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Description Job Summary:The Corporate Revenue Cycle team is searching for a Certified Professional Coder (CPC) to join their Coding Team! This role has the same responsibilities as Coder II, but is also responsible for assigning PQRS codes and assisting in the development of templates and processes to obtain the appropriate documentation. The CPC position will work on Same Day Surgery coding. This role is Monday through Friday during business hours. The position will work from home and have remote training. If you are up for the challenge, apply today! Responsibilities: • Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process. • Refer problem accounts to appropriate coding or management personnel for resolution. • Make forward progress within the training period toward meeting coding accuracy standards of the departments... within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff. • Provides training on code selection for new and existing staff. • Investigate and resolve reimbursement issues, including denials, in a timely manner per department standards. • Responsible for assigning PQRS codes and assists in the development of templates and processes to obtain the appropriate documentation. • Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding. • Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management. • Be a resource to other coding staff. • Utilize computer applications and resources essential to completing the coding process efficiently. • Adhere to internal and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics. • Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions. • Lead, participate in and/or assist with departmental coding audits. Qualifications • High school graduate or equivalent. • Graduate of an approved certified coding program preferred. • Proficient computer skills with MS excel knowledge preferred. • Three years physician coding experience in the applicable specialty. Licensure, Certifications, and Clearances: • CPC or Certified Coding Specialist (CCS) specialty certification required • Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) UPMC is an Equal Opportunity Employer/Disability/Veteran Employment Type: ["Full-Time","Regular
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CNA/HHA - Crown Point, In

Amada Senior Care - Crown Point, IN


5 days ago
At Amada Senior Care, we believe happy Caregivers/CNA's make happy clients, and we reward individuals who are ready to work hard and stay motivated. Every CNA/HHA is absolutely critical to its success. Our promise is to keep delivering the same award winning service and value that our community has come to expect from us through the years. Benefits • Career Growth Opportunities • Industry-Competitive Pay • Continuing Education/Training • Flexible Schedules • Referral Bonuses • Caregiver Bonuses • App based scheduling system Responsibilities • Providing Shower Service for patients throughout Lake and Porter Counties. • Willing to up to 25 miles • Most shifts are M-F between 9a-5p and also opportunities to pick up extra hours on Nights and weekends • Provide personal hygiene assistance for elderly patients or those recovering from surgeries, injuries or accidents by attending to their basic needs, such as showering, bathing, dressing and eating • Take patient vitals and track. Report... back to the office. • Help with mobility around the house. • May Assist with personal care and hygiene, plan and prepare meals and help with physical therapy exercises • Perform housekeeping duties (Clean up after service)and report any unusual incidents • Act quickly and responsibly in cases of emergency • Offer activities that are essential for daily living by assisting patients with their meals, including serving and other tasks, if necessary Qualifications • CNA OR HHA LICENSE REQUIRED • Enjoy working in a one-on-one setting, eager to improve and continuously learn new skills • Ability to lift and/or move up to 50 pounds with physical capability to perform job-related duties • Valid driver’s license and reliable transportation every single day • Validated ability to act in a compassionate and supportive manner • Available to work different shifts, including nights and/or weekends • Prior experience in a healthcare prefered. • Willingness to enforce health and safety standards • Supportive and compassionate • Take pride in providing high quality care We are an equal opportunity employer and prohibit discrimination/harassment 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
Bicycle Health is a rapidly growing digital health start-up that offers online Medication Based Treatment for patients with Opioid Use Disorder. We offer an evidence-based clinical program focused on medication management, peer support, behavioral health treatment, and care coordination. The Opioid Epidemic is a systemic problem - millions of Americans are physically dependent on Opioids but only 10% of Americans have access to treatment. Bicycle Health is addressing this gap by offering online, affordable, and confidential treatment with the goal of helping patients take back control of their lives. We are seeking a Nurse Practitioner/ Physician Assistant to help us grow in new and existing geographies to help patients start treatment with Bicycle Health. Position Responsibilities: • Manage a panel of up to 275 patients via telehealth technologies by facilitating clinical assessments, treatments and medication management. • Promptly respond to patient questions and concerns in... between appointments. • Partner closely with the care team to make appropriate assessments, treatment plans, and referrals for the patient. • Provide psychosocial interventions (e.g., counseling, skills development) aimed at improving treatment outcomes. • Maintain accurate records on patients treated using our Web-based EMR system. • Participate in case reviews, consultations, and utilization reviews. • Continuously improve Bicycle Health's clinical model, policies and protocols. Requirements : • Active Nurse Practitioner or Physician Assistant license. • Ability and willingness to be licensed in multiple states. • Active DEA certification. • Must have an X Waiver for at least 100 patients. • Strong communication and diagnostic skills. • Familiarity with technology - computers, smartphones, tablets. • Comfort with ambiguity and a drive for process improvement. Benefits: • Competitive compensation and total rewards package (paid time off, health benefits, CME, paid holidays). • Talented, passionate and mission-driven coworkers. • Work from anywhere in your state (subject to change depending on regulations). • Flexible hours. • Malpractice and liability insurance. Powered by JazzHR
Summary of the Role ConcertAI is seeking a Clinical Codification SME with strong clinical data experience to leverage our data network to develop and maintain our dataset. An ideal candidate will have experience in analyzing, standardizing, and codifying healthcare data and improving data quality from electronic medical records. Responsibilities • Identify clinical data elements within several different EMR systems and claims feeds. • Codify clinical data to common ontologies (such as SNOMED-CT, RxNorm, and LOINC). • Develop new clinical ontologies to represent data elements for which no standard yet exists. • Develop new methods of data extraction and mining (such as utilizing NLP to obtain clinical information from text fields). • Work on a day-to-day basis with ConcertAI Data Operations and Software Engineering teams to ensure that our clinical, financial, and operational data is being accurately represented in our platform, data products, and applications. • Formulate validation... strategies and methods to ensure accurate and reliable data. • Maintain and update common clinical ontologies • Train and update software used to automate codification. Requirements • Experience working with Electronic Health Record (EHR) systems. • Experience working with database systems, such as Oracle, as well as database query syntax (SQL). • Knowledge of classification systems and clinical vocabularies and nomenclature, such as ICD-10, CPT, HCPC, LOINC, SNOMED-CT, NDC, and RxNorm. • Knowledge of basic principles of clinical, financial, and operational data. • Degree in Computational Biology, Bioinformatics, Computer Science, Health Information Management (HIM), PharmD, RN, or related field. • Clinical Health Data Analyst (CHDA), Registered Health Information Administrator (RHIA), or equivalent certification strongly preferred. • Strong organizational, interpersonal, and problem solving skills
Position Title:Coding Quality Review/Educator - Work From HomeDepartment:HIM CodersJob Description:Outpatient Coding Quality Review/Educator (Work From Home) General Description Performs internal quality assessment reviews on OUMS coders to ensure compliance with national coding guidelines and the OUMS coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed. Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing... account reviews, and preparing training documents to assist with coding quality action plans. Essential Responsibilities Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. • Responds to coding-related questions from HSC coding staff • Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and outpatient coding across OUMS • Provides Coding Integrity Specialist (CIS) and CQR education as needed • Initiates the rebilling process as required per policy on special projects • Researches coding opportunities and escalate as needed • Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. • Provides and creates education as needed • Monitors QA results to assist Coding Leadership in root cause analysis and educational opportunities • Assists with curriculum development • Assists in ensuring coding staff adherence with coding guidelines and policy • Demonstrates and applies expert level knowledge of medical coding practices and concepts • Participates on special reviews or projects • Maintains or exceeds 95% productivity standards • Maintains or exceeds 95% accuracy • Meets all educational requirements as stated in current Company policy • Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current • Performs an annual education needs assessment as input to the strategic coding education program and provides this assessment to the Coding Leadership team • Communicates Coding topics and/or question trends to Coding Leadership for global education • Coaches and mentors coding staff as they develop and grow their coding skills • Provides skilled coding support through regularly scheduled coding meetings and as the need arises • Researches external sources for common coding trends and questions • Works on special projects as assigned • Applies adult learning concepts when developing, delivering or assisting others for educational programs • Provides high level of customer service • Practices and demonstrates adherence to the Company’s Code of Conduct and ethics philosophy and Company’s Mission and Values • Completes other duties as assigned General Responsibilities • Performs other duties as assigned Minimum Qualifications Education: High School graduate or GED equivalent required, undergraduate (associates or bachelors) degree in HIM/HIT preferred. Experience: Proven work experience in areas of coding education strongly preferred. Minimum of 5 years acute care inpatient/outpatient coding experience required. Minimum of 3 years coding auditing/monitoring experience strongly preferred. Licensure/Certifications/Registrations Required: RHIA, RHIT, CCS, or CPC required Knowledge, Skills And Abilities • Coding Technical/Professional Knowledge and Skills- extensive regulatory coding, (ICD-10-CM, ICD-10- PCS, CPT-4, Modifiers, MS-DRGs, POA assignment and where applicable APR-DRGs and APCs) and associated reimbursement knowledge • Effective Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values • Adaptability to major changes in work responsibilities or environment; adjusting effectively to work within new work structures, processes, requirements, or cultures • Initiative - independently takes prompt proactive steps toward problem resolution • Contributing to Team Success by actively participating as a member of the team to move the team toward the completion of goals • Work Standards -setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self- imposing standards of excellence rather than having standards imposed • Communication - communicates clearly and concisely, verbally and in writing. • Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. • Interpersonal Skills - able to work effectively with other employees, patients and external parties. • Data Analysis - able to analyze, interpret and share data in a presentation format. • Knowledge of Healthcare Information - familiar with various types and sources of health care information, including financial and patient level data files. • Work Independently, with experience working in a team environment. • PC Skills - demonstrates proficiency in Microsoft Office applications and others as required. • Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures, systems and query handbook. OU Medicine has a comprehensive benefits package, including PTO, 401(k), medical and dental plans, but our offerings go beyond traditional packages. We know that a total benefits and compensation package, designed to meet your specific needs and goals both inside and outside of the work environment, brings additional rewards that create peace of mind for you and your family. Current OU Medicine Employees - Please click HERE to login. OU Medicine has a comprehensive benefits package, including PTO, 401(k), medical and dental plans, but our offerings go beyond traditional packages. We know that a total benefits and compensation package, designed to meet your specific needs and goals both inside and outside of the work environment, brings additional rewards that create peace of mind for you and your family
Job Summary The Medical Science Liaison functions as a highly trained, field-based, scientific expert who engages health care professionals to exchange clinical, scientific, and research knowledge. Following regulatory and corporate guidelines, they will facilitate and build scientific relationships and collaborations with the medical/scientific community. This position interacts with local, regional, and national HCPs, societies and organizations. Job Responsibilities • Function as the primary point of contact in the field for Clovis Medical Affairs • Appropriately interact with key thought leaders and healthcare professionals • In an accurate, fair and balanced manner, exchange scientific information with external parties • Intake and manage investigator initiated research interests • Report field intelligence to Clovis including competitive information, perspectives about compounds, and the treatment landscape • Provide support to the Clovis clinical development and operations... teams through site recommendations, site initiation visits, facilitation of communication, and accrual support activities. • Participate in or lead advisory board meetings at the local, regional, and national level • Provide internal and external training about preclinical science, clinical data, and outcomes • Represent Clovis at medical conferences and provide session summaries • Within guidelines, provide cross-functional support across the company by being a scientific resource • Develop and maintain an advanced level of knowledge about pertinent studies, compounds, and diseases that would facilitate collegiate and scientific discussions with leading oncology thought leaders • Consistently demonstrate a high standard of excellence in the management of assigned territory while also supporting contributing to the success of colleagues and the MSL organization as a whole Qualifications Must be able to: • Quickly and accurately learn, retain, and present detailed scientific information • Travel frequently, including occasional weekends • Take and follow directions, accept guidance from management, and adjust quickly to changes • Communicate and engage small and large groups in an engaging manner • Be a strong individual contributor as well as a valued collaborator on a team • Efficiently manage time and priorities • Demonstrate project leadership while recognizing when input from others is needed • Support the achievement of goals while executing all duties in an honest and compliant manner • Operate with a high level of integrity, professionalism, and initiative • Candidate must be located within Pacific or Mountain time zones Education and Experience Education: • Accredited doctorate degree in a life-science or basic-science discipline (Pharm.D., D.Sc., D.N.P., Ph.D., or M.D./D.O.) Experience: • A minimum of 1 year of MSL experience in therapeutic oncology • Direct patient care experience Working Conditions • Frequent travel by ground and/or air is required. Estimated ≥ 60% time away from remote office. • Must have a valid driver’s license, and meet the requirements as defined in the Clovis Motor Vehicle Policy
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5 days ago
Job Description : Calling all Licensed Insurance Agents ! Our client company is a major Nationwide Health Care Provider! As a Licensed Insurance Agent , you will be assisting members with insurance options for open enrollment! This is a remote, work from home position! Our client company will provide the laptop and systems, the only requirement needed is internet and a home phone! Responsibilities of a Licensed Insurance Agent • Selling health insurance products to members under and over ages 65 • Providing great customer service and ensuring the customers’ needs are being heard and met • Explaining the health insurance plans and recommendations on products and plans • Advising customers of eligibility and following department and federal guidelines • Assisting customers with application processes • Reviewing product fulfillment to customers • Taking 90% inbound calls and 10% outbound Required Qualifications : Requirements of a Licensed Insurance Agent • High School Diploma or... GED • Active Florida State health insurance License 2-15 or 2-40 • Comfortable with a fast-paced call center environment • Demonstrated time management skills and the ability to manage multiple priorities. Great communication skills – oral and written • 100% adherence to assigned schedule during the open enrollment season • Flexibility to work 8 hour shifts within the operating hours of Monday through Sunday from 8:00am to 9:00pm (or as business demands) during open enrollment (October – December).All shifts will include evenings, nights and/or weekends. • * Spanish Bilingual or Cantonese Bilingual highly preferred!** Perks of Working with Our Client Company (for full-time employees) • Excellent health plans and HSAs • Dental, Vision, and Life plans • Paid Parental Leave • Optional pet insurance • 401K plan • Paid Time Off and Volunteer time off • On-site health facilities and even intramurals! #KOP
Title: Coder Abstractor Location: United States – Remote The Coder Abstractor is responsible for conducting chart reviews for purposes of identifying, confirming, and/or documenting appropriate medical coding per Quality Outcomes and/or ICD-9-CM and ICD-10-CM requirements. Responsibilities • Accurately and efficiently conduct medical record review/abstraction services; • Maintain accuracy and productivity standards on all assigned projects • Maintain ongoing communication with supervisor regarding issues/nuances that arise during review processes; • Submit complete, timely and accurate information as per protocol; • Attend all department meetings and trainings as directed; • Complete accuracy, and inter-rater reliability testing upon hire and on an ongoing basis as determined by Inovalon; • Maintain appropriate certification/licensure as required in this position; • Maintain compliance with Inovalon’s policies, procedures and mission statement; • Adhere to all confidentiality and...
