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California Medical Association jobs - 42 jobs

  • Medical Director Hospice

    Mid Michigan Home Health & Hospice 3.5company rating

    Remote or Flint, MI job

    Job DescriptionBenefits: Competitive salary We are seeking a Hospice Medical Director to provide clinical leadership, oversee hospice patient care, and ensure compliance with regulatory standards. This role is key in supporting our interdisciplinary team and advancing our mission. Key Responsibilities: Certify and recertify hospice eligibility and provide medical oversight. Collaborate with attending physicians and care teams to ensure high-quality, patient-centered care. Develop and implement clinical policies and best practices. Support staff education in pain management, symptom control, and hospice philosophy. Participate in quality improvement initiatives. Qualifications: MD or DO, with current MI medical license. Board certification in Hospice & Palliative Medicine (or eligibility preferred). Experience in hospice, palliative care, geriatrics, or related field. Excellent communication and leadership skills. Benefits: Competitive pay and benefits package CME allowance & malpractice coverage Supportive, mission-driven team Flexible work from home options available.
    $251k-352k yearly est. 23d ago
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  • Coding Documentation Liaison

    Fairview Health Services 4.2company rating

    Remote or Saint Paul, MN job

    Fairview is looking for a Coding Documentation Liaison to join our team! Coding Documentation Liaison. Documentation Liaison of Coding Quality and Support is a highly motivated professional who can work with many different roles and influence the need for correct coding and compliance. Coding Documentation Liaisons perform retrospective and prospective Quality Assurance Checks and provide tailored education to coding staff on a regular basis. This role is responsible for one or more Coding and Documentation Quality and Education functions including professional services, hospital billing outpatient services, hospital billing inpatient services. Coding Documentation Liaisons analyze clinical documentation verifying appropriate diagnosis, procedure, DRG, level of service for both revenue and compliance opportunities. Coding Documentation Liaisons analyze documentation and coding reports to identify quality, educational opportunities, and compliance risks to meet regulatory and payer reporting requirements. Coding Documentation Liaisons work collaboratively with Service Line/Domain leaders, providers, coding leaders/staff, compliance, Informatics, Revenue Integrity, Denials, and other key stakeholders to improve the quality of documentation and coding to resolve clinical documentation and charge capture discrepancies. Position Details: * 1.0 FTE (80 hours per pay period) * day shift * no weekends * fully remote, salaried position Responsibilities * Conducts formal meetings and/or team meetings in lieu of Manager as designated. * Successfully develops and strategizes project plans for delivering highly skilled coding and documentation support and training to a multispecialty system * Organize, analyze, and present data for the purpose of working with Service Line/Domain executives and leaders, Practice Managers and other stakeholders throughout the organization to outline and institute strategies for improvement. * Analyze charging practices through financial and activity reports, as well as documentation review, to identify potential opportunities for revenue capture and recognize areas of compliance concern. * Determines priorities, schedules, and assigns work as required. * Develops, revises, and maintains work unit policies and procedures. * Demonstrates maturity and accountability for job performance, supports objectives and goals of the department, and assess areas of personal and professional growth. * Develop and execute departmental review projects with measurable financial, quality and/or compliance goals per analysis findings. * Compose correspondence or prepare reports on own initiatives. * Leads governance taskforce workgroups as assigned. * May compose correspondence or prepare reports on own initiatives. * Identify and resolve clinical documentation and charge capture data discrepancies to improve the quality of clinical documentation, severity and reimbursement levels assigned, and integrity of data reported. * Audit and educate multidisciplinary team members, including providers, as it pertains to frequently changing mandated rules, regulations, and guidelines. * Meet quality assurance schedule deadlines to meet the organizational corporate compliance report out and departmental standards. * New provider onboarding to include standard coding and documentation practices at Corporate Orientation, weekly audits and provide 1:1 tailored education. * Develop educational material based on audit findings, trends and/or regulatory guidelines to meet coding and documentation rules. * Collaborate with key stakeholders to determine and address trends and educational needs. Make recommendations for efficiency related to edits/hold bills based on findings. * Assists in reviewing and makes recommendations for physician template updates based on yearly coding changes. * Create tip sheets, newsletters, hot topics for department and/or organizational use. * Performs other job-related duties as assigned. * Organization Expectations, as applicable: * Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served. * Partners with patient care giver in care/decision making. * Communicates in a respective manner. * Ensures a safe, secure environment. * Individualizes plan of care to meet patient needs. * Modifies clinical interventions based on population served. * Provides patient education based on as assessment of learning needs of patient/care giver. * Fulfills all organizational requirements. * Completes all required learning relevant to the role. * Complies with and maintains knowledge of all relevant laws, regulations, policies, procedures, and standards. * Fosters a culture of improvement, efficiency, and innovative thinking. * Performs other duties as assigned. Required Qualifications * A.A./A.S. in HIM, or equivalent healthcare coding experience. * 5 years relevant coding experience * Basic knowledge of Microsoft-based computer software * Expert knowledge of ICD-10 and CPT and related coding/abstracting rules and guidelines * Expert knowledge of medical terminology, anatomy, physiology, and pathophysiology * Expert knowledge of relationships of disease management, medications and ancillary test results on diagnoses assigned * Proficiency with computer systems, including electronic health record * Critical thinking and problem-solving skills * Highly effective written and verbal communication skills * Ability to prepare educational materials for coding staff and providers * Ability to accept cultural differences * Inpatient Coding: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) * Outpatient or Professional Fee Coding: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist - Professional (CCS-P) or Certified Professional Coder - Hospital (CPC-H) Preferred Qualifications * B.S./B.A. in HIM or higher * 8 years relevant coding experience * Inpatient Coding: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) * Outpatient or Professional Fee Coding: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist - Professional (CCS-P) or Certified Professional Coder - Hospital (CPC-H) Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $30k-46k yearly est. Auto-Apply 45d ago
  • Inside Sales - Business Development Salesperson - REMOTE

    Infectious Disease Connect 4.2company rating

    Remote or Pennsylvania job

    Inside Sales - Business Dev Salesperson - REMOTE Where You'll Be Working: ID Connect is a leader in telemedical care of infectious diseases, antimicrobial stewardship, and prevention and control. Our real-time clinical decision support software technology, precision medicine, and data science are paired with our world-class ID physicians to effectively manage infectious diseases across the US. At ID Connect, we strive to make people healthy, improve outcomes, and keep our communities free of infectious diseases. Join our team and unlock opportunities for skill development and professional growth in a dynamic and supportive environment What You'll Be Doing: The Inside Sales, Business Development salesperson, as a key member of the business development / clinical sales team, has accountability for lead development for sales business development and clinical sales strategies. This position is responsible for daily cold calling with a minimum of Seventy-Five (75) + touches (calls and emails) per day within defined territory, email communication, and territory relationship management with targeted sales prospects. This position is accountable for achieving conference call, sales appointments, and onsite meeting presentations targets annually. ESSENTIAL FUNCTIONS AND ACCOUNTABILITIES: Execute and Manage Organization's Inside Sales Business Development Strategy Develops new prospects and interacts with existing customer base by phone to increase organization's Infectious Disease Services and Antimicrobial Software businesses. Use relevant market and customer research to assess market potential and identify appropriate new business opportunities. Coordinates with Business Development & Clinical Sales to ensure monthly goals are met. Supports Business Development and Clinical Sales for meeting preparation and onsite meeting appointments. Partners effectively with Business Development and Clinical sales, marketing as well as other members of Executive Team to drive territory coverage and maintain positive hospital relationships. Cross Functional Provides timely and accurate inside-sales data, reporting, and analytics to support Business Development and Clinical Sales within the assigned territory. Serves as a cross-functional resource, providing operational and administrative support to Business Development, Clinical Sales, and Executive Leadership as needed. Supports ID Connect team members in assigned initiatives while consistently upholding ID Connect Core Values. Functional Travel in support of sales training or meetings, customer sites, or trade shows as required, Effectively manage Salesforce Database for prospect and client management activities. Manage prospect development by entering and updating all pertinent data within SalesForce Database. Provide weekly Inside Sales Business Development Activity Reporting MINIMUM QUALIFICATIONS REQUIRED: Experience: 5+ years of progressive experience in insides sales, hospital sales marketing. Qualifications, Competencies, Position Requirements: Inside sales skills, including demonstrated knowledge of hospital market with an emphasis on Infectious Disease offerings. Organization skills for proper territory management. Ability to work independently in a virtual environment Demonstrated record of achievement in prior inside sales position preferred. Excellent verbal, written, and telephone skills required. Creativity a plus. Ability to learn and retain specific information as it pertains to position. Computer literacy required. Familiarity with SalesForce Database management. Ability to manipulate and manage spreadsheets. Demonstrate an aptitude for selling products or services over the telephone. *NOTE: This description outlines the primary responsibilities of the position and is not intended to be all-inclusive. Additional job-related duties may be assigned.
    $66k-104k yearly est. 4d ago
  • Sr Epic Professional Billing Application Analyst - Remote

