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  • NeuroHospitalist Hybrid - Wellstar Columbia County Hospital (Opening Fall 2026)

    Wellstar Health Systems, Inc. 4.6company rating

    Grovetown, GA jobs

    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Various (United States of America) Wellstar Health System, a nationally recognized and physician-led healthcare organization, is seeking a Board-Certified or Board-Eligible Neurologist to join our team at the brand-new Wellstar Columbia County Hospital, opening Fall 2026 in Grovetown, Georgia. This is an exciting opportunity to be part of a new hospital and neurology service line, with the chance to influence care delivery, shape workflows, and practice in a brand-new, state-of-the-art facility. Position Overview Full-time, hospital-employed hybrid neurology position Provide consultative neurological care for hospitalized patients Collaborate with hospitalists, intensivists, and emergency department physicians Support acute stroke alerts and participate in stroke care protocols Opportunity to assist in development of neurology service lines and tele-neurology partnership. Qualifications MD/DO from an accredited institution Board Certified/Board Eligible in Neurology Eligibility for medical licensure in Georgia Stroke experience or vascular neurology training is a plus Excellent communication skills and a collaborative team mindset Why Wellstar Columbia County? Located just outside Augusta, Grovetown is one of the fastest-growing cities in Georgia, offering a family-friendly environment, top-rated schools, low cost of living, and access to urban and outdoor recreation. The new Wellstar Columbia County Hospital will be a cornerstone of healthcare innovation in the region. Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
    $21k-25k yearly est. 5d ago
  • Senior Medicaid & Medicare Reimbursement Consultant

    Ohiohealth 4.3company rating

    Columbus, OH jobs

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. • This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid) reimbursement is received for OhioHealth. • This position is primarily responsible for the proactive calculations and modeling of new regulatory changes and impacts as well as variance analysis of third-party liability accounts. Provides supporting work papers and documentation for third-party inquires. • This position has supervisory oversight of the Reimbursement Analyst daily work schedule including flow of information, teaching of reimbursement fundamentals and principals, review of work and setting daily priorities. • This positon supports the Director of Revenue and Reimbursement and Manager of Reimbursement with many special analysis throughout the year associated with revenue cycle, charge analysis, regulatory and financial reporting. • The Senior Reimbursement Consultant will be a subject matter expert in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical Education, and Governmental Logs, (HCAP, UPL and Franchise Fee programs in the state of Ohio) as well as special projects as assigned. • Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining up to date with all regulatory requirements, both federal and state is required. • The Reimbursement Consultant position leads, advises and consults various reimbursement financial projects, as well as special projects throughout the year and needs to be able to delegate direct reports assigned to the project or process while staying connected to both the pertinent details as well as the high level strategic purpose. • The Senior Reimbursement Consultant is required to use extensive interpersonal skills in communicating with all management levels at OhioHealth. • This role functions in a heavily matrixed environment and requires strong prioritization, communication and planning skills. Responsibilities And Duties: Consulting and oversite of key areas at OhioHealth in the central Ohio facilities as well as non-central Ohio facilities in the reimbursement functions. Knowledge in the following areas: Reimbursement functions: Subject matter expert on CMS cost reporting, disproportionate share (DSH), Uncompensated Care, Bad debt reporting, IME/GME, Medicare Wage Index, S-10 reporting, Tricare and 855's, Ohio Medicaid, HCAP, UPL and Franchise Fee programs. Knowledge of Acute Care Hospitals, Critical Access Hospitals, Sole Community Hospitals and Rural Health Clinics. Knowledge of reimbursement in specialty areas such psych, inpatient rehabilitation units, Home Health and Hospice. Projects as assigned by Director of Revenue and Reimbursement and Manager of Reimbursement. Provide Director of Revenue and Reimbursement and Manager with updates. CGS audits and auditors Working with our legal vendor for Medicare Appeals. Working with OHA and CBSA facilities on wage index opportunities Special projects / analysis as assigned by the Director of Revenue and Reimbursement and Manager of Reimbursement. Minimum Qualifications: Bachelor's Degree: Finance (Required) Additional Job Description: BS or BA in Accounting or Finance. Hospital and/or healthcare industry experience. Understanding of the CMS prospective payment system and State of Ohio regulations. Minimum of 4 years' experience in the healthcare industry. Strong team development and delegations skills. Excellent communication and presentation skills. SPECIALIZED KNOWLEDGE Min: Proficiency in Microsoft applications, knowledge of clinical & financial patient management systems, demonstrated ability in financial analysis and cost reporting. DESIRED ATTRIBUTES CPA, MHA or MBA. Experience with Medicare/Medicaid cost reporting 4 - 6 years as a Sr. Reimbursement Analyst or similar position(s). Work Shift: Day Scheduled Weekly Hours : 40 Department Reimbursement Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.
    $77k-94k yearly est. 3d ago
  • Advanced Practice Clinician (Hybrid)

