Clinical Program Manager RN
Hybrid.
Candidates residing in the areas of Portland, OR, Spokane, WA or Lubbock, TX are encouraged to apply.
In collaboration with the Division Director, the Clinical Practice Manager RN supports nursing practice, quality initiatives, and clinical improvement efforts across the division. This role is responsible for leading teams in developing and implementing evidence-based nursing and clinical practices, utilizing established standards, research findings, and quality improvement principles.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Bachelor's Degree: Nursing
Master's Degree: Nursing (Practice or Education)
5 years - Nursing experience in an acute care setting.
3 years - Clinical practice development, quality, or education experience.
active RN License for WA, OR or TX
Preferred Qualifications:
Ph.D.: Nursing or DNP (Doctor of Nursing Practice)
Salary Range by Location:
Oregon: Portland Service Area: Min: $59.39, Max: $93.75
Texas: Min: $45.30, Max: $71.51
Washington: Eastern: Min: $52.85, Max: $83.42
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 403508
Company: Providence Jobs
Job Category: Clinical Administration
Job Function: Clinical Support
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 4007 SS CNTRL DIV EDU ADMIN
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Hybrid
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Healthcare, Keywords:Healthcare Program Manager, Location:Shallowater, TX-79363
$46k-77k yearly est. 18d ago
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RN Field Clinical Care Manager
Unitedhealth Group 4.6
Remote job
$7,500 SIGN ON BONUS FOR EXTERNAL APPLICANTS
Coverage Area: Manhattan, Bronx and Westchester County New York
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
In this RN Field Clinical Care Manager role, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.
There will be travel expectations throughout advertised boroughs.
If you are located in New York state, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
Perform the NYS UAS Assessment in the member's home at least twice per year and as needed
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Manage the care plan throughout the continuum of care as a single point of contact
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Current, unrestricted RN license for the state of New York
2+ years of relevant clinical work experience
1+ years of experience of community case management experience coordinating care for individuals with complex needs
Experience in long-term care, home health, hospice, public health or assisted living
Proficiency with MS Word, Excel and Outlook
New York state issued ID or ability to obtain one prior to hire
Reside in New York state
Ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices
Preferred Qualifications:
Behavioral health or clinical degree
Experience with electronic charting
Experience with arranging community resources
Field based work experience
Background in managing populations with complex medical or behavioral needs
Proficient in use of UASNY
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $40.00 to $54.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #uhcpj
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$40-54 hourly 4d ago
Clinical Review Specialist, Remote
Massachusetts Eye and Ear Infirmary 4.4
Remote job
Site: Mass General Brigham Incorporated
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
General Summary:
Under the general direction of the Director of Risk Capture, the Pre-Visit Clinical Review Specialist (CRS) facilitates the accurate and appropriate identification of patient medical conditions through comprehensive chart review combined with review of coding output data sources (internal and external claims) that results in improvement in the overall quality, completeness and accuracy of problem lists, visit documentation and disease registry assignments. The CRS utilizes both clinical and coding knowledge of Hierarchical Condition Categories (HCCs) to inform accurate and appropriate diagnosis considerations for suspect condition identification and recapture opportunities. This role serves to educate providers and the clinical care team on all aspects of risk capture and linkages with quality.
Qualifications
Principle Duties:
Drive Clinical Delivery
Performs accurate and timely pre-visit review of selected ambulatory encounters to identify opportunities to recapture medical conditions that meet criteria as HCC diagnoses and to capture new, suspected HCC conditions.
Accurately interprets clinical information in the medical record, evaluating clinical indicators to identify potential diagnoses
Presents clear HCC Consideration Communication to provider and educates providers to obtain greatest possible diagnostic specificity to accurately reflect the patient's condition(s)
Identify Education Opportunities
Identifies themes through chart review that might present education opportunities for individual or groups of providers
Gathers feedback from periodic post-visit chart reviews and incorporates these learnings into educational opportunities with providers
Identifies opportunities for Process Improvement and Quality Improvement, as needed
Foster collaborative relationships across the enterprise
Communicates appropriately and compliantly with physician or care team through Epic resources to improve medical record documentation
Participates in ambulatory unit/organizational programs and meetings as needed
Maintains professional competency by keeping abreast of new coding issues and guidelines. Attends classes and meetings as assigned. Reviews professional CDI and coding literature regularly
Maintains clinical licensure and/or medical coding credentials (e.g. RN, PA, NP, CRC, CDEO, CCS, CPC) and completes all required Organizational Competencies and trainings (if applicable)
Meets with providers on an as-needed basis to address concerns or areas of opportunity, and performs chart reviews as needed
Maintains good rapport and professional relationships, as outlined in MGB Code of Conduct -
Approaches conflict in a constructive manner, helps identify problems, offers solutions and participates in resolution
Responsible to perform any other assigned duties as requested
Qualifications:
Minimum three (3) - five (5) years' experience required in either, case management, outpatient coding, utilization review, CDI or other disciplines with either coding experience however, an equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements.