Clinical Managed Care Coordinator • Remote • Full-time • R768 Please review the Applicant Privacy Statement for information about how we use the information collected in your application. Our mission at Progenity is simple: to help healthcare providers and patients prepare for life. We provide the most advanced molecular technology and the highest levels of service to guide patient care at critical life stages. We continually seek people with the motivation and skills to advance our mission. The Clinical Managed Care (CMC) Coordinator will service as a scientific and clinical expert between Progenity and Major Medical Associations, Insurers/Payors, Healthcare Professionals and Key Opinion Leaders/External Experts. The CMC Coordinator works as part of a team of managed care experts and genetic counselors and is responsible for supporting payor strategy and relationship development and will serve as the clinical subject matter expert on payor policy. RESPONSIBILITIES • Leads the... development, enhancement, execution and regular updating of a payor policy database. • Supports new products as it relates to clinical payor messaging, applying for new codes to gain coverage based on clinical evidence, and coordinating go to market payor strategy. • Provides education to payors to support partnerships, in-network contracts and medically appropriate testing. • Reviews data and denials to identify the cause and strategies to overcome them. • Works with a team to implement best practices, strategize solutions to meet the changing payor landscape and identify areas for improvement. • Functions as a resource for problem-solving and process improvement. • Participates in routine collaboration, strategic planning and team communication with the Director of Managed Care, Medical Affairs leadership, billing and other teams. • Actively pursues and maintaisn CEUs and Genetic Counseling board certification as required. • Understands when to triage concerns or issues up to high departmental managers. • Contributes to a positive team dynamic of high-energy collaboration and operational excellence. This list of duties and responsibilities is not all inclusive and may be expanded to include other duties and responsibilities, as deemed necessary. REQUIREMENTS • Master’s Degree in Genetic Counseling or similar clinical training ABGC/ABMG or similar certification • Ability to interpret and communicate payor coverage and policy for specific tests to members across the organization internally
Job Description Under the direction of the Manager of Coding Audit and Education, the Coding Auditor is responsible for performing coding quality audits on a wide variety of inpatient and outpatient services. The position requires this coder to be highly proficient in the proper assignment of ICD-10-CM, PCS, CPT, HCPCS and modifier codes. Demonstrated ability to provide direction to coding staff as it relates to coding integrity, effective and compliant query application and adherence to Tenet procedures. Primary functions: Provides written, detailed rationale and supporting evidence for recommendations on audit findings. Delivers educational feedback to coding staff regarding audit findings. Provides guidance to coding staff and management in identifying and resolving coding issues. Collaborates with the clinical documentation improvement team for conflicts between code assignments. Identifies documentation improvement opportunities that impact coding accuracy. Initiates... physician queries for clarification of documentation in the medical record to achieve accurate code assignment and coding integrity. Reviews and researches billing edits. Assists with DRG denials from payers including researching and writing appeal letters. Ability to interpret Medicare and NCCI guidelines, National and Local Coverage Determinations to support coding compliance. Performs other duties as assigned including training/mentoring of new staff and performing research related to special projects Other Job Functions: Reports results of audits to departments and committees as assigned Identifies opportunities for intradepartmental and interdepartmental operational improvements. Participates in coding program related meetings, physician and staff education, staff development, departmental activities and in-service opportunities. Qualifications: Five years progressive coding or coding review experience in an acute care setting, including auditing Comprehensive understanding of coding guidelines, Coding Clinics, CPT Assistant, CCI edits, and appropriate coding references along with the ability to employ these coding resources to audit findings. Excellent interpersonal verbal and written communication skills to accurately relay information to internal and external customers. Excellent organizational skills with ability to trend and track audit findings effectively. Excellent problem-solving skills, the ability to work independently, and to perform under pressure in a teamwork manner with diplomacy and tact. Proficient computer and technical skills, along with experience using MS Word, Excel and PowerPoint. American Health Information Management Association (AHIMA) certification required such as RHIA, RHIT or CCS An associate s degree or higher in a health-related discipline Job: Corporate Primary Location: Dallas, Texas Facility: Tenet Headquarters Job Type: Full-time Shift Type: Days
Job Description Tava Health is a new, 100% online mental health clinic that puts patients first by reducing costs, improving quality, and increasing access to therapy. We are on a mission to improve emotional health through frictionless, technology-enabled care, and we need passionate, qualified individuals to rally around our cause. The quality of our care rests heavily on the shoulders of the therapists we hire. As Tava grows, our network of outstanding care providers needs to as well. If you are a licensed therapist looking for a flexible opportunity to make a difference, please read on.Why work with us? • Let it be no surprise, we care about your mental health and that means we believe in work-life balance. Enjoy the flexibility of setting your own hours. • All visits take place via online video chat; say goodbye to commuting! • Team Tava is made up of intelligent, humble, compassionate and hardworking people. Joining the ranks means youll have an automatic network to turn to... for best practices, professional development, and opportunities to share your expertise. • We do the dirty work and leave the rewarding part for you. All marketing, patient scheduling, and billing are taken care of by Tava so you only have to worry about what you do best: helping people heal.Responsibilities • Provide world-class teletherapy to patients experiencing mild to severe depression, anxiety and other possible diagnoses including stress and relationship issues. • Thoroughly document all visits with patients in the Tava electronic medical record. • Ensure that your calendar availability is accurate and up to date. • Keep communication open with Tavas medical staff including psychiatrists and nurse practitioners to coordinate care for patients who are also being prescribed medication. • Celebrate patient success and encourage continued healing and growth. Requirements • A masters level degree from a regionally accredited university. • An active license (LCSW, LCMHC, LPC, LMFT, PsyD, PhD, etc.) from one or more states allowing you to provide unsupervised mental health therapy services. • Three or more years of experience providing clinical psychotherapy to adults • Experience and training in Cognitive Behavioral Therapy (CBT) and other evidence-based practices. • Proficiency in intake assessments, diagnosis, and ongoing treatment planning. • Excellent writing skills for documentation of sessions. • At least five hours per week of availability to dedicate to seeing Tava patients. If you check all these boxes, Team Tava is looking forward to receiving your application
Preventive Care Physician - Remote based Job Summary: The California Department of Corrections in Elk Grove, CA is looking for a Preventive Care Physician, who is board certified to start immediately. You will work with the CDCR's office of employee wellness on all directives and decisions regarding employee testing for COVID-19. The position will be for a 6 month contract, with the ability to extend. This position will be for 40 hours per week and no call is required. This is a remote based position, where you will work from home. The position will pay up to $160/Hour Malpractice Insurance. Experience working with the State of California is a plus. Please apply for additional details. Start Date: July or August 2020 Contract: 6 month contract plus extensions granted Shift: 4X10 Hour Shifts or 5X8 Hour shifts Salary: $160 per hour, Plus MAL-Practice Insurance REMOTE BASED POSITION: BOARD CERTIFIED PandoLogic. Keywords: Preventive Medicine Specialist, Location: Davis, CA - 95617
Aveanna Healthcare remains focused on our mission of caring for our medically fragile patients during the COVID-19 outbreak. Even in this tumultuous time, we continue to care, and we continue to hire nurses. If you need shifts or work, we are here for you. Our hearts remain focused on making a real difference for kids, adults, and families. And our resolve has never been stronger to keep our patients safe at home. DESCRIPTION: TheDirect Care Workerprovides personal care and/or related services in the home. She/he functions under the direction, instruction and supervision of the program manager/or appropriate supervisor. TheDirect Care Workerreceives scheduling direction from the Client Services Coordinator. Qualifications: • 18 years of age or older required • Completion of High School Diploma or GED, or 2 years of relevant field experience required • Ability to speak, comprehend, read and write English consistent with job requirements • Completion of a training program consistent... with state and federal requirement • Satisfactory performance on a competency evaluation and annual reevaluation • Preferred completion of one year's employment as a personal care aide, nurse's aide or in another healthcare related field • Has the emotional and mental maturity necessary for establishing and maintaining a good work relationship with client, client's family, and the personnel of the company. • Must have available, reliable transportation to and from assignments • Completion of the agency competency exam and training program • Completion of all health screenings • Satisfactory references and background screenings are obtained prior to hire Responsibilities: • Helps the client to maintain good personal hygiene including bathing, grooming and dressing • Assists in maintaining a healthy, safe environment • Assist the client with meals. • Assists the client with transfers and ambulation with or without an assistive device • Provides medication reminders • Assists therapy personnel as needed with rehabilitative processes • Encourages the client to become as independent as possible according to the nursing care plan • Attempts to promote client's mental alertness through involvement in activities of interest • Gives simple emotional and psychological support to the client and other members of the household • Establishes a relationship with client and family which transmits trust and confidence • Maintains client/family confidentiality at all times • Prepares a visit report on the day it is performed and incorporates into the clinical record weekly or as directed • Reports any change in client's mental or physical condition or in the client's home situation to the company • Carries out assignment as instructed by the program supervisor and reports to the program supervisor when unavailable to do so • Performs routine housekeeping tasks as related to a safe and comfortable environment for the client. • Participates in in-service education as required by company policy and by state and federal regulations • Notifies the Company of absences due to illness, emergency leave, normal vacation periods, or special professional meetings which will affect agreed service with the Company Organizational Relationships: • The Personal Attendant reports directly to the Program Supervisor • The Personal Attendant receives direction from the Client Services Coordinator regarding the scheduling of assignments. Functional Abilities: • Must be able to read 12 point or larger type • Must be able to hear and speak in a manner understood by most people • Must be able to stoop and bend • Must be able to travel to prospective clients' residences • Must be able to safely lift, turn and transfer clients weighing up to 50 poundsMust be able to carry bundles weighing up to 10 pounds up stairs Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. 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
Primary Function:Provides coding expertise within assigned inpatient setting in all aspects of the inpatient clinical coding function that support the organization in its Data Quality improvement iniatives. The employee translates descriptions of medical diagnoses and procedures into codes that record health care data. The employee shall maintain an effective coding rate in accordance with appropriate regulations and procedures and within established time frames, such as three (3) records per hour for inpatient coding and five (5) records per hour for ambulatory surgery, observation and inpatient professional services per 8 hours of continuous work, depending on complexity of cases, with an accuracy rate of 90-95%.Essential Job Functions:* Industry standard coding guidelines shall be followed.* All assigned patient encounters shall be properly coded whether the encounter is billable or not. Note: Only 20%-30% of VA encounters are billable.* As a federal facility, providers must have... valid licenses; however, Veterans Health Administration (VHA) does not require providers to be licensed by the state in which they work.* VA does not currently bill Medicare or Medicaid, nor participate in any outside managed care agreements. VA billing consists of charges to private insurance carriers, including those that are Medicare supplemental policies.* VA is authorized to charge "reasonable charges" by amended statutory provisions - PL 105-33 amended 38 U.S.C. 1720.* HCRS shall provide for its staff laptops computer hardware (desktops or laptops), reference material, software/encoder tools for conducting reviews and developing training materials. Staffs shall be proficient in the use of the hardware, reference materials, and software/encoder tools.* VHA policies and procedures shall be followed. If the Coder is uncertain concerning a policy, the Coder shall consult with the VISN 7 delegated PM for clarification.* Failure of the Coder to maintain the required 95% accuracy level may result in termination of employment.* Failure of the Coder to maintain 95% the required Turnaround time of three days may result in termination of employment.* The latest United States editions of the International Classification of Diseases (ICD), Current Medical Information and Terminology (CMIT) and Current Procedural Terminology (CPT) of the American Medical Association (AMA) and the Diagnostic and Statistical Manual of Mental Disorders (DSM) of the American Psychiatric Association (APA) shall be used to provide uniform disease and operation terminology which is complete and scientifically accurate.