Centra Jobs

Occupational Therapists Schedule: Full Time and PRN Available (Onsite) Facility: Southside Community Hospital **** $10,000.00 RECRUITMENT BONUS available for FULL TIME openings! **** About Centra Health: Set in the heart of Central Virginia, Centra Health is a regional, nonprofit healthcare system including four hospitals, a network of medical centers, as well as various specialty and primary care practices located along the Blue Ridge. At Centra, providing excellence in patient care, utilizing the latest evidence-based research, and fostering a culture of diversity and inclusion are at the forefront of our belief system. Centra is home to the Central Virginia Center for Simulation and Virtual Learning , the only center in Virginia that offers a full range of simulation experiences. We want to partner with you to live your best life. At Centra, we want to listen carefully and get to know you well. We want to understand your hopes, goals and dreams. As a candidate considering employment with our organization, we want you to understand that it is our mission to help partner with you throughout each stage of your career. Job Description: This position is responsible for the evaluation and treatment of patients in the Acute Care and Acute Rehab settings. The Occupational Therapist I (Entry/Competent) provides services within Va Licensure, TJC and CMS guidelines for patient care and billing for services. Requirements: Education Minimum: Graduate of an accredited OT program. Education Preferred: None Work Experience Minimum: None Work Experience Preferred: Clinical experience in hospital- based setting. Licenses & Certifications Minimum: Current VA OT licensure or license eligible. BLS CPR Certification Licenses & Certifications Preferred: None When recruiting and retaining talent at Centra, our hiring needs are based on matching a candidate's job qualifications with our job requirements and department needs without regard to race, color, age, religion or belief, national origin, disability status, protected veteran status, gender identity or expression, sexual orientation or any other characteristic protected by the laws or regulations in the locations where we operate. Centra is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Be yourself. Be a partner with Centra.

Inspire health. Serve with compassion. Be the difference. “Interventional radiology experience strongly preferred”. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physicians office/clinic settings.Adheres to coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Accountabilities Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all assigned pre-billing edits.15% Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10% Participates in coding educational opportunities (webinars, in house training, etc.). 5% Provides timely feedback to providers in order to clarify and resolve coding concerns. 5% Maintain knowledge of governmental and commercial payer guidelines. 5% Assists with the Coding Education team to identify areas that need additional training. 5% Performs other duties as assigned. Supervisory/Management ResponsibilitiesThis is a non-management job that will report to a supervisor, manager, director or executive.Minimum Education High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred 2 years - Professional coding only Minimum Experience 2 years - Professional coding only In Lieu of Minimum Requirements N/A Required Certifications/Registrations/Licenses Certified Professional Coder - CPC Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70019178 Medical Group Coding & Education Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

is incentive eligible. New Hires may receive UP TO $5,000 Sign-On Bonus! Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Radiology Technologist today with CareNow. Benefits CareNow, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Come join our team as a Radiology Technologist. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today! Job Summary and Qualifications As a Radiology Technician, you will: Perform timely and quality radiology procedures for subsequent evaluation and treatment by attending physician. Perform quality control checks/audits on radiologic equipment. Perform drug screens, urinalysis and other in-house lab tests including processing specimens for reference laboratories. Maintain records and logs on activities including in-house lab work, drug screens, and x-rays sent out to other labs. Ensure occupational client's preference card is followed and occupational procedures are adhered to. Assist with general patient care when needed. You Should Have: 1+ year of clinical experience in a patient care setting is beneficial High School diploma or equivalent Graduated from an accredited school of Radiological Sciences Current ARRT license is required General Medical Radiology Technician (GMRT) license if required by the state The ability to obtain a BLS Certification is required within 30 days of start Must obtain a Federal Breath Alcohol Screening Certification and Federal Drug Screening Certification within 3 months of employment or promotion "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Radiology Technologist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. UCC-AFHP