    VNS Health 4.1company rating

    New York, NY jobs

    Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. What We Provide Personal and financial wellness programs Opportunities for professional growth and career advancement Internal mobility and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes. Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate. Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted. Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings. Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required Valid driver's license, as determined by operational/regional needs may be required Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred Must be certified by ANCC or another accrediting Nurse Practitioner body - in order to bill Medicare and meet credentialing requirements required For Psychiatric Nurse Practitioners only: Current PMHNP-BC certification required Education: Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required For Psychiatric Nurse Practitioners only: Master's Degree in psychiatric-mental health Nurse Practitioner required PhD in psychiatric-mental health Nurse Practitioner preferred Work Experience: Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred Clinical home care experience or two years managerial experience preferred Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required Bilingual skills, as determined by operational needs required Pay Range USD $58.30 - USD $77.72 /Hr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
    $36k-77k yearly est. 1d ago
  • Dosimetrist, Remote

    Piedmont Healthcare Inc. 4.1company rating

    Columbus, GA jobs

    Responsibilities: Dosimetrist, FT, Piedmont Columbus John B. Amos Cancer Center, "Hybrid " RESPONSIBLE FOR: Measuring and generating radiation dose distributions and calculations under the direction of the Radiation Physicist and Radiation Oncologist. Qualifications - External Qualifications: MINIMUM EDUCATION REQUIRED: Bachelor's Degree in any discipline. If hired prior to January 2025, will only require certification by the Medical Dosimetry Certification Board (MDCB). MINIMUM EXPERIENCE REQUIRED: Three years of clinical experience in a radiation therapy department as a radiation therapist or medical dosimetrist MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Board Eligible by the MDCB (Medical Dosimetrist Certification Board) Obtains Dosimetrist certification within 13 months of hire date. Participation in the learning plan activities as required by MDCB (Medical Dosimetrist Certification Board). Business Unit : Company Name: Piedmont Columbus Midtown
    $129k-192k yearly est. 2d ago
  • Talent Selection Specialist

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    This is an 18-month temporary assignment with full benefit eligibility. Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs. The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent. Responsibilities: 1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community. 2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process. 3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations. 4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits. 5. Participates in departmental activities including performance and process improvement. 6. Other duties as required. Other information: Technical Expertise 1. Experience in full lifecycle recruiting is required. 2. Experience in applicable State and Federal employment laws is required. 3. Experience in working with all levels within an organization is required. 4. Experience in medium to large sized organizations is preferred. 5. Experience in healthcare is preferred. 6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred. Education and Experience 1. Education: Bachelor's degree in Human Resources or related field is required. 2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred. 3. Years of relevant experience: 3 years is required. 4. Years of experience supervising: None. Full Time FTE: 1.000000 Status: Remote
    $47k-56k yearly est. 5d ago
  • Senior Associate Counsel

    Akron Children's Hospital 4.8company rating

    Ravenna, OH jobs

    Full-Time, 40 hours/week Monday - Friday 8 am - 5 pm Onsite The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer. Responsibilities: Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools. Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions. Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers. Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices. Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs. Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed. Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape. Identify and assess legal, operational, and compliance risks in IT contract. Other duties as assigned. Other information: Technical Expertise Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation. Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators. Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments. Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation. Education and Experience Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date. Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required. Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT). Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking. Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams. Full Time FTE: 1.000000 Status: Onsite
    $57k-82k yearly est. 10d ago
  • Referral Coordinator

