Clinical Supervisor (BCBA) Remote
Remote
Salary Range: $65,000 - $115,000
ORGANIZATION
The Center for Autism and Related Disorders is seeking highly motivated professionals to join our team. As a member of our growing, founder-owned organization, you'll have the opportunity to join a well-established, mission-driven industry leader focused on helping people with autism live their best lives. CARD offers a dynamic work environment where your talents and skills will be valued and rewarded. The Center for Autism and Related Disorders (CARD) is among the world's largest and most experienced organizations effectively treating individuals of all ages who are diagnosed with autism spectrum disorder. CARD treats autistic individuals using the principles of applied behavior analysis (ABA), which is empirically proven to be the most effective method addressing the behaviors and deficits commonly associated with autism. With locations throughout the US, CARD's mission is to provide top-quality services that help every patient fulfill their potential and live joyful lives. Through its network of trained behavior technicians, Board Certified Behavior Analysts, and researchers, CARD develops and implements quality, comprehensive, and individualized treatment programs that lead to success.
Remote Location - CA Sacramento, California 95834HIGHLIGHTS:
Up to $30,000 annual bonus potential ($2,500 per month)
Free access to medical care via Telehealth for you & your family
World class training & mentorship programs
Flexible schedules
100% Remote Position
Free CEU's
Growing organization with over 30-year history providing opportunities for career growth
Competitive benefits package, including health insurance, retirement plans, and new benefits
POSITION OVERVIEW:
The Clinical Supervisor is responsible for all clinical aspects of treatment for the patients they oversee. This includes the assessment and analysis of the patient's skills and challenging behaviors, development of treatment plans, overseeing the implementation of treatment, collaboration with and training of their patient's caregivers, as well as ongoing coaching and training of behavioral technicians. Treatment plans are primarily designed to address areas of medical necessity and may occur in a variety of settings including the CARD center, patient's home, school, community, or via telehealth. Clinical Supervisors report to the Group Clinical Manager. This is a salaried, exempt, full-time position. This is a remote position, requiring a high level of self-discipline and accountability. While the remote Clinical Supervisor will have the flexibility to work from their home office, we maintain rigorous standards for clinical quality, communication, productivity, and collaboration. They will be expected to adhere to set schedules, attend virtual meetings, and meet deadlines consistently.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Uses clinical judgment to promote optimal outcomes for each patient
Develop and maintain treatment plans
Ensure that all supervision hours are at 100% treatment adherence each month
Evaluate patients to identify both skill deficits and strengths
Analyze challenging behaviors to identify the function of the behavior
Develop functionally relevant treatment plans to reduce challenging behaviors
Observe treatment implementation for potential program revisions
Monitor treatment integrity to ensure satisfactory implementation of treatment protocols
Direct behavior technicians in the implementation of new or revised treatment protocols
Provides ongoing coaching and training to behavioral technicians
Primarily works to support technicians and follow best practices of observation
Summarize and analyze data to evaluate patient progress towards treatment goals and adjust treatment protocols based upon data
Update treatment plans at least once per month, based upon patient response to treatment
Fulfill a minimum of 120 payor/client authorized billable hours per month, inclusive of Supervisory hours and therapy hours
Maintain a caseload of 12-18 patients
Accurately communicate treatment response to treatment stakeholders (i.e., caregivers, payers)
Coordinate care with other professionals
Administer, complete, and score standardized assessments
Includes caregiver as a part of the treatment team, as evidenced by consistent Caregiver Collaboration meetings
Interacts with payers in a way that is collaborative, professional, thorough, and informative
Engages with payers as needed for funding meetings (i.e., IEP, peer reviews)
Stay up to date on best practices for ABA treatment to ensure clinical excellence
Maintains appropriate documentation in Skills and the patient's medical record
Communicate effectively and compassionately with patients, families and colleagues
Provide a safe and supportive environment for patients, families and colleagues
Maintain compliance with HIPAA requirements at all times
Partner consistently and effectively with other center leadership including but not limited to: Operations Manager, Clinical Supervisors, Administrative Coordinator Technician, Behavior Technician Leads
Management of employer and patient property
Other duties as assigned
REQUIREMENTS:
Master's degree in Psychology or Applied Behavior Analysis or related field required
Certification as a behavior analyst from the Behavior Analyst Certification Board required
Experience working with individuals with Autism Spectrum Disorder (ASD) required
KNOWLEDGE, SKILLS, AND ABILITIES:
Empathetic and compassionate individual with the ability to maintain strict confidentiality
Ability to work collaboratively with team members while maintaining a positive and solution focused attitude
Ability to work independently to problem solve and exercise clinical judgment
An effective communicator in both verbal and written formats
Demonstrate excellent time management skills and the ability to work in a fast paced, changing environment
Excellent computer skills and knowledge of MS Excel, Word, Outlook; ability to use new computer systems and iPads.
Desire to continuously learn and develop skillsets
Willingness to work with a variety of patients Must pass tuberculosis test if required by funders
Proficiency in English, both written and verbal
WORK ENVIRONMENT:
Treatment for patients may occur in a variety of settings including the patient's home, the CARD center, the patient's school, the community, or via telehealth. Treatment environments may be subject to loud or excessive noise at times. This remote position requires a professional and quiet home office setup suitable for completing job duties effectively with minimal background noise and distraction. We foster a culture of collaboration and open communication through regular virtual meetings and cutting-edge technology which requires strong internet connection and the ability to present oneself on camera, video, and web-based calls or meetings regularly.
PHYSICAL REQUIREMENTS:
Be able to work with patients and staff using assigned technology, including but not limited to computers, laptops, iPads, cameras, phones, etc.
Be able to utilize continuous visual tracking in order to monitor the movement of patients, as well as the items and circumstances in the surrounding environment
Ability to use a computer, iPad, or similar technology for extended amounts of time throughout the typical workday in order to complete job duties
Operate basic office equipment and navigate and utilize relevant software programs effectively
Frequently teach patients to use vocal speech. Must be able to articulate sound and model speaking clearly, as well as listen to and shape vocal communication of patients
Occasionally use modeling to teach gross motor skills, such as climbing or jumping, and fine motor skills such as clapping or opening a container
Ability to travel by automobile and airplane, if necessary
For CA residents only: Qualified Applicants with arrest or Conviction records will be considered for Employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act
Qualified Applicants with arrest or Conviction records will be considered for Employment in accordance with the for Employers and the California Fair Chance Act.
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Auto-ApplyAssociate Supervisor (BCaBA)
Remote
ORGANIZATION
The Center for Autism and Related Disorders is seeking highly motivated professionals to join our team. As a member of our growing, founder-owned organization, you'll have the opportunity to join a well-established, mission-driven industry leader focused on helping people with autism live their best lives. CARD offers a dynamic work environment where your talents and skills will be valued and rewarded. The Center for Autism and Related Disorders (CARD) is among the world's largest and most experienced organizations effectively treating individuals of all ages who are diagnosed with autism spectrum disorder. CARD treats autistic individuals using the principles of applied behavior analysis (ABA), which is empirically proven to be the most effective method addressing the behaviors and deficits commonly associated with autism. With locations throughout the US, CARD's mission is to provide top-quality services that help every patient fulfill their potential and live joyful lives. Through its network of trained behavior technicians, Board Certified Behavior Analysts, and researchers, CARD develops and implements quality, comprehensive, and individualized treatment programs that lead to success.