    Fairview Health Services 4.2company rating

    Remote or Minneapolis, MN job

    The Sr Epic Professional Billing Application Analyst role will provide technical expertise and leadership, including configuring, documenting, testing, modifying and maintaining software applications. Apply specific applications and technology expertise to the specification and design development process. Lead the creation of system and operating documentation. Support all issues that arise within the specific application area. Job functions include configuring applications by translating the business requirements into software specifications. This position is remote and requires on call rotation 1 week after hours and weekends every 14-16 weeks. Roughly 4 times per year. Responsibilities * Utilize expertise to design new and existing applications. Configure code, test and troubleshoot existing programs. Analyze end user data and business needs to assure user-orientation and optimal program/system performance. * Proactively initiates and participates in IT workflow definition and monitoring of processes including 1) Incident and Problem Management, 2) IT Service Request and Task Management, 3) Change Control Management and 4) IT Project Management. * Accurately and efficiently works to provide application workflow and functional analysis, build and configuration, unit and integrated testing, and plans for transition to application ongoing support. Understands workflows with the objective to meet business needs. * Effectively unit test all code and programs prior to releasing them to the quality assurance (QA) team. Resolve all unit test issues in a timely manner. Collaborate with the QA team to identify test cases and create/mine test data to enable a thorough test of all deliverables. Respond to all inquiries and issues in a timely manner as the developed code/program moves through the testing process and ultimately into production. Provide implementation/production support as required. * Evaluate and understand dependencies between applications to understand if making a change in one application would have a negative impact in another application. Use knowledge of assigned application(s) to help resolve issues and drive optimal business solutions. * Maintain up-to-date application knowledge and understanding of how the business uses the applications in their workflows. Partner with the business to gather requirements and goals to drive optimal solutions. * Evaluate, troubleshoot and lead root-cause analysis for production issues and system failures; determine corrective action and improvements to prevent recurrence. Provide implementation/production support as required. * Proactively provide subject matter expertise regarding assigned application(s) to other members of the technology and business teams to ensure quality and minimize impact on other applications and business processes. * Coach and mentor staff regarding technology, methodologies and standards. Proactively share knowledge and collaborate with IT teams to ensure quick and effective responses to customer needs. Maintain up-to-date business domain knowledge and technical skills in software development technologies and methodologies. * Pro-actively participates in creating and implementing improvements to achieve clinical, satisfaction and/or efficiency outcomes. * Provides ongoing operational system support and resolves escalated issues. Interacts with vendors on problem determination, resolution, issue tracking, upgrades and fixes. * Participates in after-hours support as determined by IT Leadership * Patient Centered: Provide services centered on the needs and safety of our patients and families. Required Qualifications * Bachelor's degree or combination of education and related work experience * Epic Professional Billing Certification and 5 years of IT Epic PB application experience * Strong understanding of the Software Development Life-Cycle (SDLC) * Demonstrated analytical critical thinking skills for process development or problem resolution * Demonstrated working knowledge and expertise of healthcare processes and application system coordination * Demonstrated knowledge of database structure and working practice of reporting techniques and tools Preferred Qualifications * Bachelor's degree in IT field * Experience within the Healthcare Industry * Certifications and experience relative to the role * Epic Certification in Hospital Billing / PB Claims / HB Claims would be ideal. Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $50k-68k yearly est. Auto-Apply 30d ago
  • Clinical Documentation Integrity Specialist

    Fairview Health Services 4.2company rating

    Remote or Saint Paul, MN job

    Fairview is looking for a Clinical Documentation Integrity Specialist to join our team. The CDI Specialist performs concurrent inpatient chart reviews for documentation improvement opportunities. Communicates with physicians to facilitated comprehensive medical record documentation to reflect clinical treatment and diagnoses, uses hospital's CDI software to identify opportunities, evaluates documentation on a day-to-day basis, gathers and analyzes information pertinent to findings and outcomes, arranges formal and informal education sessions for all providers, formulated a DRG and confers with coders to ensure appropriate DRG. This review process assures the quality of the documentation used for patient care, regulatory compliance, and reimbursement. Position Details * 1.0 FTE (80 hours per pay period) * day shift * no weekends * fully remote, salaried position Responsibilities * Completes a concurrent review of the medical record for assigned patients in the required timeframe. * Performs daily case reviews and identifies diagnoses and procedures in order to assign in accurate working DRG. Performs follow-up medical record reviews to identify any additional diagnoses or procedures that may impact the DRG assignment. Confers with coders to ensure appropriate final DRG and completeness of supporting documentation. * Develops physician education strategies to promote complete and accurate clinical documentation and correct negative trends. Confers with nursing, case management, utilization review and other clinical caregivers to explain the importance of clear and concise documentation. * Collects and analyzes data showing the activities performed, results of interactions, improvements made in clinical documentation, and distribution of DRGs and case mix index. * Organization Expectations, as applicable: * Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served * Partners with patient care giver in care/decision making. * Communicates in a respective manner. * Ensures a safe, secure environment. * Individualizes plan of care to meet patient needs. * Modifies clinical interventions based on population served. * Provides patient education based on as assessment of learning needs of patient/care giver. * Fulfills all organizational requirements * Completes all required learning relevant to the role * Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards. * Fosters a culture of improvement, efficiency and innovative thinking. * Performs other duties as assigned Required Qualifications * Associates Degree in Nursing or Health Information Management (HIM) degree or related field or equivalent experience * 2 years Acute/Inpatient experience as an RN or * 5 years inpatient coding experience * Knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations * Knowledge of current coding and DRG classification systems * Knowledge of medical terminology, anatomy and pathophysiology, pharmacology, ancillary test results * Knowledge of ICD-10-CM and DRG classification systems * Knowledge of physician and nursing unit practices * Excellent interpersonal, critical thinking and conflict management skills * Computer and data analysis skills * Excellent verbal and written communication and presentation skills * Analytical Thinking: Ability to identify issues, obtain relevant information, relate and compare data from different sources and identify alternative solutions * Attention to detail: Achieve thoroughness and accuracy when accomplishing a task * Critical Thinking: Gathers and integrates critical information, recognizing and addressing underlying assumptions of others to arrive at effective solutions * Medical Staff Relations: Builds effective partnerships with medical staff, physicians, fostering open lines of communications and establishing trust * Problem Solving: Identifies problems, determines accuracy and relevance of information, utilizes appropriate tools and staff resources along with sound judgment to generate and evaluate alternatives and to make recommendations * Written Communication: Ability to organize and express information and ideas in written form to individuals as well as groups. Constructs messages that are clear and convincing * Registered Nurse of MN Upon Hire or * current Registered Health Information Administrator (RHIA) MN Board of Nursing or American Health Information Management Association Upon Hire or * Registered Health Information Tech (RHIT) MN Board of Nursing or American Health Information Management Association Upon Hire Preferred Qualifications * Bachelors Degree in Nursing for candidate's with nursing experience * 5 years acute care nursing or * 5 years inpatient coding experience * Certified Clinical Documentation Specialist (CCDS) for candidate's with HIM experience American Health Information Management Association Upon Hire Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $22k-39k yearly est. Auto-Apply 1d ago
  • Organizational Change Management Practitioner

    Fairview Health Services 4.2company rating

    Remote or Minneapolis, MN job

    Fairview is looking for an Organization Change Management Practitioner to join our Transformation Office team. The Organizational Change Management (OCM) Practitioner has primary responsibility for building the Transformation Office's change management strategy in adherence with Transformation Office processes and guidelines and in alignment with organizational philosophy. The OCM Practitioner will provide day-to-day support to the Transformation Office and Pillar teams, acting as the primary contact for all change management inquiries. They will partner with the Transformation Office and other change management stakeholders within the organization to leverage existing resources and build consistent and standard change management tools and trainings, and provide project-team level support, including developing leadership reinforcement strategies and creating communications. What We Do: The Transformation Office (TxO) exists to help bring our organization's ideas to life. We partner across teams to guide initiatives from concept to completion-offering the structure, support, and strategic alignment needed to move work forward. By ensuring your ideas align with the organization's broader strategic vision, the TxO helps turn meaningful ideas into lasting impact. As a high-performing and innovative team grounded in discovery, research, and systems thinking, we collaborate with you to drive cross-functional alignment, allocate resources effectively, and support strategic planning and execution. Through our four-phased operating model that leverages the Fairview operating system, standard workflows, dedicated resources, and comprehensive reporting, we're helping to transform our organization into a more agile, efficient, and future-focused enterprise. Explore our operating model and areas of expertise below to learn more. Our Commitments: * Have positive intent and messaging •Pace progress while maintaining excellence * Inspire systems thinking •Be timely, agile and adaptive * Be fearless in creating solutions and ideation •Lean into ambiguity * Harden accountability by demonstration •Be accountable financial stewards * Foster data-driven decision-making Position Details: * 1.0 FTE (80 hours per pay period) * day shift * no weekends * fully remote, salaried position Job Responsibilities: * Responsible for change management support for the Transformation Office: * Identifies and creates change management tools, develop materials, leads trainings and builds a strategy to support the Transformation Office and its team members with change management. * Aligns practice with the ADKAR Model and continually investigates industry approaches and conducts research to suggest and implement change management best practices in support of continuous improvement. * Actively monitors how major projects within the Transformation Office could affect the organization and engages with the appropriate areas to ensure proper visibility and prioritization for change planning. * Defines and tracks usage of tools (i.e. stakeholder analysis, communication plan) to ensure adoption across the Transformation Office and creates a scorecard to provide visibility and metrics to monitor change management. * Leads regular working sessions to broadly discuss change management across the Transformation Office. * Evaluates how Transformation Office changes will impact various groups, and partners with leaders across Pillars to develop a plan to support key projects through change. * Identifies real time capability building opportunities and partners with OD/L and other organizational stakeholders to implement broader capability building programs such as the Change Management Community of Practice * Supports Transformation Office in key message development and communications: * Coordinates the development of change stories and key messages specific to the Transformation Office in partnership with Transformation Office leadership and partners with System Communications to cascade throughout the organization, as applicable. * Incorporates central messaging into Transformation Office documents in partnership with Transformation Office leadership. * Supports the creation and maintenance of the Transformation Office website to ensure timely and accurate information and access to relevant materials and tools by the broader organization. * Develops the Transformation Office communication strategy with advisement from System Communications to share internal to the Transformation Office and more broadly across the organization, as applicable. * Partners closely with System Communications to utilize communications as a tool of organizational health improvement. * Drafts regular Transformation Office communications to the Transformation Office team and partners with System Communications on whole organization communications, as applicable (cadence dependent on broader communications strategy) and with guidance from Transformation Office leadership. * Leads efforts to gather and incorporate feedback for continuous improvement: * Gathers input from individuals across the Transformation Office and organization to identify opportunities for new change management strategies. * Promotes and supports key rewards and recognition efforts across the organization. * Fulfills all organizational requirements: * Completes all required learning relevant to the role. * Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards. * Fosters a culture of improvement, efficiency and innovative thinking. * Performs other duties as assigned. Required Qualifications * B.S./B.A. * 5 years of project implementation and/or change management including large-scale, transformational change efforts * 5 years of professional communications or closely related experience * 3 years writing content for and producing/building communications vehicles (i.e. SharePoint Sites, Newsletters, Websites, Videos, Executive Briefings, Managerial Talking points, Presentations, Brochures, etc.) * Performance improvement, project management and/or lean skills * Thorough knowledge of project management including life cycle and related tools * Understands and employs ADKAR model related to the five outcomes an individual needs to achieve for change to be successful: Awareness, Desire, Knowledge, Ability and Reinforcement * Ability to professionally engage with all levels of the organization including clinical team members * Consistent demonstration of excellent written and verbal communication skills * Ability to present to small and large groups * Ability to generate reports, prepare presentations and other materials in a succinct and persuasive manner to drive meaningful action and desired outcomes * Strong analytic and problem-solving skills * Proficiency in Microsoft Office: Word, Excel, Power-Point, Visio, Teams, SharePoint, and Outlook * Ability to apply system-thinking and design principles to create reliable processes and programs Ability to apply system-thinking and design principles to create reliable processes and programs * Prosci ADKAR model or achieved within 180 Days Preferred Qualifications * Advanced education in change management or business-related field (MBA, Masters in Organizational Development, or related field) * Healthcare industry experience * Extensive experience and proven track record working in highly matrixed organization * Extensive experience working on projects that represent transformational changes touching a majority of departments in a complex health care system Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $130k-191k yearly est. Auto-Apply 19d ago
  • Medical Social Worker Home Health and Hospice

