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Alameda Health System Remote jobs

- 29 jobs
  • Applications Analyst III - PACS, Full Time, Hybrid

    Alameda Health System 4.4company rating

    Oakland, CA jobs

    SUMMARY: Implements and supports assigned applications from both the application-user and technical perspectives; provides application support for their assigned application, in addition to providing triage and troubleshooting assistance to the application customers and Service Desk staff. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Obtains and documents software design specification based on user requirements. 2. Analyzes systems compatibility and configures system in accordance with operation and technical requirements. 3. Actively participates in the installation, configuration, and problem resolution for the product. 4. Provides end-user support and training either remotely from the system or onsite. 5. Provides consultation, analysis, evaluation, options, and implementation of workflow changes and improvements. 6. Coordinates follow-through on user requests using established reporting structure. Makes recommendations as needed for system changes and enhancements. 7. Documents and prioritizes all problem reports and documents resolution in accordance with application and Service Desk triage policies, procedures, and Change Control processes. 8. Follows established application support and IS department policies and procedures for change control processes. 9. Is encouraged to participate in and is an active member of appropriate national and local application User or Support groups. 10. Provides trend analysis of problems and documents suggested resolutions to management. 11. Provides application-specific guidance, training and documentation to the Service Desk. 12. Responsible for general problem identification and resolution working with project staff, IS staff, other application analysts and vendors during implementations, upgrades and support. 13.May review and manage various system log files, error reports, alert audit logs, and security access logs, as assigned. 14. Works with Alameda Health System IS and application testing, technical, product, and interface teams to perform assigned testing activities supporting upgrades, enhancements, new functionality, application and system changes, and modifications. 15. Performs other duties as assigned. Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. MINIMUM QUALIFICATIONS: Required Education: High School diploma or equivalent. Preferred Education: Bachelor's degree in business, information systems, healthcare or other related field. Required Experience: Four years of experience in a related area; experience with project and cross-functional team coordination, in highly complex, diverse environments; experience with application testing methods and practices; experience communicating across the organization to both IS/ Operational Leaders and customers; hospital and/or other health care application experience. Preferred Experience: Experience in application implementation using diversified application lines of information systems; experience providing support, training, and/or implementation support for complex projects that require coordination of resource and project planning; experience with electronic health record systems; experience working in a matrix environment with a matrix reporting relationship. Required Licenses/Certifications: If position is for Epic, certification required within 6 months in the application being supported. PAY RANGE: $52.46 - $87.44 / hour The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licenses and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program.
    $52.5-87.4 hourly 60d+ ago
  • Physician, Radiology - IR/DR Radiology (Jackson, CA)

    Sutter Health 4.8company rating

    Sacramento, CA jobs

    Opportunity Information Sutter Medical Group (SMG) seeks to hire a BE/BC fellowship-trained Body Imaging Radiologist to join an established practice in Jackson, CA. Sutter Imaging is seeking a fellowship-trained imager and to join our close-knit, quality care-centered group within a larger, financially strong, and stable organization. We are seeking a candidate who enjoys the flexibility to work from home and working on-site including diagnostics and IR. This role offers a dynamic work environment with moderate volumes and opportunities for professional growth. The schedule is flexible to allow a good work/life balance. Weekend, STAT, & Flex shifts are available to read from home for anyone wishing to expand income beyond their base salary. Qualifications Board certified/Board eligible Join Us and Enjoy * PLSF eligible * Subspecialty-structured radiology group with advanced practice technology * $600,000 Base compensation with opportunities to earn additional income through flex shifts* * $50k sign-on bonus (paid in 2 parts) * Assistance with relocation expenses * Generous benefits, including employer-matched 401(k) and profit-sharing * Shareholder track * CME allowance * Equitable practice and scheduling structure * A positive work-life balance and Northern California's natural beauty and lifestyle * 10 weeks scheduled vacation * 4-day average work week * Holidays are shared equitably * Ability to work some shifts from home (Weekend, STAT, & Flex Shifts) Organization Details Sutter Medical Group is a successful, 1,500+ member multi-specialty group offering physicians the opportunity to build their practices within a progressive, financially sound, and collaborative organization. SMG is recognized as a Top Performing Physician Group by the Integrated Healthcare Association. Our members are dedicated to providing the highest quality and most complete health care possible to the people in the communities we serve in the greater Sacramento Valley Area of Amador, Placer, Sacramento, Solano, and Yolo Counties. Community Information Jackson, CA is a charming historic town nestled in the Sierra Nevada foothills, known for its Gold Rush heritage and small-town appeal. The downtown area features preserved 19th-century architecture, boutique shops, and local wineries that reflect the region's rich past. Surrounded by scenic rolling hills and outdoor recreation, it's a gateway to hiking, fishing, and exploring California's wine country. Jackson offers a peaceful lifestyle with a strong sense of community, just an hour southeast of Sacramento. Equal Opportunity Statement It is the policy of Sutter Health and its partners to provide equal employment for all qualified individuals; to prohibit discrimination in employment because of basis of race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state or federal law, ordinance or regulation. We promote the full realization of equal employment opportunities through a positive continuing program within each medical group, company, hospital, department, and service area. Equal employment opportunities apply to every aspect of Sutter's employment policies and practices.
    $58k-74k yearly est. 27d ago
  • Clinical Performance Improvement Consultant, Clinician

    Sutterhealth 4.8company rating

    Emeryville, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Bay Provides clinical leadership, direction, consultation, guidance, and support for performance improvement strategies to improve treatment and care of patients with specific disease processes. Leads and facilitates the development, deployment and monitoring of clinical quality improvement projects, patient safety improvement initiatives, and organization improvements to achieve top decile clinical outcomes and accelerate the achievement of clinical quality and safety goals. Provides clinical expertise, performance improvement consultation, analysis, gap assessment, group/team facilitation and development, and guidance for the dissemination of practices that result in improved clinical outcomes. Deliverables result in practical, significant, and measurable improvements in quality, safety, service, and efficiency across the organization. Consults and coaches process owners, value stream owners, paired leaders, and sponsors. Contributes to the development and execution of training and infrastructures for the enterprise performance management system. This is a work from home role with onsite requirements. The successful candidate will live within the Sutter footprint. Job Description: EDUCATION: Bachelor's: Nursing or related field Graduate of an accredited school of nursing or equivalent education/experience. Specific training or experience in performance Improvement CERTIFICATION & LICENSURE: RN-Registered Nurse of California OR MD-Medical Doctor OR DO-Doctor of Osteopathy OR PA-Physician Assistant OR NP-Nurse Practitioner TYPICAL EXPERIENCE: 8 years recent relevant experience. SKILLS AND KNOWLEDGE: Thorough knowledge of health care delivery and quality improvement is required, including clinical care management and/or quality management. Knowledge of lean performance improvement methodology and management systems. Demonstrated ability to successfully influence and develop effective working relationships with healthcare executives, physician, and clinical leaders. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $105.05 to $137.61 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $87k-99k yearly est. Auto-Apply 10d ago
  • Manager Integrated Case Mgmt-SCMG - Corporate/Remote - FT - Days