    Sentara Health 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift First (Days) Provides a direct link between patients, primary care providers, specialty providers, and insurance companies. Coordinates referral process from primary care providers as well as pre-authorization approvals for drugs and other services as ordered by provider. Medical terminology preferred. Knowledge of Medicare, Medicaid and third party payers. One year of experience with insurance verification/referral processing preferred. Knowledge of EPIC preferred. Proficient in use of computers and excellent organizational skills. Education HS Diploma required Certification/Licensure None required Experience 1 year of health insurance experience required. Keywords: Talroo-Allied Health, Referral Coordinator . We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$17.31 - $28.85. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians. Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff. Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $17.3-28.9 hourly 11d ago
  • Clinical Respiratory Specialist

    Sentara Health 4.9company rating

    Hampton, VA jobs

    City/State Hampton, VA Work Shift First (Days) Sentara CarePlex Hospital is seeking a Clinical Respiratory Specialist to join their team in beautiful Hampton, VA!! Responsibilities: Responsible for coordination respiratory educational activities for clinical staff including respiratory practitioners, nursing staff and physicians. Responsible for developing and coordinating staff orientation and competency programs. Accountable for the coordination of multidisciplinary rounding in the critical care areas on mechanically ventilated patients and implementation of ventilator weaning protocols. Sentara CarePlex Hospital Sentara CarePlex Hospital is a 224-bed, acute care hospital, and Certified Primary Stroke Center located in Hampton, Va. Sentara CarePlex Hospital provides care through advanced surgical programs, emergency cardiac intervention, fellowship-trained physicians, and the newly-opened Family Maternity Center . It is also home to the Orthopaedic Hospital at Sentara CarePlex Hospital , the area's first dedicated orthopedic hospital, taking specialized orthopedic care to a new level. Minimum Qualifications: Education Bachelor's Level Degree Experience 5 years Respiratory Care in a critical care setting Certification/Licensure State Respiratory license NBRC RRT BLS required at time of hire. Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth! EOE Keywords: RRT, Respiratory Care Practitioner, RT, Talroo Allied Health Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara CarePlex Hospita l, located in Hampton, VA, is a 224-bed technologically advanced, acute care facility, and Certified Primary Stroke Center. Other features include specialized services in heart and vascular, urologic care, along with advanced diagnostic and surgical capabilities, a hospitalist program, and one of the state's busiest emergency departments. We are also home to the Orthopedic Hospital at Sentara CarePlex Hospital, the area's first dedicated orthopedic hospital. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $41k-71k yearly est. 11d ago
  • Vascular Technologist Student Extern

    Sentara Health 4.9company rating

    Newport News, VA jobs

    City/State Newport News, VA Work Shift Rotating Sentara Port Warwick is now hiring a Flexi Vascular Lab Technologist Student for the Hampton Roads area in VA! To include coverage for Sentara Careplex, Sentara Williamsburg, Sentara Obici and surrounding areas as needed. Hours:Monday-Friday, Dayshift 8a-430p. Flexible and variable schedule based on candidate availability and clinic needs. Overview This position is responsible for the utilization of specialized equipment and under the direction of a qualified physician, performs procedures on patients. The Cardiovascular Tech Student acts as a first assistant during diagnostic and therapeutic vascular procedures. Education High School Diploma Enrolled in current Vascular tech accredited program Certification/Licensure BLS/ Basic Life Support required Must have completed enough clinical hours in an accredited cardiovascular technology program that the student may use employed hours towards graduation requirements (currently enrolled in last year of school/program) Related Experience preferred Keywords: Vascular Tech, Talroo-Allied Health, Doppler, Carotids, MD Office Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $22k-33k yearly est. 11d ago
  • Case Manager-DSNP