2 years' experience in Primary Care, medical coding, risk adjustment or CDI preferred
Current certification in Clinical Documentation Improvement (CDIP, CCDS, CCDS-O or CDEO) preferred
Certification in medical coding and or risk adjustment (i.e., CRC, CPC, CCS, CDEO, or CCS-P or other pertinent to outpatient) preferred (CRC Required training within 1 year of employment)
Medical licensure (RN, PA, NP) preferred
Bachelor's degree healthcare related preferred
Strong PC skills / Microsoft applications, including Outlook, Teams, Excel, PowerPoint
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$62,400.00 - $90,750.40/Annual
Grade
6
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$62.4k-90.8k yearly Auto-Apply 4d ago
Practice Coordinator, Mental Health
Teladoc Health Medical Group 4.7
Remote job
Join the team leading the next evolution of virtual care.
At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives.
Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we're transforming how better health happens.
Summary of Position
The Practice Coordinator, Mental Health will report directly to the Practice Manager, providing direct administrative and project support for our growing 24/7 telemedicine practices. Primary responsibilities will be coordinating physician schedules, patient rescheduling, referral, and prior authorization support, assisting in implementation and roll out of new product offerings and ensuring that staff physicians feel supported in their day-to-day role in virtual healthcare. The candidate will work closely with stakeholders across Teladoc Health, including Provider Relations, Physician Credentialing, Planning and Delivery as well as the Clinical Operations Care Team.
Essential Duties and Responsibilities
Schedule, cancel, and reschedule patient appointments.
Provide service recovery and proactive support to enhance member experience.
Inform patients about updates and changes.
Assist members in connecting with suitable providers.
Handle member escalations and direct inquiries or complaints appropriately.
Monitor provider schedules to optimize patient flow in a virtual care setting.
Aid in referral management and billing processes.
Support clinicians and Care Team staff with referrals and prior authorizations.
Provide administrative and technical support for CME, financial reimbursement, licensing, and other tasks.
Address provider requests and escalate as needed.
Support new physician onboarding and monitor credentialing and training progress.
Partner with the credentialing team to manage physician license approvals, renewals, and expirations.
Provide feedback to management on training needs, physician performance, and process improvements.
Assist with department staff meeting agendas, attendance, minutes, and follow-up items.
Participate in performance improvement projects and other related duties.
Comply with company policies and procedures.
The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs.
Supervisory Responsibilities
No
Qualifications Expected for Position
Ability to adapt to new situations.
Excellent customer service skills.
Knowledge of medical terms and practices.
Strong interpersonal and communication skills.
Attention to detail and organization.
2-4 years of healthcare experience or experience in an ambulatory medical office (Mental Health experience preferred).
Excellent oral and written communication skills.
Customer service oriented.
Experience supporting physicians.
Ability to work in a fast-paced environment and meet deadlines.
Well-organized and self-motivated.
Strong written communication skills.
Team player with effective interaction skills.
Ability to generate reports and documents.
Proficient in Microsoft Office Suite.
High School Diploma required, Bachelor's degree preferred.
No specific license or credential required.
Required license or credential needed to perform job: N/A
The above qualifications, knowledge, experience, and/or background are expected but not required for this role.
Work Environment
☐ Office ☐ Remote ☐ Hybrid (Office & Remote)
Travel
Travel percentage reflects an estimate and is subject to change dependent on business needs.
Physical Requirements
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. Teladoc Health will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual in line with company policy.
About Us
Teladoc Health is the global virtual care leader, offering the only comprehensive virtual care solution spanning telehealth, expert medical, and licensed platform services. Teladoc Health serves the world's leading insurers, employers, and health systems and helps millions of people around the world resolve their healthcare needs with confidence.
Acknowledgment
This is a general overview of nature and level of work performed by employees with this job designation It is not intended to be a comprehensive list of all duties, responsibilities and qualifications required of this position. Management reserves the right to add, delete, and/or modify any of the job duties or requirements at any time. I acknowledge that I have read and understand the above . By signing this job description, I understand the duties that are expected of me.
The base salary range for this position is $20-25/hourly. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2026. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions.
As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified.
Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.
Why join Teladoc Health?
Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission.
Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference.
Join a multi-faceted community that celebrates each colleague's unique perspective and is focused on continually improving, each and every day.
Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways.
Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs.
Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.
As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health's Notice of Privacy Practices for U.S. Employees' Personal information is available
at this link
.
$20-25 hourly Auto-Apply 4d ago
Clinical Review Coordinator
Soleo Health 3.9
Remote job
Full-time Description
Soleo Health is seeking a Clinical Review Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA) . Join us in Simplifying Complex Care!
Must be able to work 8:30am-5pm Eastern Time Zone Monday-Friday.
Soleo Health Perks:
Competitive Wages
Flexible schedules
401(k) with a match
Referral Bonus
Paid Time Off
Annual Merit Based Increases
No Weekends or Holidays
Affordable Medical, Dental, and Vision Insurance Plans
Company Paid Disability and Basic Life Insurance
HSA and FSA (including dependent care) options
Education Assistant Program
The Position:
The Clinical Review Coordinator works closely with all departments to research and provide accurate and timely clinical review on complex, patient cases to ensure that approval is secured and to mitigate risk of technical and clinical denials. The Clinical Review Coordinator attempts to resolve denials by utilizing nationally recognized criteria for appeal submission. Responsibilities include:
Completes prior authorization reviews in a timely manner through their clinical expertise evaluating patient clinicals and payer clinical criteria to determine if the service meets medical necessity of the payer
Reviews and comprehends patient progress notes, lab reports, infusion summaries, imaging reports, and plan of care. Identifies appropriate medical documentation that satisfies payer medical policy criteria.