    Mid Michigan Home Health & Hospice 3.5company rating

    Remote or Flint, MI job

    Job DescriptionBenefits: 401(k) Competitive salary Dental insurance Flexible schedule Health insurance Paid time off Vision insurance Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job Summary We are looking for a qualified Medical Social Worker to join our team! You will play a crucial role in evaluating patients and developing individual treatment plans in collaboration with patients physicians. Operating with professional expertise and deep care for patients, you are a natural problem solver and self-starter. You enjoy working in fast-paced environments that afford you the autonomy to bring your best. Responsibilities Implement standards of care for medical social work services Participate in patients plans of care. Perform patient evaluations and help develop a treatment plan with patients physicians Assess the psychosocial status of the patients as related to their illness Make follow-up visits to assess and continue the plans of care Plan interventions based on patient's needs and findings Maintain accurate and up-to-date records Qualifications Minimum one year of experience in health care and social work Current CPR certification Valid drivers license Psych experience is a plus Flexible work from home options available.
    $67k-79k yearly est. 8d ago
  • Pharmacy Services Revenue Analyst

    Fairview Health Services 4.2company rating

    Remote or Minneapolis, MN job

    The Financial Analyst of Pharmacy Services Revenue Integrity supports pharmacy services financial performance across the delivery system through financial reporting, data analysis financial planning, contract proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison activities. The Financial Analyst extracts and validates data from various information systems and provides actionable information and recommendations through advanced analytics to assist leaders in managing financial performance. This is a remote position Job Expectations: Analysis * Analyzing proposals by monitoring payment variances, identify revenue and cost trends. * Track contract performance against projections. * Tracking and updating of all third party payer fee schedules, internal charge masters, and payer contracted payment methodologies. * Reviews charge levels against third party payer contracts, summarizes findings and communicates results to manager and the revenue integrity team. * Administer revenue capture analysis and report by validating reimbursement and investigating claims. * Assist manager in third party payer reimbursement appeals. * Analyze reimbursement for payer appeals opportunities and manage communication with payers. * Support manager in tracking top contracts, top lines of business and payer mix * Ad-hoc reporting to identify third party payor populations as needed by leadership. * Review reconciliation of claims activity identifying payment discrepancies and summarize results to Manger, Revenue Integrity Operations Team for action. * Analyze trends to assess efficiency of business activities and recommend plan adjustments or other improvement measures to manager. * Effectively utilizes multiple systems and applications, such as dispensing systems, spreadsheets, and graphic packages to assemble, manipulate and/or format data and reports. * Assist in all revenue integrity operations activities to optimize support and collaboration within Revenue Integrity team. Research * Maintain up to date knowledge through attending educational workshops and reviewing publications. * Develop subject matter expertise for reimbursement and contracting databases such as Inmar. * Research common third party and health plan claim processing information to ensure accuracy in reporting using payer portal and pharmacy newsletters. * Participates in meetings and revenue integrity projects with internal and external customers. Organization Expectations, as applicable: * Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served * Partners with patient care giver in care/decision making. * Communicates in a respective manner. * Ensures a safe, secure environment. * Individualizes plan of care to meet patient needs. * Modifies clinical interventions based on population served. * Provides patient education based on as assessment of learning needs of patient/care giver. * Fulfills all organizational requirements * Completes all required learning relevant to the role * Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards. * Fosters a culture of improvement, efficiency and innovative thinking. * Performs other duties as assigned Minimum Qualifications to Fulfill Job Responsibilities: Credentials: N/A Required Education * Bachelor's Degree (B.A. or B.S.) Analytics, Finance, HealthCare Administration or HealthCare Insurance, Accounting, Business Management Experience * 1 - 3 years related experience in financial analysis - preferably with insurance company/payor including both Pharmacy Benefit Manager (PBM) and Health Plan or health care provider system. * Proficient in Microsoft Suite applications such as Excel, Access, PowerPoint, Word Preferred Experience * 2 - 4 years experience in health care organization or health insurance company preferred License/Certification/Registration * Certified Pharmacy Technician preferred but not required. Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $64k-79k yearly est. Auto-Apply 32d ago
  • Patient Financial Services Representative III

    Fairview Health Services 4.2company rating

    Remote or Saint Paul, MN job

    Fairview is looking for a Patient Financial Services Representative III to join our team. This position is responsible for billing and collection of accounts receivable for inpatient and outpatient accounts, ensures expected payment is collected and accounts are fully resolved, and resolves complex customer service issues. This position understands the importance of evaluating and securing all appropriate financial resources for patients to ensure proper adjudication. Position Details * 1.0 FTE (80 hours per pay period) * day shift * no weekends * fully remote Responsibilities * Intentionally prevents untimely revenue shortfalls by taking action to resolve financial transactions appropriately and effectively to ensure collection of expected payment; escalates issues when appropriate. * Completes daily work assignment timely and accurately in accordance with the identified productivity and quality standards set forth by the organization. * Performs the best practice routine per department guidelines. * Proactively looks for continuous process improvements involving people and technologies through tracking, trending, and providing feedback. * Accelerates business outcomes by identifying ways to fully resolve accounts through single-touch resolution when possible. * Understands revenue cycle and the importance of evaluating and securing all appropriate reimbursements from insurance or patients. * Contacts payers via portal or provider service center to facilitate timely and accurate resolution of accounts. * Responsible for processing external correspondence in a timely and efficient manner. * Ensures internal correspondence is clearly and professionally communicated and processed expeditiously. * Responsible for verification of insurance and/or patient demographics * Understands expected payment amounts and Epic expected payment calculations to appropriately adjust accounts. * Educates patients and/or guarantors of patient liability when appropriate. * Understands and complies with all relevant laws, regulations, payer and internal policies, procedures, and standards, and applies this understanding through daily work * Understands and Adheres to Revenue Cycle's Escalation Policy * Demonstrates proficiency through daily work * Responsible for processing accounts through multiple workflows * Responsible for working accounts requiring more attention to detail * Advanced knowledge of team procedures, standards, and policies, and applies this knowledge through daily work. * Makes appropriate contacts with payers and other necessary parties to obtain and/or provide data or information needed to facilitate timely and accurate account resolution to expedite outcomes. * Utilizes strong understanding of multiple systems/applications to ensure collection of expected payment. * Utilizes knowledge of internal and external departmental functions and workflows to expedite and resolve when necessary. Required Qualifications * 1 year in a medical billing office setting or relevant experience * Organizational skills * Communication skills * Attention to detail Preferred Qualifications * 2 years of medical billing office setting experience * MS Office experience * Insurance / follow up experience * Coordination of benefits experience * Epic, Brightree, Billing Bridge, or comparable software account experience * Experience working with medical terminology * Experience working with CPT-4 and ICD-10 * Knowledge of FV account review experience * Knowledge of FV system applications * Knowledge of FV RCM workflows Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $27k-45k yearly est. Auto-Apply 1d ago
  • Manager- Revenue Integrity