    Sentara Health 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift First (Days) Sentara Health Plansis hiring an Integrated Nurse Case Manager/RNfor DSNP in Virginia Beach, VA! The position requires both in-person face-to-face assessments and remote telephonic assessments for Dual Special Needs Plan (DSNP) in their homes or facilities in Virginia Beach, VA! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Applicants must reside in Virginia Beach, VA! Primary responsibilities include: Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures May assist in problem solving with provider, claims or service issues. Education: Bachelors Degree in Nursing preferred Certification/Licensure Registered Nurse (RN) License (Compact or Virginia) REQUIRED Preferred qualifications: 3 years experience in Nursing REQUIRED Case Management experience preferred Discharge planning experience preferred Managed Care or Health Plan experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to ********************** and use the following as your Keyword Search: JR-90044 #Indeed Talroo - Nursing Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Virginia Beach, VA, Managed Care, MCO, Health Plan, DSNP, Dual Special Needs Plan Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $34k-58k yearly est. 9d ago
  • Echocardiographer, Part-Time

    Sentara Health 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift First (Days) Sentara Princess Anne in Virginia Beach, VA is seeking an Echocardiographer Shift: Part time - 8 hour shifts starting at 8am.Call Required. Unit has 5 rooms for Echos. Echocardiographer will perform Echo and Stress Echo tests, Transesophageal (TEE) Echocardiogram, and Doppler ultrasound. Echocardiographer will work in Cardiac Non-Invasive Lab, EP and Cath Lab, OR, ICU and willalso work with patients at the bedside. Required Education: Bachelor's Level Degree, Associate's Level Degree - CARDIOVASCULAR TECHNOLOGY OR High School Diploma. Echo Tech experience in lieu of education: Yes License and Certifications: Basic Life SupportRequired Adult echocardiography registry (ARDMS, RDCS or RCS) required within 12 months of hire. Other: At least 3 years of echocardiographer experience Benefits: Sentara offers an attractive array of full-time benefits to include: Medical, Dental, Vision plans Paid Time Off, Paid Sick Leave, Paid Parental Leave, and Emergency Caregiver Leave Tuition Reimbursement and Student Loan Paydown programs 401k/403B, 401a plans Career Advancement Opportunities Work Perks For more information about our employee benefits, CLICK HERE! Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day! Sentara prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. Keywords: Talroo-Allied Health, Monster, Echocardiographer, Echo Tech, RDCS, RCS, Cardiovascular Tech, Cardiac Sonographer . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Princess Anne Hospital is a 174-bed acute care hospital that provides quality clinical outcomes, experienced physicians, advanced technology, and a patient-centered approach to care in southern Virginia Beach, as well as neighboring Chesapeake and Northeastern North Carolina communities. As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine care, heart, vascular, advanced imaging, gynecological, comprehensive breast care services, and family maternity with a state-of-the-art neonatal intensive care unit. Our facility also is home to Virginia's only Ornish Lifestyle Medicine program. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $55k-68k yearly est. 11d ago
  • Talent Selection Specialist

    Akron Children's Hospital 4.8company rating

    Hudson, OH jobs

    This is an 18-month temporary assignment with full benefit eligibility. Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs. The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent. Responsibilities: 1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community. 2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process. 3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations. 4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits. 5. Participates in departmental activities including performance and process improvement. 6. Other duties as required. Other information: Technical Expertise 1. Experience in full lifecycle recruiting is required. 2. Experience in applicable State and Federal employment laws is required. 3. Experience in working with all levels within an organization is required. 4. Experience in medium to large sized organizations is preferred. 5. Experience in healthcare is preferred. 6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred. Education and Experience 1. Education: Bachelor's degree in Human Resources or related field is required. 2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred. 3. Years of relevant experience: 3 years is required. 4. Years of experience supervising: None. Full Time FTE: 1.000000 Status: Remote
    $32k-45k yearly est. 5d ago
  • Senior, Patient Access Representative