Remote Location - CA Sacramento, California 95834
Salary Range: $55k - $110k
Salary is dependent on experience and location
POSITION OVERVIEW:
The Associate Supervisor will supervise a treatment team of technicians in the process of setting up/maintaining ABA programs. Associate Supervisors supervise the treatment team assigned to each patients' case to help ensure that CARD provides top-quality patient service. The Associate Supervisor will complete patient reports and other supervisory responsibilities as is appropriate and necessary based on the patient service contract.
We are hiring for both Remote and On-Site.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Represent CARD policy enthusiastically
Implement and represent CARD policy enthusiastically
Represent CARD professionally and ethically to internal and external stakeholders
Lead, supervise, and mentor treatment teams of technicians
Manage patient services based on CARD policies & procedures
Set and achieve performance goals with patient, patient guardian, and treatment teams
Prepare and review quarterly performance evaluations of treatment team, including recommendations as to advancement or other changes in status
Hold quarterly coaching sessions for treatment team
Handle treatment team complaints and grievances
Assist with training of staff
Determine techniques to be used in implementation of terms of any treatment contracts CARD has with outside agencies
Ensure 100% contract fulfillment for assigned patients
Ensure that all supervision hours are at 100% contract fulfillment
Maintain a minimum of 16-24 patients
Maintain medical updates for each patient while tracking this information in the SKILLS database
Conduct program design functions during regularly scheduled patient meetings
Learn and help implement CARD treatment models such as the CARD Curriculum©
Help complete all patient SKILLS assessments
Ensure patient treatment plans are maintained on the SKILLS database
Maintain patient behavior intervention plans on SKILLS
Oversee and maintain accurate and organized patient notes, data, and reports for internal and external stakeholders
Prepare for and attend patient educational meetings (Individual Education Plan meetings, IPPs, IFSP, ARC) and develop treatment recommendations
Train patients' guardians and family members on treatment techniques; maintain positive working relationship with patients' family; respond to guardian questions in timely and professional manner
Track and report time spent in direct contact with patients and time spent preparing documents, reports, and other materials related to patients
Work cooperatively and courteously with internal staff and outside stakeholders including school personnel/administration, outside service providers, regional center personnel, and other agency personnel
Respond to all corporate requests in a timely manner or by specified deadline
Maintain patient privacy in accordance with CARD policy
Minimize cancellations of scheduled sessions
Attend required seminars and meetings
REQUIREMENTS:
Achieve CARD's highest Technician position and demonstrate excellence in patient treatment
Minimum of two years of experience providing Applied Behavior Analysis treatment to children with autism
Bachelor's degree from an accredited college or university in Psychology, Behavior Analysis, or related field
BCBA certification required
Completed CARD Technician exams and received passing scores on all related written and field tests
KNOWLEDGE, SKILLS, AND ABILITIES:
Proficiency with Microsoft office (Word, Excel, PowerPoint)
Demonstrated knowledge of ABA treatment techniques and treatment program designs for children of varying skill levels
Proven people-management skills
Excellent verbal and written communication skills
Excellent administrative skills
Key Characteristics: Professional, organized, creative, motivating, goal-driven
Must abide by BACB guidelines, rules, and regulations
English proficiency, both verbal and written, is required
Willingness to travel
WORK ENVIRONMENT:
Includes both a typical office environment, with minimal exposure to excessive noise or adverse environmental issues, and occasional local and/or overnight travel. Mode of transportation for travel typically will include automobile and plane.
PHYSICAL REQUIREMENTS:
Be able to work with patients who are seated on the floor, in small chairs, or other home, school, community and clinic environments
Move frequently throughout the therapeutic setting to gather materials, anticipate, and respond to the movement of a patient, and/or provide instruction in a variety of settings, such as school, playground, clinic, or community locations
Constantly position oneself to participate and respond to the movements and behaviors of patients, including but not limited to bending to assist a patient, kneeling/crouching to teach a play skill, hurrying to block an open doorway, or reaching to prevent a patient from entering a traffic congested street
Be able to utilize continuous visual tracking to monitor the movement of patients, as well as the items and circumstances in the surrounding environment
Occasionally move to evade aggressive behaviors and/or physically block attempts to aggress towards others, including self-injurious behaviors (aggression towards self). Responding to behaviors may occasionally require bearing weight of a patient who is leaning, pushing, etc.
Frequently teach patients to use vocal speech. Must be able to articulate sound and model speaking clearly, as well as listen to and shape vocal communication of patients
Occasionally use modeling to teach gross motor skills, such as climbing or jumping, and fine motor skills such as clapping or opening a container
Work in both indoor and outdoor settings as they relate to the patient's natural environment, which may include being outdoors in a variety of weather conditions (e.g., community skills, recess in a school setting, etc.)
Be able to lift up to at least 30 lbs. while assisting patients, as some patients may weigh more and require full physical assistance to ensure their safety and the safety of others in their environment.
Click to access EEOC Workplace Poster
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Auto-ApplyIn-Home Based BCBA - $10,000 Retention Bonus
Germantown, MD jobs
Grow your career with the industry leader in behavioral health - Proud Moments ABA.
Proud Moments ABA provides the gold standard of Applied Behavior Analysis (ABA) services for children on the autism spectrum from birth to age 21. As a BCBA, you will combine your knowledge and experience with our innovative treatment techniques to change our clients' lives. Our clinical support team makes sure you are able to focus on providing excellent clinical services to our learners and not administrative work.
We are actively seeking Board Certified Behavior Analysts (BCBA's) to join our team as full-time or part-time clinical experts.
As a Proud Moments BCBA, you'll enjoy professional respect, recognition, and rewards:
Competitive compensation + robust/achievable quarterly bonus program
Eligibility for a $10,000 Retention Bonus for newly hired full time BCBAs
Meaningful work-life balance with flexible working schedules (full or part-time)
Multi-tiered clinical team; both at the local and regional level designed to ensure you feel supported in your day to day
Advanced, easy-to-use tools that simplify data collection and charting
The best of both worlds - the resources of a large organization combined with the collegiality and support of the local care team
Enhanced Behavior Technician onboarding/training, to support continuity in services for our learners
Continuous professional development through our free monthly CEU accredited courses and over 200 hours of archived CEUs available
Comprehensive benefits package for full-time employees, including:
PTO/flexible holidays
Medical, dental and vision coverage
401K retirement savings program
Employee Assistance Programs
Responsibilities
As a Proud Moments BCBA, you'll be challenged to realize your professional potential. Key responsibilities as a BCBA include:
Utilize your expertise to develop and supervise the implementation of targeted interventions that change the lives of children with autism
Share in the achievements of your clients as they develop positive behaviors and learn new skills
Provide caring support during family conversations to ensure parents fully understand assessment results and treatment recommendations
Advocate for your clients by monitoring for potential issues and communicating concerns
Share your knowledge and experience through direct supervision, support, training, and orientation of our growing team of behavioral technicians
Physically keep up with clients as they move about the session area(s). This will require many physical activities including, but not limited to, standing, sitting, bending, lifting 25+ pounds, running, squatting, kneeling, and generally keeping pace with children from 2-15 years old
Qualifications
As an ideal BCBA candidate, you bring to Proud Moments ABA the following qualifications:
Master's degree in behavioral analysis, education, psychology, or a related field
Current BCBA license (depending on state) or sitting for your exam in the next 3 months- students are welcome!