    Sharp Healthcare 4.5company rating

    San Diego, CA jobs

    Hours: Shift Start Time: 8 AM Shift End Time: 5 PM AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $69.370 - $89.510 - $109.650 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do Under the direction of the Sharp Community Medical Group (SCMG) Director for Health Service and in collaboration with the Health Services leadership team, this position is accountable for the development and implementation of an effective Hospital Case Management program (HCM) and Ambulatory Case Management (ACM) program that encompasses a patient centered care management approach that includes referral management, prior authorization, Case Management and Disease Care Management and Pharmacy. Manages the operations of the Hospital Case Management program and Ambulatory Case Management (ACM) Department and is responsible for the execution and coordination of all ACM activities including Pharmacy. Helps to plan, develop, organize, monitor, communicate and recommend modifications to the HCM Program, ACM Program and Pharmacy Program including all HCM, ACM and Pharmacy policies and procedures. Coordinates interdepartmental projects to assure quality outcomes. Develops and implements operational policies and procedures that have a direct impact on the HCM and ACM programs in accordance with NCQA standards, legislative, and contracted health plan requirements. Provides direct supervision of the HCM and ACM staff and models effective leadership and mentoring skills. Promotes staff development using the concepts and tools supporting the Sharp Experience. Collaborates with Sharp Management team to facilitate internal and external committees and/or initiatives to address quality improvement as a representative of SCMG. Provides support to the VP for Clinical Operations and HS leadership team to ensure regulatory and legislative compliance for the division. Under the direction of the SCMG Director for Health Services, develops financial (budget) and operational strategy of HCM and ACM Departments. Required Qualifications Bachelor's Degree in Nursing Or Bachelor's Degree in Healthcare Administration. California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED Preferred Qualifications Master's Degree in nursing, healthcare, quality, or business. 5 Years clinical nursing experience in acute care hospital setting. 2 Years management, service line or program experience. Certified Professional in Healthcare Quality (CPHQ) - National Association for Healthcare Quality -PREFERRED Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED Other Qualification Requirements Other relevant QM/UM/CM certification preferred. Essential Functions Supervisory Develops and implements policies and procedures that have direct impact on the Hospital Case Management, Ambulatory Case Management and Pharmacy programs in day to day operations. Provides direction and leadership to the Hospital Case Management, Complex Case Management, Disease Management and Pharmacy program staff. Promotes consistency, communication, fairness and respect within the department for all employees. Adheres to Sharp Healthcare human resources policies and ensures timely evaluation for employees per Sharp Healthcare policies. Establishes goals and objectives for each direct report in compliance with performance management policies. Maintains consistent follow-up with direct reports to support attainment of goals set. Develops, facilitates and updates training programs throughout SCMG to ensure staff has knowledge that allows them to complete their assigned tasks. Compliance Manages HCM, ACM and Pharmacy operations in accordance with National Committee on Quality Assurance (NCQA) and Health Plan requirements and ensures that new requirements are identified on a timely basis. Collaborates with SCMG Management and HSM Management staff in quality related activates to ensure compliance with health plan contracts, legislative policies and SCMG specific requirements. Works with SCMG Management, HSM lead, supervisor and staff to identify issues and initiate improvements. Works with Director, Health Services and VP for Clinical operations and Health Services to ensure timely submission of required Utilization, Case Management and Disease Management Work plans to Health plans; if required submits corrective action plans within agreed upon time frames. Ensures appropriate and timely compliance with quality and compliance requirements. Develops and enforce policies and procedures for HSM that involve Case Management and UM. Serves as the SCMG HCM/ACM liaison to outside compliance agencies to ensure collaboration with other Med Groups and Health plans (i.e. ICE, IHA, NCQA). Financial Develops, monitors, and maintains unit budget within approved limits. Responsible for identification and implementation of cost savings strategies. Maintains an excellent understanding of health plan incentives targeted at efficiency measures, i.e. Pay for Performance, 5 STAR, HEDIS and health plan specific programs, etc. and implements processes to achieve SCMG targets. Supports development and implementation of initiatives and strategies targeted at maximizing group performance in incentive programs such as IHA's Pay for Performance Program etc. Reporting and Data Analysis Implementation and maintenance of a regular reporting system for operational and quality outcome indicators. Analyzes and implements actions plans using these reports to measure and improve patient care outcomes and operational efficiency and effectiveness. Reports key performance measurement and quality improvement initiative results to the Quality of Care Committee. Knowledge, Skills, and Abilities Demonstrated working knowledge of managed care, capitation, provider payment mechanisms and member benefits. Demonstrated experience and the ability to lead staff and daily operations. Demonstrated ability to develop, implement and monitor program direction and continuous performance improvement initiatives. Excellent written and verbal communication skills, customer service skills and leadership skills. Strong working knowledge of clinical practice and medical necessity guidelines. Strong analytical, problem solving, concurrent and retrospective data management and computer skills. Ability to establish good working relationships with all levels of support staff, providers, administrative staff and all other internal and external customers. Demonstrated positive personal influences on teams and customers including the willingness to accept change proactively. Demonstrated ability to be flexible and responsive to needs of organization and possess ability to balance the needs of multiple priorities. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
    $109.7 hourly Auto-Apply 60d+ ago
  • Ambulatory Clinical Pharmacist IV

    Sutterhealth 4.8company rating

    San Francisco, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: PAMF-Palo Alto Medical Foundation PAD is eligible to work from home but must be available to go on-site as needed** Oversees and delivers pharmaceutical care through the provision of patient-centered clinical service, medication information, education, medication preparation and distribution that ensures safe, effective, and cost efficient medication therapy. Exercises sound judgment, and developed clinical skills to provide input to and implement the patient's plan of care based on the diagnosis in a timely manner. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent patient assessment, attentive monitoring and care, and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific procedures and/or teaching duties. Uses professional judgment and clinical expertise in the daily solving of complex problems. Job Description: JOB ACCOUNTABILITIES: Initiates, monitors, modifies, and discontinues patients' drug therapy under the supervision of a physician in accordance with a collaborative practice agreement and approved protocol in keeping with the principles of comprehensive Medication Therapy Management (MTM) programs. Completes medication regimen review from a clinical, safety, and cost perspective to identify duplicate therapy, high-risk medications, drug interactions and cost-effective alternatives Supports patients and their families in their self-management of complex medication regimens, including the disease management of those living with a chronic condition. Proactively contacts patients after hospital discharge to reconcile medications, answer questions on new medications that were started in the hospital, evaluate patient compliance with new drug regimens, and follow up with the patient regarding side effects of new medications. Education of practice staff and team on contemporary issues related to pharmacotherapy and outcomes management, including communication efforts related to mediation management. Develops and maintains positive, productive relationships with healthcare team members and representatives of community agencies. Education and counseling of patients on medications. Improvement efforts related to drug intelligence - research for evidence-based medication use and education on the same. Supports process improvement efforts and educates co-workers. Develops and maintains positive working relationships with hospital unit staff and management. Relates with tact and respect to internal and external customers with diverse cultural and socioeconomic backgrounds, some of whom may be exhibiting varying levels of distress. Effectively collaborates with other team members on interdependent tasks, and actively supports the implementation of plans to accomplish team objectives. Actively builds positive relationships with internal and external customers. Uses effective communication skills with colleagues to resolve issues in a timely, positive, and productive manner. Provides and accepts direct, constructive feedback from colleagues. EDUCATION PHARMD-Graduate of an accredited pharmacy school CERTIFICATION & LICENSURE PHARMR-Current registration or Registered Pharmacist within 120 days TYPICAL EXPERIENCE: 3 years recent relevant experience. SKILLS AND KNOWLEDGE: Knowledge of medical terminology, generic and trade pharmaceutical names, pharmaceutical calculations and laws and regulations. Knowledge and understanding of different Pharmacy practice settings, including narcotic delivery and procedures. Knowledge and ability to identify and employ pharmaceutical and medical terms, abbreviations and symbols commonly used in prescribing, dispensing, and record keeping of medications. Requires a basic working knowledge of legal requirements and accreditation standards including The Joint Commission, Title XXII, Department of Homeland Security (DHS), Drug Enforcement Administration (DEA), Food and Drug Administration (FDA), and United States Pharmacopeia (USP). Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), related pharmaceutical technology, Electronic Health Records (EHR), and EPIC. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: None Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $98.34 to $113.09 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $98.3-113.1 hourly Auto-Apply 5d ago
  • Officer, Clinical & Healthcare Risk