    Sentara Health 4.9company rating

    Elizabeth City, NC jobs

    City/State Elizabeth City, NC Work Shift Third (Nights) Full-Time, Nights The Senior Patient Access Representative is a working resource to the patient registration teams. Responsibilities include registering patients for the Emergency Department, and/or various registration areas of the hospital. The Patient Access Team Leader also assists the Team Coordinator and department leadership by serving as registration system super-user, taking on-call rotation during the week and on the weekends, participating in the interviewing process, preparing and reviewing reports, performing QA audits, mentoring and training staff, managing department supply levels, and participating in meetings and workgroups. The Team Lead is required to meet the written requirements and competency to serve as a preceptor and to provide department orientation. If you desire, there are promotional opportunities in Patient Access such as a Team Coordinator. Up to $1,500Sign-On Bonus for Qualified Candidates! Education HS - High School Grad or Equivalent Certification/Licensure No specific certification or licensure requirements Experience 2 years of Customer Service and/or Data Entry Associate or bachelor's degree in Lieu of two years of experience Two years of previous experience in a healthcare environment in a related area Proficiency in Keyboarding K eywords: Customer Service, Patient Registration, Data Entry, Front Desk, First Point of Contact, Insurance, Insurance Verification, Talroo-Allied Health, Scheduling, Receptionist, Non-clinical, monster . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $30k-34k yearly est. 11d ago
  • Molecular Technologist I

    Sentara Health 4.9company rating

    Norfolk, VA jobs

    City/State Norfolk, VA Work Shift First (Days) Sentara Norfolk General Hospital in Norfolk, VA is hiring a Molecular Diagnostic Scientist tech to work full-time day shifts (0730-1600) in Molecular Diagnostics. Sign on bonus up to $20,000 for qualified candidates! As a Molecular Technologist duties are to preform molecular microbiology and molecular pathology based laboratory tests; utilizes critical thinking skills to interpret complex test results; documents and reports test results; maintains equipment, instruments, and tools. Understands the molecular laboratory workflow and contamination risks. Communicates clearly with pathologists and physicians. Demonstrates fiscal responsibility with regard to reagent and consumable usage. Strong time management skills are necessary to effectively complete workload Education Bachelor's in medical technology or Biology/Chemical/Physical Science Certification/Licensure ASCP, AMT, or AAB certification Eligible for certification Must obtain Molecular certification in 1 year keyword: MLS, medical laboratory scientist, MT, CLS, Clinical lab Specialist, Talroo-Allied Health , Laboratory Services, Molecular Technologist, MB . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day! Sentara Norfolk General Hospital , located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School. In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $41k-62k yearly est. 11d ago
  • Individual Provider

    Consumer Direct Care Network 4.5company rating

    Remote

    View the IP Hiring GuideCDWA Caregiver/Individual Provider CareersFor help with completing your application and to see the steps required to be an Individual Provider, view the IP Hiring Guide If you've started your application, click Sign In in the upper right-hand corner or on the Sign In page. Here you can complete your application or make changes to your contact information (email, phone, address). If you have already applied and want to check on your current application or have questions, email *******************************, call ************, or text ************. If you are currently working as a CDWA Individual Provider, do not reapply. If you have a new client and need to be matched to provide care, email *******************************, call ************, or text ************. If you are looking for an additional client, please visit Carina.org, where you will find a list of clients searching for Individual Providers (IP). Position Overview As an Individual Provider (IP), you will be at the forefront of the company as the go-to person for our clients! In this important role, you will provide in-home personal care and/or respite caregiving support to individuals who are authorized to receive in-home care services in the DSHS program. You will be an employee of Consumer Direct Care Network Washington. The Client or their Authorized Representative will be your managing employer and will work with you to develop a schedule to provide care based on the Client's monthly approved hours. As an Individual Provider, you will assist Clients with tasks which may include: Help with activities of daily living, such as walking, bathing, grooming, dressing, eating, and toileting. Transport Clients to and from appointments, errands, and activities. Assist with light housekeeping, meal prep, and medication reminders. Provide companionship. Monitor and report changes in health, behavior, and overall needs. Address Client needs with respect and attention to safety. Other authorized duties as assigned. Apply today if you want to help people live the life they want in their homes and communities! Requirements Be 18 years of age or older. Ability to handle the physical aspects of the work, including assistance with weight-bearing activities, frequent standing, walking, bending, squatting, kneeling, and lifting up to 50 lbs without assistance. Pass Washington State Name and Date of Birth and Fingerprint background checks and exclusion checks. Do not currently, nor will in the future, require visa sponsorship. Lawfully authorized to work in the U.S. Must reside in or be able to commute to the Client's residence in the state of Washington. Complete training requirements. To see what training requirements you will need: Training Requirements If you have a Client you want to provide care for, the Client must be authorized to receive in-home personal care or respite services from DSHS. If you don't have a Client now, CDWA will provide a source for you to find a Client. Have a valid and current driver's license if authorized to provide transportation for a Client. All vehicles used must have insurance coverage that meets Washington's minimum requirements. A valid email is required to apply and for communication with CDWA. Starting pay is $22.52/hour. Additional pay for certification may be available. Refer to SEIU 775 for more details and additional benefits. The Consumer Direct Care Network and its subsidiaries is an Equal Opportunity Employer and drug-free workplace. For additional information about the Individual Provider job posted, help applying, or for other employment questions please contact us at *******************************. Other helpful resources: IP Hiring Materials Consumer Direct Care Network Washington (CDWA)
    $22.5 hourly Auto-Apply 60d+ ago
  • Quality Improvement Coordinator (RN)- Part Time