Demonstrated skills implementing applied behavioral analysis (ABA) with children with Autism Spectrum Disorder or related disorders
Ability to administer and interpret a variety of clinical assessments
Excellent clinical competence and judgment
Commitment to handling confidential information responsibly
Exceptional communication, problem-solving, organizational and project management skills while working in a fast-paced environment
Compensation Range: $90,000-$105,000 full-time
This Retention Bonus opportunity will expire 12/1/25
#BCBA
#LI-Onsite
Proud Moments ABA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, veteran status, sex, national origin, age, disability or genetics. In addition to federal law requirements, Proud Moments ABA complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Auto-ApplyNational Director, Field Clinical Operations -Remote, Up to 50% travel
Alexandria, VA jobs
Join our mission-driven team at Proud Moments committed to making a lasting impact in the lives of children and families.
We are seeking a highly experienced and passionate National Director of Field Clinical Operations to oversee and support our regional and field-based clinical leadership teams. This executive-level role is responsible for driving quality, consistency, and excellence in the delivery of ABA services across the country. The position can be located anywhere within the Proud Moments operating footprint.
About the Role
The National Director of Field Clinical Operations will lead our Regional Clinical Directors (RCDs) and Clinical Leads, ensuring they are equipped to support Board Certified Behavior Analysts (BCBAs) while upholding the highest clinical and operational standards. This leader will collaborate closely with our Clinical Excellence team and senior operations executives to ensure that clinical protocols, compliance measures, and training programs are implemented effectively across all regions.
Responsibilities
As the National Director of Field Clinical Operations at Proud Moments ABA, you will be challenged to realize your leadership potential while providing strategic direction and operational oversight to ensure high-quality, ethical, and consistent clinical practices across all markets:
Provide leadership and oversight to RCDs and Clinical Leads, including performance management and professional development
Partner with the COO, VP of Clinical Excellence, and Executive Director of Clinical Services to set expectations, operating standards, and implement clinical updates
Collaborate with Clinical Leadership and Operations to roll out, monitor, and maintain field-facing clinical protocols
Serve as a critical liaison between field clinical teams and senior leadership, ensuring feedback is heard and improvements are made
Partner on clinical training initiatives addressing safety, ethics, and complex clinical needs
Ensure that services across all locations meet and exceed quality, safety, and ethical standards
Travel nationwide (25-50%) to provide direct oversight, support, and training
Qualifications
As an ideal National Director, Field Clinical Operations candidate, you bring to Proud Moments ABA:
Master's degree in Behavior Analysis, Education, Psychology, or a related field
Current Board-Certified Behavior Analyst (BCBA) certification
Minimum 10 years of experience as a BCBA
Minimum 5 years in a regional or national clinical leadership role
Proven expertise in implementing Applied Behavior Analysis (ABA) with children with autism spectrum disorder or related disorders
Strong organizational, communication, and project management skills
Demonstrated ability to manage complex clinical and operational initiatives in a fast-paced environment.
Proficient in Microsoft Office Suite
Ability and willingness to travel up to 50% of the time
Why Join Us?
Be part of a nationally recognized ABA provider with a strong reputation for quality and innovation.
Influence clinical standards and strategy at the highest levels of the organization.
Collaborate with a team of passionate leaders and experts committed to improving lives.
Competitive compensation and benefits package.
Apply today and join us in our mission to expand access to high-quality services for children and families nationwide.
You deserve to work with the best - Proud Moments ABA.
If you're ready to accelerate your professional career with a fast-growing, highly respected behavioral health organization, Proud Moments ABA encourages you to submit your qualifications for this position today. Qualified applicants will be contacted via email.
Proud Moments ABA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, veteran status, sex, national origin, age, disability or genetics. In addition to federal law requirements, Proud Moments ABA complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Auto-ApplyNurse Quality Analyst - Remote
Frisco, TX jobs
The Revenue Cycle Clinician for the Appellate Solution is responsible for: a) Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review b) Preparing and documenting appeal based on industry accepted criteria.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Performs retrospective (post -discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible for clinical review.
* Demonstrates proficiency in use of medical necessity criteria sets, currently InterQual or other key factors or systems as evidenced by Inter-rater reliability studies and other QA audits. Constructs and documents a succinct and fact based clinical case to support appeal utilizing appropriate module of InterQual criteria (Acute, Procedures, etc). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization.
* Demonstrates ability to critically think and follow documented processes for supporting the clinical appellate process.
* Adheres to the department standards for productivity and quality goals. Ensuring accounts assigned are worked in a timely manner based on the payor guidelines.
* Demonstrates proficiency in utilization of electronic tools including but not limited to ACE, nThrive, eCARE, Authorization log, InterQual, VI, HPF, as well as competency in Microsoft Office.
* Demonstrates basic patient accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, denials management, etc.
* Additional responsibilities:
* Serves as a resource to non-clinical personnel.
* Provides CRC leadership with sound solutions related to process improvement
* Assist in development of policy and procedures as business needs dictate.
* Assists Law Department with any medical necessity reviews as capacity allows up to and including attending mediation hearings, other litigation forums, etc.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Demonstrates proficiency in the application of medical necessity criteria, currently InterQual
* Possesses excellent written, verbal and professional letter writing skills
* Critical thinker, able to make decisions regarding medical necessity independently
* Ability to interact intelligently and professionally with other clinical and non-clinical partners
* Demonstrates knowledge of managed care contracts including reimbursement matrixes and terms
* Ability to multi-task
* Ability to conduct research regarding State/Federal appellate guidelines and applicable regulatory processes related to the appellate process.
* Ability to conduct research regarding off-label use of medications.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Must possess a valid nursing license (Registered)
* Minimum of 3 years recent acute care experience in a facility environment
* Medical-surgical/critical care experience preferred
* Minimum of 2 years UR/Case Management experience preferred
* Managed care payor experience a plus either in Utilization Review, Case Management or Appeals
* Previous classroom led instruction on InterQual products (Acute Adult, Peds, Outpatient and Behavioral Health) preferred
CERTIFICATES, LICENSES, REGISTRATIONS
* Current, valid RN licensure (Must)
* Certified Case Manager (CCM) or Certified Professional in Utilization Review/Utilization Management/Healthcare Management (CPUR , CPUM, or CPHM) preferred
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to lift 15-20lbs
* Ability to travel approximately 10% of the time; either to facility sites, National Insurance Center (NIC) sites, Headquarters or other designated sites
* Ability to sit and work at a computer for a prolonged period of time conducting medical necessity reviews
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Characteristic of typical office environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc.
OTHER
* May require travel - approximately 10%
* Interaction with facility Case Management, Physician Advisor is a requirement.
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Charge Audit Specialist - Remote
Frisco, TX jobs
This job is responsible for ensuring that all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements. Plans, conducts and evaluates reviews and audits of clinical documentation and billing practices for conformity with applicable regulatory requirements. Identifies proactive opportunities to strengthen charge capture processes, enhance regulatory compliance and facilitate appropriate revenue capture. Responds to third-party audits as well as charge recovery vendor solution audits. Provide training and education to clinical/charging staff & management on appropriate documentation and charge capture processes.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Conducts reviews/audits to identify potential charging & billing issues including lost revenue opportunities; prepares reports based on findings, and provides summary of findings to impacted departments.
* Works with clinical departments and other impacted departments to ensure audit findings are addressed and to assist in implementing best charging practice moving forward.
* Identifies, researches and analyzes billing errors and/or omissions, working with appropriate staff/team members; ensures that revisions/corrections forwarded and incorporated in processing systems in timely manner.
* Provides training to staff engaged in billing data entry and related charge-capture/reconciliation activities to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented.
* Stays current with CMS, AHA & state coding/charging & reimbursement guidelines.
* Other duties as assigned to meet client expectations that would include root cause analysis, research of complex charging issues, implementation of corrective actions & provide subject matter expertise during system upgrades & implementations.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Knowledge of audit principles and guidelines.