* Code assignment shall be in accordance with National Center for Health Statistics (NCHS), Centers for Medicare and Medicaid Services (CMS), American Hospital Association (AHA), AMA and APA guidelines, as appropriate. On those occasions when there is a question, VHA guidelines take precedence. Local policies will direct how coding is accomplished and what quantitative and/or qualitative reviews are performed by the facility. The AHA Coding Clinic and other publications may be used for training and reference purposes.* Coders will utilize the VA encoder software (Nuance).* Coders shall adhere to all coding guidelines as approved by the Cooperating Parties [The four organizations that make up the Cooperating Parties for the ICD-9-CM/PCS and ICD-10-CM/PCS: American Hospital Association (AHA), American Health Information Management Association (AHIMA), Centers of Medicare and Medicaid Services (CMS) and National Center for Health Statistics (NCHS)] and accepted VA regulations, including:* The Official Guidelines and Reporting as found in the CPT Assistant, a publication of the American Medical Association for reporting outpatient ambulatory procedures and evaluation and management services.* The current Official Guidelines for Coding and Reporting in the Coding Clinic for ICD, a publication of the American Hospital Association, and VHA guidelines for coding as found in the VHA Handbook for Coding Guidelines V11.0 dated August 10, 2011, Health Information Management, and Department of Veterans Affairs. This workbook is updated at least once per year with new codes and guidance.? 14.Coders shall ensure it has the current version and the guidance is followed. Note: While VHA does ask for reimbursement from third party payers, the VHA coding policy is to code only according to coding guidelines. Our own compliance audits use only this definition when determining if any encounter or PTF is correctly coded. The Correct Coding Initiative. The CPT Evaluation and Management codes assure documentation substantiates the code level assigned.VHA Directive Patient Care Data Capture 2006-026, VHA Directive Resident Services Billing 2005-054, VHA Handbook Resident Supervision 1400.1Other directives that VA may issue from time to time.15.At the sole discretion of the client, the Coder will be removed by HCRS should the Coder not comply with VHA policies or meet the competency requirements for the work being performed.16. Coders shall abide by the American Health Information Management Association established code of ethical principles as stated in the Standards of Ethical Coding, published by AHIMA.17.All coding and auditing activities shall utilize VA's electronic health record
Interested in Online Medical Billing & Coding Training? My Medical Career Can Help! • * Rapid ONLINE Training • National Accreditation • Financial Aid Assistance* • Career Placement Services* Medical Billing & Coding - HIGH JOB OUTLOOK RATE! The medical field plays a vital role in the nation's health and wellness, providing a number of opportunities for success. Medical technology continues to evolve, opening new doors for knowledgeable and capable individuals like you. According to the U.S. Department of Labor, this industry is projected to grow 11% from 2018 to 2028, 2x faster than the average of all occupations (bls.gov). Why My Medical Career? My Medical Career is the #1 portal for individuals seeking a career in the Medical Billing & Coding field. We are aligned with numerous training schools throughout the country that offer a variety of services, including job placement assistance to those who qualify. Our network of nationally recognized medical billing & coding schools... makes it easy for you to find the right program in your area - take the first step towards your new career today. Requirements • * Must be 18 years of age or older • Must have HS Diploma or GED Equivalent A complimentary 1-MINUTE APPLICATION is all that it takes to get started. Let us connect you with a quality medical school in your area - LEARN MORE TODAY! • If Qualified. Program requires tuition. Successful completion of program does not guarantee employment. Job Requirements
Clinician - Child First- New BritainPlainville, CT 06062, USAReq #46Tuesday, June 30, 2020Wheeler's vision is that all people will have the opportunity to grow, change and live healthier, productive lives. Our mission is to provide equitable access to innovative care that improves health, recovery and growth at all stages of life.POSITION SUMMARYThe Early Childhood Clinician, working within the Child FIRST (Child and Family Interagency Resource, Support and Training) model, provides intensive, home-based integrated prevention and intervention for children birth to 5 years and their families. This will include comprehensive assessment of child and family strengths and needs, development of a family-driven plan, care coordination to connect with community services, and psychotherapeutic, parent-child intervention.EDUCATION AND EXPERIENCE/QUALIFICATIONSMaster's degree in Marriage and Family Therapy, Counseling, Social Work or related license eligible field or a doctoral degree in... Psychology is required. May graduates are encouraged to apply. 3 years of experience working in a therapeutic capacity with young children, including ages birth to five, and their families is preferred. Must hold one of the following credentials to begin employment: LMSW, LCSW, LMFTA, LMFT, LPCA, LPC or licensed or license-eligible Psychologist in the State of Connecticut. EMPLOYEE BENEFITSWheeler Clinic offers access to a comprehensive array of benefits, including:For Good Health-Anthem Medical, Prescription, Dental and Vision insurance-Health Savings Account (HSA), with company contribution of $500 per year-Wellness Programs-Free annual flu shotsFor a Secure Future-Company paid Life and AD&D insurance-Company paid long-term disability insuranceFor Retirement-403(b) Plan, with clinic contributions for eligible employees-For Career Advancement-Education Reimbursement Program-Training and development opportunitiesFor Work Life Balance-Generous paid time off, including vacation, sick and personal leave-Employee Assistance Program (EAP)- Free and confidential counseling-Employee discounts at local spa and on cell phone servicesESSENTIAL DUTIES AND RESPONSIBILITIESProvides Child FIRST, intensive, home-based integrated prevention and intervention with children and their families using trauma informed, relationally based, parent-child psychotherapy and other modalities in accordance with project replication standards.Maintains knowledge of early childhood development and disability; emotional/behavioral health; parent-child relationships and attachment theory; effects of environmental risks on early childhood brain development; and family dynamics. Knowledge and experience working with adults with mental health and cognitive challenges.Conducts program specific screening and evaluation, and formulate diagnosis in accordance with the Diagnostic Statistical Manual (DSM). Develops and documents clear, clinical formulations and treatment plans that are individualized and measurable, and developed in collaboration with the client/family, and others as relevant.Demonstrates knowledge of psychopathology and other behavioral health concerns and primary modalities of psychotherapeutic intervention. Triages clinical emergencies and implements program specific safety and consultation protocols. Utilizes best practices and evidence based practice models where appropriate and adheres to Child First model and program expectations.Works in the home in partnership with the Early Childhood Parent Educator/ Care Coordinator.Develops family-driven service and treatment plans, in partnership with the family and identified service providers within the context of a culturally sensitive approach.Maintains all appropriate documentation and data systems relating to service delivery for clinical accountability. Participates in community collaborative meetings, conferences and trainings when appropriate. Communicates in a positive, effective manner with all clinical and administrative service providers and seeks consultation from others when appropriate.Works under the direct supervision of the Child FIRST Clinical Director/Program Manager.Willingness to work flexible hours to meet the needs of families. Demonstrates excellent oral, written, and computer skills.Adheres to all agency and department policies and procedures (e.g., confidentiality, reports child abuse, safety & infection control) and displays excellent work habits (e.g., provides excellent service, attendance and promptness at work and meetings, timeliness in completing work).Continues to develop knowledge and understanding about the history, traditions, values, family systems, and artistic expression of groups served as well as uses appropriate methodological approaches, skills, and techniques that reflect an understanding of culture.Continues to develop knowledge and understanding about the history, traditions, values, family systems, and artistic expression of groups served as well as uses appropriate methodological approaches, skills, and techniques that reflect an understanding of culture.Wheeler Clinic is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Other details+ Job Function8864+ Pay TypeSalary+ Required EducationMaster's Degree+ Plainville, CT 06062, USA
Division Vice President of Operations (Home Health) - Remote Position Location : Facility Name LHC Group Inc Home Office Requisition ID 2020-83161 Location : Postal Code 98101 Position Type Full-Time Work Schedule Normal (Based on FT, PT, PRN) CATEGORY LEADERSHIP Location : City Seattle Location : State/Province WA Overview The Division Vice President of Operations for our Home Health service line is a senior leader for LHC Group. The DVP of Operations leads large teams of clinical and office staff as well as regional and agency leadership. The Operations DVP works with a Sales DVP counterpart to service patients, families, and communities while growing the business organically and through aquisition. This position requires an experienced Home Health leader who is capible of seamlessly fitting into our servant-based leadership culture! LHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term... acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home. Hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home. More hospitals, physicians and families choose LHC Group, because we are united by a single, shared purpose: It's all about helping people. Essential Functions Supervise performance of Area/Regional Leaders and State Directors by assessing financial and quality performance of agencies. Support State Directors to ensure compliance with legal and regulatory issues in assigned division. Communicate to Senior Management any compliance, operational, financial, and regulatory issues effecting the assigned division. Review weekly operational reports and ensure state directors resolve negative trends. Facilitate communication between home office departments and assigned division. Works with managers in assigned division and senior management in development of operational goals, financial goals, and annual budgets. Qualifications Formal Education: Bachelor's Degree or certification equivalent Experience: 5 years or more of Home Health experience Sorry the Share function is not working properly at this moment. Please refresh the page and try again later
Job DescriptionHelp At Home is hiring Home Care Aides now paying $13 per hour for all Illinois locations! Join the nation's leading provider of high-quality
We are looking for a Prior Authorization Nurse to join our DME team! Responsibilities: • All work is done at the computer with some time spent on the phone speaking with providers. • Perform telephonic review of prior authorization requests. • Process prior authorization requests for Durable Medical Equipment and Supplies. • Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care • Educate providers on utilization and medical management processes Qualifications: • Must have RN License for the State of Texas • Experience with DME and medical supplies preferred Additional Information: • Shift is Monday through Friday from 8am - 5pm or 7am - 4pm About Aerotek: We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing u00AE Client and Talent leader, Aerotek's people-focused approach yields... competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com
Position Description Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As an Inpatient Care Management Nurse at UnitedHealth Group, you will make sure our health services are administered efficiently and effectively. You'll assess and interpret member needs and identify solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready to make an impact? If you are located in Missouri, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities • Determine the appropriateness of inpatient services following evaluation of medical guidelines and benefit determination • Identify solutions to non-standard requests and problems • Translate concepts into practice • Act as a resource for others; provide explanations and information on difficult issues It feels great to have autonomy, and there's also a lot of... responsibility that comes with it. In this role, you'll be accountable for making decisions that directly impact our members. And at the same time, you'll be challenged by leveraging technologies and resources in a rapidly-changing, production-driven environment. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications • Unrestricted RN license required in State of Missouri • Must be resident of Missouri • 3+ years total RN experience including hands on clinical experience in an inpatient acute setting in ICU / CCU / ER / Medical-Surgical • 1+ years of utilization review experience • Must be living in a location that can receive high-speed internet service with a minimum speed of 5 download mps & 1 upload mps. (Mobile cellular data, e.g., fixed wireless, air cards / MiFi devices, and satellite are not approved means of internet connectivity and do not meet the criteria for high-speed internet connection through an Internet Service Provider.) • Must have a work space in their home that is separated from non-workspace areas and that can be secured to maintain Protected Health Information (PHI) and/ or Protected Information (PI) • Must demonstrate a proficiency in computer skills - windows, IM, excel (Microsoft suite), Outlook, clinical platforms Preferred Qualifications • Pre-authorization experience • Case Management experience • Knowledge of Milliman Criteria • Managed Care experience UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. Join us and discover how a superior professional environment and incredible opportunities make a difference in the lives of patients. We're a place where leaders thrive, and innovation abounds. Seize this opportunity to achieve your life's best work.SM • All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: Missouri, Utilization Management, RN, Nurse, Telecommute Job Details • Requisition Number 873507 • Job Title Inpatient Care Management Nurse RN Missouri Telecommute • Job Family Nursing • Business Segment Enterprise Clinical Services Job Location Information • Maryland Heights, MO United States North America Additional Job Detail Information • Employee Status Regular • Schedule Full-time • Job Level Individual Contributor • Shift Day Job • Travel No • Telecommuter Position Yes • Overtime Status Exempt