    Sentara Health 4.9company rating

    Charlottesville, VA jobs

    City/State Charlottesville, VA Work Shift First (Days) Sentara Martha Jefferson Hospital is hiring a Quality Improvement Coordinator (Registered Nurse) for a part time, day shift in Charlottesville, VA. Hours: 20 per week, primarily mornings with some variations depending on business needs. Various scheduling options available for qualified candidates. The Quality Improvement team at Sentara Martha Jefferson has 4 members who are passionate about projects and initiatives that improve safety and patient satisfaction hospital wide. This is a rare opportunity to join and make a positive impact for our staff and patients. Ideal candidates will have supervisory or leadership background, have audit, data collection, and cause analysis experience. Example projects include: Code blue review, data and audit for restraint systems, and physician peer reviews. Each project is run individually with collaboration with the quality team. The Quality Improvement Coordinator is responsible supporting and implementing initiatives aimed at enhancing the quality and safety of patient care within the healthcare organization. Collaborates with clinical and administrative teams to assess, monitor, and improve healthcare processes, ensuring compliance with regulatory standards, accreditation requirements, and best practices. Education Bachelor of Nursing (BSN) required MLD or MSN Preferred Certification/Licensure Registered Nurse License valid in the state of practice required Specialty nursing certification in area of practice preferred (CCRN, CMSRN) Experience 2 years of acute care RN experience Required Previous leadership or supervisory experience highly preferred Plan and coordinate testing and inspection of products and processes experience preferred Implementation of corrective actions or continuous improvement initiatives experience preferred Experience in collection and analysis of data preferred #Talroo-Nursing Keywords, QIC, Quality, Part Time, Data Analysis, Registered nurse, RN, quality improvement, coordination . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Martha Jefferson Hospital, located in Charlottesville, VA, is a Magnet status, 176-bed facility featuring all patient-friendly private rooms. Since its founding more than 100 years ago, Sentara Martha Jefferson has constantly evolved to meet the diverse healthcare needs of the patients who trust us with their care. Today, our vision is as clear as it was to our founders. We will continue to set the standard for clinical quality and personalized healthcare services. Our hospital offers specialized care in Cancer Care, Heart and Vascular, Neurology and Neurosurgery (including a Primary Stroke Center), Orthopedics, and Maternity. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $59k-82k yearly est. 11d ago
  • RN Utilization Management remote - MediGold Health Plan

