Clinical Services Assistant Manager
About The Position
How you move is why we’re here. ® Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let’s talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.
Requirements
- Minimum 2 years of nursing related experience
- Proficiency in Epic clinical workflows
- Bachelors of Nursing
- New York State nursing license
- Certification Board certification recognized by the ANCC
Nice To Haves
- Currently an employee at HSS NJ Region
- Demonstrated basic knowledge of orthopedic and outpatient care as well as a working knowledge of processes involved in physician practices with strong organizational and prioritizing skills
- Demonstrated ability to work within a team environment and display a positive attitude towards assignments and others
- Masters of Nursing or enrolled
Responsibilities
- Assists with contracts Assists in the negotiation of physician managed care contracts, analytics, and financial modeling.
- Coordinates enrollment Coordinates physician enrollment in managed care plans.
- Ensures compliance Ensures compliance of managed care companies with negotiated contracts.
- Follows-up and resolving payment issues with Insurance Payors.
- Acts as a liaison between physician offices and Insurance Payors.
- Schedules, coordinates, and documents for all PHO related meetings.
- Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.
- Oversees PHO phone line, answers and responds to inquires, and assist with urgent physician office issues.
- Maintains satisfactory attendance record.
- Reports for duty punctually.
- Adjusts to changing situations and work assignments.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
5,001-10,000 employees