* Knowledge of the accepted principles, practices and tools relating to general healthcare billing, cost accounting and reimbursement.
* Knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance.
* Knowledge of CPT/HCPCS codes.
* Knowledge of the content and application of published health information management coding conventions, e.g., as referenced in 'Coding Clinics' and/or other nationally recognized coding guidelines.
* Ability to recognize, research and correct charging/documentation discrepancies.
* Knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues.
* Working knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
* Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.
* Ability to establish and maintain effective working relationships as required by the duties of the position.
* Strong communication skills.
* Strong Excel/Powerpoint/Outlook Skills
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* Five years recent directly related work experience in a healthcare environment with significant exposure to healthcare coding/billing/reimbursement or completion of a recognized course of study for health information practitioners or coding specialists and three years coding experience in an acute hospital health information management department
* Applicable clinical or professional certifications and licenses such as LVN/LPN and RN highly desirable
* Hospital charge audit experience highly desirable
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to work in sitting position, use computer and answer telephone
* Ability to travel
* Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office Work Environment
* Hospital Work Environment
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Nuclear Medicine Technologist Full Time Days
Remote
may qualify for a sign-on bonus.
Performs imaging procedures with the use of radioactive isotopes. Responsible for preparation, calculations, and administration of isotope products in various diagnostic and therapeutic procedures. Performs under the direction of the physician during therapeutic procedures.
Minimum Education: Completion of an accredited educational program in nuclear medicine or radiologic
technology.
Minimum Experience: 1-year radiologic technology diagnostic and/or nuclear medicine experience
Required Certification: BLS
Required Licensure: TDH (MRT), NMTCB
FLSA Status:
Salary Grade:
Skills:
** Note - Required certifications are to be completed by 3 months of employment.
#LI-NS1
Auto-ApplySr. Behavior Analyst (BCBA) - Hybrid
Lancaster, CA jobs
Job Description
Your Future as a BCBA Starts Here-And It's Looking Bright
Join the
largest
female clinician-led ABA agency in the country and work with people who just get it. At Autism Learning Partners, we're all about growing together, learning from each other, and actually making a difference! Whether you're fresh in the field or leveling up, you'll find mentorship, career growth, and a whole community of BCBAs ready to cheer you on!
What We're Offering:
Full Earning Potential: $82,000 to $90,000 based on experience, skills, tenure, and geography
Bonus: Attainable monthly/quarterly bonus opportunity ($35,000+ in your first three years)!
Hybrid Role: Combination of in-person (in-home, school, and/or center-based) supervision support and telehealth, with remote flexibility of up to 50% of your in-home cases
Initial Onboarding Support: 60+ hours of comprehensive training during the first 3-4 weeks of integration including topics such as clinical best practices, using Central Reach, goal writing, clinical problem solving, CPT codes, telehealth assessments. Our Clinical Development team also offers weekly office hours or 1:1 support, as needed.
Education and Mentorship: Monthly CEUs, annual in-house conference featuring leading researchers in the field, and opportunities to lead sponsored research initiatives
Some Benefits Highlights: 23 days off annually between holidays including 1 floating holiday and 15 days of PTO that begins to accrue from Day 1
Flexible Schedule: Opportunities to work from home that includes Mon-Fri flexibility in the mornings and afternoons up until 6pm most nights, with preferably one to two evenings per week of availability until 8:30pm. No expectation of Saturday work unless you want to schedule make-up sessions. You're in full control!
Our Promise: We don't require contracts or non-compete agreements because we value flexibility and trust. Your employment with us is fully at-will, allowing you to grow with us on your own terms.
Why Choose Us?
An org chart of nothing but BCBAs between you and the CEO, Dr. Gina Chang, BCBA-D.
A clear path to make values-based clinical decisions based entirely on what is best for your client and family
Generous health insurance package, 401(k) Retirement Program with employer match, and employer paid short-term disability
As a CASP Provider, ALP will grant you access to CASP's entire CEU library which includes over 75 CEU-approved courses (plus 10 CEUs annually via ALP events such as our IMPACT Conference and monthly live sessions)
Clear promotion framework from BCBA, Sr. BCBA, Assistant Clinical Director, Clinical Director, and Senior Clinical Director
For any new BCBA certificants - we offer the 8-hour supervision course as approved by the BACB
Unlimited referral bonuses
Reasonable expectation of billable hours
Opportunity to partner and/or serve with our internal DEI council
Study support for BCBA candidates and in-house RBT courses to help ensure your team is fully prepared
Support Center resources designed to address your administrative needs, including client intake, recruiting, payroll, HR, billing, credentialing/contracting, and scheduling
What You'll Be Doing:
Lead by Example and Be a Pillar of Support: Inspire and guide Behavior Technicians through effective supervision and support, ensuring that they are implementing treatment plans with a high degree of reliability and fidelity.
Drive Positive Change: Conduct FBAs and develop innovative ABA programs that include continuously evaluating client needs, providing parent education, and problem solving, to help each client reach their potential.
Embrace Challenges with Grace: Stay calm and professional in challenging situations, adapt to change with flexibility, and continuously seek opportunities for growth.
Lead with Initiative and Openness: Proactively communicate, take initiative, and welcome learning to create a safe environment for collaboration and knowledge sharing.
What We're Looking For:
Certification as a Board Certified Behavior Analyst (BCBA) with the Behavior Analyst Certification Board (BACB)
Please note that this position is subject to a criminal background check, TB test, Pre-employment Physical Exam, and have or receive immunities to MMR/ VZV during our onboarding, which we will pay for
Autism Learning Partners supports a diverse workforce and is an Equal Opportunity Employer.
At Autism Learning Partners, we understand that culture is the foundation of who we are as a company and how we serve our clients, families, and employees. We are one of the nation's leading full-service ABA providers specializing in the treatment of autism and other developmental disabilities. Our broad thinking approach addresses the whole child by collaborating with doctors, therapists, families, schools, and specialists. Our goal is to work together to achieve the best possible outcome and progress through our commitment to Diversity, Inclusion, and Equity, which includes forming a DEI council, monthly trainings for senior clinical staff, national trainings, a monthly DEI newsletter, continual updates to our email signatures, education on topics like generational trauma and trauma-informed care, and always striving to provide the best care and comfort for our clients, families, and employees.
#ATVBACR101
TPR Market EMR Coach - Remote based in San Antonio, TX
Dallas, TX jobs
The TPR EMR Coach under direct supervision from the Market Clinical Informatics Manager and according to established policies and procedures functions as a clinical application expert and is primarily responsible for training TPR office staff to efficiently use clinical applications including but not limited to Athena, Dragon, Medi-Mobile and Collector. The TPR EMR Coach will proactively provide at the elbow support to clinic staff. The TPR EMR Coach is responsible for purposeful clinic rounding; providing direct support to providers and staff to ensure end users successfully integrate clinical applications into clinical workflow. The TPR EMR Coach ensures consistent and effective use of the applications that align with policy, procedure, and standards. The TPR EMR Coach may at times create education content to communicate and educate providers and staff. The TPR EMR Coach regularly provides suggestions and seeks feedback from physicians, clinicians and office staff communicating such information to the Market Clinical Informatics Director.
The TPR EMR Coach collaborates with the Market Clinical Informatics Manager to improve physician and clinicians' satisfaction with the clinical applications, promote "voice of the customer" and improve IS service and support.
Must be in or able to commute to the Market daily.