Request additional clinical information when needed to render a decision and/or determine next steps
Assists with creation of clinical support packets to be used for the initial prior authorization and/or subsequent appeals
In cases of authorization denials, constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate medical necessity criteria and other pertinent clinical facts.
Creates and maintains, a library of clinical support resources to include templates for appeals, journal articles, other reference tools that can be used to support medical necessity. When existing resources are unavailable search for supporting clinical evidence to support appeals.
Provides program support by staying current on the top payer covered services, medical necessity requirements and formulary details. Also, must be proficient in locating payer resources related to medical policies.
Assist with post service insurance denials & appeals
Participates in outcome programs including but not limited to data entry, reporting functions, and patient calls with necessary to complete denial support tasks
Provides inter-departmental training to increase teams' knowledge for top disease states and specialty drugs, clinical requirements, and prior authorization & appeal best practices
Schedule:
Must be able to work Remote, 8:30am-5pm Eastern Time Zone Monday-Friday
Must have experience with denial support, clinical reviews, and appeals for Infusions
Requirements
Bachelor's degree in healthcare field or 3 years in a qualified position
Preferred experience with patients with specialty infusion needs and challenges
Excellent communication skills (written, oral, and presentation), excellent customer service and interpersonal skills
Flexible communication style, highly motivated team player with excellent listening skills
Able to handle stress to meet identified program objectives and manages time effectively
Self-starter that takes responsibility, is comfortable with accountability and results oriented
Competent in the use of Word, Excel, and Power Point
Must be able to communicate effectively with all levels of organization within Soleo Health.
Must enthusiastically support Soleo Health's philosophy and goals.
About Us:Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keywords: Now Hiring, Hiring Now, Immediately Hiring, Hiring Immediately, Clinical Review Coordinator, Infusion Clinical Review Coordinator, Patient Access, Patient Access Clinical Review Coordinator, Denial Support Clinical Review Coordinator, Appeals Clinical Review Coordinator, Home Infusion, Specialty Infusion
Salary Description $68,000 - $85,000 per year
$68k-85k yearly 2d ago
Customer Experience Clinical Coordinator
Solace 4.1
Remote job
Solace is a healthcare advocacy marketplace that connects patients and families to experts who help them understand and take charge of their personal health
About The Role
As a Clinical Operations Coordinator, you will play a critical role in ensuring seamless day-to-day operations for our growing telehealth provider workforce. You will provide real-time operational support to physicians, proactively manage schedules across 1099 and W2 providers, and serve as a key liaison between providers, patients, and internal teams when unexpected issues arise.
This role is highly dynamic and requires someone who thrives in fast-paced, real-time problem solving. From responding immediately when a visit runs long, to coordinating coverage during physician call-outs or technical disruptions, you will help ensure continuity of care, fairness in scheduling, and a positive experience for both patients and physicians.
You will also help track and evaluate provider utilization, no-show rates, and pilot scheduling initiatives (including evenings and weekends), providing insight that supports operational excellence and sustainable growth.
About Solace
Healthcare in the U.S. is fundamentally broken. The system is so complex that 88% of U.S. adults do not have the health literacy necessary to navigate it without help. Solace cuts through the red tape of healthcare by pairing patients with expert advocates and giving them the tools to make better decisions-and get better outcomes.
We're a Series B startup, founded in 2022 and backed by Inspired Capital, Craft Ventures, Torch Capital, Menlo Ventures, and Signalfire. Our fully remote U.S. team is lean, mission-driven, and growing quickly.
Solace isn't a place to coast. We're here to redefine healthcare-and that demands urgency, precision, and heart. If you're looking to stretch yourself, sharpen your edge, and do the best work of your life alongside a team that cares deeply, you're in the right place. We're intense, and we like it that way.
Read more in our Wall Street Journal funding announcement
here
.