ResponsibilitiesThis person has responsibility for providing child development activities for children & families.Conduct weekly ninety (90) minute home visits to infants and toddlers and their families. Prepare for and supervise two group socialization activities a month, each meeting lasting two hours, for families and their children. Participate fully in monthly supervision and training meetings. Home Visitor is familiar with and often consults the Head Start Program Performance Standards. Implement the curriculum that the CF EHS program has selected for the home base option that is developmentally and culturally appropriate for families. Promote parent participation in curriculum planning, program governance, and overall program participation. Educate parents about the importance of preventive health care by teaching them about screenings used in the program as well as what to expect during doctor's visits (well child checks and prenatal appointments).Conduct screenings and... ongoing assessments of young children's development in a timely, accurately and family friendly manner. Understand and follow California child abuse laws for mandated reporters, including attending required annual trainings and filing Suspected Child Abuse Reports (SCAR) when necessary. Develop, in collaboration with the family, individual plans that identify strengths, goals and needs of each family on your assigned caseload. Document this collaborative process in family partnership agreements at least once every six months. Monitor and incorporate educational experiences including transition and activities in the home visits relevant to child's physical health, safety, nutrition, dental health, and mental health, at least once on a monthlybasis. Collaborate with community agencies to access prevention and intervention programs and services to meet the needs of families. Act as a liaison and advocate between community resources and Early Head Start families. Assess the specific strengths and needs of each pregnant woman, family and child. Involve parents in the educational activities of the program to enhance their role as the principle influence on their infant/toddler's education and development and to increase their understanding, skills and experience in child growth and development. Assist in scheduling appointments for families with community agencies. Implement transition activities to provide seamless services for families and children into Head Start or other placement as determined by the family.Work with parents to build an accurate and complete health history for each enrolled child, including documentation of well child checks and copies of immunization certificates. Inform the Health Services Manager of any chronic or acute health conditions to ensure that each expectant mother and enrolled child receive services for disabilities, dental, health, and mental health as necessary. Notify parents of screening results and track follow-up care. Maintain confidentiality of family records and information. Plan, schedule and reschedule weekly home visits, make-ups and staff cancellations. Work in partnership with other members of the Children First, Early Head Start Program staff to develop and implement service plans for the child and family.Any other duties assigned per request of Home Based Education Manager.QualificationsMinimum of (24) units of Early Childhood Education-Child Development including core courses (Child Human Growth and Development; Child, Family and Community or Child and Family Relations; and Program Curriculum). Or a California's Teacher Credential - Required.Experience in home visiting or center based childhood programs - Required.Knowledge of local community resources - Required.Knowledge of Head Start Performance Standards - Required.Bilingual (Spanish/English) preferred - Required.Demonstrated computer skills (Windows/Word and Excel) - Required.Capacity to problem solve, handle crisis, and work with low-income families in a human service setting - Required.Approach to working with families that is empathic, nonjudgmental, respectful, and professional - Required.Willingness to work primarily in home of families in residing in high-risk communities - Required.Flexibility with respect to time and days able to work as well as to works tasks - Required.Current CA driver's license, own transportation and insurance - Required.UCLA is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart
Join our Stonerise Team at our Princeton/Bluefield location! At Stonerise at Home, our mission goes beyond compassion and improving care. We strive to enrich the lives of those with whom we work and serve through our principles, passion, and purpose. Stonerise at Home is currently hiring a Home Health Administrator. This position is responsible for the overall direction of Home Health operations; subject to rules and regulations promulgated by government agencies. This position administers, directs and coordinates services and activities to assure that the highest degree of quality is consistently provided to our customers. Join us and benefit from the Stonerise difference. Our core values make us unlike any other employer. If you want to be part of a family-like team who feels as passionately about serving fellow members of your community as you do, join us! In addition to competitive wages, you'll benefit from: • Tuition reimbursement • Advancement opportunities • Paid... vacation • Health insurance • 401(k) • And more! PRIMARY RESPONSIBILITIES: • Planning, directing, and evaluating operations to ensure the provision of adequate and appropriate care and services • Complying with applicable law and regulations • Implementing Governing Body directives and ensuring that appropriate service policies are developed and implemented • Recruiting, employing, and retaining qualified personnel to maintain appropriate staffing levels • Directing and monitoring agency performance improvement activities • Ensuring staff development including orientation, in-service education, continuing education, and evaluation of staff • Maintains standard of care related to State, Federal, OSHA, and CHAP guidelines • Participates in appropriate team conferences, staff meetings, in-service, and committees with physicians and agency staff to ensure continuity of care • Completes and submits all documentation, including clinical and progress notes in a timely manner according to agency policy working with Account Executives • Oversight for operations, clinical excellence, and growth differentiation in service areas. EDUCATION and QUALIFICATIONS: • Bachelor's degree in healthcare or related field required. Registered Nurse preferred. • At least two (2) to five (5) years of experience in health care management preferably in health care management and Registered Nurse preferably in Home Health care Operations. • Demonstrated ability to supervise and direct professional and administrative personnel • Ability to market aggressively and deal tactfully with the community • Extensive knowledge of corporate business management including State and Federal laws and guidelines pertaining to Home Health Medicare and Medicaid and other payer sources • Demonstrated good communications and public relations skills
Job DescriptionHelp at Home is hiring Direct Support Professionals Now Paying $13 per hour for all Illinois locations! Join the nation's leading provider
Job Description We are looking for remote Underwriter's with 2+ years FHA/VA or Conventional underwriting experience. If you are located in Maryland, New York, North Carolina, Virginia, Ohio, Indiana, Illinois, South Carolina, Pennsylvania, Tennessee, Florida, Delaware, West Virginia, New Jersey, Washington, D.C. we would like to speak with you today!What You Need for this Position - FHA/VA- Underwriting- Conventional- D.E. Remote availableSo, if you are a Remote Underwriter (FHA/VA or Conventional) with experience, please apply today!
6 days ago
Our client's technology is a game-changing innovation that allows performing non-invasive surgical procedures with surgical precision. They are looking for several Field Service Specialists in Florida and Texas. This is a home office-based position with 70% travel and working 2nd and 3rd shifts. The position reports to the Director of Service & Support. Minimum requirements/qualifications: 1. B.Sc. in Electrical, Biomedical Engineering or relevant military engineering experience. 2. 3-10 years’ experience in field service for medical systems (preferred MRI) 3. Multidisciplinary capital equipment service knowledge 4. Good technical understanding and approach 5. Ability to solve Hardware electronics (analog and digital) and Software problems dealing with a variety of multivariable situations 6. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form 7. “Hands-on” character - Good mechanical capabilities 8. Organized, structured, capable... working independently 9. Good oral and written communication skills 10. Ability to work in 2nd and 3rd shifts and ~70% travel time (domestic mostly) Responsibilities: 12. Installation of new systems 13. Periodic maintenance and systems repairs 14. Providing technical Remote support for systems 15. System troubleshooting and diagnosis of source of failures 16. Failure, maintenance and service reporting
Description Imagine using your workday to make a meaningful difference in people's lives. Envision working in an environment where you are not only encouraged to create a positive change but also given the tools to make that change happen. Welcome to Humana Edge—we are the future of healthcare! Our mission is to transform the experience that we provide for seniors working to meet their social, emotional, and medical needs. As an Edge associate, you will guide members through their healthcare journey, ensuring they get the guidance and support they need so they can focus on fulfilling their life's ambitions and goals. At the Edge, whole person health is about discovery, connections and community. This is a unique opportunity to help shape the technology-enabled services we will build together to deliver on our shared vision. We are looking for individuals who are: • Passionate about transforming our care system for those who need it most • Driven to do well by doing what's right... as guided by those we serve • Willing to thoughtfully disrupt the status quo and excited to work in a rapidly evolving start-up environment. Be a part of Humana Edge, focused on providing a seamless healthcare experience of the highest quality to Medicare Advantage members using traditional and virtual modalities to meet members where they’re most comfortable. Responsibilities The primary focus of the Medical Director is to work assignments that involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors with medical claims. Primary Responsibilities The Medical Director will: • Complete digital review of moderately complex to complex clinical scenarios that arise from inpatient or post-acute care environments which includes review of all submitted clinical records and prioritization of daily work • Make determinations whether requested services, requested level of care, and/or requested site of service should be authorized (in accordance with regulatory compliance which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise • Provide medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts • Collaborate with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope • Communication of decisions to internal associates, and possible participation in care management • Support and collaborate with other team members, other departments, Humana colleagues • Enjoy working in a structured environment with expectations for consistency in thinking and authorship • Exercise independence in meeting departmental expectations, and meets compliance timelines • Support the assigned work with respect to market-wide objectives (e.g. Bold Goal) and community relations as directed • Speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management • Support Humana values, and Humana’s Bold Goal mission, throughout all activities Required Qualifications • MD or DO degree • 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age) or outpatient, labs, and DME in place of inpatient and post-acute • Current and ongoing Board Certification an approved ABMS Medical Specialty • A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required • No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. • Excellent verbal and written communication skills • Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation Preferred Qualifications • Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management • Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance • Experience with national guidelines such as MCG® or InterQual • Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists • Advanced degree such as an MBA, MHA, MPH • Exposure to Public Health, Population Health, analytics, and use of business metrics • Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health • The curiosity to learn, the flexibility to adapt and the courage to innovate Additional Information Typically reports to Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. #physiciancareers Scheduled Weekly Hours 40
Bicycle Health is a rapidly growing digital health start-up that offers online Medication Based Treatment for patients with Opioid Use Disorder. We offer an evidence-based clinical program focused on medication management, peer support, behavioral health treatment, and care coordination. The Opioid Epidemic is a systemic problem - millions of Americans are physically dependent on Opioids but only 10% of Americans have access to treatment. Bicycle Health is addressing this gap by offering online, affordable, and confidential treatment with the goal of helping patients take back control of their lives. We are seeking a Nurse Practitioner/ Physician Assistant to help us grow in new and existing geographies to help patients start treatment with Bicycle Health. Position Responsibilities: • Manage a panel of up to 275 patients via telehealth technologies by facilitating clinical assessments, treatments and medication management. • Promptly respond to patient questions and concerns in... between appointments. • Partner closely with the care team to make appropriate assessments, treatment plans, and referrals for the patient. • Provide psychosocial interventions (e.g., counseling, skills development) aimed at improving treatment outcomes. • Maintain accurate records on patients treated using our Web-based EMR system. • Participate in case reviews, consultations, and utilization reviews. • Continuously improve Bicycle Health's clinical model, policies and protocols. Requirements : • Active Nurse Practitioner or Physician Assistant license. • Ability and willingness to be licensed in multiple states. • Active DEA certification. • Must have an X Waiver for at least 100 patients. • Strong communication and diagnostic skills. • Familiarity with technology - computers, smartphones, tablets. • Comfort with ambiguity and a drive for process improvement. Benefits: • Competitive compensation and total rewards package including paid time off, health benefits, CME, paid holidays etc. • Talented, passionate and mission-driven coworkers. • Work from anywhere in your state (subject to change depending on regulations). • Flexible hours. • Malpractice and liability insurance. Powered by JazzHR

Medicare Medical Director

Blue Cross and Blue Shield of South Carolina


6 days ago