    Fairview Health Services 4.2company rating

    Remote or Saint Paul, MN job

    Fairview is looking for a Manager- Revenue Integrity to join our team! The Manager of Revenue Integrity is responsible for the leadership, development, coordination, implementation, and oversight of one or more Revenue Integrity team functions. This role provides strategic leadership and operational oversight for Fairview's revenue integrity functions, ensuring compliant, accurate, and efficient charge capture across the system. This manager defines the governance framework, performance standards, and continuous improvement strategies that guide accurate, compliant, and timely charging activities while ensuring enterprise-wide consistency, accountability, and alignment with payer, regulatory, and financial requirements. This role works cross-functionally across the continuum of Revenue Cycle and revenue-generating departments and maintains knowledge of charging workflows within the EHR, including its various applications and software. The manager of Revenue Integrity monitors metrics reporting, collaborates with IT in maintaining system applications, and partners cross-functionally with clinical and revenue cycle operational departments to achieve optimal system performance. Position Details: * 1.0 FTE (80 hours per pay period) * day shift * no weekends * fully remote, salaried position Responsibilities * Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards. Provides oversight to ensure compliance with established laws, regulations, practices, and procedures. * Responsible for providing the operational oversight for system-wide charge capture activities. Provides operational direction for Charge Capture integrity, aligning direction with customer expectations, financial expectations, environmental requirements, and organizational objectives. This includes: • The analysis of department charges • The identification and implementation of charge improvement strategies • Assisting departments with their charge capture activities, including the development of charge reconciliation processes where needed. * Sets, oversees, and ensures daily operations, service support and outcomes are performed timely and accurately in accordance with regulatory and payer requirements. • Designs and helps maintain workflows to ensure efficient and effective processes, monitors and prioritizes work based on organizational needs and assignments, and appropriately assures timely, productive, and efficient use of resources. • Ensures work assignments are performed and supported to achieve departmental goals and outcomes • Ensure staff members are knowledgeable about revenue assurance needs and reimbursement issues identified through audits, reviews, and aggregate data analysis. • Ensures key productivity and quality standards for department processes are adhered to and managed appropriately • Develops and tracks key performance indicators (KPIs) to monitor revenue integrity trends, communicate outcomes to leadership, and drive continuous improvement and achieve industry-level benchmarks for the department and team. • Selects, hires, orients, and trains qualified employees to perform job responsibilities, mentors and evaluates staff * Develops and implements a formalized system-wide charge capture education plan including execution strategy and routine updates as needed * Leverages analytics, audits, and charge reconciliation data to identify missing, miscoded, or unbilled charges, as well as underutilized CDM items; collaborates with operational and financial leaders to implement corrective actions and prevent recurrence. • Tracks and assesses integrity risks, and ensures the revenue integrity program is responsive to those risks, activates additional financial controls as appropriate and follows through to resolution • Leads and/or actively participates in committees addressing and/or is responsible for revenue integrity root cause and resolution activities * • Partners with clinical and operational departments to translate charge capture findings into process improvements, workflow changes, and system optimization to ensure accurate use of CPT/HCPCS codes, modifiers, and revenue codes. • Serves as the primary liaison between Revenue Integrity and operational leaders for charge capture, pricing, and reimbursement integrity initiatives. • Facilitates cross-functional meetings to review trends, identify systemic risks, and develop corrective or optimization programs. • Establishes escalation pathways and feedback loops to ensure charge capture and pricing issues are prioritized and resolved in collaboration with Finance, Clinical Operations, and IT • Provides routine performance reports regarding the nature, progress, and status of the revenue integrity program, any course correction being taken, and any recommended changes • Provides technical expertise, troubleshooting issues, and input on improvement projects and product selection • Identifies, evaluates, coordinates, and implements tactics to achieve organizational objectives, improve operational efficiencies, and increase positive cash flow * Leads the enhancement of charge description master (CDM) activities and supports maintenance of integrated revenue cycle applications, reviewing and optimizing organizational CDM structures to ensure all services and supplies are reflected accurately and are consistent with current industry best practices. Include clearly stated service level agreements and accountability for updates by all stakeholders * Fosters a culture of improvement, efficiency and innovative thinking * Monitors, evaluates, and manages department Budget by RCM leadership to achieve budget * Job Expectations: • Leads or participates in work with peers and other departments to create an excellent understanding of workflows and interdependencies, and to identify and implement strategies to improve revenue cycle performance • Works collaboratively with vendors to assure performance expectations are being met • Represent Revenue Cycle and Fairview Health Services at industry forums to network and identify process improvement opportunities • Serves as a resource on revenue cycle issues and regulatory expectations • Creates strong collaborative partnerships and influences others across teams, groups, and business boundaries to achieve real-world problem solving * Organization Expectations: This role also supports the organization's broader mission and values through the following behaviors: • Demonstrates ability to provide care or service, adjusting approaches to reflect developmental level and cultural differences of population served. o Partners with patient caregiver in care/decision making. o Communicates in a respective manner. o Ensures a safe, secure environment. o Individualizes plan of care to meet patient needs. o Modifies clinical interventions based on the population served. o Provides patient education based on an assessment of learning needs of patient/caregiver. • Fulfills all organizational requirements. o Completes all required learning relevant to the role. o Complies with and maintains knowledge of all relevant laws, regulations, policies, procedures, and standards. • Fosters a culture of improvement, efficiency, and innovative thinking. • Performs other duties as assigned. o Completes all required training and learning activities relevant to the role. o Maintains up-to-date knowledge of applicable laws, regulations, policies, and procedures. Required Qualifications * Bachelor of Science in Business Administration, Health Care Administration or related area PLUS 2 years of experience in health care reimbursement, financial management or coding OR an approved equivalent combination of education and experience * Thorough knowledge of functions assigned * Thorough knowledge of computer systems used by assigned revenue cycle team * Knowledge of applicable regulatory requirements * Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting) * Ability to present to small and large groups * Consistent demonstration of excellent written and verbal communication skills * Proficiency in Microsoft Office: Word, Excel, Power-Point, Visio, Teams, SharePoint and Outlook. * Performance improvement, project management and/or lean skills * 3 years Applicable leadership business-related experience * One or more of the following: RHIA, RHIT, CHRI, CCS, CPC, CCS, CPC, CCS-P, RN, or * Epic Resolute Certification(s) in one or more of the following Epic applications: Resolute Professional Billing, Resolute Hospital Billing, Claims or * Ability to achieve within one year of employment Preferred Qualifications * Masters of Healthcare Admin in Business Administration, Health Care Administration, Nursing, Education or related area * 5 years Experience in coding, clinical documentation improvement (CDI), revenue integrity, quality, or a directly related functional area of work * One or more of the following: RHIA, RHIT, CHRI, CCS, CPC, CCS, CPC, CCS-P, RN, and * Epic Resolute Certification(s) in one or more of the following Epic applications: Resolute Professional Billing, Resolute Hospital Billing, Claims Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $95k-115k yearly est. Auto-Apply 23d ago
  • Principal Infrastructure Architect

    Fairview Health Services 4.2company rating

    Remote or Minneapolis, MN job

    Fairview is looking for a Principal Architect to join our IT team. As a Principal Architect, you will serve as the strategic authority and thought leader for infrastructure, cloud, and network architecture across the enterprise. This role requires deep technical expertise combined with business acumen to define and govern the enterprise-wide technology landscape, ensuring scalability, resilience, and security. Position Details: * 1.0 FTE (80 hours per pay period) * day shift * as needed weekend rotation * fully remote, salaried position Job Responsibilities: * Enterprise Strategy Alignment * Define and maintain the infrastructure and cloud architecture vision aligned with organizational goals and digital transformation initiatives. * Influence multi-year technology investment strategies and ensure alignment with business priorities. * Cloud & Infrastructure Leadership * Drive cloud adoption strategies (AWS, Azure, GCP) and hybrid architecture models. * Lead Enterprise Cloud Migration Initiative working with all stake holders * Establish network modernization roadmaps, including SD-WAN, zero-trust security, and edge computing. * Lead data center transformation initiatives, including migration to cloud-native and containerized environments. * Governance & Standards * Chair architecture review boards for infrastructure and cloud domains. * Define and enforce architecture principles, patterns, and standards for infrastructure, networking, and cloud services. * Ensure compliance with cybersecurity frameworks (NIST, ISO 27001) and regulatory requirements. * Innovation & Emerging Technologies * Evaluate and integrate emerging technologies such as AI-driven network automation, serverless computing, and observability platforms. * Lead proof-of-concepts and pilot programs to validate new infrastructure solutions. * Collaboration & Mentorship * Partner with senior business leaders to influence enterprise technology decisions. * Mentor domain architects and technical teams to build deep expertise in infrastructure and cloud architecture. Required: * Bachelor's of Science in Computer Science, IT, or a combination of related experience/education * 10+ years of progressive IT experience, with 5+ years in enterprise architecture leadership. * Proven experience in cloud architecture, network engineering, and infrastructure modernization. * Strong knowledge of architecture frameworks (TOGAF, Zachman) and cloud certifications (AWS/Azure/GCP). * Expertise in network security, high availability design, and disaster recovery strategies. Preferred Qualifications * Advanced certifications: TOGAF, AWS Solutions Architect Professional, Azure Architect Expert, Cisco CCIE, TOGAF 9.x. * Experience with multi-cloud strategy, Kubernetes, Infrastructure as Code (Terraform, Ansible). * Strong leadership and communication skills for executive-level engagement. Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $128k-152k yearly est. Auto-Apply 32d ago
  • Triage Nurse Advisor - RN (Remote)

    Fairview Health Services 4.2company rating

    Remote or Saint Paul, MN job

    Are you ready to use your nursing skills and continue making a difference while not having to be full time or needing to face the physical demands of a hospital or clinic nurse role? On the Telephone Triage Nurse Line Advisor with Fairview, that's what we do! Join other nursing professionals in an encouraging environment where we support each other. We are adding new positions due to growth. Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other! Training: Training for this position requires flexibility to work full time (1.0 FTE) on-site for 4-6 weeks. Our training shifts are variable including days, mid-shift, evenings, and weekends. Following training, we work remotely. The work from home location is required to be within driving distance from Midway Corporate Campus in Saint Paul, Minnesota. Schedule: for this opening is 0.4 FTE (32 hours per two weeks) on our DAY shift with an EVERY OTHER weekend rotation. As RN Advisors, we independently triage calls from patients inquiring about their symptoms, medication refills, test results, and information regarding our facilities. We handle approximately 6 calls per hour with calls lasting 6-9 minutes in duration. We are advocates, assisting callers through the health care system. Responsibilities include: * Accountable for quality assessment; efficient management of care and client happiness. * Demonstrate knowledge and expertise in triaging callers properly such that all callers receive a timely and appropriate response. * Focus on callers, maintain a professional demeanor, and continuously implement strategies to improve customer satisfaction. * Collect information regarding concerns, medical history and description of symptoms via the telephone using the nursing process. * Use symptom-based protocols to systematically assess, address needs and provide education. * Prioritize calls based on patients needs. Qualifications * Current Minnesota RN License * 3-5 years RN work experience * Wisconsin RN License; application submitted within 30 days of hire and obtained within 120 days of hire * Computer skills: able to document reliably in electronic health record softwar * RN Triage experience Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $49k-80k yearly est. Auto-Apply 5d ago
  • Casual Physical Therapist - Pediatrics, Flexible Workforce