What You'll Do
Provide real-time operational support to providers when immediate outreach is needed (i.e., rescheduling visits, contacting patients or family members)
Act as a central point of coordination with the Medical Director during provider call-outs, technical issues, or when visits extend beyond scheduled time
Manage and optimize schedules for a mixed workforce of 1099 and W2 physicians to ensure consistent staffing during peak demand
Proactively contact and support impacted patients when scheduling changes or delays occur
Monitor and help ensure fairness and consistency in leave usage, flagging outliers or concerns to leadership
Ensure provider calendars accurately reflect approved availability, identifying and escalating unapproved or anomalous blocks
Support pilot scheduling initiatives (evenings, weekends, extended hours) by tracking utilization, no-show rates, and provider participation
Maintain clear documentation and communicate operational issues, trends, and recommendations to leadership
Collaborate closely with clinical, operations, and technical teams to resolve issues quickly and effectively
Take on other operational duties as assigned in support of a growing telehealth organization
What You Bring To The Table
Strong organizational skills and the ability to manage multiple real-time priorities without losing attention to detail
Comfort working in a fast-paced, provider-facing environment where quick decisions matter
Excellent communication skills, especially in high-pressure or time-sensitive situations
Experience with scheduling, staffing coordination, or workforce management (healthcare or telehealth experience strongly preferred)
Ability to work confidently with both providers and patients, maintaining professionalism and empathy
Data-aware mindset: comfortable tracking metrics such as utilization, no-shows, and coverage gaps
Proactive problem solver who anticipates issues and takes ownership of solutions
High degree of reliability, discretion, and sound judgment
Flexibility to support coverage during extended hours or weekends as pilots are launched
A team-first attitude with a “get it done” mentality
Applicants must be based in the United States.
Up for the Challenge?
We look forward to meeting you.
Fraudulent Recruitment Advisory: Solace Health will NEVER request bank details or offer employment without an interview. All legitimate communications come from official solace.health emails only or ashbyhq.com. Report suspicious activity to recruiting@solace.health or advocate@solace.health.
$48k-67k yearly est. Auto-Apply 15d ago
Clinical Coordination & Support
Physicians of The Future Medgroup
Remote job
Job DescriptionBenefits:
401(k)
Flexible schedule
Health insurance
Paid time off
Wellness resources
SOMOS Innovation, LLC is the organization that has been built to deliver on a simple promise to provide the administrative infrastructure to enable our physicians to deliver high-quality community healthcare to our vulnerable Medicaid and Medicare patients in a culturally appropriate manner. The physician leaders of Corinthian Medical, Excelsior Medical, Balance Medical, SOMOS Your Health, SOMOS, and Eastern Chinese IPA have seen that to succeed in a VBP world the IPAs and physicians must be supported by an integrated management services organization. The MSO must deliver a portfolio of managed care contracts and the infrastructure to manage the financial risk attached to those contracts. The MSO must deliver administrative simplification for the PCPs and IPAs that generates more patient time and enables the PCPs to deliver the right care, at the right time in the right setting. The MSO must deliver clinical innovation that moves population health from theory to practice. The following grid highlights the functionality delivered to each of the IPAs.
Patient Assessment and Coordination
Conduct initial and follow-up assessments focused on patients medical, psychological, and social support needs under the direction of the RN Care Manager.
Assist in developing and implementing individualized care plans in collaboration with the RN Care Manager and interdisciplinary team.
Monitor patient status through telephonic and in-person outreach to ensure continuity of care.
Support Care Management face-to-face assessments in the home, community, or clinical setting as directed by the care team.
Patient and Family Education
Provide patient-centered education on care plans, medications, chronic disease management, and preventive health practices.
Support families in understanding available health plan resources and empower them to make informed decisions about care.
Reinforce patient self-management goals identified by the care team.
Care Transition Management
Assist in care transition activities by coordinating follow-up appointments, medication reconciliation support, and patient/family education after discharge.
Communicate patient status and needs effectively to providers, RN Care Managers, and other team members to support safe transitions between settings (e.g., hospital, rehab, home).
Resource Coordination
Identify patients in need of social services or community-based resources and route referrals to the appropriate non-clinicalcoordinators or social workers.
Act as a liaison between patients, caregivers, and the healthcare team to promote access to needed medical and social supports.
Provide ongoing support to clinical staff by tracking progress toward care plan goals and reporting barriers or successes.
Documentation and Reporting
Maintain timely, accurate, and comprehensive documentation in the electronic health record (EHR) in accordance with organizational standards and regulatory requirements.
Prepare and maintain tracking logs for outreach, education, and follow-up activities.
Contribute to reporting on patient progress, barriers to care, and program outcomes.
Clinical Risk Escalation
Identify potential clinical concerns, deterioration in condition, or risk issues during patient outreach.
Promptly escalate concerns to the RN Care Manager or Supervisor for higher-level intervention.
Collaborate with the interdisciplinary team to address clinical issues and prevent avoidable adverse outcomes.
Other Responsibilities
Participate in mandatory in-person team/company meetings, ongoing training, and case reviews.
Provide updates on assigned patients at interdisciplinary team meetings.
Perform other duties as assigned in support of patient care and program objectives.
Qualifications
Current and valid LPN license in the state of practice.
Strong clinical knowledge of chronic disease management, preventive care, and medication adherence.
Prior experience in care management, managed care, community health, or ambulatory care preferred.
Excellent communication, interpersonal, and organizational skills.
Compassionate, patient-centered approach with the ability to build trusting relationships.
Proficiency in EHR systems and intermediate computer skills (Excel, Outlook, Teams, Word, etc.).
Ability to manage multiple priorities, meet deadlines, and work both independently and as part of a multidisciplinary team.
Skilled in motivational interviewing and patient engagement strategies.
Demonstrated time management and critical thinking skills.