Summary As member of the senior management team, provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a resource to providers and internal staff on issues concerning medical policies. May also write and revise medical policies. Description • This position can be worked remotely. • Must be willing to travel to Columbia, SC at least one week per month for on-site meetings/training. •30% Supports operations in the form of case review on both medical and regulatory matters. Develops claim adjudication criteria for situations requiring medical judgment. Provides input on issues and operational policies, processes, and procedures. •30% Educates staff and medical community on various aspects of medical policy and program administration. •20% May develop and update medical policy in consultation with appropriate regulatory personnel, medical consultants, and professional societies... Develops external relationships with the medical community and serves as liaison between these entities and the contractors. •10% Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization. •10% Conducts research into new or controversial medical procedures and technology. Required Education: • Doctorate degree Medical Doctor (MD) with current active license to practice medicine. Required Work Experience: • Five years post graduate experience in direct patient care. Preferred: • Medicare experience. • Experience interpreting medical evidence. • Molecular Genetic Pathology fellowship training. • Scientific training/Research experience with publication history in Molecular Diagnostics. Required Skills and Abilities: • Excellent verbal and written communication skills. • Excellent customer service, organizational, and presentation skills. • Proficiency in spelling, punctuation, and grammar. • Ability to persuade, negotiate, or influence others. • Ability to work as a team member as well as a leader. • Knowledge of medical and utilization review techniques. Required Software : • Microsoft Office. Required License and Certificate: • Active state medical license and current board certification in a recognized specialty. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis
B

Caregiver

BrightStar Care of Bentonville


6 days ago
Are you looking for a home care job where you can make a difference in people’s lives? Do you want to work for a home care agency that truly cares about you? That’s where you can shine. We are proud to offer you the opportunity to pursue your passion at your own level, on a flexible schedule, and with the recognition and benefits you need. Come work for us and see how BrightStar Care employees uphold A Higher Standard. FULL TIME AND PART TIME POSITIONS AVAILABLE! What We Offer At BrightStar Care we value each of our employees and care about their well being. We strive to provide best-in-class benefits packages, including: • Bereavement pay • PRN options available • 401(k) • Insurance: • Medical • Dental • Vision • Critical Illness • Cancer • Accident • Short-Term Disability • Life-Insurance • Free Training • Part of a team with RN Oversight • Employee referral bonus • Home Care or Facility shifts available • Enterprise Champion for Quality 6 YEARS RUNNING! • Mobile shift access •... Flexible schedule • National company with over 300+ locations • We promote from within • Free continuing education • HomeCare Pulse Employer of Choice • Weekly pay via direct deposit • Mobile time tracking and care notes, employees can easily clock in and out for work right from a mobile device. Online or offline • Only Joint Commission accredited homecare company in Arkansas We strongly live our value of a work-life balance by providing our employees with the following: • We offer flexible work schedules on a variety of home and facility assignments, procedures, and treatments • Weekend and evening opportunities, in-home and facility based Responsibilities • Various personal care services as necessary to meet the client’s or patient’s needs • Providing assistance with daily tasks, including but not limited to: feeding, meal preparation, linen changes, light housekeeping, transportation to doctor appointments, outdoor activities, and shopping • Assisting client with active and passive mobility work defined by the plan of care, and documenting observed changes to the Director of Nursing Requirements • Minimum one (1) year of documented caregiver supervised by an RN • High school diploma or GED • Negative TB skin test or chest x-ray • Licensed driver with insured and reliable automobile with proof of insurance • Must be able to stand walk, squat, bend, kneel, reach, twist, push and pull. Varied assistance is required depending on the mobility of the client. Must be able to lift up to 50 pounds BrightStar Care is an Equal Opportunity Employer and do not discriminate against applicants due to race, ethnicity, gender, veteran status, or on the basis of disability or any other federal, state or local protected class
Are you looking for a CNA job where you can make a difference in people’s lives? Do you want to work for a home care agency that truly cares about you? That’s where you can shine. We are proud to offer you the opportunity to pursue your passion at your own level, on a flexible schedule, and with the recognition and benefits you need. Come work for us and see how BrightStar Care employees uphold A Higher Standard. FULL AND PART-TIME POSITIONS AVALIABLE! What We Offer: At BrightStar Care we value each of our employees and care about their wellbeing. We strive to provide best-in-class benefits packages, including: • Exclusive Employee Discount and Gift Programs • 401(k) • Insurance: • Medical • Dental • Vision • Critical Illness • Cancer • Accident • Short-Term Disability • Life Insurance • Free Training • Part of a team with RN Oversight • Employee referral bonus • Home Care or Facility shifts available • Travel time reimbursement • Enterprise Champion for Quality 6 YEARS in a Row! •... Mobile shift access • Weekly pay w/ direct deposit • Flexible schedule • National company with over 300+ locations • We promote from within • Free continuing education • HomeCare Pulse Employer of Choice • Variety of in-home assignments • Mobile time tracking and care notes, employees can easily clock in and out for work right from a mobile device. Online or offline • Only Joint Commission accredited home care company in Arkansas! We strongly live our value of a work-life balance by providing our employees with the following: • We offer flexible work schedules on a variety of assignments, procedures, and treatments • Weekend and evening opportunities, in-home and facility based Responsibilities • Providing care as directed by a nursing supervisor, including but not limited to: bathing, grooming, oral care, dressing, undressing, toileting activities. • Providing care according to the patient’s plan of care, assistance with daily tasks, including but not limited to: feeding, meal preparation, linen changes, light housekeeping, providing transportation to doctor appointments, outdoor activities, and shopping Requirements • High school diploma or GED • Successful completion of a nursing assistant program • Negative TB skin test or chest x-ray • Licensed driver with insured and reliable automobile • Must be able to stand walk, squat, bend, kneel, reach, twist, push and pull. Varied assistance is required depending on the mobility of the client. Must be able to lift up to 50 pounds We are an Equal Opportunity Employer and do not discriminate against applicants due to race, ethnicity, gender, veteran status, or on the basis of disability or any other federal, state or local protected class
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Great people deserve a great place to work and Senior Helpers is hiring Caregivers/PCAs & LiveIn PCA (In Philadelphia, Montgomery and Bucks CCounties)! Senior Helpers is proud to be the first and only national in-home care provider to receive certification as a Great Place to Work. Our Caregivers, PCAs and Live Ins (Personal Care Assistant) and staff are treated with respect in an inclusive environment, enjoy employee pride and camaraderie, and recognize that the work they do makes a real difference for our clients As a Caregiver, PCA and Live In PCA with Senior Helpers you will: Experience a personally rewarding work environment - it is more than just a job · Work one-on-one with your clients in order to build relationships · Receive specialized training from Senior Helpers and opportunities for professional certifications · Competitive pay Enjoy flexible work hours to align with your lifestyle and schedule Responsibilities Assist with activities of daily... living Transferring and positioning of client Observing and reporting changes of physical and mental conditions • Companionship & conversation • Light housekeeping • Household management • Errands • Apparel selection (i.e. laying out clothes) • Meal planning & preparation • Laundry & linen changing • Medication reminders • Transportation using client’s vehicle In sleep-over or live in situations • Prepare sleeping area at night Other duties as assigned by Manager Requirements: High School diploma or GED Licensed Driver with Car a PLUS!! Completion of a State approved PCA certification training course CPR Certification Senior Helpers is the nation's premier provider of in-home senior services ranging from specialized care for those with diseases, such as dementia, Alzheimer's and Parkinson's, to personal and companion care to help individuals looking for a little assistance with daily activities. Founded in 2002 with a vision to help seniors age with dignity despite age-related illnesses and mobility challenges, Senior Helpers has hundreds of franchised and owned businesses that have cared for tens of thousands of seniors. Senior Helpers' culture is based on strong core values, recognition of achievements and respect. We are an equal opportunity employer and prohibit discrimination/harassment 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
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County. Adventist HealthCare seeks to hire a Remote Tumor Registrar who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing. If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference. The Tumor Registrar assists the program manager with organizing, updating and reporting all required cases and coordinating activities of the cancer program. Performs case ascertainment and conducts follow up of oncology patient data information. Accurately and completely codes and enters all required data into the facilities computerized registry database. The Tumor Registrar will... work remotely the majority of their time after an on-site orientation period. The Tumor Registrar will then be required to be on-site 1-2 days per month, for quarterly cancer committee meetings, and if otherwise needed. Qualified candidates will possess: Certified Tumor Registrar (CTR) certification credentialing with the NCRA (National Cancer Registrars Association) Minimum of two years working in a hospital cancer registry and abstracting with CTR certification required High school diploma or equivalent Proficiency with computer skills including Microsoft Office Strong customer service, communication, and organizational skills Functional with utilizing EMRs such as CERNER, Mosaiq, physician practice EMRs, and other software such as METRIQ. Join the Adventist Healthcare team today Apply now to be considered. Work Schedule: Work Schedule:FT Days 8am-4:30pm Monday- Friday, remotely Tobacco Statement Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine use. Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine). Those testing positive for cotinine are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. Equal Employment Opportunity Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.Pandologic. Category: Healthcare, Keywords: Cancer Registrar
The Specialty Pharmacist Navigator position seeks relationships with physicians and physician practices who use specialty pharmaceuticals for the purpose of prescribing the medications, training, and assisting patients. • Access various physician practices for potential specialty Rx value using tools/data available. • Establish communication with targeted specialty practices, arranging meetings with key stakeholders/decision makers. • Demonstrate value of ambulatory pharmacy partnership to specialty practices. • Ensure prescriptions flow through to ambulatory pharmacy and are identified by pharmacy staff. • Establish patient profiles, including third-party payor(s) and clinical information. • Process prescriptions, including insurance adjudication and product sourcing. • Prepare and submit prior authorization paperwork; manage denials. • Triage prescriptions which are limited distribution drugs or out-of-network. • Act as financial advocate for patient where needed; leverage... charitable foundations, state programs, and/or manufacturer programs to ensure maximal patient access • Coordinate pickup/courier delivery of Rx's with patient. Ensure auditable records showing proof-of-delivery are maintained. • Follow up with patient to ensure refills are ordered on time and address and ADR's or clinical questions. • Inform physician office of patient through process; document in EMR as necessary. • Maintain relationships with physician offices through periodic visits/meetings. • Assist with program financial reporting to client/data collection. • Cross-train to ambulatory pharmacy; assist with staffing needs as required. This may include weekends and/or holidays as per business needs. • PharmD degree strongly preferred. • Current, unrestricted pharmacist license in the state of Pennsylvania is required. • 5 years community/retail/ambulatory pharmacy or health-system related experience. Previous experience in a specialty pharmacy and/or processing prior authorizations is highly desirable • Must be proficient in Microsoft Office, including Word, Excel, and PowerPoint • Candidates should have prior experience on pharmacy dispensing systems and be familiar with insurance adjudication processes. • The role involves working with a broad array of complex disease states and medical conditions; candidates should be comfortable working with clinical data, lab values, and reading/writing notes in patient medical records
• Length of Assignment: 6 months to start. Extension possible. • Pay: 40.00/hr • Must have global registration experience for medical devices and Trackwise experience. • The Regulatory Affairs Specialist integrates regulatory strategies and programs to support new product development and commercial product maintenance. • As a regulatory process expert to development teams, the incumbent support global registrations and compliance activities; provides regulatory review of promotional material, experimental designs, data analysis and product labeling as related to registration and commercialization of medical devices; collaborates with the regulatory staff from other business units, companies, government agencies and Product Regulatory Subcommittees to develop harmonized policies, procedures and work instructions for emerging regulatory topics. • Experience writing and submitting premarket submissions to regulatory agencies. Experience preparing submissions for FDA establishment... registrations, Canadian site license renewals, US State licenses and USDA licenses. Experience applying 21 CFR 801, 803, 806 and 820 regulations. Experience communicating with regulatory agencies including FDA, Health Canada and EU regulatory agencies and responding to agency inquiries