    Sutterhealth 4.8company rating

    Santa Barbara, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office - Santa Barbara This position requires routine on-site work at Sutter Sansum Clinic and regular travel to throughout the Central Coast of California. There is some flexibility for work from home as approved by the HCR Director. Candidate must reside within 60 minutes of Sansum Clinic in Santa Barbara, CA. Lead the affiliate risk and risk mitigation operational functions in assigned affiliate(s). Collaborates with affiliate leadership to improve the patient experience and patient safety by identifying and controlling risks, reducing and eliminating the possibility of losses associated with healthcare delivery and related core business activities. Collaborate with affiliate and system leadership in developing and executing pro-active patient safety focused risk management, risk mitigation, and loss prevention programs. Develop a collaborative relationship with other members of the Office of the General Counsel (OGC) and Compliance in order to ensure risk, legal and regulatory concerns are addressed properly. Job Description: The person hired for this role will support Sansum Clinics in the Santa Barbara and surrounding areas. Candidate must be able to do local travel to other sites in the surrounding areas. EDUCATION Equivalent experience will be accepted in lieu of the required degree or diploma. Bachelor's in Business, Healthcare Administration, Risk Management, Nursing or related field CERTIFICATION & LICENSURE CPHRM - Certified Professional in Healthcare Risk Management within 18 months PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: 8 years recent relevant experience SKILLS AND KNOWLEDGE Knowledge of healthcare-related state and federal law and regulations including accreditation and professional standards Thorough knowledge of methods used to identify and develop solutions to loss and risk control problems Broad knowledge of healthcare risk identification and control methods, loss reduction and prevention activities, and claims management Understanding of and experience with Lean or other process improvement philosophies and methodologies desired Practical knowledge of healthcare quality review/improvement and accreditation processes Broad knowledge of risk management best practices and methods used to limit exposure liability and risk Proven ability to effectively and independently utilize consultative skills and maintain excellent interpersonal relationships Demonstrate capability to communicate verbally and in writing in a clear and concise manner with leaders, staff and physicians in affiliate and across Sutter Health Proven ability to communicate and mobilize staff in order to implement risk management strategies Strong RCA, FMEA , problem solving skills and ability to reprioritize workload as needed to assure completion of work Demonstrated ability to identify risks, review past incidents, and liability claims and make recommendations to minimize risk Basic computer literacy, including knowledge of word processing, email, and use of the internet Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: As Needed, Saturday, Sunday Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $60.70 to $91.05 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $60.7-91.1 hourly Auto-Apply 10d ago
  • Supervisor, Charge Edit and Audit

    Sutterhealth 4.8company rating

    Sacramento, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: S3-Sutter Shared Services-Valley is eligible to work from home within the Sutter Health northern California footprint. Provides supervisory coaching and support; issue identification, assessment, and resolution; and technical support to achieve desired outcomes and compliance with Sutter Health policies/procedures and standards. Manages team workload, resources and compliance with service level agreements to ensure activities are executed accurately and efficiently. Assists in establishing and maintaining strong, collaborative relationships with all internal and external customers to identify additional ways to be of service and ensure customer satisfaction. Job Description: EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma Bachelor's degree in Health Information Management or related field CERTIFICATION & LICENSURE: CPC-Certified Professional Coder OR COC-Certified Outpatient Coding OR RHIT-Registered Health Information Technician OR RHIA-Registered Health Information Administrator TYPICAL EXPERIENCE: 5 years recent relevant experience SKILLS AND KNOWLEDGE: Extensive knowledge of all areas related to Charge Capture and how they interrelate. In-depth knowledge of medical and billing terminology, common procedure terminology, diagnosis codes, healthcare common procedure coding system, and revenue codes. Knowledge of government and/or commercial payer requirements. Knowledge of Federal, State, and Local regulatory publications and how to access. Knowledge of Outpatient National Correct Coding Edits. Demonstrated ability to review a health record and determine applicable charges/codes for hospital/facility billing for a range of service lines including surgical coding and diagnosis codes Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI, Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred) and hospital billing functions. Proficient with Microsoft Office computer applications (Excel, Word, and PowerPoint). Effective organizational skills with the ability to prioritize and manage multiple functions and responsibilities simultaneously. Verbal and written communication and interpersonal skills. Demonstrated leadership skills, including team building, and coaching/mentoring with the ability to motivate and engage others. Ability to work in a dynamic and fast-paced environment with changing business priorities. Organizational and time management skills, with the ability to prioritize multiple projects while delivering quality service/achieving business results. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: None Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $60.70 to $91.05 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
    $60.7-91.1 hourly Auto-Apply 26d ago
  • Pharmacy Technician Supervisor