We are looking for a Intake Specialist to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at ********************************* MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at *********************** **Position Summary:** Responsible for the intake of information regarding the authorization of services for members of all product lines, including communication to the case managers. Works with the PCP, the member and management to promote the delivery of quality services at the most appropriate and cost-effective setting. Monitors members' utilization patterns for identification of high-risk and under and over use of services. Clarifies benefits for providers. R esponsible for making outbound (cold) calls to members. Should have basic understanding of medical terminology. **This position is fully remote.** **Equal Opportunity Employer of Minorities/Females/Disabled/Veterans** #LI-AK1 **Qualifications:** **Required:** + High school diploma or equivalent. + Two (2) years' experience working in a medical practice office, an urgent care, hospital, skilled nursing facility or other health care setting and completion of a medical-related training program such as Medical Assistant, EMT or Nursing Assistant. OR + Three (3) years' experience working in a medical practice office, an urgent care, hospital, skilled nursing facility or other health care setting. **Preferred:** + One (1) year Managed Care Utilization review experience + Experience and knowledge of the preauthorization process for medical services + Physician office experience + Experience and knowledge of Medicare, HMO, PPO, TPA, PHO and Managed Care functions (e.g. administration, medical delivery, claims processing, membership/eligibility).

We are looking for a Business Analyst II to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at ********************************* MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at *********************** **Position Overview:** At the direction of the assigned leadership, interprets business rules and prepares functional specifications for all information systems, including benefits and pricing requirements for claims processing systems. Develops and maintains financial, management, standard production, customer, regulatory and ad hoc reports. Assists in the enforcement of product, reporting and service controls and standards, deadlines, and schedules by creating and maintaining detailed development plans. Defines test conditions, creates test plans, and conducts tests to ensure business and reporting requirements are met. Responsible for change management of above systems and reports and coordinates all routine maintenance and upgrades. Monitors performance of such systems and reports and informs leadership of deficiencies and/or makes recommendations for increased functionality. **This position is fully remote.** **Equal Opportunity Employer of Minorities/Females/Disabled/Veterans** **\#LI-AK1** **Qualifications:** **Required:** + Bachelor's Degree in business, computer science, health care or related field; or Associate degree/IT certification and two (2) years related experience; or High School diploma and four (4) years' related experience. + Two (2) years' experience in analytic role utilizing systems and data. **Preferred:** + Five (5) years' experience in computer applications and/or database administration. + Three (3) years' experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements and actuarial precepts). + Ability to apply accounting, mathematical and statistical principles to assigned tasks. + Demonstrated ability to create, modify and design SQL databases.

New We are looking for a Contract Administrator to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing health systems. With 15 hospitals, annual revenues of over $6 billion, and a service area that covers 75% of the state of Michigan, McLaren is committed to the highest levels of patient care. McLaren Physician Partners is a joint venture partnership between the McLaren healthcare System and our Physician members. Our focus is to support physician offices in all aspects of care delivery and operations including clinical integration, contracting, quality, care coordination and care management, across all settings. **Position Summary:** Responsible for assisting the Leadership Team in all aspects of Third-Party Payor contracting activities within all market segments for McLaren Physician Partners (MPP), McLaren High Performance Network (MHPN), McLaren Health Care Corporation (MHCC), and its subsidiaries. Maintains an understanding of the impact negotiations have on population health and value-based contracting. Professionally and effectively communicates the advantages of contracting with McLaren, provides ongoing expertise throughout the contracting process and administration of payor agreements. Key team resource to the Leadership Team. **Essential Functions and Responsibilities:** - Acts as liaison between contracted Health Plans and MPP, MHPN, MHCC and subsidiaries. - Maintains organizational documents for educating appropriate subsidiaries on managed care contracts, including but not limited to contract database and matrixes. - Collaborates with the team on implementation of Corporate Initiatives, including but not limited to new or expanded services. - Leads negotiations and coordinates contract workflow for assigned plans . - Reviews contract language, redlining documents and evaluating areas of concern, as needed. - Facilitates problem solving of escalated contractual, payor policy and operational issues through collaboration with managed care organizations and internal stakeholders. - Facilitates Joint Operating Committee (JOC) meetings and related tasks with each payor or as required by contract. - Conducts contract modeling and analysis for facility and physician contract rate proposals to support organization contracting strategies. - Analyzes changes in payer policies, rules and regulations impacting both facility and physician payments. Communicates and educates those impacted, as necessary. **This position is fully remote.** **Equal Opportunity Employer of Minorities/Females/Disabled/Veterans** **#LI-AK1** **QUALIFICATIONS:** **Required:** - Bachelor's degree in business, health care or related field; or an Associate degree and two (2) years' experience in managed care; or a high school diploma or equivalent and four (4) years' experience in managed care. - An additional five (5) years' experience in contracting or networking in a managed care organization, Health Plan, PHO, PO or similar organization. **Preferred:** - Master's degree in health care management, finance or related field. - Two (2) years' experience with plan and provider contracting with both Facility and Professional. Additional Information