We are proud to offer you the opportunity to pursue your passion at your own level, on a flexible schedule, and with the recognition and benefits you need. Come work for us and see how BrightStar Care employees uphold A Higher Standard. FULL AND PART-TIME POSITIONS AVAILABLE! What We Offer: At BrightStar Care we value each of our employees and care about their wellbeing. We strive to provide best-in-class benefits packages, including: • PRN options available • 401(k) • Insurance: • Medical • Dental • Vision • Free Training • Free CPR Training • Part of a team with RN Oversight • Employee referral bonus • Mobile shift access • Weekly pay w/ direct deposit • Flexible schedule • Free continuing education • HomeCare Pulse Employer of Choice • Joint Commission Accreditation We strongly live our value of a work-life balance by providing our employees with the following: • We offer flexible work schedules on a variety of assignments, procedures, and treatments • Weekend and evening... opportunities Responsibilities • Providing care as directed by a nursing supervisor, including but not limited to: bathing, grooming, oral care, dressing, undressing, toileting activities, taking and recording vital signs, and assisting with height and weight measurements, if necessary • Providing care according to the patient’s plan of care, assistance with daily tasks, including but not limited to: feeding, meal preparation, linen changes, light housekeeping, providing transportation to doctor appointments, outdoor activities, and shopping Requirements • Current, valid state certification and in good standing • High school diploma or GED • Successful completion of a nursing assistant program • Negative TB skin test or chest x-ray • CNA License or 40-hour personal care training • Licensed driver with insured and reliable automobile • Must be able to stand walk, squat, bend, kneel, reach, twist, push and pull. Varied assistance is required depending on the mobility of the client. Must be able to lift up to 50 pounds We are an Equal Opportunity Employer and do not discriminate against applicants due to race, ethnicity, gender, veteran status, or on the basis of disability or any other federal, state or local protected class
Description The Specialty Operations Pharmacy Technician 3 supports Pharmacists in Specialty Rx medication preparation by processing medications for disease states such as hemophilia, hereditary angioedema, enzyme deficiency, and other rare diseases. Technicians on this team also process prescriptions for patient home infusion. The Specialty Operations Pharmacy Technician 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Responsibilities The Specialty Operations Pharmacy Technician 3 May contact physicians for prescriptions clarification and may enter prescription orders into the system. Also supports Pharmacists and Patients by ensuring adherence to Specialty Rx specific operational processes and programs developed to optimize health outcomes which includes effective communication with patients and providers. Decisions are typically focus on methods, tactics and... processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, andworks under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge. ROLE REQUIREMENTS: • High school diploma or equivalent • Possesses active and current State Registration or Certification, as required by state law to perform this role. • National Certification: PTCB (CphT) or ExCPT • Minimum 1 year of pharmacy technician experience • Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10-panel drug test Additional Information In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process. The following policy applies ONLY to associates working in the state of Arizona: Humana is committed to providing a safe and healthy work environment and to promoting the health and well-being of its associates. Effective July 1, 2011, Humana adopted a tobacco-free hiring policy that will promote a healthier workplace and will not hire users of tobacco and nicotine products. If you have any questions, please consult with your recruiter. Interview Format: As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Text to enhance our hiring and decision-making ability. Montage Text allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Montage Text interview. In this interview, you will type/text to a set of interview questions over your phone and you will provide written responses to each question. You should anticipate this interview to take about 15 minutes. Your responses will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Scheduled Weekly Hours 40
Opportunity at a Glance American University of the Caribbean School of Medicine has an immediate need for an Interim Associate Dean, US Clinical Site Management. The Interim Associate Dean is responsible for ensuring academic excellence throughout the US component of AUC’s clinical sciences division in terms of curriculum, clinical site quality, comparability across affiliates, assessment of clinical competency, student outcomes, and documentation for medical school accreditation purposes. The Interim Associate Dean serves as a respected representative of AUC at meetings, conferences, workshops, and accreditation reviews and participates as a member of various committees. This is a half-time temporary administrative position reporting to the Senior Associate Dean, Academic and Student Affairs. Dates of assignment: June, 2020 – January 31, 2021. Responsibilities • Conducts annual site visits for 16 US clinical sites. • Provides oversight and direct evaluation of AUC’s clinical... training sites in the US per the ACCM requirements via writing, reviewing, and responding to annual site visit reports. • Reviews students’ academic performance data and individual clinical site data to inform programmatic initiatives. • Participates in written accreditation reporting including but not limited to AUC’s annual self-study for the ACCM. • Participates in clinical faculty development programs on site at hospitals, off site, and/or remote. • Completes other duties as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The minimum requirements for the education, experience, knowledge, and skills required to competently perform in this position are listed below. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education, Experience, Knowledge and Skills • MD or equivalent degree required • Board certified in a medical specialty and currently licensed as a physician in the U.S. • Minimum of ten years of experience teaching medical students and /or residents • Demonstrated record of outstanding achievement within a discipline, in administration, in research, and /or as a teacher • Experience with advising students and career counseling • Current knowledge of advancements in medical education • Skilled negotiator and mediator • Collaborative leadership style • Must be able to meet domestic travel requirements for travel within the United States. Who We Are American University of the Caribbean School of Medicine (AUC) is an international medical school preparing physicians for careers in the United States, Canada, and worldwide. We believe that today’s complex healthcare landscape requires a different type of doctor; one who is globally minded and capable of working as part of a cohesive team to deliver empathetic, extraordinary care to diverse patient populations. AUC employs a U.S. model curriculum with two years of medical sciences taught at our St. Maarten campus followed by two years of clinical sciences taught at affiliated hospitals in the United States and the United Kingdom. AUC is proud to have more than 7,000 alumni eligible for licensure in all 50 states and practicing medicine as chief residents, department chairs, program directors, researchers, entrepreneurs, and community advocates. AUC’s mission is to train tomorrow’s physicians whose service to their communities and patients is enhanced by international learning experiences, a diverse learning community, and an emphasis on social accountability and engagement. Learn more about AUC, part of Adtalem Global Education, at www.aucmed.edu
MindCare is a leading provider of round-the-clock telepsychiatry and behavioral health services to hospitals, emergency departments and a variety of care settings. We partner with healthcare organizations to deliver best-in-class, end-to-end telebehavioral health solutions that combine evidence-based care pathways, advanced technology, and high-quality providers. We are seeking a licensed psychiatrist for full-time or contracted employment to provide psychiatric services for emergency and med/surg departments in Kentucky via telemedicine. This position requires a board certified/eligible psychiatrist licensed in the state of Kentucky. Opportunities for day and night shifts Monday - Sunday. Join our team of highly qualified, innovative professionals to provide psychiatric services through a sophisticated system of care using state-of-the-art video conferencing technology. MindCare offers clinicians many advantages over traditional positions including: • The opportunity to work from... your own home or office. • Professional liability coverage for services provided on behalf of MindCare. • MindCare provides equipment, IT support, clinical documentation support, training, telehealth malpractice insurance, scheduling, billing, and patient and site coordination. Requirements: • Active full and unrestricted Medical License in Kentucky. • Board Certification or Eligibility in General Psychiatry. • Spanish language proficiency is a plus but is not required. For full time clinicians we offer: • 401K Plan • Health, Vision and Dental Insurance • Flexible Schedules • Paid Time Off Experience in telehealth is not required. Powered by JazzHR
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7 days ago
Job Description Job Description Nurse Practitioner - Via TelemedicineMedical Director Services is looking to hire an experienced Nurse Practitioner to provide care via Telemedicine. This position is a 12-hour shift work from home, remote job opportunity, which provides generous flexibility with your schedule. The ideal candidate must have an active NP license in the state of Texas. Licenses in Georgia and NY is a plus. Excellent salary will be offered, commensurate with experience. We offer a great benefits package and PTO DUTIES: • Assuring delivery of quality care services to all patients in a respectful and professional manner. • Contributes to physician's effectiveness by identifying short-term and long-range patient care issues that must be addressed; providing information and commentary pertinent to deliberations; recommending options and courses of action; implementing physician directives. • Assesses patient health by interviewing patients; performing physical examinations... obtaining, updating, and studying medical histories. • Documents patient care services by charting in patient and department records. • Performs therapeutic procedures by providing treatments and prescribing medicine • Instructs and counsels patients by describing therapeutic regimens; giving normal growth and development information; providing counseling on emotional problems of daily living; promoting wellness and health maintenance. • Provides continuity of care by developing and implementing patient management plans. • Maintains safe and clean working environment by complying with procedures, rules, and regulations. • Protects patients and employees by adhering to infection-control policies and protocols. • Complies with federal, state, and local legal and professional requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions. • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. • Develops health care team staff by providing information, educational opportunities, and experiential growth opportunities. • Contributes to team effort by accomplishing related results as needed. • Health Promotion and Maintenance, Thoroughness, Clinical Skills, Informing Others, Medical Teamwork, Bedside Manner, Infection Control, Administering Medication, Pain Management, Self-DevelopmentREQUIREMENTS: • Must have Skilled Nursing experience as an NP • Must be Board Certified in the state of Texas • 12 Hour Shifts LOCATION:Fully Remote MED77 Application Instructions Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you
Job Description We are looking for a Prior Authorization Nurse to join our DME team! Responsibilities: • All work is done at the computer with some time spent on the phone speaking with providers. • Perform telephonic review of prior authorization requests. • Process prior authorization requests for Durable Medical Equipment and Supplies. • Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care • Educate providers on utilization and medical management processes Qualifications: • Must have RN License for the State of Texas • Experience with DME and medical supplies preferred Additional Information: • Shift is Monday through Friday from 8am - 5pm or 7am - 4pm About Aerotek: We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach... yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call [ Phone number blocked ] or email [ Link Removed ] .com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position
Job Description Location: REMOTE Salary: Competitive! Description: Our client is currently seeking a Utilization Review RN - REMOTE WORK FROM HOME! Job Type: Contract to Hire Job Summary: Positions in this function are responsible for crisis management and utilization review of behavioral health and substance abuse services. Includes authorization and coordination and assurance of appropriate levels of care to members. Provides referrals to case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care. Employees in this function must have a valid clinical license (i.e., CSW, MFCC) and typically have a Master's degree in counseling, psychology or social work or are registered nurses (RN) with psychology specialty. Candidates will be working in an inbound queue handling member calls. Required Qualifications: • Master's degree in Psychology, Social Work, Counseling or... Marriage or Family Counseling; OR Licensed Ph.D.; OR Registered Nurse • Current, unrestricted license to practice in the state of residence • 2+ years of experience in behavioral health • Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet) For immediate consideration, please email your updated resume to Emily @ [ Link Removed ] . Thank you! Contact: [ Link Removed ] This job and many more are available through The Judge Group. Find us on the web at [ Link Removed