    Fairview Health Services 4.2company rating

    Remote or Eagan, MN job

    We are seeking a casual pediatric physical therapist to join our outpatient rehabilitation flexible workforce (FWF) team! The pediatric physical therapist will provide staffing coverage for multiple outpatient multi-specialty therapy clinics in the greater Twin Cities metro area. Preferred candidate will have experience in providing interventions for torticollis, plagiocephaly, and pelvic health populations. Where training and experience is limited, Fairview offers mentoring and development opportunities for professional growth. In collaboration with patients and families, the physical therapist is responsible for providing safe and effective delivery of patient care within scope of practice. This includes examination, evaluation, diagnosis, planning, intervention and establishing outcomes. + Casual position authorized to work up to 40 hours per week. + Position provides coverage at various locations across Twin Cities metro including, Burnsville, Edina, Eagan, Maple Grove, Maplewood, New Hope, and Woodbury. + Continuing education opportunities. Fairview Rehabilitation offers a broad range of services that serve patients across 10 acute-care hospitals, 3 post-acute settings and 70 outpatient adult and pediatric therapy clinics. Consisting of Physical, Occupational and Speech Therapy as well as Audiology and Cardiac & Pulmonary Rehab, our therapists collaborate with colleagues in all medical settings and offer dozens of specialty programs. As an academic health system with residency and fellowship programs and a rehab-focused clinical quality team, we have a collaborative culture that is centered on learning with an emphasis on evidence based, patient-centered care. Rehab's continuing education program offers 40+ continuing education courses per year at no cost to employees and further supports numerous external CE courses each year. As a member of the Fairview rehab team, you would have opportunities for formal mentorship, clinical specialization and further recognition and compensation through our clinical specialist program. As an industry leader in rehabilitative care with nationally recognized programs, our therapists play a critical role in helping patients reach their goals and live more fulfilling lives. **Responsibilities** + The physical therapist partners with the patient and family while performing the Evaluation/Re-evaluation + Gathers pertinent data + Performs examination + Determines treatment diagnosis + Develops an individualized plan of care through collaboration with the patient and family + Analyzes data to identify needs and potential risks + Determines prognosis for recovery + Establishes individualized goals with patient and/or caregiver + Individualizes plan of care considering developmental level and cultural differences + Implements and modifies plan of care based on reassessment and patient response + Coordinates care and communicates effectively with interdisciplinary team for all aspects of patient care + Establishes appropriate discharge plan + Partners with patients and families to provide skilled intervention + Implements plan of care + Alters treatment/plan of care to reflect change in patient status and response to treatment + Assesses patient and/or caregiver learning needs and provides appropriate education **Required Qualifications** + Physical Therapy License in the state of Minnesota or temporary license in the state of Minnesota + Basic Life Support (American Heart Association or Red Cross) **Preferred Qualifications** + Doctorate of Physical Therapy + Experience providing interventions for torticollis, plagiocephaly, and pelvic health populations + 1 year pediatric experience **Benefit Overview** Although this is considered a non-benefit eligible position, Fairview offers employees the option to participate in the Fairview 403(b) plan, earn Sick and Safe Time, and early access to earned wages. **Compensation Disclaimer** An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. **EEO Statement** EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $76k-92k yearly est. 34d ago
  • Development of a Wellbeing Framework for Adolescent and Youth Development Programs Consultancy

    Mercy Corps 4.5company rating

    Remote job

    Background: Mercy Corps is a leading global organization powered by the belief that a better world is possible. In disaster, in hardship, in more than 40 countries around the world, we partner to put bold solutions into action - helping people triumph over adversity and build stronger communities from within. Over the past 10 years, Mercy Corps has embarked on a journey to challenge and address gender inequality and social exclusion in our organization, our programs, and our sector. Across Mercy Corps' global adolescent and youth programming1, wellbeing emerges as a critical component for enabling young people to learn, build skills, pursue economic opportunities, and fully participate in their communities. However, the concept of wellbeing remains an amorphous and inconsistently defined concept across programs, which constrains coherent program design, implementation, and the reliable measurement of wellbeing outcomes. Adolescent and youth wellbeing is one of the three primary elements of Mercy Corps' Resilient Youth through Systems Engagement (RYSE) approach (in addition to youth participation and systems engagement), which guides how young people gain capacities and opportunities, particularly in relation to economic opportunities, food security and nutrition, and peace and good governance). While RYSE emphasizes the importance of wellbeing, it does not provide a specific definition of the concept, which could be applied in program design and measurement. These interrelated concepts of wellbeing correspond to the diverse existing approaches that Mercy Corps pursues to develop adolescent and youth wellbeing, which range from psychosocial support (PSS/MHPSS) to broader social and economic outcomes, as well as the developing supportive enabling environments such as family, peers, and community supports. Importantly, an intersectional understanding of wellbeing is required to reflect the diverse experiences, needs, and strengths across groups that engage in Mercy Corps adolescent and youth programming, such as girls, refugees, rural youth, and other marginalized populations. Objectives Mercy Corps aims to establish an evidence-based, youth-informed definition of wellbeing and a wellbeing framework to guide program design, implementation and measurement. Given the variability in wellbeing concepts and the need for strong anchoring in humanitarian settings, this process will produce a unified conceptualization, results framework, measurement guidance, and implementation recommendations grounded in literature, internal evidence, and participatory input from young people. The wellbeing framework will include, among others, outcome indicators, types of program activities supported by evidence achieving wellbeing outcomes across individual, household, and community levels of the socio-ecological model. The objectives will be achieved through the following elements: * Synthesize internal and external evidence on wellbeing programming and measurement., including internal documents and datasets (e.g., outcome monitoring indicator data, program evaluations) as well as relevant external research and impact evaluations. * Conduct participatory consultations with young people to co-define wellbeing and framework components, following a Level 6 participation approach (adult-initiated, shared decisions with youth) on the Ladder of Participation. * Develop a Mercy Corps Wellbeing Framework for adolescent and youth programs that defines wellbeing, program activities, and measurement options. The Consultant will: Literature Review and Evidence Synthesis Conduct a structured literature review and evidence synthesis of: * Mercy Corps youth programs relevant to wellbeing (approximately 6 programs expected), including outcome indicators, sex- and age- disaggregated data (SADD), program implementation documentation and evaluations. * External academic and programmatic literature on adolescent and youth wellbeing, including in humanitarian contexts and multi-dimensional wellbeing models. * Existing indicators and measurement tools from Mercy Corps and other organizations to assess their relevance, feasibility, and evidence strength, as well as gaps in measurement of wellbeing. Youth Participation * Implement youth participation processes to define youth wellbeing. The participation activities engage diverse adolescents and youth from selected programs. As young people in multiple countries will participate in separate sessions, these activities will be conducted online. * The online participatory activities with young people will explore how they define wellbeing in their context, factors that contribute to or detract from wellbeing, and how program activities support or hinder wellbeing. The young people will be current or former Mercy Corps program participants, facilitating identification, communication and informed consent. * Participatory activities will involve focus group discussions with creative methodologies, such as story or photo-based methods). * Mercy Corps will provide logistical support to the organization of these online activities, such as identification of participants, scheduling of sessions etc. Draft the Wellbeing Definition and Framework * Develop a definition of wellbeing based on the review of literature and evidence products, and insights from the adolescent and youth participation. The concept of wellbeing is expected to reflect the interplay of dimensions identified by young people (e.g. physical, emotional), and articulate factors that positively or negatively shape a person's wellbeing. The concept should be context-responsive and incorporate an intersectional lens, accounting for e.g. gender, age, disability status, socioeconomic status, and crisis context. * Building on this conceptual foundation, create a wellbeing framework to illustrate how program components, such as safe spaces for adolescents and youth, market systems development (MSD), parental engagement interventions, contribute to wellbeing outcomes, with guidance on activity selection based on program type, age group, gender, and humanitarian or development setting * Develop a table mapping program activities to wellbeing dimensions, evidence strength, and measurement tools, alongside a clear identification of measurement gaps and priority areas for future research or investment. * To accompany the Framework, review existing measurement tools and develop a menu of wellbeing indicators with measurement guidance notes (Performance Indicator Reference Sheets) and tools. Finalizing the Wellbeing Framework * Present the draft wellbeing definition, framework and associated materials in validation sessions with Mercy Corps staff, including global and regional Technical Support, Evidence and Program Quality (TEQ) teams and country program teams. * Incorporate feedback from these sessions to finalize the framework and deliverables. Deliverables The following deliverables will be developed: * Literature and evidence review summary report (up to 10 pages): Synthesizes key conceptual, programmatic, and measurement insights on adolescent and youth wellbeing from Mercy Corps, external organizations, and academic sources. * Youth participation workshop materials: Workshop materials, including facilitator guides, activities, discussion prompts, and visual aids, designed to explore youth-defined wellbeing and adaptable for diverse contexts and participants. * Youth participation report outlining the methods, findings and implications (up to 12 pages): Report summarizing methods, participant insights on wellbeing, key needs and barriers, and implications for program design and measurement. * Wellbeing definition and results framework (visual framework with written narrative), comprising: * Definition of multi-dimensional adolescent and youth wellbeing from an intersectional perspective * Program activities supported by evidence of wellbeing outcomes * Mapping of measurement tools and indicators to assess domains of wellbeing outcomes, with a menu of proposed wellbeing indicators with measurement guidance notes (Performance Indicator Reference Sheets) and tools. The consultant will report to: Paul Fean (Senior Advisor Adolescent and Youth Development) with oversight by Sahar Alnouri (Senior Director Social Integration and Development). The consultant will work closely with: * Social Integration and Development unit of the global TEQ team * Monitoring, Learning and Evaluation unit of the global TEQ team * Regional Gender Equality and Social Inclusion (GESI) Advisors * Country staff of programs selected for participants for participatory activities Level of Effort, Timeframe and Budget The estimated LoE is total 25 days, allocated as follows: Activity# Working DaysTimeframeOnboarding and workplan2February 2026Literature review and evidence synthesis5FebruaryYouth participation design2FebruaryYouth participation activities6MarchWellbeing definition and framework (inc. youth participation analysis)6MarchMapping and development of measurement tools, indicators and guidance4April Team Engagement and Effectiveness Achieving our mission starts with how we build our team and collaborate. By bringing together individuals with a variety of experiences, backgrounds, and perspectives, we strengthen our ability to solve complex challenges and drive innovation. We foster a culture of trust and respect, where every team member is valued for their contributions, empowered to reach their full potential, and motivated to do their best work. We recognize that building a strong and effective team is an ongoing process, and we remain committed to learning, improving, and growing together. Equal Employment Opportunity Mercy Corps is an equal opportunity employer committed to providing equal employment opportunities to all employees and qualified applicants for employment without regard to race, color, sex, sexual orientation, religion or belief, national origin, age, disability, marital status, veteran status, or any other characteristics protected under applicable law. Safeguarding & Ethics Mercy Corps is committed to ensuring that all individuals we come into contact with through our work, whether team members, community members, program participants or others, are treated with respect and dignity. We are committed to the core principles regarding prevention of sexual exploitation and abuse laid out by the UN Secretary General and IASC. We will not tolerate child abuse, sexual exploitation, abuse, or harassment by or of our team members. As part of our commitment to a safe and inclusive work environment, team members are expected to conduct themselves in a professional manner, respect local laws and customs, and to adhere to Mercy Corps Code of Conduct Policies and values at all times. Team members are required to complete mandatory Code of Conduct elearning courses upon hire and on an annual basis. Required Experience and Skills The successful consultant/s should have the following characteristics: * Strong technical knowledge and practical experience of adolescent and youth development programmes in humanitarian and development contexts. * Qualifications and professional background in fields related to adolescent and youth development (e.g. education, international development, human rights, gender studies or similar). * Expertise in monitoring, evaluation and learning, including measurement, results frameworks and indicators. * Experience of similar assignments in the past five years. * Proven experience in conducting participatory research activities with young people. * Excellent writing, editing and communication skills, and experience in developing programming and measurement tools and guidance. * Experience working in low and lower-middle income contexts, and in development, humanitarian and nexus contexts. * Fluency in English; working proficiency in French, Spanish and/or Arabic is desirable How to Apply To apply, please submit a brief proposal outlining your approach to the consultancy, including methodology, timeline, and any innovative ideas for achieving the deliverables. You may use the provided template to ensure consistency, which should include: * Methodology: Describe the methodology you will use to address each deliverable. * Work Plan and Timeline: Outline how you will allocate the 25 working days across all deliverables, including review and revision periods. * Consultant/s Profile: Provide the CV for the consultant/s. * Budget/Fees: Provide your daily rate or, if proposing a team, the total budget with a breakdown of fees by consultant or role. Please apply by Tuesday, January 13, 2026. Adolescent and Youth Wellbeing Framework Development Proposal Instructions Please review the guidelines on this page for what to include in your proposal. On page 2, input the following information into the template. * Briefly outline (max 2 pages ) the approach you will use to deliver the consultancy objectives and deliverables. Your methodology should address how to engage youth and adolescents in a participatory approach and demonstrate how you will achieve the expected outcomes. Given that this consultancy will be remote, methodologies should articulate how to achieve these outcomes in a virtual setting. * Literature Review and Evidence Synthesis: Explain how you will identify, review, and synthesize 6-8 internal and 8-10 external evidence products on adolescent and youth wellbeing. Include how you will source relevant external evidence. * Youth Participation: Describe your approach to designing and implementing participatory activities with adolescents and youth, including ethical considerations and creative methods. Based on this Ladder of Participation, how would you use a participatory approach that is adult-initiated with shared decisions with youth (level 6 of the ladder)? * Wellbeing Definition and Framework Development: Detail how you will develop a definition of wellbeing and create a framework that integrates program activities, measurement tools, and indicators. * Measurement Tools and Indicators: Explain your process for reviewing existing tools and developing a menu of indicators with guidance notes. * Complete the summary work plan showing how you will allocate the estimated working days across all tasks. Include key milestones, deliverables, and review periods. You may add more rows to the table included in the template on page 2 if needed. A more detailed workplan will be developed after the onboarding process. Section 3: Daily Rate and Budget State your daily rate and provide a total estimated budget for the consultancy. Proposal Template Section 1: Methodology Literature Review and Evidence Synthesis: Youth Participation: Wellbeing Definition and Framework Development: Measurement Tools and Indicators: Section 2: Work Plan and Timeline Activity# DaysTimeframeOnboarding and Workplan[Enter Days][Enter Timeframe]Literature Review and Evidence Synthesis[Enter Days][Enter Timeframe]Youth Participation Design[Enter Days][Enter Timeframe]Youth Participation Activities[Enter Days][Enter Timeframe]Wellbeing Definition and Framework[Enter Days][Enter Timeframe]Measurement Tools and Indicators[Enter Days][Enter Timeframe] Section 3: Daily Rate
    $31k-39k yearly est. Auto-Apply 28d ago
  • Senior Enterprise Architect