We are looking for a Managed Care Contract Assistant to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing health systems. With 15 hospitals, annual revenues of over $6 billion, and a service area that covers 75% of the state of Michigan, McLaren is committed to the highest levels of patient care. McLaren Physician Partners is a joint venture partnership between the McLaren healthcare System and our Physician members. Our focus is to support physician offices in all aspects of care delivery and operations including clinical integration, contracting, quality, care coordination and care management, across all settings. Position Description: Responsible for supporting the daily functions of the Leadership Team in implementing, operationalizing, and administering third-party payor/Managed Care agreements within all market segments for McLaren Physician Partners (MPP), McLaren High Performance Network (MHPN) McLaren Health Care Corporation (MHCC), and its subsidiaries. Gathers content for newsletter, highlighting initiatives specific to each third-party payor. Schedules and tracks minutes for department meetings and supports the resolution of issues as they may develop. **This position is fully remote.** **Equal Opportunity Employer of Minorities/Females/Disabled/Veterans** **#LI-AK1** **Required:** * High school diploma or equivalent (GED). * Two years' related healthcare or working with contracts. **Preferred:** * Associate degree in a business, health care or related field. Additional Information

The Clinical Quality Coordinator (CQC) is a professional registered nurse with unit specific responsibility and accountability. This role will provide unit based coordination and leadership of professional nursing practice activities leading to exemplary outcomes in quality, safety and service. The CQC role models and mentors others in the nursing process, coordination of patient care, leadership skills, and use of current evidence-based practice nursing interventions to promote excellence in nursing practice. The CQC integrates the tenets of the Professional Practice Model in the operations of the Unit. The Clinical Quality Coordinator (CQC) practice reflects the American Nurses Association's (ANA) Code of Ethics for Nurses, the ANA Scope and Standards for Nurse Administrators, and the Nurse Practice Act of Virginia. P&BH: Reports to MANAGER UNIT SCH VBH Qualifications Required Education: Graduate of a school nursing. Bachelors of Science Degree in Nursing (BSN) OR actively enrolled in an accredited BSN program Preferred Education: Masters of Science Degree in Nursing (MSN) Required Experience: Two (2) years of nursing experience. Previous leadership experience in nursing or related healthcare field Required Certifications and Licensure: Must be licensed as a registered nurse in Virginia or licensed in a compact state (or willing to obtain). Hold a current, active American Heart Association Basic Life Support (AHA BLS) course completion card.

Under the direction of the Patient Access leadership team, Schedules, registers, initiates pre-authorization and referrals process, confirms and maintains patient diagnostic appointments, surgeries and/or medical procedures for McLaren Health. **Essential Functions and Responsibilities as Assigned** **:** 1. Obtains required patient demographic and insurance information for McLaren Health, governmental requirements, billing and third-party payer needs. 2. Provides courteous and efficient services to customers and accurately documents/verifies patient pre-registration information in a professional and timely manner.Collects, documents, scans all required demographic and financial information. 3. Provides physician and/or diagnostic appointment scheduling. 4. Maintains knowledge of insurance and authorization requirements. Performs real-time insurance verification and interprets responses. Informs patient of insurance requirements for services provided such as authorizations/pre-certifications and referrals. 5. Estimates and collects copays, deductibles, and other patient financial obligations. 6. Handles inbound and outbound calls with the goal of growing business, customer satisfaction, and customer retention, providing ease of access to McLaren Health services. 7. Maintains professionalism and diplomacy, following specific standards as defined in the department professionalism policy. 8. Performs all other duties as assigned. **Qualifications:** **_Required:_** + High school diploma or equivalent + 1-year experience in a customer service role or health care industry. **_Preferred:_** + 2-years previous experience with third party medical insurance, HMO and managed care includingexperience with CPT and ICD-10 coding and medical terminology **Equal Opportunity Employer of Minorities/Females/Disabled/Veterans**