    Mount Carmel Health System 4.6company rating

    Columbus, OH jobs

    *Employment Type:* Full time *Shift:* *Description:* *Why MediGold?* [MediGold]( is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We're dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more. *Position Purpose* RN Utilization Management MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member's family and other resources as appropriate. Assist in the development of the Plan's UM Program and the review of the Plan's Utilization Management Plan. *What you will do* * Participates in designated committees and task forces according to the UM Program and at the direction of the Director, Utilization Management. * Coordinates with the utilization review, case management, discharge planning staff within network facilities. * Coordinates with Medical Director/Associate Medical Directors on case-specific issues. * Coordinates with Claims, Member Services, Grievance Coordinator and other operational departments regarding case management issues. * Documents and communicates to QM staff appropriately all identified quality concerns related to Members. * All other duties as assigned. *Minimum Qualifications* * Education: Associate or Bachelor's Degree in Nursing * Licensure / Certification: Current license to practice as a Registered Nurse in their home state or hold a compact nursing license. * Experience: Minimum of 5-7 years of clinical nursing experience with at least 2 years' experience in utilization review or case management. Nursing experience in an HMO insurance setting preferred· Demonstrated ability to analyze, summarize and concisely report medical utilization and medical chart audit results. * Ability to compare approved criteria with clinical information to determine appropriateness of service and to document all related information according to department policies and procedures. * Conducts claim review as required for appropriate claims processing *Position Highlights and Benefits:* * Mount Carmel Health System recognized by Forbes in 2025 as one of America's Best State Employers. * Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one. * Retirement savings account with employer match starting on day one. * Generous paid time off programs. * Employee recognition programs. * Tuition/professional development reimbursement starting on day one. * RN to BSN tuition 100% paid at Mount Carmel's College of Nursing. * Relocation assistance (geographic and position restrictions apply). * Employee Referral Rewards program. * Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day! * Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups. *Ministry/Facility Information:* Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You! We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, disability, veteran status, or any other status protected by federal, state, or local law.
    $51k-64k yearly est. 2d ago
  • Limited Scope Radiology Technician/Medical Assistant

    Sentara Health 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift Swing Shift Sentara Urgent Care Red Mill is now hiring a Part-time Rad-Tech Limited Scope/Certified Medical Assistant! **All Qualified Candidates Will Receive a Sign-on Bonus** Schedule: Clinic hours - 8:00a.m. - 8:00p.m. Monday-Friday. Saturday and Sunday, 8am-4pm. Schedule will vary. In Medical Assistant role, performs patient care and administrative/clerical related tasks and procedures based on training, education, and competency evaluations, and as delegated by and under the direction/supervision of the Physician, Nurse Practitioner/Physician Assistant (NP/PA), Registered Nurse (RN), or Licensed Practical Nurse (LPN). In Radiology Tech Limited role, provides patient care and limited skills in the performance of Radiographic examinations. Must practice within the limited scope as defined by the State Department of Health Professions. May only perform the following radiology examinations: Chest; extremities, pectoral girdle; skull/sinuses; spine; In addition, may perform abdominal and pelvic radiographic exams with appropriate evidence of training as stated in the State Department of Health Professions regulations on Limited Radiologic Technologists. Demonstrates the ability to maintain stable performance under stressful conditions; organizes and manages work to achieve results. Education HS - High School Grad or Equivalent Trade School or higher graduate Certification/Licensure Certified Medical Assistant (CMA), or Registered Medical Assistant (RMA), or Certified Clinical Medical Assistant (CCMA), or EMT Basic Certification Limited Radiology Technician state license as needed by state Basic Life Support (BLS) required within 90 days from hire Experience Clinical experience preferred Keywords: Medical Assistant, Talroo-Allied Health, Monster, RMA, CMA, CCMA, EMT, Urgent Care, LSRT Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $35k-45k yearly est. 9d ago
  • Emergency Department Technician I (Full time)