    Fairview Health Services 4.2company rating

    Remote or Minneapolis, MN job

    Fairview is looking for a Senior Enterprise Architect to join our team! The Senior Enterprise Architect will lead the development and governance of business architecture frameworks, ensuring alignment between business strategy and enterprise capabilities. This role drives capability modeling, maturity assessments, and the creation of policies, standards, and guidelines to enable consistent architecture practices across the organization while leading Enterprise Architecture Review Board (ARB). Position Details: * 1.0 FTE (80 hours per pay period) * day shift * no weekends * fully remote, salaried position Key Responsibilities: * Business Architecture Leadership * Define and maintain the enterprise business capability model. * Align business capabilities with strategic objectives and transformation initiatives. * Facilitate capability-based planning and investment prioritization. * Governance & Standards * Develop and enforce architecture policies, principles, and guidelines. * Establish governance processes for business architecture compliance. * Partner with IT and business stakeholders to ensure adherence to standards. * Architecture Review Board (ARB) Leadership * Establish and Chair ARB: Lead the Architecture Review Board to ensure alignment of technology initiatives with enterprise architecture principles and business strategy. * Governance & Standards: Define and enforce architectural standards, patterns, and guidelines across projects and programs. * Solution Review & Approval: Oversee review and approval of solution architectures, ensuring compliance with security, scalability, and interoperability requirements. * Risk Assessment: Identify architectural risks and provide mitigation strategies during project evaluations. * Stakeholder Engagement: Facilitate collaboration between business units, IT teams, and external partners during ARB sessions. * Continuous Improvement: Monitor effectiveness of ARB processes and recommend enhancements for agility and governance. * Documentation & Reporting: Maintain records of ARB decisions and communicate outcomes to leadership and project teams. * Capability & Maturity Analysis * Conduct capability maturity assessments and identify improvement opportunities. * Recommend roadmaps for capability evolution and optimization. * Provide insights to support portfolio planning and enterprise transformation. * Collaboration & Stakeholder Engagement * Work closely with business leaders, solution architects, and enterprise architecture teams. * Communicate architecture vision and governance requirements effectively. * Facilitate workshops and decision-making forums. * Tools & Frameworks * Utilize industry frameworks (TOGAF, BIZBOK, etc.) for business architecture. * Maintain architecture repository and modeling tools (e.g., ServiceNow, LeanIX, Sparx EA). Required Qualifications * B.S./B.A. Computer Science, Information Systems, or related field. * 8 years progressive IT experience, including 5+ years in architecture roles. * Proven experience in enterprise-level architecture design, governance, and implementation. * Strong knowledge of architecture frameworks (TOGAF, Zachman) and cloud platforms (AWS, Azure). * Expertise in Cybersecurity principles, Data Architecture, and Integration patterns. * Demonstrated ability to lead cross-functional teams and influence executive stakeholders Preferred Qualifications * M.A./M.S. Computer Science, Information Systems, or related field. * Experience with Agile and DevOps practices. * Familiarity with AI/ML architectures, API management, and event-driven systems * Strong communication and presentation skills for executive-level engagement. * TOGAF 9.x or equivalent EA certification. * Cloud certifications (AWS Solutions Architect, Azure Architect Expert). Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $145k-177k yearly est. Auto-Apply 53d ago
  • Casual Speech Language Pathologist - Outpatient, Flexible Workforce

    Fairview Health Services 4.2company rating

    Remote or Maple Grove, MN job

    We are seeking a dynamic speech language pathologist (SLP) to join our interdisciplinary rehabilitation flexible workforce team! Preferred applicant will have formal training and clinical experience in providing feeding services. In collaboration with patients and families, the SLP is responsible for providing safe and effective delivery of care within scope of practice. This includes examination, evaluation, diagnosis, planning, intervention and establishing outcomes. + Casual position authorized to work up to 40 hours per week. + Position will provide coverage for various locations across Twin Cities metro including Burnsville, Edina, Eagan, Maple Grove, Maplewood, New Hope, and Woodbury. Fairview Rehabilitation offers a range of services that serve patients across 10 acute-care hospitals, 3 post-acute settings and 70 outpatient adult and pediatric therapy clinics. Consisting of Physical, Occupational and Speech Therapy as well as Audiology and Cardiac & Pulmonary Rehab, our therapists collaborate with colleagues in all medical settings and offer dozens of specialty programs. As an academic health system with residency and fellowship programs and a rehab-focused clinical quality team, we have a collaborative culture that is centered on learning with an emphasis on evidence based, patient-centered care. Rehab's continuing education program offers 40+ continuing education courses per year at no cost to employees and further supports numerous external CE courses each year. As a member of the Fairview rehab team, you would have opportunities for formal mentorship, clinical specialization and further recognition and compensation through our clinical specialist program. As an industry leader in rehabilitative care with nationally recognized programs, our therapists play a meaningful role in helping patients reach their goals and live more fulfilling lives. **Responsibilities** + The Speech Language Pathologist partners with the patient and family while performing the Evaluation/Re-evaluation + Gathers pertinent data + Performs examination + Determines treatment diagnosis + Develops an individualized plan of care through collaboration with the patient and family + Analyzes data to identify needs and potential risks + Determines prognosis for recovery + Establishes individualized goals with patient and/or caregiver + Individualizes plan of care considering developmental level and cultural differences + Implements and modifies plan of care based on reassessment and patient response + Coordinates care and communicates effectively with interdisciplinary team for all aspects of patient care + Establishes appropriate discharge plan + Partners with patients and families to provide skilled intervention + Implements plan of care + Alters treatment/plan of care to reflect change in patient status and response to treatment + Assesses patient and/or caregiver learning needs and provides appropriate education + Documentation/Billing + Uses acceptable medical terminology + Follows professional practice standards + Completes documentation in a timely manner per department standards + Complies with department billing standards + Professional Expectations + Prioritizes tasks and patient care for effective time management + Understands and follows professional licensure/certification requirements + Directs team members and/or supervises students as designated + Pursues personal and professional development to support clinical best practice + Productivity + Meets or exceeds departmental standards for productivity + Quality Improvement + Identifies opportunities for process /quality improvement + Participates in and supports entity/system initiatives **Required Qualifications** + Certification by American Speech-Language-Hearing Association (ASHA) and Speech Language Pathology license in the state of Minnesota + Basic Life Support (American Heart Association or Red Cross) + If in Clinical Fellowship Year only: Active temporary license in the State of Minnesota, ASHA member and actively working towards obtaining Certificate of Clinical Competence **Preferred Qualifications** + 1 year + Completion of CFY **Benefit Overview** Although this is considered a non-benefit eligible position, Fairview offers employees the option to participate in the Fairview 403(b) plan, earn Sick and Safe Time, and early access to earned wages. **Compensation Disclaimer** An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. **EEO Statement** EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $59k-73k yearly est. 34d ago
  • Financial Clearance Rep - Rehab Services