    Sutter Health 4.8company rating

    Los Altos, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: PAMF-Palo Alto Medical Foundation CAD is eligible to work from home but must be available to go on-site as needed Responsible for daily departmental operations, implementing standardized processes and best practices, carrying out the concept of one team, assisting in monitoring compliance with regulatory, accreditation, and safety standards. Monitors every day activities and maintains an effective working relationship with internal and external customers. Collaborates closely with referring physicians, physician office staff, physician liaisons, and all other key department managers impacted by these services. Job Description: JOB ACCOUNTABILITIES: OPERATIONS: * Plans, organizes, and directs the workflow in assigned financial areas, ensuring the quality and quantity of work produced. * Creates a culture of patient centered care and customer service, consistent with the organization's mission, values, and vision. * Responsible for supervising and assigning staff resources to ensure all registration functions are adequately staffed. * Collaborates with others to coordinate services, streamline work flow, standardize procedures, and/or drive positive outcomes. * Identifies areas of non-compliance or vulnerability, developing, recommending and implementing corrective action plans to address or minimize risk. * Keeps leadership informed of operations, and escalates complex issues requiring higher level direction. PLANNING: * Identifies ways to improve work processes, enhance quality, productivity, and service delivery. * Participates in departmental goal setting process and communicates goals to staff. * Monitors staff productivity, ensuring optimal use of resources and makes appropriate changes in response to fluctuations in workload. * Provides input to leadership chain of command on current and future needs of personnel to meet needs of clients and/or operational demands. * May prepare reports and/or analyses, identifying operational trends and recurrent issues, and recommends and implements course of action. FINANCIAL MANAGEMENT: * Assists in meeting financial targets by effectively managing and utilizing personnel and resources. * Manages and monitors staffing to minimize labor costs. * Monitors expenses and works with leadership to develop and implement corrective actions plans to address unfavorable variances. * May participate in the operating and capital budgeting process. PEOPLE: * Supervises assigned staff, makes or provides input into hiring and termination decisions, develops work schedules, and reviews and approves timekeeping records. * Sets and maintains expectations with all direct reports and holds individuals and work teams accountable. * Evaluates staff performance and recommends associated merit increase. Provides constructive feedback, coaching and counseling. Implements disciplinary actions and/or performance improvement plans to achieve desired performance. Works with leadership when major disciplinary action is necessary and, if appropriate, in consultation with Human Resources. * Provides opportunities for career development, role expansion, and cross-training. * Develops department training and orientation plans, ensuring staff meets competency requirements and participates in appropriate education and training programs. * Conducts staff meetings for informative and educational purposes. * Responds timely to alleged violations of policies, procedures, regulations and standards of conduct by evaluating or recommending the initiation of investigative procedures. EDUCATION: * HS Diploma or General Education Diploma (GED) TYPICAL EXPERIENCE: * 5 years of recent relevant experience. SKILLS AND KNOWLEDGE: * Solid understanding of medical terminology and insurance. * Familiarity with general hospital management principles, practices, and procedures. * Knowledge and understanding of applicable local, state, federal and other laws, regulations and requirements impacting department operations. * Leadership skills, including team building, and coaching/mentoring with the ability to motivate and engage others. * Organizational and time management skills, with the ability to prioritize multiple projects while delivering quality service/achieving business results. * Demonstrates ability to work in a dynamic and fast-paced environment with changing business priorities. * Ability to work concurrently on a variety of tasks/projects in an environment that may have competing priorities, be high volume, and working with individuals having diverse personalities and work styles. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: None Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $43.34 to $65.00 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $43.3-65 hourly 3d ago
  • Business Intelligence Developer III

    Sutterhealth 4.8company rating

    Sacramento, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley REQUIRES IN OFFICE 2 DAYS A WEEK IN SACRAMENTO Develops data reporting frameworks for the presentation and delivery of metrics, key performance indicators, dashboards, and analytics. Provides end-to-end reporting and analytical services to internal business partners and leadership. Also synthesizes and leverages clinical, administrative, and consumer data in order to model complex problems, gain insights, and identify opportunities. Designs, develops, and implements Business Intelligence (BI) solutions, databases, data warehouses, data marts, interfaces, custom programming, complex reports, and analysis. Lastly, interprets and articulates the results of complex improvement experiments including developing risk algorithms, delineating variations in physician practice patterns, and return on investment (ROI) analyses. *This position is hybrid (work-from-home eligible on some days and on-site on other days). Northern California residents only. Job Description: REQUIRES IN OFFICE 2 DAYS A WEEK IN SACRAMENTO EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. Bachelor's in Applied Statistics, Computer Analytics, Computer or related field TYPICAL EXPERIENCE: 5 years recent relevant experience. SKILLS AND KNOWLEDGE: Advanced knowledge of BI tools such as Power BI and Tableau Advanced knowledge of DAX Advanced knowledge of SSAS Tabular Models Advanced knowledge of database programming and statistics Advanced knowledge of Microsoft Access, Excel, PowerPoint, and Word Expert knowledge of Structured Query Language (SQL) Server Reporting Service or other BI applications. Establish and maintain cooperative working relationships with clients, IS team members, management, and executive personnel/staff. Verbal and writing skills to effectively communicate with diverse groups such as: executives, managers, and subject matter experts. Set priorities which accurately reflect the relative importance of job responsibilities and prioritize assignments to complete work in a timely manner. Analyze information, problems, situations, practices, or procedures in order to identify relevant concerns and factors. Perform a variety of duties and often change from one task to another of a different nature with frequent interruptions and/or distractions. Skilled in developing documentation at a technical and user level. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $50.16 to $75.24 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
    $50.2-75.2 hourly Auto-Apply 41d ago
  • Physician, Radiology - Body (Sacramento, CA)

    Sutter Health 4.8company rating

    Sacramento, CA jobs

    Opportunity Information Sutter Medical Group (SMG) seeks to hire a BE/BC fellowship-trained Body Imaging Radiologist to join an established practice in Sacramento, CA. Sutter Imaging is seeking a fellowship-trained body imager to join our close-knit, quality care-centered group of mammographers within a larger, financially strong, and stable organization. We are seeking a candidate who enjoys the flexibility to work from home and working on-site, dedicated almost exclusively to body imaging, including diagnostics and procedures. This role offers a dynamic work environment with moderate volumes and opportunities for professional growth. The schedule is flexible to allow a good work/life balance. Weekend, STAT, & Flex shifts are available to read from home for anyone wishing to expand income beyond their base salary. Qualifications Board certified/Board eligible Join Us and Enjoy PLSF eligible Subspecialty-structured radiology group with advanced practice technology $600,000 Base compensation with opportunities to earn additional income through flex shifts* -Day Radiologist: 179 shifts/yr (130 weekdays, 22 weekends, 27 evenings) -Evening Radiologist: 165 shifts/yr (143 weekdays, 22 weekends) -Swing Radiologist: ~160 shifts/yr (138 weekdays, 22 weekends) -Night Radiologist: 123 shifts/yr $50k sign-on bonus (paid in 2 parts) Assistance with relocation expenses Generous benefits, including employer-matched 401(k) and profit-sharing Shareholder track CME allowance Equitable practice and scheduling structure A positive work-life balance and Northern California's natural beauty and lifestyle 10 weeks scheduled vacation 4-day average work week Holidays are shared equitably Ability to work some shifts from home (Weekend, STAT, & Flex Shifts) Organization Details Sutter Medical Group is a successful, 1,500+ member multi-specialty group offering physicians the opportunity to build their practices within a progressive, financially sound, and collaborative organization. SMG is recognized as a Top Performing Physician Group by the Integrated Healthcare Association. Our members are dedicated to providing the highest quality and most complete health care possible to the people in the communities we serve in the greater Sacramento Valley Area of Amador, Placer, Sacramento, Solano, and Yolo Counties. Community Information Sacramento, the capital city of California, offers an exceptional quality of life that makes it a great place to live. One of the standout features of Sacramento is its vibrant food scene. Known as the "Farm-to-Fork Capital," the city boasts a plethora of restaurants, farmers' markets, and food festivals that celebrate fresh, locally sourced ingredients. This culinary richness is complemented by a strong sense of community, where residents enjoy a variety of local events, cultural festivals, and community activities that foster a warm and inclusive atmosphere. Additionally, Sacramento's strategic location provides easy access to some of California's most popular destinations. Just a short drive away, you can find yourself in the bustling city of San Francisco, enjoying the world-class wine country of Napa Valley, or experiencing the stunning natural beauty of Lake Tahoe, which offers both winter sports and summer recreational activities. The city's proximity to diverse landscapes means residents can easily enjoy the snow-capped mountains, scenic coastlines, and lush forests. Sports enthusiasts in Sacramento also have much to cheer about. The city is home to the Sacramento Kings, an NBA team that brings exciting basketball action to the Golden 1 Center. Moreover, the recent relocation of the Oakland A's to Sacramento has added another layer of excitement for baseball fans. With its rich cultural scene, convenient location, and passionate sports culture, Sacramento truly stands out as a dynamic and desirable place to live. Equal Opportunity Statement It is the policy of Sutter Health and its partners to provide equal employment for all qualified individuals; to prohibit discrimination in employment because of basis of race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state or federal law, ordinance or regulation. We promote the full realization of equal employment opportunities through a positive continuing program within each medical group, company, hospital, department, and service area. Equal employment opportunities apply to every aspect of Sutter's employment policies and practices.
    $144k-189k yearly est. Auto-Apply 60d+ ago
  • Finance Program Manager, Facilities IV