    Sentara Health 4.9company rating

    Woodbridge, VA jobs

    City/State Woodbridge, VA Work Shift Second (Evenings) Sentara Northern Virginia Medical Center is hiring a Full Time Emergency Department Technician! ED Tech - Emergency Department Sentara Northern Virginia Medical Center - Woodbridge, VA ~Full Time & Evening shift~ 3:00pm-3:00am 36 hours/week Overview Assists the Physician, Advanced Practitioner, or Nurse in implementing plans of care for emergency/minor emergency care patients. Performs patient procedures and treatments under the supervision of the Physician, Advanced Practitioner, or Nurse. De-escalation and physical intervention training within 15 days of hire. BLS certification within 90 days of hire for all incumbents. New incumbents must have one of the following in addition to the minimum Education : 1. EMT-B with state or national certification at time of hire OR 2. Successful completion of US Military Hospital Corps School, qualified MMAC candidates OR 3. Current student enrolled in clinical program (e.g., RN, LPN, Respiratory, Physical Therapy) having completed at least one semester within the program. Candidates with prior employment in the Sentara ED tech job code in the past two years will also be considered in lieu of the 3 criteria above. Education HS - High School Grad or Equivalent Certification/Licensure Basic Life Support (BLS) - Certification - American Heart Association (AHA) 1. EMT-B with state or national certification at time of hire OR 2. Successful completion of US Military Hospital Corps School, qualified MMAC candidates OR 3. Current student enrolled in clinical program (e.g., RN, LPN, Respiratory, Physical Therapy) having completed at least one semester within the program. Candidates with prior employment in the Sentara ED tech job code in the past two years will also be considered in lieu of the 3 criteria above. Experience Previous clinical experience (preferred) Sentara Northern Virginia Medical Center'sEmergency Departmentis a 37-bed facility that sees a wide range of acute and emergent diagnoses. Recently designated as a Level III Trauma Center, we see a multitude of traumatic injuries that require emergent stabilization. Also a certified Primary Stroke Center, we were recently awarded with the Get With the Guidelines Gold Plus Award for Stroke Care-the highest award a hospital can receive. We pride ourselves on being able to care for anyone and anything that comes through our door. From pediatric to geriatric patients and every age in between-we specialize in respiratory, cardiac, septic, and behavioral health alike. If working in a high-acuity, fast-paced environment along awesome teammates is exciting to you-come join our amazing ED family! Keywords: Talroo-Allied Health, ED, Emergency Department, ED Technician, ED Tech, Paramedic, EMT, clinical, nursing, student, tech . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Northern Virginia Medical Center located in Woodbridge, VA is a 183-bed not-for-profit hospital. We combine the resources of a major health system with the compassionate, personalized care of a community hospital. We offer quiet, private rooms and quality care focused on safety and patient satisfaction. Our clinical services include advanced imaging, cancer services, cardiovascular care, emergency care, lab services, orthopedics, weight loss services and more, all powered through Sentara eCare , a comprehensive electronic medical record system. In addition to our hospital, Sentara Health is enhancing access to healthcare services in Northern Virginia with outpatient and imaging centers in Lake Ridge, Lorton, Springfield and Alexandria, Va. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $27k-32k yearly est. 2d ago
  • Phlebotomist - Clinical Lab Assistant l

    Sentara Health 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift First (Days) Sentara Virginia Beach General Hospital is hiring an experienced Phlebotomist-Clinical Lab Assistant to work part time day shift in central testing! (2p-6p) As a phlebotomist -clinical lab assistant duties are to perform patient phlebotomy while maintaining the highest level of customer service. Collects, labels, and processes patient specimens for testing. Responsible for registration and test data entry. Monitors supply levels. Education High School Grad or Equivalent (required) Phlebotomy course (preferred) Certification/Licensure Phlebotomy certification (Preferred) BLS required within 60 days of hire Experience 1 year of experience (required) Keyword: laboratory services, phlebotomy, Talroo-Allied Health, phlebotomist . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Virginia Beach General Hospital , located in Virginia Beach, VA, is home to the region's only Level III Trauma Center. Our 273-bed facility has a long history of commitment to our communities of Virginia Beach, Eastern Shore, and Northeastern North Carolina, offering specialized tertiary services as well as many advanced clinical services. We are located just 15 minutes from VA Beach Town Center and just a few minutes to the Oceanfront. As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart, vascular, neuroscience, neurosurgery, orthopedics and spine care, cancer care, advanced imaging, and behavioral health. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $28k-32k yearly est. 11d ago

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