Position Overview The Clinical Applications Specialist (CAS) is responsible for product training and application support during web session or hospital on-site sessions, as well as trouble shooting, software installation and upgradation for customer sites. The CAS works very closely with Circle’s Account Sales Executives who are charged with developing account relationships and deployment of Circle sales strategies to acquire new hospitals customers or sell additional licenses into our existing base, hospitals or MRI clinics. Additionally, the CAS supports the Account Sales Executives who are responsible for deploying corporate resources for solutions selling, to help our customers achieve their CMR, CT, Structural Heart or EP market objectives, through our comprehensive product platforms and service offerings. The CAS will support the Account Sales Executive during the early part of the sales cycle and after the sales closing with product demonstrations, installations and customer... follow up. This position will be based in North America. General Responsibilities • Product training to customers and business partners • Pre-sales product demonstrations online, at congresses and on-site at hospitals • Establishing and managing customer relationships • Supporting educational partnerships with key-opinion leaders and training centers • Acquire good product knowledge and keeping up-to-date with developments in the cardiac imaging field • Setting up documentation for pre or post customer training, such as quick guides, presentations, tutorials, turning customer into power-users, etc. • Provide customer feedback to the development team • Documentation of all customer contacts via Circle’s CRM platform, SFDC • Remote installation and configuration of Circle software, on-site visits as necessary and or in conjunction with Circle’s IT Sales Support team • Remote technical support to solve customer questions Required Skills/Experience • A strong background in medical imaging. Experience with cardiovascular MRI, CT, EP and structural heart post-processing applications is an asset • Excellent communication skills and ability to teach • Pro-active, outgoing personality with excellent communication skills • Customer friendly and problem solving oriented, representative and responsible • Committed and showing initiative • Ability to work both in a team environment and independently • Ability to travel ~ 40% Beneficial Skills/Experience • Previous experience with Circle’s products is considered as an asset About Circle Cardiovascular Imaging Inc. Circle Cardiovascular Imaging Inc. develops world class, advanced reading and reporting solutions for cardiac imaging. Circle is a prominent company for the global cardiac imaging community bringing together an experienced and qualified team of over 150 people. Circle’s imaging platform, cvi42, is the best-in-class cardiovascular imaging reading and reporting solution for cardiac MR, cardiac CT, cardiac Interventional Planning and Electrophysiology. Annually, millions of cardiac exams - in over 1,000 hospitals and in more than 50 countries - are interpreted using cvi42, giving physicians the tools to accurately quantify and diagnose complex cardiovascular diseases whilst improving patient outcomes and the effective utilization of healthcare resources. Currently at version 5.11, cvi42 fully embeds AI into one easy to use platform demonstrating capabilities within the same range as expert human readers. How to Apply We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. While we thank all those who apply, however please note that we will only be contacting those selected for an interview. No phone calls or unsolicited agency referrals please. Email: [email protected] Fax:+1 403 338 1895 Mail: Circle Cardiovascular Imaging Inc. 1100, 800 5th Avenue SW Calgary, AB, Canada T2P 3T6
Assoc. Neurophysiologist (Omaha, NE) US, US, Field - LUS Minimum Level of Education Required: Bachelors Degree Percentage of Travel: Up to 50% Location: Field - LUS Field State: Nebraska Ref#: 101973 Share with: Facebook Twitter Apply Now Job Description As a Neurophysiologist at NuVasive Clinical Services, you’ll provide intraoperative neuromonitoring during surgery by monitoring the patient’s nervous system. A high standard of patient care is essential to our team. This is a great opportunity for you to work with our top surgeons and other medical professionals in a team environment and play a vital role in the operating room every day. As a member of our team, you will also support NuVasive technological innovations. NuVasive provides comprehensive training, continuing education, and numerous opportunities for career development. • Consult with the surgeon regarding patient structures at risk and modalities to be monitored • Ensure clear communications about the... neurophysiological tests that were performed on the patient, as well as obtaining a detailed medical history • Accurately place stimulating and recording electrodes using the 10-20 system of electrode placement • Display and label waveforms for marking, measuring and calculating information such as latencies, amplitudes and conduction times following established guidelines and protocols • Identify appropriate protocol and perform troubleshooting techniques to assure accurate data collection • Communicate monitoring information to the surgeon and surgical team throughout the case • Complete all required documentation and accurately prepare all IOM logs, files, and timely file uploads • Maintain all neuromonitoring equipment and conduct required maintenance checks Basic Qualifications • CNIM (Certified in Neurophysiologic Intraoperative Monitoring) • Strong time management & organizational skills, and ability to manage competing demands, frequent change, delays and/or unexpected events in scheduling and in the operating room on a daily basis • Effective communication skills and ability to collaborate with the surgeon and surgical staff in the operating room • Able to transport and set up the IONM system, laptop, and supplies in a timely fashion, which can be up to 50 lbs. Please note, you will be redirected to a 15-20 minute assessment after submitting your application. Please ensure you allow yourself enough time to complete the assessment upon submission of your application. NuVasive Clinical Services (a division within NuVasive, Inc.) is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities, through the acquisitions of Impulse Monitoring, Biotronic NeuroNetwork, Safe Passage, and others. Surgeons have enhanced surgical monitoring and oversight capabilities through neurophysiological data gathered via broadband transmission. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure. This neural function monitoring helps to decrease the chance of nerve damage to the patient and promotes patient safety during surgery. NuVasive Clinical Services is expected to serve more than 100,000 cases annually in the U.S. From over 530 highly trained neurophysiologists in the operating room to technicians and scheduling staff available 24/7, NuVasive Clinical Services can help support improved clinical outcomes. NuVasive is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran status and will not be discriminated against on the basis of disability. The “EEO is the Law” poster options are available here. NuVasive's EEO policy is available here. About NuVasiveNuVasive, Inc. (NASDAQ: NUVA) is the leader in spine technology innovation, focused on transforming spine surgery and beyond with minimally disruptive, procedurally integrated solutions designed to deliver reproducible and clinically-proven surgical outcomes. The Company's portfolio includes access instruments, implantable hardware, biologics, software systems for surgical planning, navigation and imaging solutions, magnetically adjustable implant systems for spine and orthopedics, and intraoperative monitoring service offerings. With more than $1 billion in revenues, NuVasive has approximately 2,600 employees and operates in more than 50 countries serving surgeons, hospitals and patients. For more information, please visit www.nuvasive.com. Apply Now Share with: Facebook Twitter
Clinipace is a global full-service clinical research organization (CRO) serving the unique needs of venture-backed, mid-tier and strategic pharmaceutical, biotechnology and medical device firms. We help our customers advance drug candidates to deliver successful stakeholder and patient outcomes. We leverage extensive therapeutic knowledge, clinical trial expertise, and comprehensive innovative technology to support life science firms in achieving some of their most important goals: Executing regulatory strategies, optimizing clinical development timelines and completing high quality trials. We are proud to have a culture that is vibrant, supportive, performance-driven, and passionate while focusing on continual learning and development. Clinipace associates are passionate about their lives and bring that same passion to their work at Clinipace. Work Location: United States | North Carolina (Morrisville) Job Code: 4694 Description Job Title: Medical Director - Oncology (Remote) Job... Location: Morrisville, NC (home based / remote) Job Overview: This remote, home-based position provides and exciting opportunity to combine a diverse range of medical monitoring duties with support for corporate Business Development activities. Due to broad scope of this role, successful candidate will demonstrate excellent clinical thinking, communication and leadership skills. Medical Director will be expected to attend and present at professional and internal and external project meetings.. Detailed description below: Primary responsibilities include medical and safety oversight of clinical trials as well as corporate support for business opportunities. The Medical Director provides Medical Monitoring services to clinical trials with the aim to monitor the safety and well being of study participants, integrity of the project data in accordance with the clinical trial protocol/clinical study protocol (or equivalent documents), standard operating procedures (SOPs), good clinical practice (GCP), and all other applicable directives and regulatory requirements. Responsibilities include medical supervision of assigned projects from both a medical and scientific perspective. The Medical Director provides and/or oversees medical monitoring activities including protocol development, development and/or review of project-specific Medical Monitoring Plan (MMP), review of other project-specific plans, responding to medically related questions, answering Medical questions arising at any stage of a clinical trial, and maintaining medical oversight for the conduct of a clinical trial. Reviews of medical data and/or safety information may be a regular part of the position. The Medical Director acts as liaison between the Sponsor/Client who is responsible for medical decisions made in a project, the investigational sites and the project team. To perform functions, he/she may need to be available up to 24 hours / 7 days a week. Scope of responsibilities of the Medical Director depends on the contract with each Sponsor. The Medical Director also supports Business Development activities, as requested. Job Duties and Responsibilities: Job duties differ from project to project and are described in the contract, project-specific Plans (SMP; MMP), and/or other documents agreed with the Sponsor. Job duties also comprise any other tasks as defined by applicable Policies/SOPs/Work Procedures (WPs) and in general include but are not limited to the following: • Medical Monitoring: • Provides Medical oversight of projects to ensure GCP/national and international regulatory requirements (as applicable), Policies/SOPs/WPs, and Sponsor directives are followed. • Provides Medical consultation to Sponsors and project teams for protocol development and/or project activities, as indicated. • Maintains availability to the sites and project team including the Sponsor to ensure that medical questions or medical aspects of project-related questions (e.g. safety, general protocol questions, subject eligibility, inclusion/exclusion criteria, screening, randomization, unblinding, dosing, termination and discontinuation, IP-specific questions, etc.) are answered or communicated for resolution. The MM does not instruct the site how to manage a patient from the medical/clinical prospective but advises how to understand the protocol and other applicable project requirements. • Develops/updates the Medical Monitoring Plan (MMP), circulating it for approval within Clinipace and externally (with Sponsor); maintaining the MMP up-to date at all times during the project, escalating deviations from the MMP. • Reviews project specific plans, including the Safety Management Plan (SMP). • Reviews and advises on project-related documents (e.g. study protocol, Informed Consent Form, clinical study report, etc.), as indicated. • Develops and/or reviews project-related documents and reports, assesses and interprets project results. • Reviews medical literature in the scope of preparation of project-related documents and provides input for preparation of the respective documents. • Reviews and assesses issues related to protocol compliance, including protocol deviations/violations, development of the corrective and preventative actions. • Trains CRAs and other team members on different topics, including medical and/or safety aspects of the project or therapeutic area/indication. • May provide training to other medical monitors. • Attends internal and external project meetings (e.g. Investigator meeting, Kick-off meeting, teleconferences, etc.). • Attends data review meetings (interim analysis and final data analysis), as indicated. • May participate in dose escalation meetings for early phase studies. • May attend and provide review of documents for DSMB meetings. • Reviews laboratory results and lab/ECG alerts, as required. • Provides Medical review and assessment of SAEs, adverse events of special interest, SAE narratives, expedited and periodic safety reports, as requested. • Prepares Analysis of Similar Events for expedited safety reports. • May write Medical sections of periodic safety reports (e.g., risk-benefit assessments) and/or review safety data for trends. • Provides Medical review of study data (presented e.g. in the format of listings, patient profiles, visual analytic templates, etc.), as per the MMP/Medical data review plan for clarifying and resolving data inconsistencies, query management, trend assessment, etc. • May perform Medical review of coding to ensure correct MedDRA/WHODrug coding. • May review requests from Regulatory Authorities and/or Ethic Committees/IRBs and related activities with preparation of responses, when requested. • Ensures appropriate safety considerations have been incorporated into the Clinical Event Committee (CEC) process, if requested. • Escalates issues and notifies Line Manager, Project Manager, and/or other responsible staff if urgent safety issues are identified. • Provides availability (to sites, Sponsors, project teams) via call-in number up to 24 hours / 7 days a week or other schedule, as needed. • Documents all communication (interactions with sites, Sponsor, etc.) and provides for filing in the TMF, as required. • Works closely with other functional groups and departments including but not limited to Safety/Pharmacovigilance, Project Management, Clinical Operations, Data Management, Biostatistics and QA to ensure that medical operational functions are executed effectively as per contract. • Other tasks and responsibilities, as requested. • * Business Development Support (as needed): • Supports Business Development by preparing protocol considerations for new Proposals, answering Requests for Information, etc., as requested. • Attends capability and bid defense meetings, as needed, to provide medical and scientific advice for potential new projects. • May attend professional meetings, serve as a speaker, and/or assist with Business Development efforts. • May work with Feasibility to identify potential sites for a project; review feasibility questionnaires; and/or discuss capabilities by e-mail or phone. Supervisory Responsibilities: Medical Director may act as Line Manager, if indicated. In case more than two Medical Monitors are assigned to the project, one MM may by Primary MM, assuming more responsibilities e.g. communication with the Client and other functions. Details of the split of responsibilities are described in the MMP. Job Requirements: • Education • MD (or country-specific equivalent) required, postgraduate training/eligibility for licensure preferred. • Experience • At least 5-10 years of experience research experience post-training. Clinical Research Organization (CRO) experience is strongly preferred. • Must have prior Oncology experience. • Prior experience across the spectrum of Medical Monitoring activities, including Medical review of safety information. • Prior experience working in multiple