    Fairview Health Services 4.2company rating

    Remote or Minneapolis, MN job

    We are seeking a financial clearance rep (FCR) to join our rehab services team! The FCR must be able to effectively articulate payor information in a manner such that therapists, patients and families gain a clear understanding of financial responsibilities.The FCR will be responsible for completing the insurance and benefits verification to determine the patient's benefit level for outpatient therapy services including physical, occupational, speech, cardiac, pulmonary, and hearing aids/audiology. They will obtain benefit levels, screen payor medical policies to determine if the scheduled procedure meets medical necessity guidelines, submit and manage referral and authorization requests/requirements when necessary, and/or ensure that pre-certification notification requirements are met per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary, in conjunction with revenue cycle and clinical staff. The FCR makes the decision when and how to work with providers, clinical staff, insurance payors and other external sources to assist in obtaining healthcare benefits. * FTE 1.0, authorized for 80 hours per pay period. * Schedule: Monday-Friday, 8:30am - 5:00pm. * Remote position. * Full benefits such as medical, HSA, dental insurance, vision insurance, 403b, PTO, health & wellbeing resources, Health & Wellness funding, and more! M Health Fairview Rehabilitation offers a broad range of services that serve patients across 10 acute-care hospitals, 3 post-acute settings and 70 outpatient adult and pediatric therapy clinics. Consisting of Physical, Occupational and Speech Therapy as well as Audiology and Cardiac & Pulmonary Rehab, our therapists collaborate with colleagues in all medical settings and offer dozens of specialty programs. As an academic health system with residency and fellowship programs and a rehab-focused clinical quality team, we have a collaborative culture that is centered on learning with an emphasis on evidence based, patient-centered care. Rehab's continuing education program offers continuing education courses per year at no cost to employees. Responsibilities * Practice excellent telephone etiquette and active listening skills. * Identify insurances for all new patients that require information/notification from the site for new, continuing, and observation patients. * Document and track all communication with insurers, clinic staff, and patients. * Document each step taken in the process of acquiring benefits, prior authorization, or confirmation compensability determination. * Document pertinent information for therapist use in contacting insurance carrier if further authorization is necessary. * Enters referrals with all pertinent information into Epic referral entry. * Initiate process to establish company account for worker's compensation patients and all other insurances as needed. * Informs patients/clinic/caregiver of denials by insurance companies when pre-authorizing services. * Contact patients with insurance issues such as termed insurance. * Develop a list of key contacts at insurance companies and develop positive working relationships to facilitate ability to retro-authorize claims and increase reimbursement. * Assist in training new insurance staff * Acquire insurance referrals from PCC, if required by insurance. * Submit appeals to insurances for prior authorization, if needed. * Incorporate new changes in insurance verification and adapt to changes in volume of workload. Required Qualifications * 1 year experience in insurance verification/eligibility, financial securing, prior authorization, or related areas. * Experience with electronic health record software. Preferred Qualifications * Associate of Science * Vocational/Technical Training * Epic experience * Insurance/benefit verification experience * Referrals and/or prior authorization experience * Knowledge of medical terminology and clinical documentation review * 2 years of experience working insurance/benefit verification, financial securing, or related areas using an EHR in a healthcare organization * Knowledge of computer system applications, including Microsoft Office 365 Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $27k-45k yearly est. Auto-Apply 9d ago
  • Manager- Revenue Integrity

    Fairview Health Services 4.2company rating

    Remote or Saint Paul, MN job

    Fairview is looking for a Manager- Revenue Integrity to join our team! The Manager of Revenue Integrity is responsible for the leadership, development, coordination, implementation, and oversight of one or more Revenue Integrity team functions. This role provides strategic leadership and operational oversight for Fairview's revenue integrity functions, ensuring compliant, accurate, and efficient charge capture across the system. This manager defines the governance framework, performance standards, and continuous improvement strategies that guide accurate, compliant, and timely charging activities while ensuring enterprise-wide consistency, accountability, and alignment with payer, regulatory, and financial requirements. This role works cross-functionally across the continuum of Revenue Cycle and revenue-generating departments and maintains knowledge of charging workflows within the EHR, including its various applications and software. The manager of Revenue Integrity monitors metrics reporting, collaborates with IT in maintaining system applications, and partners cross-functionally with clinical and revenue cycle operational departments to achieve optimal system performance. **Position Details:** + 1.0 FTE (80 hours per pay period) + day shift + no weekends + fully remote, salaried position **Responsibilities** + Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards. Provides oversight to ensure compliance with established laws, regulations, practices, and procedures. + Responsible for providing the operational oversight for system-wide charge capture activities. Provides operational direction for Charge Capture integrity, aligning direction with customer expectations, financial expectations, environmental requirements, and organizational objectives. This includes: - The analysis of department charges - The identification and implementation of charge improvement strategies - Assisting departments with their charge capture activities, including the development of charge reconciliation processes where needed. + Sets, oversees, and ensures daily operations, service support and outcomes are performed timely and accurately in accordance with regulatory and payer requirements. - Designs and helps maintain workflows to ensure efficient and effective processes, monitors and prioritizes work based on organizational needs and assignments, and appropriately assures timely, productive, and efficient use of resources. - Ensures work assignments are performed and supported to achieve departmental goals and outcomes - Ensure staff members are knowledgeable about revenue assurance needs and reimbursement issues identified through audits, reviews, and aggregate data analysis. - Ensures key productivity and quality standards for department processes are adhered to and managed appropriately - Develops and tracks key performance indicators (KPIs) to monitor revenue integrity trends, communicate outcomes to leadership, and drive continuous improvement and achieve industry-level benchmarks for the department and team. - Selects, hires, orients, and trains qualified employees to perform job responsibilities, mentors and evaluates staff + Develops and implements a formalized system-wide charge capture education plan including execution strategy and routine updates as needed + Leverages analytics, audits, and charge reconciliation data to identify missing, miscoded, or unbilled charges, as well as underutilized CDM items; collaborates with operational and financial leaders to implement corrective actions and prevent recurrence. - Tracks and assesses integrity risks, and ensures the revenue integrity program is responsive to those risks, activates additional financial controls as appropriate and follows through to resolution - Leads and/or actively participates in committees addressing and/or is responsible for revenue integrity root cause and resolution activities + - Partners with clinical and operational departments to translate charge capture findings into process improvements, workflow changes, and system optimization to ensure accurate use of CPT/HCPCS codes, modifiers, and revenue codes. - Serves as the primary liaison between Revenue Integrity and operational leaders for charge capture, pricing, and reimbursement integrity initiatives. - Facilitates cross-functional meetings to review trends, identify systemic risks, and develop corrective or optimization programs. - Establishes escalation pathways and feedback loops to ensure charge capture and pricing issues are prioritized and resolved in collaboration with Finance, Clinical Operations, and IT - Provides routine performance reports regarding the nature, progress, and status of the revenue integrity program, any course correction being taken, and any recommended changes - Provides technical expertise, troubleshooting issues, and input on improvement projects and product selection - Identifies, evaluates, coordinates, and implements tactics to achieve organizational objectives, improve operational efficiencies, and increase positive cash flow + Leads the enhancement of charge description master (CDM) activities and supports maintenance of integrated revenue cycle applications, reviewing and optimizing organizational CDM structures to ensure all services and supplies are reflected accurately and are consistent with current industry best practices. Include clearly stated service level agreements and accountability for updates by all stakeholders + Fosters a culture of improvement, efficiency and innovative thinking + Monitors, evaluates, and manages department Budget by RCM leadership to achieve budget + Job Expectations: - Leads or participates in work with peers and other departments to create an excellent understanding of workflows and interdependencies, and to identify and implement strategies to improve revenue cycle performance - Works collaboratively with vendors to assure performance expectations are being met - Represent Revenue Cycle and Fairview Health Services at industry forums to network and identify process improvement opportunities - Serves as a resource on revenue cycle issues and regulatory expectations - Creates strong collaborative partnerships and influences others across teams, groups, and business boundaries to achieve real-world problem solving + Organization Expectations: This role also supports the organization's broader mission and values through the following behaviors: - Demonstrates ability to provide care or service, adjusting approaches to reflect developmental level and cultural differences of population served. o Partners with patient caregiver in care/decision making. o Communicates in a respective manner. o Ensures a safe, secure environment. o Individualizes plan of care to meet patient needs. o Modifies clinical interventions based on the population served. o Provides patient education based on an assessment of learning needs of patient/caregiver. - Fulfills all organizational requirements. o Completes all required learning relevant to the role. o Complies with and maintains knowledge of all relevant laws, regulations, policies, procedures, and standards. - Fosters a culture of improvement, efficiency, and innovative thinking. - Performs other duties as assigned. o Completes all required training and learning activities relevant to the role. o Maintains up-to-date knowledge of applicable laws, regulations, policies, and procedures. **Required Qualifications** + Bachelor of Science in Business Administration, Health Care Administration or related area PLUS 2 years of experience in health care reimbursement, financial management or coding OR an approved equivalent combination of education and experience + Thorough knowledge of functions assigned + Thorough knowledge of computer systems used by assigned revenue cycle team + Knowledge of applicable regulatory requirements + Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting) + Ability to present to small and large groups + Consistent demonstration of excellent written and verbal communication skills + Proficiency in Microsoft Office: Word, Excel, Power-Point, Visio, Teams, SharePoint and Outlook. + Performance improvement, project management and/or lean skills + 3 years Applicable leadership business-related experience + One or more of the following: RHIA, RHIT, CHRI, CCS, CPC, CCS, CPC, CCS-P, RN, or + Epic Resolute Certification(s) in one or more of the following Epic applications: Resolute Professional Billing, Resolute Hospital Billing, Claims or + Ability to achieve within one year of employment **Preferred Qualifications** + Masters of Healthcare Admin in Business Administration, Health Care Administration, Nursing, Education or related area + 5 years Experience in coding, clinical documentation improvement (CDI), revenue integrity, quality, or a directly related functional area of work + One or more of the following: RHIA, RHIT, CHRI, CCS, CPC, CCS, CPC, CCS-P, RN, and + Epic Resolute Certification(s) in one or more of the following Epic applications: Resolute Professional Billing, Resolute Hospital Billing, Claims **Benefit Overview** Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** **Compensation Disclaimer** The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. **EEO Statement** EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $95k-115k yearly est. 23d ago
  • Organizational Change Management Practitioner