Interior Design and Projects Manager oversees design and construction standards, project management processes and procedures, space and preplanning, job costing, and record documentation for all Centra Projects. The position is responsible for the coordination of schedules and cost forecasting of internal renovation and new construction projects. Responsibilities Leadership: Assists with project management operations and space standardization and allocation. Personnel Management: Effectively manages assigned staff in a manner consistent with organizational policies and values. Maintains an employee feedback process to enhance work processes and employee understanding. Resource Management: Assists in the development and administration of budgets and job costing activities in a real time basis to monitors expenditures and costs to ensure variances are within project constraints. Planning: Contributes towards successful implementation of goals and annual operating plan and assists with financial analysis, and formulation of recommendations to achieve plan objectives. Interior Design, Finishes, and F.F.&E.: Serves as an internal consultant on renovation and new construction projects and when outside architectural consultants are hired to ensure design criteria meet Centra project standards and requirements. Coordinates project design and management activities at all levels of the organization. Standards: Responsible for development, implementation, and administration of all Exterior and Interior Material and Finish Standards (Branding), Space Standardization, Standardizes Specifications, and Project Management Operation Procedures. Financial Management: Provides effective monitoring and financial management of assigned areas. Creates capital budget in conjunction with Manager of Design & Construction. Seeks and recommends potential opportunities for cost containment and analyzes variances from budget plan or anticipated trends. Monitors management of Job Costs, Bidding Process and Documentation for Historical Costs. Continuous Improvement: Promotes and supports the participation of staff in applying the principle/model of continuous improvement to improve existing processes and enhance the effective utilization of resources (human and material). Customer Service: Consistently meets Customer Service Standards. Other Functions: Manages ongoing analysis, development and implementation of methods and systems to improve overall efficiency and effectiveness of services and functions through AutoDesk application. Actively participates in strategic decision-making for the organization's master plan and development, major asset and asset component selection, standardization and procurement, selection and recommendation of manufacturers, suppliers, contractors, subcontractors, and vendors, all while serving as the leader for Design strategic initiatives. Manages space planning and annual cost center submission to CMS through Archibus application. Ensures designs and materials meet all applicable codes and requirements for a high-use healthcare environment. Develops and maintains interior design and architectural materials library. Performs other duties as assigned Qualifications Required Qualifications: • A bachelor's degree in interior design, architecture or related discipline from an accredited college or university; and, four years supervisory experience in design or architecture, or a related field including two years' experience in budget administration and management of health care project management; or, An associate degree in business, technology, architecture, engineering or related discipline from an accredited college or university; and, eight years managerial experience in Design or Architecture or budget work in the construction field including four years' experience in budget administration and management of health care project management; • Excellent verbal and written communication skills. • Ability to effectively communicate to all levels of the organization. • Proficiency in AutoCAD, Excel, Word, PowerPoint, Microsoft Project (or equivalent software packages). • Minimum of ten (10) years of interior design and project management experience. • Minimum of five (5) years of healthcare specific interior design and project management experience. • Proficiency in AIA/industry-wide drafting standards to convey design to bidders and tradesmen. • Working knowledge of ADAAG, IBC, NFPA, BIFMA, ASTM, and local codes and requirements Preferred Qualifications: • Bachelor of Interior Design Degree from CIDA- (Council for Interior Design Accreditation) accredited college/university Certified Healthcare Facilities Manager • Excellent verbal and written skills. • Experience with AutoDesk Applications. • Excellent technical, conceptual, and financial skills. • Ability to motivate team efforts to accomplish goals. • Thorough knowledge of the principles, practices and methods of healthcare and space management.