    Sutterhealth 4.8company rating

    Sacramento, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Responsible for development and maintenance for Sutter Health enterprise facilities management (FM) finance program. The role includes leading the strategic design and implementation of the program including the interface with related system office service lines, Facility & Property Services service lines, and affiliate facility teams. The work of this role informs Executive Leadership for decision making regarding operations, costs and projecting future capital expenses to maintain Sutter Health owned and operated assets. This position follows departmental processes to perform tasks such as developing and maintaining FM operating budget reports, managing coding standards, overseeing capital planning and infrastructure reinvestment programs, and providing support for expense management, utility finance, project management, department technology, vendor contracts, and finance-related training. This is a hybrid position with both work from home and onsite requirements. Job Description: EDUCATION: Bachelor's: facility management, project management, business or related field or equivalent experience/education Other: Advanced Project Management, Finance or Technology (based on area of work focus) training and certification from business acknowledged organizations TYPICAL EXPERIENCE: 8 years of recent experience. SKILLS AND KNOWLEDGE: In-depth knowledge of energy markets and procurement principles. In-depth familiarity with the energy management field's principles, theories, concepts, practices, processes and procedures, including plug load optimization, heat recovery, HVAC replacements and sources of renewable energy. Knowledge of licensing requirements Familiarity of OSHPD permitting requirements. General knowledge of real estate energy accounting practices. Verbal and written communication skills, solid interpersonal and conflict resolution abilities and work group facilitation skills. Demonstrated human resource management skills including the ability to attract, retain, motivate, develop and manage performance of staff. Demonstrated negotiation skills balancing attention to details with an ability to operate strategically. Leadership skills and the ability to initiate and maintain clear communications. Demonstrated ability to lead teams, delegate tasks, manage and balance multiple interests, and resolve conflicts. Consultative skills to gather needs and translate requests into potential solutions. Client relationship management skills to maintain positive relations between fpd and affiliate leadership. Familiarity with word processing, spreadsheet, presentation and business communications computer software programs, Microsoft Word, Project, Excel, Yardi and/or other real estate asset management software is preferred. Skills in identifying, researching/ analyzing and creatively resolving problems. Great vendor management skills An appreciation for order with a healthy dose of flexibility Excellent independent decision making skills and obsessive attention to detail Excellent customer service Can-do attitude and the ability to solve a wide variety of problems creatively and quickly Proficient in MS Office and possess strong written, verbal and people skills Advanced skills in area of focus technology including, Bluebeam, CAD, Tableau, ERP systems (Lawson), or similar tools Advanced skills in reading and articulating architectural plans (when in area of focus) Job Shift: Days Schedule: Full Time Days of the Week: Friday, Monday, Monday - Friday, Thursday, Tuesday, Wednesday Weekend Requirements: None Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $60.70 to $91.05 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $60.7-91.1 hourly Auto-Apply 3d ago
  • Staff Nurse II, Cath Lab/IR/Hybrid OR

    Sutterhealth 4.8company rating

    Oakland, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: ABSMC-Summit Campus Accountable for the assessment, coordination, delivery and evaluation of nursing care, including direct patient care, patient/family education and transitions of care in an acute patient setting. Delivers holistic and individualized care to all patients in an assigned area. Develops, implements, and coordinates a plan of care that incorporates psychological, sociocultural, spiritual, economic, and life-style factors. Fosters and maintains collaborative relationships between patients, their family/support group, physicians, and other healthcare providers through timely and effective communications. Adheres to hospital policies, industry standards, best practices, and applicable laws and regulations to promote an optimal patient experience. Job Description: SKILLS AND KNOWLEDGE Demonstrates working knowledge of patient care techniques, medications, treatments and general health care procedures Strong communication and interpersonal skills. Ability to work in fast-paced environment with changing priorities. Ability to: provide basic patient care to a diverse patient population• read/interpret general business periodicals, professional journals, technical procedures or governmental regulations• write legibly and effectively present ideas, document activities• demonstrate leadership abilities• deal with problems involving several variables in situations where only limited standardization exists EXPERIENCE Minimum one year current experience in area of specialty Required DEPARTMENT-SPECIFIC EXPERIENCE Experience in Noninvasive Cardiac Stress Testing and monitoring of cardiovascular special procedures Required. Cath Lab experience is required. RN should be able to function and circulate in the following cases: left heart cath, right and left heart cath, coronary interventions, Stent placement, IABP, IVUS, rotoblator, radi-wire, EP/A-flutter/A-fib Ablations, Pacemaker/AICD/Bi-V implants and all cases in IR/CT/US. Competencies should include administering medications used in CVSP including sedatives, vasoactive, intra-coronary, intravenous, intramuscular and oral medications including its antidotes. Successful completion of program or course in hemodynamic monitoring and EKG recognition. Experience in scrubbing procedures preferred, or demonstrates practical knowledge of sterile techniques. EDUCATION Graduate of an accredited school of nursing Required BSN Preferred LICENSURES AND CERTIFICATIONS Registered Nurse - State Licensure - RN Required Basic Life Support Certification - BLS Required Advanced Cardiac Life Support - ACLS Required Job Shift: Days Schedule: Part Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: As Needed Benefits: Yes Unions: Yes Position Status: Non-Exempt Weekly Hours: 32 Employee Status: Regular Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $77.73 to $105.16 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
    $77.7-105.2 hourly Auto-Apply 60d+ ago
  • Clinical Informatics Analyst III, CDI