Travel
* Up to 25% travel outside of market and 75% travel within market
* The selected candidate will be required to pass a Motor Vehicle Record check.
Responsibilities
* Acquisitions-Onsite onboarding and training of physicians and support staff (PSR, MA, referral staff, biller, coder and PM) in outpatient offices on Athena, Patient Portal, Phreesia, MediMobile, Dragon dictation and Virtual Visits
* Assists with systems implementation including analysis, design, configuration, testing, and support activities
* Review and share new system release items with critical stakeholders. Test and ensure features are compliant with Tenet policies
* Provides recommendations on requests related to EHR workflows and functionality onsite weekly
* Assist with custom template development, scheduling templates, EPCS setup, HIE request, TAO and practice role request
* Proactively schedule on-site clinic visits to assess adoption, and efficient use of clinical systems and address issues brought forth from clinic staff
* Create and submit visit reports to leadership
* Monitors end user reports to assess trends and identifies opportunities to increase efficiency
* Enters/Processes TenetOne tickets (including patient merge, training request offboards)
* New Hire CSS orientation
* Create/Review educational materials on a regular cadence
Qualifications
* Minimum of one year experience in ambulatory clinical settings such as physician clinics or other OP settings is required
* Minimum of one-year prior experience in the use of and/or implementation of clinical information systems is required
* Athena experience preferred
* High School Diploma or GED required
* Ability to develop, maintain and collaborate with clinicians
* Ability to problem-solving and resolve conflict
* Understands clinical workflow and has the skill set to integrate technology into clinical practice
* Excellent verbal, presentation, and written communication skills required
* Must serve as a model of credibility, professionalism, and customer service
* Other duties as assigned by supervisor
Compensation
* Pay: $23.00-$36.40 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Benefits
The following benefits are available, subject to employment status:
* Medical, dental, vision, disability, AD&D and life insurance
* Paid time off (vacation & sick leave)
* Discretionary 401k match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
* For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
#LI-NO1
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Application Support Specialist - Remote based in the US
Frisco, TX jobs
The Spec, Application Support is tasked with the optimization and management of specified technology. This position will work closely with various vendors, ensuring the most up-to-date information and changes are evaluated for use and effectiveness in the process. Will work with the process team to determine what technology changes and needs are required to drive process improvements. Will own the development and follow through of any service requests or new implementations.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Stays current and has deep, ingrained knowledge of systems, including end user applications, reporting and enhancements. Can demonstrate full understanding of how the technology supports and is used within specific processes and brings technology driven ideas to the process team.
* Reviews all ISB's for procedural impact. Edits and works with process leaders and trainers to develop procedural and training documentation. Clarifies system processes and responds to additional requests for information.
* Works closely with peers to reduce redundancies and ensure there are no conflicts between multiple technologies within processes.
* Ensures that Software Transfer Implementations are completed accurately and develops test plans. Meets user deadlines for system changes and other requested information.
* Coordinates with IS to ensure that facility IS departments have the knowledge required to ensure the front-end system is set up appropriately.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
* Understands workflow and technology needs within the business.
* Excellent grammar and writing skills
* Must have good organizational skills
* Able to work independently with little supervision
* Able to communicate with all levels of management
* Must have general computer skills and be proficient in Word, Excel, and PowerPoint
* Excellent working knowledge of Patient Financial Services operations with specific focus on applicable discipline.
* Ability to work and coordinate with multiple parties
* Ability to manage projects
* Knowledge of AR management technology tools being utilized to deliver on key performance
* Knowledge of healthcare regulatory rules and how they apply to revenue cycle operations and outsourcing service providers
* Excellent verbal and written communication skills
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* 4-year college degree in Healthcare Administration, Business or related area or equivalent experience
* 2 - 6 years of experience in Healthcare Administration or Business Office
* Lean, Six Sigma or other process improvement certification is a plus
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to work in a sitting position, use computer and answer telephone
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office Work Environment
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation
* Pay: $21.70 - $34.70 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* Discretionary 401k match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
#LI-NO3
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
CDI Traveler Specialist - Remote
Frisco, TX jobs
Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions or procedures, Educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and case management. Regional/National Travel Required for this position.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Record Review: Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) initiate a review worksheet.
* Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary.
* Formulate physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary.
* Collaborates with case managers, nursing staff and other ancillary staff regarding interaction with physicians regarding documentation and to resolve physician queries prior to discharge.
* Assist in training department staff new to CDI
* Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls as well as any required CDI education.
* CDI: Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution
* Other duties as assigned
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* CDI Specialist must display teamwork and commitment while performing daily duties
* Must demonstrate initiative and discipline in time management and medical record review
* Travel may be required to meet the needs of the facilities
* Advanced knowledge of Medicare Part A and familiar with Medicare Part B
* Intermediate knowledge of disease pathophysiology and drug utilization
* Intermediate knowledge of MS-DRG classification and reimbursement structures
* Critical thinking, problem solving and deductive reasoning skills
* Effective written and verbal communication skills
* Knowledge of coding compliance and regulatory standards
* Excellent organizational skills for initiation and maintenance of efficient work flow
* Regular and reliable attendance and time reporting per Conifer Telecommuting program requirements
* Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment
* Understand and communicate documentation strategies
* Recognize opportunities for documentation improvement
* Formulate clinically, compliant credible queries
* Ability to maintain an auditing and monitoring program as a means to measure query process
* Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Preferred: Acute Care nursing and or Foreign trained relevant experience
* One (1) to two (2) years experience
* Graduate from a Nursing program, BSN, and/or medical school graduate
CERTIFICATES, LICENSES, REGISTRATIONS
* Active Registered Nurse license or relevant medical degree
* Preferred: CDIP or CCDS
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to sit for extended periods of time
* Must be able to efficiently use computer keyboard and mouse
* Good visual acuity
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
OTHER
* Must be able to travel nationally as needed, 50-75%
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $81,952.00 - $122,907.00 annually. Compensation depends on location, qualifications, and experience.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, life, and business travel insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Regional Corporate Coding Supervisor - Remote based in US
Remote
Regional Corporate Coding Supervisor (Remote based in US)
Reporting to the Corporate Coding Director, the Regional Corporate Coding Supervisor will be responsible for supervising coding, data abstraction and associated coding activities. Ensures accurate and timely coding of records according to Tenet Health policies and procedures. Manages workflow related to coding and abstracting, provides direction for coding activities and productivity standards required to reach unbilled targets at all hospitals in the region. Performs duties as necessary to support the coding quality improvement process both in the region and at corporate. Position will support Tenet corporate located in Texas.
Required:
Must have a comprehensive knowledge of ICD-10-CM/PCS coding classification systems.
The analytical abilities necessary to prepare various reports and records.
The interpersonal skills necessary to interact with all levels of department personnel, other departments, physicians and individuals from outside the Hospital.
Must have above average general office and computer skills.
Associate degree in HIM related field
RHIT Certification
5+ Years Coding Experience
Preferred:
Experience managing large teams and driving process improvement activities at the corporate level in a complex healthcare organization.
Bachelor's Degree in HIM Related field
RHIA Certification
2+ Years of Leadership Experience
Compensation
Pay: $66,768- $106,704 annually. Compensation depends on location, qualifications, and experience.
Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Benefits
The following benefits are available, subject to employment status:
Medical, dental, vision, disability, life, AD&D and business travel insurance
Paid time off (vacation & sick leave)
Discretionary 401k match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
#LI-CM2
Auto-ApplyVP, Market Development - West Region (Remote)
Remote
March of Dimes leads the fight for the health of all moms and babies. We are advocating for policies to protect them. We are working to radically improve the health care they receive. We are pioneering research to find solutions. We are empowering families with programs, knowledge and tools to have healthier pregnancies. By uniting communities, we are building a brighter future for us all.
