jack has a BS and an MS in Engineering from Cornell University and an MBA in Finance from the Stern School of Business of N.Y.U.
- 2a.
-
"Resumes - What a Recruiter Sees" - Anne Pepper,President Pepper HR
Posted by: "CareerNetworkingGroup@yahoogroups.com" CareerNetworkingGroup@yahoogroups.com
Wed Mar 2, 2011 3:26 pm (PST)
Reminder from: CareerNetworkingGroup Yahoo! Group
http://groups.yahoo.com/ group/CareerNetw orkingGroup/ cal
"Resumes - What a Recruiter Sees" - Anne Pepper,President Pepper HR Solutions
Thursday March 3, 2011
6:30 pm - 9:00 pm
Location: Bernards Township Library
Street: 32 South Maple Ave
City State Zip: Basking Ridge, NJ
Notes:
Anne Pepper has been involved with corporate recruiting in a variety of industries for almost 25 years. She will share insights into how a recruiter reads a resume, and practical tips making a resume easy for a recruiter to scan quickly. These tips will cover everything from font size to what NOT to include on a resume. This is an interaction session, so bring your questions -- and your resume.
SPEAKER
ANNE PEPPER: Anne Pepper has 25 years of experience as a Human Resources Generalist. She has management and leadership experience in a variety of industries within both for-profit and not-for-profit organizations. Her areas of specialization include employee relations, preventive labor relations, training, and organizational development, in start-ups and high growth businesses. As both an internal and external consultant, Anne acquired expertise in developing organizations through strategic business partnerships and customer focused Human Resources operations.
Anne provides personal career services to job seekers, as well as customized Human Resources solutions to small and medium sized businesses. Anne is a member of SHRM, HRMA of Princeton, and NJAWBO.
AGENDA
6:30 PM Participants begin to arrive & network with peers.
7:00 PM Workshop: "Resumes - What a Recuiter Sees"
Speaker: Anne Pepper
8:15 PM CNG announcements
20-second introductions by each attendee
Peer networking and tidying meeting room
8:50 PM Adjourn
9:15 PM Optional: Many attendees reconvene at The Store Restaurant & Bar a few blocks away to continue informal networking
DIRECTIONS
I-287 to North Maple Avenue exit toward Basking Ridge
Go about 1.5 miles on North Maple Avenue
As you enter Basking Ridge, North Maple Avenue becomes South Maple Avenue
Bernards Township Library is on the left
Enter the lower level.
All Rights Reserved
Copyright © 2011
Yahoo! Inc.
http://www.yahoo.com
Privacy Policy:
http://privacy.yahoo.com/ privacy/us
Terms of Service:
http://docs.yahoo.com/ info/terms/
- 3.
-
LEAD: Experienced Programmer/Analyst required for Hedge Fund in NYC
Posted by: "Ann Bergquist" annber55@yahoo.com annber55
Wed Mar 2, 2011 4:52 pm (PST)
Please contact the recruiter directly.
From Ann Bergquist
http://www.linkedin.com/in/annbergq uist
From: rrosenholtz@TraceConsulting. com
To: AnnBer@hotmail.com
Subject: Experienced Programmer/Analyst required for Hedge Fund in NYC
Date: Wed, 2 Mar 2011 18:59:47 -0500
Hi. I am looking to fill the following position. If you know someone who might qualify as a candidate please let me know.
Thanks and best regards,
Raphael
---
Experienced Programmer/Analyst required for Hedge Fund
Consulting รข€" Long Term Contract
Location: Midtown NY
Required:
Financial Services Background
Strong communications skills
Excellent technical and analytical skills
Self-starter
Flexible
Team player
Easy to work with
Technical Requirements:
Strong MS SQL Server
Stored procedures
Sql Server Reporting Services
Sql Server Integration Services
.NET C#
XML, XLST
Strong Excel and VBA
Nice to have:
Eze Castle Traders Console
Geneva
U.S. citizenship or Green Card is required.
Please email resume and salary requirements with expected rate to Jobs@TraceConsulting.com to apply.
---
If you wish to no longer receive these emails please e-mail me with "unsubscribe to current openings" in the subject line.
---
Raphael Rosenholtz
Director of Placement
Trace Consulting Corp.
office: 845-362-6435
cell: 845-548-1097
fax: 845-364-5313
RRosenholtz@TraceConsulting. com
Need to Reply?
Click one of the "Reply" links to respond to a specific message in the Daily Digest.
Put your Career Networking Group network to work ...
Join the CNG LinkedIn Group.
[Link is on the CNG Yahoo! Group home page.]
Join the CNG LinkedIn Group.
[Link is on the CNG Yahoo! Group home page.]
Change settings via the Web (Yahoo! ID required)
Change settings via email: Switch delivery to Individual | Switch format to Traditional
Visit Your Group | Yahoo! Groups Terms of Use | Unsubscribe
No comments:
Post a Comment