    Sutterhealth 4.8company rating

    Sacramento, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Designs and develops advanced reporting and analytics, integrating clinical, operations and financial data and providing quantitative and qualitative analysis and actionable information to drive clinical/ancillary process improvement and/or to develop workflow enhancements. Evaluates customers' data needs and requirements, defines specifications and conceptualizes reporting solutions to meet business and customer needs. Presents data and analysis to operations, clinical and medical leaders and staff, providing recommendations for action and decision making. Participates in quality improvement efforts throughout the organization. This is a work from home opportunity with some onsite requirements. The successful candidate will live within a commutable distance to Sacramento. Job Description: EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. Bachelor's: Mathematics, Statistics, Business or Healthcare Management or related field or equivalent education/experience TYPICAL EXPERIENCE: 5 years recent relevant experience. SKILLS AND KNOWLEDGE: Working knowledge of healthcare delivery across the continuum of care. Working knowledge of the various data sources available for quality management reporting and analysis. Understands medical/clinical data and terminologies, and medical records coding Current Procedural Terminology (CPT) and International Classification of Diseases (ICD). Knowledge of current issues and trends in health care delivery/operations. Knowledge and application of quality performance/process improvement methodologies e.g., Lean/Six Sigma, Plan-Do-Study-Act (PDSA), Rapid Cycle, etc. Quantitative skills with the ability to compute and use statistical calculations. Technical skills to integrate data/information to produce complex/advance reports and analysis according to user requirements and specifications. Critical thinking with the ability to analyze and interpret healthcare statistical and quality data, and recognize, research and resolve questionable data or information anomalies. Organization skills and attention to details. Ability to define issues, collect data, establish facts and draw valid conclusions. Displays a customer service focus in all decisions and actions. Ability to prioritize workload to complete assignments accurately and timely. Ability to communicate through verbal and written means, especially technical concepts. Ability to interact and maintain effective working relationships with those contacted in the performance of required duties. Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment. Ability to work effectively in a dynamic and fast-paced environment with changing business priorities. Demonstrates initiative in providing feedback/input to improve workflow/processes. Ability to maintain and work discreetly with confidential information. Ability to use essential applications and/or databases associated with the role's duties and responsibilities. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: None Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $50.16 to $75.24 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
    $50.2-75.2 hourly Auto-Apply 35d ago
  • Compliance Coding Auditor

    Sharp Healthcare 4.5company rating

    San Diego, CA jobs

    **Facility:** System Services **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; Certified Health Care Compliance (CHC) - Compliance Certification Board **Hours** **:** **Shift Start Time:** Variable **Shift End Time:** Variable **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information:** **Weekend Requirements:** No Weekends **On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $49.700 - $64.130 - $71.820 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit compliance program to prevent and detect violations of law and other misconduct. This role will help promote ethical practices and a commitment to compliance with applicable federal, California, and local laws, rules, regulations, and internal policies and procedures. The position plays a key role in oversight of Sharp HealthCare's (SHC) compliance audit function and maintaining Sharp HealthCare's view of coding, billing and reimbursement compliance audits. **Required Qualifications** + 5 Years experience in acute care inpatient/outpatient coding or professional E/M coding in the following coding systems: ICD-10-CM/PCS, DRG, CPT& HCPCs, and/or E/M CPT. **Preferred Qualifications** + Other : Strong background in in ICD-10-CM/PCS coding, DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate -PREFERRED + Certified Health Care Compliance (CHC) - Compliance Certification Board -PREFERRED **Other Qualification Requirements** + Bachelor's degree in Business, Healthcare Administration, or related field - required. In lieu of Bachelor's degree, Associate's degree and a minimum of 5 years experience in coding, billing and compliance may be considered. + One of the following is required: AHIMA's Certified Coding Specialist (CCS), or Certified Documentation Improvement Practitioner (CDIP), or AAPC Certified Inpatient Hospital/Facility (CIC), or Certified Professional Coder (CPC) certification.Certified Clinical Documentation Improvement Practitioner or Specialist (CDIP or CCDS) is required within 1 year of hire.Department management is responsible for tracking and ensuring employee receive certification within specified timeframe. **Essential Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and chart reviews required for inpatient and/or outpatient coding and billing, daily retrospective chart reviews and communication to key stakeholders regarding audit findings and corrective actions, if necessary.Reviews the electronic health record to identify potential coding and billing compliance issues. Prepares written reports of audits, including recommendations to improve compliance.The Auditor will analyze and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment data, MDAudit risk analyzer software, OIG Work plan, CMS, PEPPER Reports, RAC Denials, industry experts, etc. + Policy and Procedure maintenance Works in collaboration with the Director and Manager of Compliance and System Management (HIM, CDI, Case Management, Quality, etc.) in developing SHC's standardized documentation, medical necessity, coding and billing policies and guidelines in accordance with state and federal laws, regulations and policies. + Professional development Maintain current credentials and knowledge of ICD-10-CM/PCS, MS-DRG, CPT and HCPCs coding classification changes, compliance issues and updates regarding changes in federal and state regulations, policies and procedures pertaining to the Compliance Program.Adheres to a personal plan of professional development and growth through professional affiliations, activities and continuing education. + Unit support Key Stakeholder/Business Unit SupportResponsible for inpatient and/or outpatient coding and billing investigations and inquiries, as well as answering correspondence from key stake holders regarding inpatient and/or outpatient coding and billing matters and other general Compliance reimbursement inquiries.Will continuously evaluate the quality of clinical documentation and monitor the appropriateness of queries with the overall goal of improving physician documentation and achieve accurate coding.Maintain professional relationship with key stakeholders focusing on high level of client satisfaction.Must demonstrate excellent written and oral communication presentation skills in training SHC workforce and physicians. + Professional competency Certified Clinical Documentation Improvement Practitioner or Specialist (CDIP or CCDS) is required within 1 year of hire. Department management is responsible for tracking and ensuring employee receive certification within specified timeframe. **Knowledge, Skills, and Abilities** + Ability to perform independent research and factual analysis of coding and billing matters and create proposed solutions to root causes. + Computer proficiency with Microsoft office applications is required. + Ability to function within a fast-paced, dynamic, and growing environment. + Excellent time management and problem solving skills. + Must demonstrate analytical ability, motivation, initiative, and resourcefulness. + Teamwork and flexibility required. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
    $71.8 hourly 60d+ ago
  • Physician Reviewer - Sharp Health Plan - Hybrid / Telecommuter - Day Shift - Per Diem