Job Type: Full-time
Pay: From $75,000.00 per year
Benefits:
401(k)
Health insurance
Life insurance
Paid time off
Vision insurance
Language:
Spanish (Required)
License/Certification:
LPN (Required)
Work Location: Hybrid remote in Bronx, NY 10463
Flexible work from home options available.
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This position is responsible for assisting with the management of the pharmacy benefit and developing and delivering clinical and educational interventions designed to improve pharmaceutical use. Responsibilities include formulary management; assisting with management of specific patients in the multidisciplinary case management/medication therapy management program, P&T, developing and conducting educational initiatives to improve prescribing patterns; develop and conduct quality improvement programs related to the pharmacy program; evaluating medication authorization requests and providing oversight to the medication PA process; and other pharmacy program activities as assigned.
NOTE: This is a temporary position expected to last 9 months.
Estimated Hiring Range:
$151,965.00 - $185,735.00
Bonus Target:
Bonus - SIP Target, 5% Annual
Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.
---------------------------------------------------------------
Essential Responsibilities
Prepare drug utilization reports and analyses for the Pharmacy & Therapeutics Committee.
Use an evidence-based process to perform new drug reviews, and to develop formulary recommendations and drug use criteria for the Pharmacy & Therapeutics Committee.
Critically evaluate drug therapy regimens for patients enrolled in the case management program and assist with developing treatment plans.
Provide medication therapy management services.
Develop and conduct retrospective drug use reviews.
Review medication prior authorization requests and appeals.
Develop and implement clinical educational programs to improve drug utilization and quality.
Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others.
Develop and conduct quality improvement programs related to the pharmacy program.
Monitor functions provided by the plans' Pharmacy Benefit Manager including pharmacy benefit coding, customer service guidelines, prior authorization activities, and other delegated services.
Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives.
Assess, review, and respond to federal and state regulatory requirements/audits of the pharmacy benefit.
Consult with clinicians and pharmacists to resolve pharmacy benefit issues.
Review and refine pharmaceutical reimbursement and purchasing procedures.
Develop materials to communicate pharmacy benefit or other information to members, clinicians, and pharmacists.
Experience and/or Education
Required
Graduate of an accredited pharmacy program
Current, unrestricted license as a pharmacist in Oregon
Advanced pharmacy training (PharmD, residency, fellowship, or master's degree in related discipline)
Practical experience as a clinical pharmacist in formulary management or ambulatory care or other clinical setting
Preferred
Previous experience in managed care
Experience with reviewing Prior Authorization requests against plan criteria and making approval or decline decisions
Knowledge, Skills and Abilities Required
Knowledge
Must have comprehensive, clinical pharmaceutical knowledge base
Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization
Skills and Abilities
Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine
Ability to design and review pharmacy claims analysis/reports according to specific project requirements
Must be highly motivated and have the ability to work independently
Excellent organizational, project management, and time-management skills
Excellent written and verbal communication skills
Excellent customer service skills
Ability to manage multiple tasks
Ability to negotiate, problem-solve, and consensus-build
Basic word processing, spreadsheet, and database skills
Ability to work effectively with diverse individuals and groups
Ability to learn, focus, understand, and evaluate information and determine appropriate actions
Ability to accept direction and feedback, as well as tolerate and manage stress
Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day
Ability to lift and carry for at least 1-3 hours/day
Working Conditions
Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure
Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person
Hazards: May include, but not limited to, physical and ergonomic hazards.
Equipment: General office equipment
Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used.
Work Location: Work from home
We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.
We are an equal opportunity employer
CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
$48k-62k yearly est. Auto-Apply 3d ago
Respiratory OverRead Clinical Specialist
Clario 4.8
Remote job
Join Clario and help transform lives by unlocking better evidence. As a Respiratory OverRead Clinical Specialist, you will play a critical role in ensuring the accuracy and quality of pulmonary function data for clinical trials, supporting our mission to bring life-changing therapies to patients faster.
What We Offer
Competitive compensation
Private health insurance
Engaging employee programs
Flexible work schedules
Attractive PTO plan
Flex workspace
What You'll Be Doing
Perform analysis on pulmonary function data
Resolve questions from sponsors, investigator sites, monitors, and project managers regarding data quality
Ensure all Respiratory OverRead clinical trials meet contracted turnaround times
Provide periodic status reports to the Director of Respiratory OverRead
Complete other related duties as assigned
What We Look For
Bachelor's degree in respiratory therapy, physiology, life sciences, or equivalent practical experience
Minimum 2 years of experience in pulmonary function testing or related field
Preferred certifications: NBRC (CPFT, RPFT, CRT, RRT) or NIOSH Respiratory Surveillance Training Program
Strong analytical skills with ability to develop solutions for complex problems
Excellent written and verbal communication skills
Proficiency in Microsoft Office (Word, Excel, PowerPoint) and G Suite applications
Ability to work independently in a dynamic environment
At Clario, our purpose is to transform lives by unlocking better evidence. It's a cause that unites and inspires us. It's why we come to work-and how we empower our people to make a positive impact every day. Whether you're advancing clinical science, building innovative technology, or supporting our global teams, your work helps bring life-changing therapies to patients faster.