We are dedicated to hiring a diverse workforce that fosters opportunities for personal and professional development. We provide a collaborative and supportive environment built upon our fundamental core principles where each employee is valued. Join us in the fight for healthy moms and strong babies.
Join Us
At March of Dimes, we lead the charge to ensure every mom, baby, and family gets the best possible start. As we grow our impact across the country, we're seeking a visionary and results-driven Vice President of Market Development to lead strategic fundraising initiatives across the West Region. This is a unique opportunity to make a lasting difference in maternal and infant health while shaping a high-performing development team.
Your Impact
As the Vice President of Market Development, you will drive revenue growth, expand donor engagement, and lead a dynamic team behind historic campaigns, mission investment, and principle and planned giving. You'll bring together corporate, community, and individual partners to support our lifesaving mission while cultivating a culture of excellence, collaboration, and bold innovation. This leader is managing nine market teams of development and mission staff. Market teams included in the West region are: Phoenix, California, Hawaii, Minneapolis/Milwaukee, St. Louis, Omaha, Oklahoma/Arkansas, TX, Seattle/Portland.
Key Responsibilities
Lead and Grow Revenue
Personally accountable for growing a XM revenue portfolio annually. Design and execute a comprehensive fundraising strategy focused on sustainable growth in total and unrestricted revenue. Inspire a high-performance culture that consistently meets or exceeds goals through all revenue portfolios.
Build and Inspire Teams
Recruit, develop, and mentor a strong team of fundraising professionals within 26 markets. Foster a culture that thrives on collaboration, accountability, and shared purpose. Lead creatively in a virtual environment to create team synergy and dynamic motivation of others. Held accountable for talent retention and engagement. Responsible for onboarding and developing all market leaders.
Lead by Example
Personally manage relationships with top donors and partners. Be a face of March of Dimes in your community and in those you support in leadership -creating visibility, building trust, and driving mission impact. This include managing top donors, boards, and key relationships during vacancies.
Ensure Operational Excellence
Monitor performance, analyze data, and uphold donor data integrity. Ensure financial and compliance standards are consistently met. Accountable for region budget and all expense management.
Collaborate Across Departments
Actively build trusted relationships with business partners across departments to ensure a collaborative work culture for your region staff and to support reaching collective goals. Serve as an extension of the national strategic vision when working with all staff regardless of department or role.
Who You Are
A strategic thinker with a track record of exceeding fundraising goals and scaling donor engagement.
A goal-driven development professional that thrives in a culture which sets the bar high and energizes others to join .
A people-first leader with experience developing high-performing teams and building strong internal culture.
A relationship builder with the ability to recruit and activate executive-level volunteers and corporate supporters.
A mission-driven professional with passion for health equity and a desire to make measurable change.
Qualifications
Bachelor's degree or equivalent work experience.
Minimum 10 years of relevant fundraising, development, or sales experience, with at least 5 years in a leadership/supervisory role.
Demonstrated success in revenue generation, strategic planning, volunteer engagement, peer to peer fundraising, sponsorship recruitment, major gifts cultivation, as well as consistently meeting or exceeding goals.
Growth mindset with a desire to innovate and manage change.
Excellent communication and influencing skills across stakeholders and sectors.
Large territory management experience, especially multi-state understanding cultural differences.
Ability to travel within your region and nationally; access to reliable transportation; access to a regional airport.
Preferred Skills
Familiarity with nonprofit health organizations in the maternal & infant health space, particularly March of Dimes or similar national organizations.
Deep understanding of nonprofit standards, donor stewardship, and campaign operations.
Virtual leadership experience.
Ready to lead with purpose?
Be part of a mission that saves lives and shapes healthier futures. Join March of Dimes and help us champion the health of every family-one campaign, one relationship, one breakthrough at a time.
March of Dimes provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.
Clinical Appeals Nurse - Remote
Frisco, TX jobs
The Revenue Cycle Clinician for the Appellate Solution is responsible for: * Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review * Preparing and documenting appeal based on industry accepted criteria.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
1. Performs retrospective (post -discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible for clinical review.
2. Demonstrates proficiency in use of medical necessity criteria sets, currently InterQual or other key factors or systems as evidenced by Inter-rater reliability studies and other QA audits. Constructs and documents a succinct and fact based clinical case to support appeal utilizing appropriate module of InterQual criteria (Acute, Procedures, etc). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization.
3. Demonstrates ability to critically think and follow documented processes for supporting the clinical appellate process.
4. Adhers to the department standards for productivity and quality goals. Ensuring accounts assigned are worked in a timely manner based on the payor guidelines.
5. Demonstrates proficiency in utilization of electronic tools including but not limited to ACE, nThrive, eCARE, Authorization log, InterQual, VI, HPF, as well as competency in Microsoft Office.
6.Demonstrates basic patient accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, denials management, etc.
7. Additional responsibilities:
a) Serves as a resource to non-clinical personnel.
b) Provides CRC leadership with sound solutions related to process improvement
c) Assist in development of policy and procedures as business needs dictate.
d) Assists Law Department with any medical necessity reviews as capacity allows up to and including attending mediation hearings, other litigation forums, etc.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Demonstrates proficiency in the application of medical necessity criteria, currently InterQual
* Possesses excellent written, verbal and professional letter writing skills
* Critical thinker, able to make decisions regarding medical necessity independently
* Ability to interact intelligently and professionally with other clinical and non-clinical partners
* Demonstrates knowledge of managed care contracts including reimbursement matrixes and terms
* Ability to multi-task
* Ability to conduct research regarding State/Federal appellate guidelines and applicable regulatory processes related to the appellate process.
* Ability to conduct research regarding off-label use of medications
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Must possess a valid nursing license (Registered)
* Minimum of 3 yearsacute care experience in a facility environment
* Medical-surgical/critical care experience preferred
* Appeals writing experience preffered
* Minimum of 2 years UR/Case Management experience preferred
* Managed care payor experience a plus either in Utilization Review, Case Management or Appeals
*
* Previous classroom led instruction on InterQual or MCG products (Acute Adult, Peds, Outpatient and Behavioral Health) preferred
CERTIFICATES, LICENSES, REGISTRATIONS
* Current, valid RN/ licensure
* Certified Case Manager (CCM) or Certified Professional in Utilization Review/Utilization Management/Healthcare Management (CPUR , CPUM, or CPHM) preferred
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to lift 15-20lbs
* Ability to travel approximately 10% of the time; either to facility sites, National Insurance Center (NIC) sites, Headquarters or other designated sites
* Ability to sit and work at a computer for a prolonged period of time conducting medical necessity reviews
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Characteristic of typical office environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc.
OTHER
* May require travel - approximately 10%
* Interaction with facility Case Management, Physician Advisor is a requirement.
Compensation and Benefit Information
Compensation
* Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Patient Account Senior Representative - Remote
Frisco, TX jobs
The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, to include taking appropriate steps to resolve accounts timely. This candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Representative will need to effectively follow-up on claim submission and; remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. . Participate and assist in special projects as well as provide A/R support to the team. Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team members that may be absent or backlogged. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving more complex accounts with minimal or no assistance.