therapeutic areas and across Phase 1 to 3 clinical trials is preferred. • Prior experience in development and delivery of therapeutic area/protocol-specific trainings and presentations. • Experience representing the company in meetings with pharmaceutical/biotechnology companies is preferred. • Skills/Competencies • Clinical thinking: ability to perform critical review and answer questions of medical nature from sites, project team, and Sponsor in accordance with ICH GCP guidelines, project specific documents to ensure patient safety, data integrity and successful completion of project. • Deep understanding of the scientific basis for therapies and drug-induced diseases. • Comprehensive knowledge of medical device, vaccines and drug development process. • High level understanding of pharmacovigilance processes. • Effective communication: comfortable communicating both inside and outside to company. • Management with a calm, positive winning attitude and excellent decision making skills. • Strong knowledge of the drug/device/vaccine development process. • Extensive knowledge of GCP/applicable regulations and guidance’s, including but not limited to national/regional regulations as well as ICH Guidances. • Training expertise: able to efficiently train others. • People management: able to clearly and efficiently communicate with site and team members. • Clinical Management: able to manage clinical projects successfully. • Time management: good sense of urgency, prioritization skills. • Team player: effective participant as a team member and team leader. • Creative and positive leadership: programming team success through establishing and clear articulation of goals. • Creative problem solving skills. • Effective oral and written communication and presentation skills (at least in English) are compulsory. • Coach: a passion to assist others in becoming all they can be; Achievements: ability to define and meet requirements. • Integrity: Understanding and acting on principles of honesty, trust and fairness. • Capabilities • Proficient in the use of computers and Microsoft Office applications. • Ability to drive an automobile and have a valid driver’s license. • Ability to travel by airplane. • Must have a credit card that can be used for travel expenses. • Ability to work remotely. • Ability to travel up to 20%, as needed. #LI-MMM The company will not accept unsolicited resumes from third party vendors. 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HealthTeq Services, LLC is a customer-focused, premier Revenue Cycle Management partner with over a decade of experience & resources in delighting customers. We guarantee quality services along with a good return on investment with our revenue cycle management solutions. Our approach is built on a proven holistic operating model designed to fit seamlessly into your organization. Contact us today to see how we can enhance revenue for your practice. Required Skills: • 3 to 5 years of recent Skilled Nursing Facility billing experience • Medicare and Medicaid SNF billing experience required • Experience working with AHT preferred but not required • Knowledge of working SNF Denials both on the front and back end of the billing process • Knowledge of stay authorization processes. • Computer skills • Experience in CPT and ICD-10 coding • Familiarity with medical terminology • Ability to communicate with various insurance payers • Experience in filing claim appeals with insurance companies... to ensure maximum reimbursement • Responsible use of confidential information • Strong written and verbal skills • Ability to multi-task Job Duties: • Ensure all claims are submitted daily with a goal of zero errors • Timely follow up on insurance claim status • Reading and interpreting an EOB (Explanation of Benefits) • Respond to inquiries by insurance companies • Denial Management • Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles • Any additional duties as requested by management • Knowledge with in and out of network insurances, Workers Compensation, insurance verification, patient responsibility, and process for prior authorization. • Knowledge of interpreting EOBs, posting payments, and adjusting accounts appropriately. • Familiarity with ICD-10 and CPT codes and procedures. • Proficient in medical coding guidelines and regulations. • Reviews medical record documentation to identify pertinent diagnoses and/or procedures that require coding; • Reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional charges • Effectively utilizes ICD 10, CPT, HPCPS, modifiers and/or other codes according to coding guidelines; • Communicates effectively with provider and/or all appropriate parties regarding missing information such as CPT, diagnoses codes, documents, operative reports, etc. in order to ensure proper coding; • Increases revenue by collecting payments on outstanding accounts; • Conducts audits and coding reviews to ensure all documentation is accurate and precise; • Manage the status of accounts and identify inconsistencies; • Maintain Appeal/denials. Ensure we are completing timely. This is a Telecommute/Work from Home position. Powered by JazzHR
Why Choose Haven? Haven is based in Gainesville, FL and is one of the largest advanced illness/end-of-life companies in the U.S. Haven provides advance care planning, palliative care, transitions programs and hospice services, including five free-standing inpatient care centers. Serving advanced illness needs in North Florida since 1979, Haven has been the recipient of the Circle of Life Award from the American Hospital Association for its excellence and innovation and has been recognized as a Florida Pacesetter for its leadership in promoting advance directives. Haven serves over 7,000 patients and families annually in 18 Florida counties: Alachua, Baker, Bradford, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Lafayette, Levy, Nassau, Putnam, Suwannee, St. Johns, Union and Volusia. Haven is an affiliate of SantaFe HealthCare, a not-for-profit organization serving Floridians at all stage of life through AvMed Health Plans, SantaFe Senior Living and Haven. Haven cares... for over 90 percent of patients in their home or wherever they call home. But when there is a need for short-term inpatient care, Haven offers hospice care centers in Gainesville, Palatka, Chiefland, Lake City, and Orange Park. In these welcoming and home-like settings, Haven clinicians provide around-the-clock care to patients needing intense pain and symptom management as well as provide education and support to family and loved ones. The care centers offer overnight, respite care to provide a break to primary caregivers for up to five days. Haven's commitment to all its communities extends far beyond providing hands-on clinical, emotional and spiritual care. Haven provides clinical education to future health professionals, including medical students, residents, and fellows. At Haven Hospice, we feel that it’s an honor and a privilege to be invited into so many lives to provide end of life care. We strive daily to make the difference in the lives of our patients, their families and in the communities we serve. As the HavenAccess Associate Medical Director, you will work closely with the Access department which triages incoming calls and referrals. The Access Physician reviews incoming referrals for hospice eligibility. You will provide physician direction and education to admissions personnel, assist with reviewing records and speaking with referring physicians, when required, in order to establish eligibility. You will complete a certificate of terminal illness narrative for each hospice-eligible patient. The Access Physician can work from anywhere in the Haven service area– including working from home. You will be required to report to the office one day per week and cover on-call and some weekends as required. At Haven, we want your career to be as rewarding as possible. We provide our Physicians with opportunities for growth, education and advancement including paid time off to complete CME courses and a CME stipend. We offer competitive salaries as well as a performance based incentive plan. In addition, our comprehensive benefits package includes: • Option of 2 different medical plans • Dental& Vision Insurance • Company-paid long-term disability and life insurance • Generous PTO • 401(K) plan with company match • Gym Reimbursement • Variety of supplemental plans including hospital, legal, identity theft protection and more You Have: • Education– MD or DO from an accredited medical school • Licensure& Certification– Current Florida license to practice medicine without restrictions • Current DEA number • Eligible for malpractice coverage under company policy terms • Board eligible or board certified in a recognized field of the American Board of Medical Specialties (Hospice and Palliative Medicine preferred) • Knowledge and experience in palliative medical practice and symptom management • Ability to manage the emotional stress of working with and caring for terminally ill patients and their families • Alignment with the Haven mission, culture and values of collaboration, accountability, respectfulness, ethical behavior and service-driven. • Ability to work non-judgmentally with persons of varied cultural, religious and socioeconomic backgrounds and lifestyles. Haven Hospice is a smoke free campus/drug free workplace, EOE
City Eau Claire State Wisconsin Telecommute No Department Ophthalmology Why Mayo Clinic You are invited to partner with the nation's best hospital (U.S. News & World Report 2019-2020), ranked #1 in more specialties than any other care provider. Practicing at Mayo Clinic provides a rewarding career that promotes excellence in patient-centered care. You can thrive in an environment that supports innovation and has a wealth of resources available to you - including an integrated EHR and collaboration with top specialists - to give your patients the quality of care you want to achieve. Position description The Mayo Clinic Department of Ophthalmology is seeking a BC/BE General Ophthalmologist to join an established practice in Mayo Clinic Health System in Eau Claire, Wisconsin. This is a general ophthalmology practice with opportunities to manage patients with a variety of medical and surgical conditions. Surgical variety is dependent on the candidate's training and comfort... with given surgical techniques. The surgeon is expected to perform cataract surgeries and/or other anterior segment, ocular plastics procedures, and adult strabismus surgeries depending on surgeon's experience. Position Details: • 4.5 day work week • Clinic hours are 8am-5pm; Surgical block hours are 7:30am-3:30pm • Clinical volume of approximately 25-30 patients per day • Surgical blocks of approximately 10-15 cases per week • On call 10 days per month and 1 weekend per month • Comprehensive benefits package and competitive salary guarantee License or certification Board Eligible/Board Certified in Ophthalmology Benefits eligible Yes Schedule Full Time Site description Eau Claire, with a metro area of 163,000 is home to the 11,000 students at the University of Wisconsin - Eau Claire. Strong schools, low crime rate, and a reasonable cost of living may be expected. With an abundance of outdoor activities, The city also serves as the retail center for west central Wisconsin and the major metro area of Minneapolis/St. Paul is 90 minutes away. Mayo Clinic Health System in Eau Claire is recognized as a Best Hospital in Northwestern Wisconsin and within the top 10 for Hospitals in Wisconsin (U.S. News & World Report, 2019-2020). Category Physicians & Scientists Specialty Ophthalmology Job posting number 123135BR Recruiter Adriana Semko Equal opportunity employer Mayo Clinic is an equal opportunity educator and employer (including veterans and persons with disabilities). Email
C

Nurse Practitioner

Centers for Specialty Care Group


7 days ago
Job Description Job Description Nurse Practitioner - Via Telemedicine Medical Director Services is looking to hire an experienced Nurse Practitioner to provide care via Telemedicine. This position is a 12-hour shift work from home, remote job opportunity, which provides generous flexibility with your schedule. The ideal candidate must have an active NP license in the state of Texas. Licenses in Georgia and NY is a plus. Excellent salary will be offered, commensurate with experience. We offer a great benefits package and PTO DUTIES: • Assuring delivery of quality care services to all patients in a respectful and professional manner. • Contributes to physician's effectiveness by identifying short-term and long-range patient care issues that must be addressed; providing information and commentary pertinent to deliberations; recommending options and courses of action; implementing physician directives. • Assesses patient health by interviewing patients; performing physical... examinations; obtaining, updating, and studying medical histories. • Documents patient care services by charting in patient and department records. • Performs therapeutic procedures by providing treatments and prescribing medicine • Instructs and counsels patients by describing therapeutic regimens; giving normal growth and development information; providing counseling on emotional problems of daily living; promoting wellness and health maintenance. • Provides continuity of care by developing and implementing patient management plans. • Maintains safe and clean working environment by complying with procedures, rules, and regulations. • Protects patients and employees by adhering to infection-control policies and protocols. • Complies with federal, state, and local legal and professional requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions. • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. • Develops health care team staff by providing information, educational opportunities, and experiential growth opportunities. • Contributes to team effort by accomplishing related results as needed. • Health Promotion and Maintenance, Thoroughness, Clinical Skills, Informing Others, Medical Teamwork, Bedside Manner, Infection Control, Administering Medication, Pain Management, Self-DevelopmentREQUIREMENTS: • Must have Skilled Nursing experience as an NP • Must be Board Certified in the state of Texas • 12 Hour Shifts LOCATION: Fully Remote MED77 Application Instructions Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you
We are accepting applications for remote, qualified transcription experts to join our team and get paid to help facilitate the work of professionals all over the country! You will have the opportunity to transcribe audio from all sorts of industries including police departments, investigators, law offices and protective services. Where else in the world can you help a police officer do his or her job by transcribing their witness interviews one minute, then help a protective service worker document a child’s journey to a safe home the next? With SpeakWrite, you can set your own schedule and work as much or as little as you like- which means you can make as much as you like. We have a limited number of available positions and are only considering those who take action by applying now.
Position Overview SAP EHS Resource JobId: JPC - 32505 Requirements: · Substance Volume Tracking. · WWI. · Global Label Management · Product Safety · Dangerous Goods · Expert Rule / OCC Tool. · Environment Management How to Apply For more information please contact below: Sravan Muppala, 470-428-8735. Qualified individuals will be contacted for an interview.
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