Clario is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
$70k-101k yearly est. Auto-Apply 13d ago
Clinical Specialist
U.S. Renal Care, Inc. 4.7
Remote job
The Clinical Specialist (CS) is responsible for positively impacting regulatory standards and clinical outcomes of clinics in an assigned geographic region. The CS is also responsible for the training of new employees and current clinical staff. The CS will also be responsible for conducting in-services and review classes, ensuring that the clinics have properly trained staff that meet regulatory standards and provide quality patient care. The CS reports directly to the next level of clinical management which may be the Director of Clinical Operations or Vice President of Clinical Operations/Services, depending on the region/demographics or responsibilities.
Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
GROWTH
· Responsible for overseeing overall clinical operation of assigned clinics from regulatory and growth perspective in accordance with Company goals.
· Assist in clinical operational development and transition of new or acquired clinic(s) as needed or requested.
· Assess and integrate clinical policy and regulatory requirements in acquired clinic(s).
· Demonstrate effective use of company resources, i.e. supplies, safety and risk reduction, and best support methodologies.
· Work with Administrators and regional management toward the achievement of monthly, quarterly and annual projections based on clinical outcomes and management objectives.
· Perform duties as assigned to meet the patient care or operational needs of assigned clinics.
OUTCOMES
· Assist with developing, implementing and monitoring of quality of care processes for program regulatory compliance in accordance with Company goals.
· Ensure clinical processes in assigned USRC facilities are maintained in accordance to company policy and federal, state and local regulations.
· Assist with developing, implementing, and improving quality and productivity goals and measures.
· Work with Administrators and regional management to ensure optimal patient care and regulatory compliance.
· Remain current with dialysis industry and technology.
· Assist with program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned clinics.
OPERATIONAL
READINESS
OPERATIONAL
READINESS
(cont.)
· Knowledge of and remain current with federal, state, local laws and regulations.
· Assure that assigned clinics are in compliance with all applicable federal, state, and local laws and regulations and receive continuing certification from all statutory and regulatory agencies by conducting internal clinical reviews.
· Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.
· Assist Administrators and regional management with necessary Corrective Action Plan development, implementation and follow through as required for internal and external surveys.
· Provide follow up on any/all deficiencies for all audits done internally (corporate) or externally (CMS & state specific).
· Assure compliance with required Governing Body meetings, monthly CQI meetings and care plan conferences and assures documentation of such through recorded minutes.
· Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational performance standards.
· Assist with developing, implementing and monitoring of clinical, education and QAPI policies.
· May assist with policy/procedure revisions and dissemination of new and revised policies.
· Know and understand the function and safe operation of water treatment equipment and related mechanical and electrical systems.
· Be familiar with all emergency equipment and emergency operational procedures.
· Use appropriate safety measures including personal protective equipment as necessary.
· Be familiar with OSHA regulations.
PARTNERSHIPS
· Understand, lead and promote the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives.
· Communicate with clinical operations management and regional management on a consistent basis regarding the status of each clinic in the region.
· Communicate completion status of Plans of Correction for internal and external surveys to Administrators, regional management and clinical operations management.
· Maintain collaborative working relationship with Administrator(s) and regional management. Partner with Administrator(s) and regional management to ensure clinic needs are met.
· Maintain a positive/collaborative relationship with physicians, state agencies and the community.
· Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.
· Respond effectively to inquiries or concerns.
STAFF DEVELOPMENT/ RETENTION
· Ensure all clinical staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations.
· Orient and mentor Administrators in the QAPI process, outcomes, education programs and operational readiness in accordance with USRC practices.
· Review IntraLearn assignments and compliance reports; communicate results to facility management as needed.
· Coordinate and conduct PCT certification review programs, CPR certification training (if required), and ongoing mandatory continuing education.
· Perform clinical education of new hires as needed or requested.
· Provide clinic based in-service programs as needed or requested.
· Coordinate and conduct charge nurse training and preceptor training programs as directed.
· Uphold management goals of corporation by leading staff in team concepts and promoting a team effort.
· Effectively communicates expectations; accepts accountability and holds others accountable for performance.
$47k-86k yearly est. 23h ago
Clinical Abstraction Specialist
Health Catalyst 4.7
Remote job
Join one of the nation's leading and most impactful health care performance improvement companies. Over the years, Health Catalyst has achieved and documented clinical, operational, and financial improvements for many of the nation's leading healthcare organizations. We are also increasingly serving international markets. Our mission is to be the catalyst for massive, measurable, data-informed healthcare improvement through:
Data: integrate data in a flexible, open & scalable platform to power healthcare's digital transformation
Analytics: deliver analytic applications & services that generate insight on how to measurably improve
Expertise: provide clinical, financial & operational experts who enable & accelerate improvement
Engagement: attract, develop and retain world-class team members by being a best place to work
Job Title: Clinical Abstraction Specialist
Team: TEMS (Tech-Enabled Managed Services)
Location: US Remote
Travel: 0%
**This position is currently not eligible for visa sponsorship**
Job Summary
The Clinical Abstraction Specialist is a skilled professional abstractor responsible for collecting, screening and analyzing data that profiles the appropriateness, utilization management, quality and outcome of patient care provided by the healthcare team.