Inspire health. Serve with compassion. Be the difference. Responsible for the coordination and resolution of the administrative denials and appeals of the system-wide comprehensive denials and appeals management program. Performs the necessary audits to evaluate the revenue cycle process and educates Management Staff on issues impacting reimbursement.This is a remote position. Accountabilities Utilizing the Prisma Health information systems, identifies and resolves a minimum of 40 accounts per day that have been improperly denied by insurance carriers for administrative reasons. All new business must be worked within one day and corrective action claims to be worked and followed up within two days of request. This includes researching denied claims, collaborating with departments, processing appeals, and resolving the denial for appropriate payments as defined in Prisma Health Denial Management Procedures. Facilitates the identification and resolution of in-house denials and appeals through effective collaboration with the Utilization Review/Outcomes Management Department. Represents Prisma Health when interacting with payors regarding administrative denial issues. Monitors denial and appeals information for payor, provider or departmental trends. Routinely reports to management regarding trends and recommends process improvement initiatives. Regularly reviews aging appeals and problem cases. Produces denials and appeals tracking reports for Management and departments. Provides comprehensive training for Prisma Health staff regarding denial resolution, appeals processing, process improvement, and revenue cycle issues that impact reimbursement. Assists the Manager of Denials and Appeals Management and the Director of Reimbursement with the development of strategic goals relative to the reduction in denials volume. Maintains knowledge of current trends and developments in the healthcare industry and specifically as it relates to denials and appeals through appropriate literature and professional development activities. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements High School diploma or equivalent 5 years of healthcare revenue cycle experience. (Denials and appeals management experience preferred.) Required Certifications/Registrations/Licenses N/A In Lieu Of The Above Minimum Requirements Bachelor's Degree in business management, finance, accounting or other related field would substitute for three of the five years of required experience. Other Required Skills and Experience Excellent Microsoft Office Skills, including the use of pivot tables in Excel Superior written and oral communication skills Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019012 Patient Account Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

is incentive eligible. New Hires may receive UP TO $3,500 Sign-On Bonus! Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a X-Ray Tech - Medical Assistant with CareNow you can be a part of an organization that is devoted to giving back! Benefits CareNow, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the CareNow family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic X-Ray Tech - Medical Assistant to help us reach our goals. Unlock your potential! Job Summary and Qualifications As a Technician, you will: Take vital signs, collecting lab specimens, performing EKG's, and administering IM injections. Perform all x-ray/imaging services according to provider's orders and updates patient charts accordingly. Collect patient history and documenting EHR appropriately. You may apply splints, dressings and bandages. Assist with check-in/check-out when needed including auditing charts. Maintain records and logs on activities including radiology, in-house lab work, drug screens, and lab work sent out to other labs. Keep patients and visitors informed of clinic progress. You should have: 1+ year of clinical experience in a patient care setting is helpful. Experience using an EHR system is beneficial. High School Diploma or equivalent is required. Graduate of an accredited school of Medical Assistants or completion of an approved program (BOTP) is required. Radiological Technologist (RT) or Limited Radiologic Technologist (LRT / LMRT), license is required in state of residency. Current certification from the American Association of Medical Assistants (AAMA) is preferred. Current BLS Certification is required within 30 days of start. Must obtain a Federal Breath Alcohol Screening Certification and Federal Drug Screening Certification within 3 months of employment or promotion. CareNow urgent care delivers quality, convenient, patient-centered urgent care with unparalleled service. In our more than 225 clinics, our physician-driven focus is centered on providing extensive resources and support to our dedicated clinical teams. We offer a wide range urgent care services for the entire family. CareNow urgent care is owned and operated by HCA Healthcare, one of the nation's leading providers of healthcare services, comprised of 183 hospitals and more than 2,300 sites of care, in 20 states and the United Kingdom. Our more than 283,000 HCA colleagues are connected by a single purpose - to give patients healthier tomorrows. If you're passionate about providing compassionate, high-quality care, growing your career within a company with a large support network and vast growth possibilities, and have an enthusiastic, collaborative spirit, we'd love to meet you! HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Be a part of an organization that invests in you! We are reviewing applications for our X-Ray Tech - Medical Assistant opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care! We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