Senior Representative must have the ability to work closely with management and team members working an inventory of collectible accounts that bring in revenue and possess the the following:
* Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients in order to obtain collection related information
* Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions (may work in multiple systems for clients)
* Access payer websites and discern pertinent data to resolve accounts
* Utilize all available job aids provided for appropriateness in follow-up processes
* Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account
* Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership
* Skilled in working with complex medical claim issues
* Identify and communicate any issues including system access, payor behavior, account/work-flow inconsistencies or any other insurance collection opportunities
* Compile data to substantiate and utilize to resolve payer, system or escalated account issues
* Assist new or existing staff with training or techniques to increase production and quality
* Provide support for team members that may be absent or backlogged
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
* Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards.
* Perform special projects and other duties as needed. Assists with special projects as assigned, documents findings, and communicates results to leaders.
* Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor.
* Compile data to substantiate and utilize to resolve payer, system or escalated account issues.
* Assist new or existing staff with training or techniques to increase production and quality as needed.
* Participate and attend meetings, training seminars and in-services to develop job knowledge.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies
* Good written and verbal communication skills
* Intermediate technical skills including PC and MS Outlook
* Strong interpersonal skills
* Above average analytical and critical thinking skills
* Ability to make sound decisions
* Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors
* Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation
* Intermediate knowledge of CPT and ICD-9 codes
* Advanced knowledge of insurance billing, collections and insurance terminology
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* High school diploma or equivalent education
* 2-5 years experience in Medical/Hospital Insurance related collections
* Minimum typing requirement of 45 wpm
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office/Teamwork Environment
* Ability to sit and work at a computer for extended periods of time
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $17.20 - $25.70 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Financial Clearance Rep - Remote 10:30AM-7PM CST
Frisco, TX jobs
The Patient Service Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day-to-day operations relating to both Financial Clearance and Scheduling of a patient. This includes adherence to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties in addition to full scheduling duties. Upon occasion, the PSC REP II may be only assigned to complex pre-registration. The PSC REP II is expected to develop a thorough understanding of assigned function(s).
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Completes both scheduling functions and registration functions with the patient for an upcoming visit during one call:
* Scheduling: Responsible for timely scheduling, provide callers with important information related to their appointment (i.e. Prep information for test, directions, order management etc.)
* Financial Clearance: up to and including verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection efforts
* If assigned to Order Management: verifies order is complete and matches scheduled procedure. Includes indexing and exporting physicians orders to correct account number.
If assigned to complex Pre-Reg:
* Collect and verify required patient demographic and financial data elements, including determining a patient's financial responsibility and securing pre-payment for future services/performing collection efforts
* Create a complete pre-registration account for an upcoming inpatient/surgical admission
* Completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility
* Other duties as assigned based on departmental needs
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to work in a production driven call-center environment
* Familiarity with working with dual computer monitors (may be required to use dual monitors)
* Must have basic typing ability
* Must have working knowledge of Windows based computer environment
* Ability to multitask in multiple systems (financial clearance and scheduling) simultaneously
* Extensive multitasking ability
* Strong written and verbal communication skills
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* Required: High school diploma or GED
* Preferred: Two plus years of college (two years in a professional, customer service-driven environment may substitute for two years of college), completion of related medical certification program
* Preferred: Telephone/call center experience
* Preferred: Pre-registration and/or scheduling experience
* Preferred: 2-3 years of customer service experience
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to work in sitting position, use computer and answer telephone
* Ability to travel
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office Work Environment
* Hospital Work Environment
TRAVEL
* Approximately 0% travel may be required
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Washington DC, Community Engagement Winter Intern (Remote)
Washington, DC jobs
Job DescriptionOur Mid-Atlantic team is looking for a remote Winter Intern! We will provide a hands-on opportunity to a student located in the Maryland, Washington, DC or Virginia areas, interested in exploring a career in nonprofits. Individuals will learn about community engagement, fundraising, participant outreach and corporate communication, working closely with the Autism Speaks Mid-Atlantic Chapter community engagement team. This is a 12-week program and students must be eligible for academic credit. Currently, our interns will work remotely but, will be in constant communication with the Field team and volunteers.
PRIMARY RESPONSIBILITIES:
The intern will receive training in all areas and responsibilities will include:
• Researching prospects for sponsorship and event corporate support
• Outreach to local community organizations, social media groups and influencers
• Creating Social Media plans and execution
• Community outreach for potential event and campaign sponsors, volunteers, constituents
• Providing customer service to local event participants
• Outreach to lapsed past teams and follow up with current teams of our local events
QUALIFICATIONS:
Student interns must receive academic credit (i.e. graduate or under-graduate) sponsored by an accredited institution or require experience for a certification for a college degree.
SKILLS AND KNOWLEDGE:
• Strong organizational skills, follow-up and attention to detail
• Curious and inquisitive, with a willingness to learn about fundraising, event management and donor outreach
• Ability to work independently as well as collaborate with a team
• Good communication skills, both oral and written
• Strong interpersonal skills/customer service skills
• Proficient in MS office, including Word, Excel, and Outlook & Social Media
• Demonstrates initiative, resourcefulness, and problem-solving skills
CORE COMPETENCIES:
• Building Collaborative Relationships
• Professional Behavior
• Results-Driven
• Customer Orientation
• Flexibility
You are responsible for protecting the confidentiality, integrity and availability of all Autism Speaks data and information to which you have access.
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Physician Assistant - Orthopedic Surgery - Boca Raton, FL
Remote
Palm Beach Health Network and Tenet Healthcare, are seeking a full-time Physician Assistant to join our Orthopedic Surgery group in West Boca Raton, FL. This position offers the opportunity to work alongside a collaborative group of medical professionals and is a crucial member of the patient experience.
With this role, you will have the opportunity to work with a dynamic group of 2 surgeons focused on General Ortho and Spine. This position would be perfect for a candidate who enjoys working in the OR as well as an inpatient / outpatient clinical setting, and has great work / life balance with no call or weekends!
Position Highlights:
Full Time schedule - M - F normal business hours
OR, Inpatient and outpatient coverage
Open to both new graduate and experienced candidates
Covering General Ortho and Spine cases
Compensation and Benefits:
Competitive salary
Health, dental, and vision insurance
401(k) retirement plan
Paid time off (PTO)
Continuing medical education (CME) allowance
Malpractice insurance
About us: Palm Beach Health Network Physician Groups (PBHNPG), a division of Tenet Healthcare Corporation, is a multi-specialty physician group that has provided care to the Palm Beach County community since 2007. PBHNPG physicians, including primary care, specialists and sub specialists, have cared for over 719,000 patients across various medical and surgical specialties. Our award winning physicians provide a level of expertise that has resulted in regional firsts and outstanding patient outcomes. We have many times presented clinical options for very sick patients when others could not. This network of 100 plus physicians, supported by a team of clinical and administrative professionals, maintain s 518,000 visits annually with net revenues of $97 million. PBHNPG physicians and staff are committed to delivering high quality care. Our mission is to improve the life of every patient who enters our doors. Today, we are proud to be one of the largest and most respected physician networks in the area.
About the area:
The Palm Beach area offers the perfect blend of natural beauty and modern convenience. Residents enjoy year-round sunshine, easy access to pristine beaches, and abundant outdoor recreation. The area is home to award-winning golf courses, upscale shopping and dining, and a welcoming community atmosphere. With proximity to state parks, major metro areas like Miami and Fort Lauderdale, and Florida's Atlantic coast, Palm Beach Gardens is a vibrant place to live and work.
Requirements:
Education: Graduate of an approved and accredited Physician Assistant master's program.
Certification: Physician Assistant license to practice in the state. CPR Certified. DEA registration with state.
Auto-ApplyRevenue Integrity Director- Remote
Frisco, TX jobs
The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master ("CDM") and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel.
* Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance.
* Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives.
* Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc.
* Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements.
* Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates.
* Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting
FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor
Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions
* Demonstrated critical-thinking skills with proven ability to make sound decisions
* Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals
* Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely
* Ability to manage multiple projects/initiatives simultaneously, including resourcing
* Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner
* Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement
* Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels
* Ability to effectively and professionally motivate team members and peers to meet goals
* Advanced knowledge of external and internal drivers affecting the entire revenue cycle
* Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point)
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree
* Minimum of five years healthcare-related experience required
* Extensive experience as Revenue Integrity manager
* Extensive knowledge of laws and regulations pertaining to healthcare industry required
* Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required
* Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS
* Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear.
* Must frequently lift and/or move up to 25 pounds
* Specific vision abilities required by this job include close vision
* Some travel required
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Normal corporate office environment
TRAVEL
* Approximately 10 - 25%
Compensation and Benefit Information
Compensation
Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience.
* Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, life, and business travel insurance
* Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Executive Director, Market Impact (Remote in South Florida)
Miami, FL jobs
March of Dimes leads the fight for the health of all moms and babies. We are advocating for policies to protect them. We are working to radically improve the health care they receive. We are pioneering research to find solutions. We are empowering families with programs, knowledge and tools to have healthier pregnancies. By uniting communities, we are building a brighter future for us all.
We are dedicated to hiring a diverse workforce that fosters opportunities for personal and professional development. We provide a collaborative and supportive environment built upon our fundamental core principles where each employee is valued. Join us in the fight for healthy moms and strong babies.
*This position will cover South Florida - Miami-Dade, Broward and Palm Beach County
SCOPE:
The Executive Director of Market Impact serves as the Market leader providing overall management, planning, execution, and leadership for all aspects of a designated market. This includes creating mission impact, mobilizing supporters, growing a diversified revenue portfolio, donor stewardship, board/staff development and maintaining overall budgets. The Executive Director will also maintain a donor portfolio.
The Executive Director of Market Impact is responsible for providing management, planning, execution and leadership for all aspects of the organization. This includes creating mission impact, mobilizing supporters, growing a diversified revenue portfolio, donor stewardship, board/staff development, human resource management, and maintaining overall budgets.
The Executive Director of Market Impact is responsible for positioning March of Dimes as a leader in maternal and child health care in his/her respective market as well as establishing effective partnerships and collaborations with corporations, foundations, community/corporate leaders, government officials, other community organizations/nonprofits and supporters.
The Executive Director reports to the Associate Vice President of Market Impact sharing successes, problem solving and providing a supportive network for the Market Impact team. This role leads and develops a combination of local donor relationship, mission and enterprise shared services staff to drive results.
RESPONSIBILITIES:
Mission Leadership and Impact
Lead, develop and implement a results-based local strategic planning process that:
Places Mission Impact at the forefront of all work.
Advances maternal and infant health equity, identifies measurable strategies and solutions that address community mission needs, and contributes to diversified revenue growth.
Translate mission and advocacy in a manner that demonstrates impact; identifying supporter philanthropic interest.
Leverages Mission Impact Opportunities to engage supporters and drives expansion/implementation of mission programs, in a manner that achieves revenue growth and measurable mission impact strategies.
Demonstrate adaptive leadership in a manner that establishes March of Dimes as a recognized and valued leader in maternal and infant healthcare.
Identify, recruit, and retain influential state level volunteer leaders and coach them to propel Mission Impact priorities.
Lead Mission Impact staff ensuring they collaborate with fundraising staff and volunteers; providing Mission Impact education that demonstrates how to use data to drive mission deliverables, advocacy initiatives, and revenue growth.
Responsible for creating a revenue pipeline and funding to provide ongoing support for both new and existing mission initiatives (i.e. NFS, SPC, etc.).
Diversified Revenue Portfolio
Lead, develop and implement a results-based local strategic planning process that places emphasis on a diversified revenue portfolio by:
Ensuring each market employee maintains and grows a donor revenue portfolio by carrying-out developing donor relationship principles, identifying philanthropic interests, and moving donors through the donor continuum in a manner that retains existing donors and increases donor giving.
Ensuring each applicable market employee develops, maintains and manages a pipeline of qualified individual gift donors with concentration in major gifts and planned-giving.
Ensuring each applicable market employee achieves corporate engagement revenue goals in a manner that increases local revenue by identifying appropriate corporate partners and developing alliances that accelerate the development of strategic partnerships that drive March of Dimes mission impact and mobilizes supporters.
Ensures each applicable market employee achieves Mission Investment Opportunities product revenue goal achievement.
Develop, maintain, and grow individual donor portfolio in a manner that contributes to diversified revenue growth in individual giving, major gifts, corporate engagement, and Mission Investment Opportunities.
Collaborate with national business partners to leverage local relationships that have potential to elevate to national partnerships.
Ensure CRM data integrity by setting goals and expectations, monitoring use and utilizing data and reporting to further business.
Remain current on donor needs, market trends, and competitor actions in order to create reliable revenue forecasts and to identify opportunities for donor development locally.
Strategic Planning and Budgeting
Develops a comprehensive, results-based strategic plan that incorporates impact, movement, growth and performance.
Ensuring execution of the local strategic plan in a manner that results in proven impact and exceeds market targets for productivity and profitability.
Develops revenue projections and provides financial analysis.
Oversee the development of budgets in a manner in which the market shows an increase in net profitability and productivity according to national standards.
Review and manage strategic plan with staff on an ongoing basis with a minimum of a quarterly market review.
Ensure market staff fully comprehend strategic plan and strategies they are responsible for executing to achieve success.
Volunteer Leadership
Lead, develop and implement a results-based local strategic planning process that identifies, engages, and maintains influential volunteer leaders and board members to drive impact and secure revenue.
Build a pipeline to constantly recruit new high-level volunteer leaders and board members.
Ensure ongoing training and orientation of all volunteers in the market that aligns with the local and national strategic plan.
Collaborate with Volunteer Leadership Development to ensure implementation of market board excellence and the use of market board excellence tools/resources (i.e. including standards of excellence with fundraising committees).
Recruit, activate and retain influential, financially strong, diverse volunteer leadership and market board members resulting in revenue growth and market impact.
Ensure volunteer leaders are engaged in a way that builds a community of mission advocates.
Staff Development
Hire and develop a diverse market staff that demonstrate passion for our mission and have the expected skills, fit and proven success to exceed expected goals and results.
Establish and discuss individual goals and accountabilities for performance and behavior (at the beginning of the year) that align with organizational goals and include benchmarks and measurable milestones.
Hold staff accountable to market and individual net productivity and profitability goals by utilizing reports and measurement tools and provide staff with constructive feedback that leads to improved performance on a consistent basis (at minimum quarterly, at best weekly).
Provide coaching and professional development in a manner that results in skill and behavioral development and results in staff retention and career pathing.
Accountable to writing and delivering annual performance reviews in a timely manner that align with the expected HR standards.
Create a productive, professional, respectful and culturally diverse work environment where all staff can be the best version of themselves.
QUALIFICATIONS:
4 year college degree or equivalent experience.
Experience in managing multiple staff over various functional areas, including employees who telecommute.
Experience in a nonprofit environment a plus.
Detail-oriented with strong written and verbal communication skills.
Strong leadership/management skills with the ability to motivate staff and lead change.
Excellent interpersonal and organizational skills.
Proven track record building internal and external relationships.
March of Dimes is an equal opportunity employer committed to diversifying its workforce (M/F/Disability/Vet).