This individual must maintain professional confidentiality and is responsible for the understanding and knowledge of specific regulatory data requirements for the National Surgical Quality Improvement Program (NSQIP). Data abstraction and process improvement will occur concurrently and retrospectively to evaluate the quality of patient care.
This individual will be responsible for utilizing clinical expertise to analyze and evaluate medical records and collaborate with physicians and coding staff as appropriate. This individual will possess excellent clinical judgment in the area of related care and outcomes management.
What you'll own in this role:
The following functions describe the essential duties of this role including but not limited to:
Aligns all work and resource management with Health Catalyst's mission, cultural attributes, and operating principles.
Obtain certification and maintain American College of Surgeons Certification. Works directly with customers to understand and help achieve goals and expectations.
Interacts with the medical staff and other key stakeholders to: educate, obtain and/or provide pertinent information specific to what is required to meet metrics and to provide excellent patient care.
May act as a subject matter expert (SME) to assist with escalations and educate external and internal stakeholders.
Review, abstract, and evaluate clinical data on a case by case basis in a timely manner.
Reviews, validate, and communicate data specific to outliers, failures, opportunities for improvement, and refers cases to appropriate parties for additional review if needed.
Maintains knowledge of current regulatory guidelines, definitions of data variables and compliance with data outcomes.
May monitor and appropriately query physicians or members of the multi-disciplinary team for documentation to support accuracy or clarity in the medical record.
Able to review and abstract medical records within predefined standards as measured by internal and external audits.
Provide back up support to other registries as business need arises.
Additional duties as required.
What you bring to this role:
Exceptional organizational skills with attention to detail and ability to prioritize.
Must work well independently and remotely.
Must work well under constantly changing and stressful situations.
Ability to understand and operationalize quality improvement philosophy, principles, and technology.
Demonstrated ability in communication, creativity, flexibility, and problem-solving aligned with Health Catalyst operating principles and cultural attributes.
Ability to establish partnerships with customers to accomplish the goals of the work.
Knowledge of or ability to learn Microsoft Office products including but not limited to Outlook, Excel, Word, etc.
Knowledge of or ability to learn how to navigate various databases including but not limited to Epic and ACS NSQIP/IQVIA platforms.
Education, Certification/Licenses, & Relevant Experience:
Clinical Data Abstraction experience for the National Surgical Quality Improvement Program (NSQIP) Registry is required.
Current NSQIP SCR Certification.
Current Registered Nurse (RN) license
Minimum of three (3) to five (5) years' experience in a clinical setting to include deep clinical knowledge.
Information Security and Compliance Responsibilities
Maintain compliance with training directives required by the organization pertaining to Information Security, Acceptable Use Policy and HIPAA Privacy and Security.
Adhere to and comply with the organizations Acceptable Use Policy.
Safeguard information system assets by identifying and reporting potential and actual security events to the organizations Security and Compliance Officers.
The above statements describe the general nature and level of work being performed in this job function. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned by Health Catalyst.
Studies show that candidates from underrepresented groups are less likely to apply for roles if they don't have 100% of the qualifications shown in the job posting. While each of our roles have core requirements, please thoughtfully consider your skills and experience and decide if you are interested in the position. If you feel you may be a good fit for the role, even if you don't meet all of the qualifications, we hope you will apply. If you feel you are lacking the core requirements for this position, we encourage you to continue exploring our careers page for other roles for which you may be a better fit.
At Health Catalyst, we appreciate the opportunity to benefit from the diverse backgrounds and experiences of others. Because of our deep commitment to respect every individual, Health Catalyst is an equal opportunity employer.
$47k-78k yearly est. Auto-Apply 26d ago
Clinical Review Specialist, Remote
Brigham and Women's Hospital 4.6
Remote job
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
General Summary:
Under the general direction of the Director of Risk Capture, the Pre-Visit Clinical Review Specialist (CRS) facilitates the accurate and appropriate identification of patient medical conditions through comprehensive chart review combined with review of coding output data sources (internal and external claims) that results in improvement in the overall quality, completeness and accuracy of problem lists, visit documentation and disease registry assignments. The CRS utilizes both clinical and coding knowledge of Hierarchical Condition Categories (HCCs) to inform accurate and appropriate diagnosis considerations for suspect condition identification and recapture opportunities. This role serves to educate providers and the clinical care team on all aspects of risk capture and linkages with quality.
Qualifications
Principle Duties:
Drive Clinical Delivery
* Performs accurate and timely pre-visit review of selected ambulatory encounters to identify opportunities to recapture medical conditions that meet criteria as HCC diagnoses and to capture new, suspected HCC conditions.