    Sharp Healthcare 4.5company rating

    San Diego, CA jobs

    **Facility:** Health Plan **City** San Diego **Department** **Job Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** California Physicians and Surgeons License - Medical Board of CA; Doctor of Osteopathic Medicine (DO); Doctor of Medicine (MD) **Hours** **:** **Shift Start Time:** Not Specified **Shift End Time:** Not Specified **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information:** **Weekend Requirements:** No Weekends **On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $99.560 - $128.460 - $143.880 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. **Please Note:** As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams. **What You Will Do** The position is responsible for the medical direction of Authorization Review for Sharp Health Plan (SHP). The Physician Reviewer will perform all reasonably necessary functions to ensure quality of care and appropriate utilization in the most cost-effective, appropriate and professional manner, which meets the expressed needs of patients and professional colleagues. **Required Qualifications** + Doctor of Medicine (MD) or + Doctor of Osteopathic Medicine (DO) + 5 years' experience as a practicing primary care physician with knowledge of managed care and the process for prior authorization review. + California Physicians and Surgeons License - Medical Board of CA - REQUIRED **Other Qualification Requirements** + Board Certification in Internal Medicine or Family Medicine preferred. **Essential Functions** + Customer service Provides prompt, accurate, and excellent services to internal and external customers.Develops solid professional working relationships with various internal departments and units and, as required, vendors and providers. + General support Participates in special projects and other duties as assigned. These may include, but are not limited to, work groups, audits and back-up medical management support for the Chief Medical Officer. + Professional competency Maintain current knowledge of the service denial process and pertinent health plan authorization criteria and regulations.Keeps abreast of advances in medical care methodologies that may contribute to enhanced quality of services and effective utilization of services. + Provider interaction Periodically presents information regarding authorization services at various SHP meetings on an as needed basis.Provides educational support for PCPs both on a "program" basis and one-on-one basis as needed in regard to proper utilization authorization.Provides strong leadership and direction for appropriate and efficient prior authorization services. + TrainingParticipate in Milliman and Hayes Technology Assessments training or have plans to do so (whether independently or through SHP). **Knowledge, Skills, and Abilities** + Knowledge of physician social and political behavior and managed care philosophy. + Demonstrate effective communication skills, ability to work collaboratively with medical leadership and administration of SHP, medical staff, nurses, and Sharp Hospital administration. + Position is expected to be on-call based on hours that are mutually agreed upon. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
    $143.9 hourly 60d+ ago
  • Physician, Radiology - IR/DR Radiology (Jackson, CA)

    Sutter Health 4.8company rating

    Jackson, CA jobs

    Opportunity Information Sutter Medical Group (SMG) seeks to hire a BE/BC fellowship-trained Body Imaging Radiologist to join an established practice in Jackson, CA. Sutter Imaging is seeking a fellowship-trained imager and to join our close-knit, quality care-centered group within a larger, financially strong, and stable organization. We are seeking a candidate who enjoys the flexibility to work from home and working on-site including diagnostics and IR. This role offers a dynamic work environment with moderate volumes and opportunities for professional growth. The schedule is flexible to allow a good work/life balance. Weekend, STAT, & Flex shifts are available to read from home for anyone wishing to expand income beyond their base salary. Qualifications Board certified/Board eligible Join Us and Enjoy PLSF eligible Subspecialty-structured radiology group with advanced practice technology $600,000 Base compensation with opportunities to earn additional income through flex shifts* $50k sign-on bonus (paid in 2 parts) Assistance with relocation expenses Generous benefits, including employer-matched 401(k) and profit-sharing Shareholder track CME allowance Equitable practice and scheduling structure A positive work-life balance and Northern California's natural beauty and lifestyle 10 weeks scheduled vacation 4-day average work week Holidays are shared equitably Ability to work some shifts from home (Weekend, STAT, & Flex Shifts) Organization Details Sutter Medical Group is a successful, 1,500+ member multi-specialty group offering physicians the opportunity to build their practices within a progressive, financially sound, and collaborative organization. SMG is recognized as a Top Performing Physician Group by the Integrated Healthcare Association. Our members are dedicated to providing the highest quality and most complete health care possible to the people in the communities we serve in the greater Sacramento Valley Area of Amador, Placer, Sacramento, Solano, and Yolo Counties. Community Information Jackson, CA is a charming historic town nestled in the Sierra Nevada foothills, known for its Gold Rush heritage and small-town appeal. The downtown area features preserved 19th-century architecture, boutique shops, and local wineries that reflect the region's rich past. Surrounded by scenic rolling hills and outdoor recreation, it's a gateway to hiking, fishing, and exploring California's wine country. Jackson offers a peaceful lifestyle with a strong sense of community, just an hour southeast of Sacramento. Equal Opportunity Statement It is the policy of Sutter Health and its partners to provide equal employment for all qualified individuals; to prohibit discrimination in employment because of basis of race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state or federal law, ordinance or regulation. We promote the full realization of equal employment opportunities through a positive continuing program within each medical group, company, hospital, department, and service area. Equal employment opportunities apply to every aspect of Sutter's employment policies and practices.
    $58k-74k yearly est. Auto-Apply 60d+ ago
  • Clinical Performance Improvement Consultant, Clinician

    Sutter Health 4.8company rating

    Emeryville, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Bay Provides clinical leadership, direction, consultation, guidance, and support for performance improvement strategies to improve treatment and care of patients with specific disease processes. Leads and facilitates the development, deployment and monitoring of clinical quality improvement projects, patient safety improvement initiatives, and organization improvements to achieve top decile clinical outcomes and accelerate the achievement of clinical quality and safety goals. Provides clinical expertise, performance improvement consultation, analysis, gap assessment, group/team facilitation and development, and guidance for the dissemination of practices that result in improved clinical outcomes. Deliverables result in practical, significant, and measurable improvements in quality, safety, service, and efficiency across the organization. Consults and coaches process owners, value stream owners, paired leaders, and sponsors. Contributes to the development and execution of training and infrastructures for the enterprise performance management system. This is a work from home role with onsite requirements. The successful candidate will live within the Sutter footprint. Job Description: EDUCATION: * Bachelor's: Nursing or related field * Graduate of an accredited school of nursing or equivalent education/experience. * Specific training or experience in performance Improvement CERTIFICATION & LICENSURE: * RN-Registered Nurse of California OR MD-Medical Doctor OR DO-Doctor of Osteopathy OR PA-Physician Assistant OR NP-Nurse Practitioner TYPICAL EXPERIENCE: * 8 years recent relevant experience. SKILLS AND KNOWLEDGE: * Thorough knowledge of health care delivery and quality improvement is required, including clinical care management and/or quality management. * Knowledge of lean performance improvement methodology and management systems. * Demonstrated ability to successfully influence and develop effective working relationships with healthcare executives, physician, and clinical leaders. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $105.05 to $137.61 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $87k-99k yearly est. 7d ago
  • Officer, Clinical & Healthcare Risk