We are looking for a Care Manager, LPN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at ********************************* MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at *********************** **Position Summary:** Responsible for the review and authorization of all services to the members, utilizing expert knowledge of screening criteria, clinical criteria and research ability if no criteria exists. Uses independent judgment, when necessary, within scope of practice. Participates in the medical management of members in all product lines. Works with the PCP, the member, the Case Manager or Manager, Med Management and management to promote the delivery of quality services at the most appropriate and cost-effective setting. Performs as the member advocate with emphasis on education regarding managed care, disease management, care management, case management and PCP treatment plans. Monitors member's utilization patterns for identification of high risk, and under and overuse of services. Collaborates with Case Manager or Manager, Med Management, Medical Director and senior management on complex cases. **This position is fully remote.** **Equal Opportunity Employer of Minorities/Females/Disabled/Veterans** **\#LI-AK1** **Qualifications:** _Required:_ + A valid current unrestrictive license in the state doing business in, in one of the following:LPN, LCSW, LMHC, LMSW, LMFT, LPC. + Two (2) years clinical experience. + One (1) year experience in Utilization Management, Medical Management, Case Management. _Preferred:_ + Associate degree in nursing, health care, or related field. + Five (5) years' experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g utilization management, medical management, case management). + Five (5) years clinical experience. + Understanding of claims administration, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc.