    Fairview Health Services 4.2company rating

    Remote or Minneapolis, MN job

    Fairview is looking for an Organization Change Management Practitioner to join our Transformation Office team. The Organizational Change Management (OCM) Practitioner has primary responsibility for building the Transformation Office's change management strategy in adherence with Transformation Office processes and guidelines and in alignment with organizational philosophy. The OCM Practitioner will provide day-to-day support to the Transformation Office and Pillar teams, acting as the primary contact for all change management inquiries. They will partner with the Transformation Office and other change management stakeholders within the organization to leverage existing resources and build consistent and standard change management tools and trainings, and provide project-team level support, including developing leadership reinforcement strategies and creating communications. **What We Do:** The Transformation Office (TxO) exists to help bring our organization's ideas to life. We partner across teams to guide initiatives from concept to completion-offering the structure, support, and strategic alignment needed to move work forward. By ensuring your ideas align with the organization's broader strategic vision, the TxO helps turn meaningful ideas into lasting impact. As a high-performing and innovative team grounded in discovery, research, and systems thinking, we collaborate with you to drive cross-functional alignment, allocate resources effectively, and support strategic planning and execution. Through our four-phased operating model that leverages the Fairview operating system, standard workflows, dedicated resources, and comprehensive reporting, we're helping to transform our organization into a more agile, efficient, and future-focused enterprise. Explore our operating model and areas of expertise below to learn more. **Our Commitments:** -Have positive intent and messaging -Pace progress while maintaining excellence -Inspire systems thinking -Be timely, agile and adaptive -Be fearless in creating solutions and ideation -Lean into ambiguity -Harden accountability by demonstration -Be accountable financial stewards -Foster data-driven decision-making **Position Details:** + 1.0 FTE (80 hours per pay period) + day shift + no weekends + fully remote, salaried position **Job Responsibilities:** + Responsible for change management support for the Transformation Office: + Identifies and creates change management tools, develop materials, leads trainings and builds a strategy to support the Transformation Office and its team members with change management. + Aligns practice with the ADKAR Model and continually investigates industry approaches and conducts research to suggest and implement change management best practices in support of continuous improvement. + Actively monitors how major projects within the Transformation Office could affect the organization and engages with the appropriate areas to ensure proper visibility and prioritization for change planning. + Defines and tracks usage of tools (i.e. stakeholder analysis, communication plan) to ensure adoption across the Transformation Office and creates a scorecard to provide visibility and metrics to monitor change management. + Leads regular working sessions to broadly discuss change management across the Transformation Office. + Evaluates how Transformation Office changes will impact various groups, and partners with leaders across Pillars to develop a plan to support key projects through change. + Identifies real time capability building opportunities and partners with OD/L and other organizational stakeholders to implement broader capability building programs such as the Change Management Community of Practice + Supports Transformation Office in key message development and communications: + Coordinates the development of change stories and key messages specific to the Transformation Office in partnership with Transformation Office leadership and partners with System Communications to cascade throughout the organization, as applicable. + Incorporates central messaging into Transformation Office documents in partnership with Transformation Office leadership. + Supports the creation and maintenance of the Transformation Office website to ensure timely and accurate information and access to relevant materials and tools by the broader organization. + Develops the Transformation Office communication strategy with advisement from System Communications to share internal to the Transformation Office and more broadly across the organization, as applicable. + Partners closely with System Communications to utilize communications as a tool of organizational health improvement. + Drafts regular Transformation Office communications to the Transformation Office team and partners with System Communications on whole organization communications, as applicable (cadence dependent on broader communications strategy) and with guidance from Transformation Office leadership. + Leads efforts to gather and incorporate feedback for continuous improvement: + Gathers input from individuals across the Transformation Office and organization to identify opportunities for new change management strategies. + Promotes and supports key rewards and recognition efforts across the organization. + Fulfills all organizational requirements: + Completes all required learning relevant to the role. + Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards. + Fosters a culture of improvement, efficiency and innovative thinking. + Performs other duties as assigned. **Required Qualifications** + B.S./B.A. + 5 years of project implementation and/or change management including large-scale, transformational change efforts + 5 years of professional communications or closely related experience + 3 years writing content for and producing/building communications vehicles (i.e. SharePoint Sites, Newsletters, Websites, Videos, Executive Briefings, Managerial Talking points, Presentations, Brochures, etc.) + Performance improvement, project management and/or lean skills + Thorough knowledge of project management including life cycle and related tools + Understands and employs ADKAR model related to the five outcomes an individual needs to achieve for change to be successful: Awareness, Desire, Knowledge, Ability and Reinforcement + Ability to professionally engage with all levels of the organization including clinical team members + Consistent demonstration of excellent written and verbal communication skills + Ability to present to small and large groups + Ability to generate reports, prepare presentations and other materials in a succinct and persuasive manner to drive meaningful action and desired outcomes + Strong analytic and problem-solving skills + Proficiency in Microsoft Office: Word, Excel, Power-Point, Visio, Teams, SharePoint, and Outlook + Ability to apply system-thinking and design principles to create reliable processes and programs Ability to apply system-thinking and design principles to create reliable processes and programs + Prosci ADKAR model or achieved within 180 Days **Preferred Qualifications** + Advanced education in change management or business-related field (MBA, Masters in Organizational Development, or related field) + Healthcare industry experience + Extensive experience and proven track record working in highly matrixed organization + Extensive experience working on projects that represent transformational changes touching a majority of departments in a complex health care system **Benefit Overview** Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** **Compensation Disclaimer** The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. **EEO Statement** EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $130k-191k yearly est. 60d+ ago
  • Casual Occupational Therapist - Pediatrics, Flexible Workforce

    Fairview Health Services 4.2company rating

    Remote or Minneapolis, MN job

    We are seeking a casual pediatric occupational therapist to join our outpatient rehabilitation flexible workforce team! The preferred candidate will be trained and experienced in feeding interventions. Where feeding experience is limited, Fairview offers mentoring and development opportunities for professional growth. In collaboration with patients and families, the occupational therapist is responsible for providing safe and effective delivery of patient care within scope of practice. This includes examination, evaluation, diagnosis, planning, intervention and establishing outcomes. * Casual position; authorized for up to 40 hours per week, as needed. * Position provides coverage at various locations across Twin Cities metro including Burnsville, Edina, Eagan, Maple Grove, Maplewood, New Hope, and Woodbury. Fairview Rehabilitation offers a broad range of services that serve patients across 10 acute-care hospitals, 3 post-acute settings and 70 outpatient adult and pediatric therapy clinics. Consisting of Physical, Occupational and Speech Therapy as well as Audiology and Cardiac & Pulmonary Rehab, our therapists collaborate with colleagues in all medical settings and offer dozens of specialty programs. As an academic health system with residency and fellowship programs and a rehab-focused clinical quality team, we have a collaborative culture that is centered on learning with an emphasis on evidence based, patient-centered care. Rehab's continuing education program offers 40+ continuing education courses per year at no cost to employees and further supports numerous external CE courses each year. As a member of the Fairview rehab team, you would have opportunities for formal mentorship, clinical specialization and further recognition and compensation through our clinical specialist program. As an industry leader in rehabilitative care with nationally recognized programs, our therapists play a critical role in helping patients reach their goals and live more fulfilling lives. Responsibilities * The occupational therapist partners with the patient and family while performing the Evaluation/Re-evaluation * Gathers pertinent data * Performs examination * Determines treatment diagnosis * Develops an individualized plan of care through coordination with the patient and family * Analyzes data to identify needs and potential risks * Determines prognosis for recovery * Establishes individualized goals with patient and/or caregiver * Individualizes plan of care considering developmental level and cultural differences * Implements and modifies plan of care based on reassessment and patient response * Coordinates care and communicates effectively with interdisciplinary team for all aspects of patient care * Establishes appropriate discharge plan * Partners with patients and families to provide skilled intervention * Implements plan of care * Alters treatment/plan of care to reflect change in patient status and response to treatment * Assesses patient and/or caregiver learning needs and provides appropriate education * Documentation/Billing * Uses acceptable medical terminology * Follows professional practice standards * Completes documentation in a timely manner per department standards * Complies with department billing standards * Professional Expectations * Prioritizes tasks and patient care for effective time management * Understands and follows professional licensure/certification requirements * Directs team members and/or supervises students as designated * Pursues personal and professional development to support clinical best practice * Productivity * Meets or exceeds departmental standards for productivity * Quality Improvement * Identifies opportunities for process /quality improvement * Participates in and supports entity/system initiatives Required Qualifications * Occupational Therapy Licensure in State of Minnesota or temporary license in State of Minnesota * Basic Life Support (American Heart Association or Red Cross) Preferred Qualifications * Master's Degree in Occupational Therapy * Feeding experience * 1+ year(s) of OT experience post graduation * Certification with the National Board for Certification in Occupational Therapy Benefit Overview Although this is considered a non-benefit eligible position, Fairview offers employees the option to participate in the Fairview 403(b) plan, earn Sick and Safe Time, and early access to earned wages. Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $71k-85k yearly est. Auto-Apply 33d ago

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