    Sutter Health 4.8company rating

    Santa Barbara, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office - Santa Barbara This position requires routine on-site work at Sutter Sansum Clinic and regular travel to throughout the Central Coast of California. There is some flexibility for work from home as approved by the HCR Director. Candidate must reside within 60 minutes of Sansum Clinic in Santa Barbara, CA. Lead the affiliate risk and risk mitigation operational functions in assigned affiliate(s). Collaborates with affiliate leadership to improve the patient experience and patient safety by identifying and controlling risks, reducing and eliminating the possibility of losses associated with healthcare delivery and related core business activities. Collaborate with affiliate and system leadership in developing and executing pro-active patient safety focused risk management, risk mitigation, and loss prevention programs. Develop a collaborative relationship with other members of the Office of the General Counsel (OGC) and Compliance in order to ensure risk, legal and regulatory concerns are addressed properly. Job Description: The person hired for this role will support Sansum Clinics in the Santa Barbara and surrounding areas. Candidate must be able to do local travel to other sites in the surrounding areas. EDUCATION * Equivalent experience will be accepted in lieu of the required degree or diploma. * Bachelor's in Business, Healthcare Administration, Risk Management, Nursing or related field CERTIFICATION & LICENSURE * CPHRM - Certified Professional in Healthcare Risk Management within 18 months PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: * 8 years recent relevant experience SKILLS AND KNOWLEDGE * Knowledge of healthcare-related state and federal law and regulations including accreditation and professional standards * Thorough knowledge of methods used to identify and develop solutions to loss and risk control problems * Broad knowledge of healthcare risk identification and control methods, loss reduction and prevention activities, and claims management * Understanding of and experience with Lean or other process improvement philosophies and methodologies desired * Practical knowledge of healthcare quality review/improvement and accreditation processes * Broad knowledge of risk management best practices and methods used to limit exposure liability and risk * Proven ability to effectively and independently utilize consultative skills and maintain excellent interpersonal relationships * Demonstrate capability to communicate verbally and in writing in a clear and concise manner with leaders, staff and physicians in affiliate and across Sutter Health * Proven ability to communicate and mobilize staff in order to implement risk management strategies * Strong RCA, FMEA , problem solving skills and ability to reprioritize workload as needed to assure completion of work * Demonstrated ability to identify risks, review past incidents, and liability claims and make recommendations to minimize risk * Basic computer literacy, including knowledge of word processing, email, and use of the internet Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: As Needed, Saturday, Sunday Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $60.70 to $91.05 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $60.7-91.1 hourly 7d ago
  • Business Intelligence Developer III

    Sutter Health 4.8company rating

    Sacramento, CA jobs

    We are so glad you are interested in joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley REQUIRES IN OFFICE 2 DAYS A WEEK IN SACRAMENTO Develops data reporting frameworks for the presentation and delivery of metrics, key performance indicators, dashboards, and analytics. Provides end-to-end reporting and analytical services to internal business partners and leadership. Also synthesizes and leverages clinical, administrative, and consumer data in order to model complex problems, gain insights, and identify opportunities. Designs, develops, and implements Business Intelligence (BI) solutions, databases, data warehouses, data marts, interfaces, custom programming, complex reports, and analysis. Lastly, interprets and articulates the results of complex improvement experiments including developing risk algorithms, delineating variations in physician practice patterns, and return on investment (ROI) analyses. *This position is hybrid (work-from-home eligible on some days and on-site on other days). Northern California residents only. **Job Description** : **REQUIRES IN OFFICE 2 DAYS A WEEK IN SACRAMENTO** **EDUCATION:** _Equivalent experience will be accepted in lieu of the required degree or diploma._ + Bachelor's in Applied Statistics, Computer Analytics, Computer or related field **TYPICAL EXPERIENCE:** + 5 years recent relevant experience. **SKILLS AND KNOWLEDGE:** + Advanced knowledge of BI tools such as Power BI and Tableau + Advanced knowledge of DAX + Advanced knowledge of SSAS Tabular Models + Advanced knowledge of database programming and statistics + Advanced knowledge of Microsoft Access, Excel, PowerPoint, and Word + Expert knowledge of Structured Query Language (SQL) Server Reporting Service or other BI applications. + Establish and maintain cooperative working relationships with clients, IS team members, management, and executive personnel/staff. + Verbal and writing skills to effectively communicate with diverse groups such as: executives, managers, and subject matter experts. + Set priorities which accurately reflect the relative importance of job responsibilities and prioritize assignments to complete work in a timely manner. + Analyze information, problems, situations, practices, or procedures in order to identify relevant concerns and factors. + Perform a variety of duties and often change from one task to another of a different nature with frequent interruptions and/or distractions. + Skilled in developing documentation at a technical and user level. **Job Shift:** Days **Schedule:** Full Time **Shift Hours:** 8 **Days of the Week:** Monday - Friday **Weekend Requirements:** As Needed **Benefits:** Yes **Unions:** No **Position Status:** Non-Exempt **Weekly Hours:** 40 **Employee Status:** Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $50.16 to $75.24 / hour _The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._ _ _
    $50.2-75.2 hourly 39d ago
  • Ambulatory Clinical Pharmacist IV

    Sutter Health 4.8company rating

    San Francisco, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: PAMF-Palo Alto Medical Foundation PAD is eligible to work from home but must be available to go on-site as needed Oversees and delivers pharmaceutical care through the provision of patient-centered clinical service, medication information, education, medication preparation and distribution that ensures safe, effective, and cost efficient medication therapy. Exercises sound judgment, and developed clinical skills to provide input to and implement the patient's plan of care based on the diagnosis in a timely manner. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent patient assessment, attentive monitoring and care, and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific procedures and/or teaching duties. Uses professional judgment and clinical expertise in the daily solving of complex problems. Job Description: JOB ACCOUNTABILITIES: * Initiates, monitors, modifies, and discontinues patients' drug therapy under the supervision of a physician in accordance with a collaborative practice agreement and approved protocol in keeping with the principles of comprehensive Medication Therapy Management (MTM) programs. * Completes medication regimen review from a clinical, safety, and cost perspective to identify duplicate therapy, high-risk medications, drug interactions and cost-effective alternatives * Supports patients and their families in their self-management of complex medication regimens, including the disease management of those living with a chronic condition. * Proactively contacts patients after hospital discharge to reconcile medications, answer questions on new medications that were started in the hospital, evaluate patient compliance with new drug regimens, and follow up with the patient regarding side effects of new medications. * Education of practice staff and team on contemporary issues related to pharmacotherapy and outcomes management, including communication efforts related to mediation management. * Develops and maintains positive, productive relationships with healthcare team members and representatives of community agencies. * Education and counseling of patients on medications. * Improvement efforts related to drug intelligence - research for evidence-based medication use and education on the same. * Supports process improvement efforts and educates co-workers. * Develops and maintains positive working relationships with hospital unit staff and management. * Relates with tact and respect to internal and external customers with diverse cultural and socioeconomic backgrounds, some of whom may be exhibiting varying levels of distress. * Effectively collaborates with other team members on interdependent tasks, and actively supports the implementation of plans to accomplish team objectives. * Actively builds positive relationships with internal and external customers. Uses effective communication skills with colleagues to resolve issues in a timely, positive, and productive manner. * Provides and accepts direct, constructive feedback from colleagues. EDUCATION * PHARMD-Graduate of an accredited pharmacy school CERTIFICATION & LICENSURE * PHARMR-Current registration or Registered Pharmacist within 120 days TYPICAL EXPERIENCE: * 3 years recent relevant experience. SKILLS AND KNOWLEDGE: * Knowledge of medical terminology, generic and trade pharmaceutical names, pharmaceutical calculations and laws and regulations. * Knowledge and understanding of different Pharmacy practice settings, including narcotic delivery and procedures. * Knowledge and ability to identify and employ pharmaceutical and medical terms, abbreviations and symbols commonly used in prescribing, dispensing, and record keeping of medications. * Requires a basic working knowledge of legal requirements and accreditation standards including The Joint Commission, Title XXII, Department of Homeland Security (DHS), Drug Enforcement Administration (DEA), Food and Drug Administration (FDA), and United States Pharmacopeia (USP). * Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. * General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), related pharmaceutical technology, Electronic Health Records (EHR), and EPIC. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: None Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $98.34 to $113.09 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $98.3-113.1 hourly 3d ago

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