Inspire health. Serve with compassion. Be the difference. Responsible for communicating and providing information which meets the payor requirements for initial notification of Inpatient admissions and Observation, timely completion of insurance verification, and authorization related activities to financially secure patient accounts. This includes timely submission of appropriate documentation in order to meet third party payor requirements which helps ensure that Prisma Health receives timely and accurate reimbursement. Collaborates as appropriate with other departments to ensure efficient processes and facilitate problem solving. Accountabilities Full Time Acts as the initial point of contact to all payors for Inpatient admissions and Observation. Includes timely submission of appropriate documentation as required by the payor(s) for the initial authorization/notification purposes. Ensures appropriate statistical data is obtained for patients in assigned patient population areas; communicating with payors timely and accurately. Updates and maintains authorization numbers and approved days in registration and/or other applicable systems as appropriate. Secures discharge dates for payers as assigned. Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third party payor. Information obtained through insurance verification must always be documented in the system. Ensures insurance priorities are correct based on third party requirements/COB. Initiates pre-certification process as required according to departmental guidelines. Interviews patients or representatives (in accordance with HIPAA and EMTALA Guidelines) to secure information relative to financial status, demographic data and employment information when necessary. Enters accurate information into computer database. Accesses Sovera to review ensure the most recent insurance card is on file. Follows up for incomplete and missing information. Supervisory/Management Responsibilities This is a non-management job that report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent Experience - 3 years Revenue Cycle, Patient Access /Billing, Collections and/or Customer Service Required Certifications/Registrations/Licenses n/a In Lieu Of The Minimum Requirements Listed Above n/a Other Required Skills and Experience Medical Terminology Basic computer skills Knowledge of office equipment Proficient computer skills (word processing) Data entry Work Shift Day (United States of America) Location 1200 Colonial Life Blvd Facility 7001 Corporate Department 70019073 PreAccess Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference. All employees are expected to be knowledgeable and compliant with Prisma Health's values of compassion, dignity, excellence, integrity and teamwork. This job is responsible for the identification of trauma patients meeting registry inclusion criteria, abstracting clinical and outcomes data from the medical record, coding diagnoses, procedures, and injuries utilizing ICD-10 coding, AIS coding, E-Codes, and entering data into the Trauma Registry per National Standards and State Standards/State Trauma Regulations published by the American College of Surgeons (ACS), National Trauma Data Bank (NTDB) and SC Department of Health and Environmental Control (DHEC). Performs data analysis on Trauma Registry data for monitoring data quality and performs data analysis and writes reports to support the activities of the Trauma Program such as performance improvement, research, administrative and medical staff meetings, injury prevention, and Trauma Center Designation/Verification process. Accountabilities Maintains professional development and current in coding principles. Maintains current knowledge of and complies with National standards published by the ACS, State Standards published by DHEC and State Trauma Regulations. Maintains registry within the standards and dataset of NTDB, State Trauma Registry Data Dictionary, and PHR Trauma Program. Accurately identifies patients meeting Trauma Registry inclusion criteria per SC Trauma Registry Data Dictionary, NTDB and ACS standards for inclusion into the Trauma Registry. Accurately abstracts clinical data from pre-hospital EMS database and the in-patient medical record including demographics, co-morbidities, diagnoses, injuries, ED data, operations, procedures, complications, outcomes, performance improvement, and financial data per SC Trauma Registry Data Dictionary, NTDB and ACS standards, and PHR Trauma Program. Accurately codes procedures, diagnoses, and injuries using ICD-10 coding, AIS injury coding, E-codes and other appropriate coding schemes, and accurately enters into Trauma Database within departmental guidelines. Participates in performance improvement monitoring by gathering data on performance metrics, identifying and reporting complications, and performing analysis of registry data in support of clinical process improvement initiatives. Prepares reports pertinent to Trauma performance improvement and reports issues and trends identified to PI Coordinator and TPM. Prepares, processes and submits Trauma Registry records to State Trauma Registry quarterly per State Trauma Regulations and annually to the National Trauma Data Bank within established timeframe. Ensures compliance of registry with Palmetto Health HIPPA regulations. Responsible for report writing from the Trauma Registry Database for information requests by trauma administration, physicians, other PHR departments, and outside entities to support coding, billing, trauma research, injury prevention, performance improvement, Trauma Center Designation/Verification process, and other activities of the Trauma Program. Ensures compliance with Palmetto Health HIPPA and IRB research policies. Performs data analysis and data validation on Trauma Registry Data on a routine basis for data quality and errors and omissions to maintain registry integrity. Attends and participates in Multi-disciplinary Trauma Patient Care Conference, Multi-disciplinary Trauma Committee, and Trauma Association of South Carolina. Participates at the State level in all activities involving Trauma Registry. Independently works with Trauma Registry software vendor and PHR information technology on NTDB and State data submissions, upgrades, data imports, and all enhancements involving Trauma Registry. Additional Job Description Location Remote Supervisory/Management Responsibilities This is a non-management job that report to a supervisor, manager, director or executive. Minimum Requirements Education - Bachelor's degree in Health Information Management or related field OR an equivalent combination of relevant education and/or experience. Experience -2 years experience in in-patient medical record coding Required Certifications/Registrations/Licenses RHIT, RHIA, CCS, or CSTR (Certified Specialist in Trauma Registry) preferred or eligible. Requires AAAM course certification (AIS coding) and Trauma Registry Course within 1 year. Other Required Skills and Experience Extensive knowledge of ICD-10 coding, AIS coding, E-codes, anatomy, physiology, medical terminology and disease processes. Must be computer literate and be proficient in keyboarding, spreadsheets, word processing, and databases. Requires ability to analyze and report registry data to support the activities of the Trauma Program. Must have ability to work independently and have a strong aptitude for detail. Work Shift Day (United States of America) Location Richland Facility 1510 Richland Hospital Department 15106579 Trauma/Neuro Administration Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Speech Language Pathologist II Schedule: Full Time, Days Facility: Southside Community Hospital Set in the heart of Central Virginia, Centra Health is a regional, nonprofit healthcare system including four hospitals, a network of medical centers, as well as various specialty and primary care practices located along the Blue Ridge. At Centra, providing excellence in patient care, utilizing the latest evidence-based research, and fostering a culture of diversity and inclusion are at the forefront of our belief system. Centra is home to the Central Virginia Center for Simulation and Virtual Learning , the only center in Virginia that offers a full range of simulation experiences. We want to partner with you to live your best life. At Centra, we want to listen carefully and get to know you well. We want to understand your hopes, goals and dreams. As a candidate considering employment with our organization, we want you to understand that it is our mission to help partner with you throughout each stage of your career. Job Description: This position is responsible for the evaluation and treatment of patients in the Acute Care and Acute Rehab settings. The Speech Language Pathologist (Advanced) provides services within Va Licensure, TJC and CMS guidelines for patient care and billing for services. Requirements: Required Education: Masters Degree in Speech Language Pathology Required Experience: Inpatient Setting: One (1) year of experience as a Speech-Language Pathologist Preferred Experience: Hospital-based experience Required Certifications and Licensures: Licensed by the Virginia Department of Health Professions. Possess Certificate of Clinical Competence. Member of American Speech-Language-Hearing Association When recruiting and retaining talent at Centra, our hiring needs are based on matching a candidate's job qualifications with our job requirements and department needs without regard to race, color, age, religion or belief, national origin, disability status, protected veteran status, gender identity or expression, sexual orientation or any other characteristic protected by the laws or regulations in the locations where we operate. Centra is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Be yourself. Be a partner with Centra.

The Revenue Cycle Denial and Underpayment Analyst contributes to the collection of revenue through denial and underpayment appeals. The analyst works assigned claims to correct errors in payment and submitted claim information to optimize the collected revenue for Centra. The goal of the analyst work is to reduce denial dollars and underpayments to increase the bottom line collections for Centra. Responsibilities Essential Duties and Responsibilities: Comparison of contracted rates versus claim payment to identify underpayments for assigned payers. Identify and resolve denials and underpayments. Review contract management system to explain and resolve denials and arrange for payment or adjustment. Collaborates with other departments to obtain clinical data to resolve denials or underpayments. Other Functions: Performs special projects as needed and assigned. Performs other duties as assigned. Qualifications Required Qualifications: High School Diploma Minimum three (3) years' experience in denials, underpayments, or healthcare accounts receivable. Ability to analyze and reconcile multiple accounts and large volumes of claim data. Working knowledge of denial and underpayment processes. Preferred Qualifications: Certified Coding Specialist Certified Professional Coder Certified Inpatient Coder

The Ambassador transports or guide patients and visitors in a safe and timely manner to their designated site. The Ambassador will place extreme emphasis on customer service and satisfaction with every patient, visitor, or co-worker encounter. The Ambassador will be working with and around all departments within Centra. Responsibilities Help assist patients and visitors all over the hospital. Has primary responsibility and accountability for planning, designing, organizing, implementing, and evaluating the patient transport system within Centra. Has ability to recognize, develop, and implement solutions to transportation needs within the facilities. Has ability to demonstrate knowledge and skills necessary to provide age-appropriate care to infants, pediatrics, adolescents, adults, and geriatrics, as well as recognize changes or abnormalities in patient condition and report same. Interacts and communicates information and ideas to all levels of personnel within the organization. Licensing, etc. Ability to recognize, develop and implement solutions to transportation needs within the facility. Ability to recognize conflicts with personnel, patients, and other customers and to appropriately intervene. Other duties as assigned. Qualifications Education Minimum: None Education Preferred: High School Diploma or GED Equivalent Work Experience Minimum: None Work Experience Preferred: Customer Service Experience Licenses & Certifications Minimum: AHA CPR within 18 months of hire. Licenses & Certifications Preferred: None

**ID:** 252610 **Position Type:** Permanent Full Time **Shift & Specialty:** 5x8 Days; SNF / LTC **Estimated Pay Range:** $0.00 Per Year Centra Healthcare Solutions is seeking an experienced Physical Therapist Assistant (PTA) that is licensed or in the immediate process, and qualifies, of obtaining Physical Therapist Assistant (PTA) licensure in the state of WVto work in the specialty area of SNF / LTC. * This is a direct hire / permanent placement position. * This role assumes responsibility and accountability for incorporating the vision, values, mission and critical goals of the organization into their job performance. **Minimum Requirements include:** * 1 year of recent experience as a(n) Physical Therapist Assistant (PTA) specializing in SNF / LTC. * Current Physical Therapist Assistant (PTA) license within the state of practice. **About Centra:** Centra Healthcare`s mission is to provide unparalleled service enabling healthcare professionals to concentrate on caring for America. We have many dynamic positions with cutting edge programs throughout the entire United States and various settings to meet each healthcare professional`s criteria. **Benefits of a Full Time Direct Hire / Permanent Position within Centra's Network:** * We have an expanded list of preferred clients that have requested confidential searches that you may not be able to find on the general job boards. * You will be assigned a designated “Centurion” that will listen attentively to understand your ideal career and work exclusively with you to avoid you needing to repeat your must haves for accepting a position. * We will assist with the entire negotiation process and ensure a highly competitive compensation package. Please apply online for this fantastic opportunity or feel free to contact us at ************. We look forward to assisting you in finding an optimal position.