* Accurately interprets clinical information in the medical record, evaluating clinical indicators to identify potential diagnoses
* Presents clear HCC Consideration Communication to provider and educates providers to obtain greatest possible diagnostic specificity to accurately reflect the patient's condition(s)
Identify Education Opportunities
* Identifies themes through chart review that might present education opportunities for individual or groups of providers
* Gathers feedback from periodic post-visit chart reviews and incorporates these learnings into educational opportunities with providers
* Identifies opportunities for Process Improvement and Quality Improvement, as needed
Foster collaborative relationships across the enterprise
* Communicates appropriately and compliantly with physician or care team through Epic resources to improve medical record documentation
* Participates in ambulatory unit/organizational programs and meetings as needed
* Maintains professional competency by keeping abreast of new coding issues and guidelines. Attends classes and meetings as assigned. Reviews professional CDI and coding literature regularly
* Maintains clinical licensure and/or medical coding credentials (e.g. RN, PA, NP, CRC, CDEO, CCS, CPC) and completes all required Organizational Competencies and trainings (if applicable)
* Meets with providers on an as-needed basis to address concerns or areas of opportunity, and performs chart reviews as needed
* Maintains good rapport and professional relationships, as outlined in MGB Code of Conduct -
* Approaches conflict in a constructive manner, helps identify problems, offers solutions and participates in resolution
* Responsible to perform any other assigned duties as requested
Qualifications:
* Minimum three (3) - five (5) years' experience required in either, case management, outpatient coding, utilization review, CDI or other disciplines with either coding experience however, an equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements.
* 2 years' experience in Primary Care, medical coding, risk adjustment or CDI preferred
* Current certification in Clinical Documentation Improvement (CDIP, CCDS, CCDS-O or CDEO) preferred
* Certification in medical coding and or risk adjustment (i.e., CRC, CPC, CCS, CDEO, or CCS-P or other pertinent to outpatient) preferred (CRC Required training within 1 year of employment)
* Medical licensure (RN, PA, NP) preferred
* Bachelor's degree healthcare related preferred
* Strong PC skills / Microsoft applications, including Outlook, Teams, Excel, PowerPoint
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$62,400.00 - $90,750.40/Annual
Grade
6
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$62.4k-90.8k yearly Auto-Apply 2d ago
Charge Capture Coordinator - Clinical Revenue Integrity - Full Time 8 Hour Days (REMOTE) (Non-Exempt) (Non-Union)
Usc 4.3
Remote job
Under the general direction of the Revenue Manager, the Charge Capture Coordinator is primarily responsible for unit and area specific charge capture of clinical services and procedures within revenue producing departments throughout the system. The Charge Capture Coordinator's main role is to enter charges into existing computerized billing system (Cerner and or PBAR). The Charge Capture Coordinator will perform due diligence in entering all appropriate charges accurately and within a timely manner, including conducting reconciliation of department generated record with billing system report to ensure optimal charge capture; auditing for completeness, correcting, and resubmitting rejected charges and charge follow-up. The Charge Capture Coordinator is also responsible for communicating missing or incomplete clinical documentation and charge entry errors for clinical department process improvement.
Essential Duties:
Review department clinical documentation from multiple sources and enter hospital charges accurately, timely and in accordance with Keck Medical Center of USC charge capture policies/guidelines, into Patient Accounting System -Cerner or PBAR. .
Demonstrate proficiency in using Keck Medical Center of USC charge capture policies, rules, criteria and decision trees (algorithms) to assign the correct charge code.
Demonstrate understanding of CMS Medicare billing rules, regulations, and compliance related to outpatient intravenous infusion and chemotherapy administration charges, observation charging (and other service line charges.)
Perform daily charge reconciliation on accounts; check charges for accuracy and completeness, correct errors.
Follow processes to send appropriate notification to other parties such as Coding Manager, Clinical Department Manager, or Patient Accounting Manager. For example, notify the nursing team of incomplete medical records or coding questions.
Attend scheduled meetings and trainings and be accountable for what has been discussed in staff meetings.
Identify events requiring administrative review and forward these promptly to the appropriate Revenue Cycle Supervisor, Manager or Director.
Review own work for accuracy and completeness prior to end of shift.
Daily focus on attaining productivity standards, recommending new approaches for enhancing performance, and productivity when appropriate.
Identify and alert a member of the management staff of any situation that may negatively impact the patient, department operations, public relations, or the hospital's integrity.
Adhere to health information regulations including HIPAA.
Perform other duties as assigned.
Required Qualifications:
Req High school or equivalent
Req 2 years Clinical or healthcare disciplines such as previous hospital or medical office, charge entry or medical records experience.
Req Must have excellent data entry and quality outcome skills
Req Proficient in Microsoft Office applications and others as needed
Req Communicates clearly and concisely, verbally and in writing
Req Demonstrates knowledge and understanding of organizational policies, procedures and systems
Req Must have the ability to maintain confidentiality of patient, physician and health system information
Req Strong interpersonal, teamwork and customer service skills are necessary
Req Ability to maintain minimum standards of productivity and accuracy
Req Strong analytical skills
Req Understanding and/or experience computerized billing systems.
Req Current knowledge of medical terminology, anatomy, and physiology.
Req Basic coding knowledge
Preferred Qualifications:
Pref Related undergraduate study Related college or trade school coursework
Pref 1 year Experience with advanced education degree/certification
Pref Knowledge of legal and fiscal requirements in the healthcare industry.
Required Licenses/Certifications:
Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
Pref Certified Coding Specialist - CCS (AHIMA) or CPC from AAPC or related HFMA, AHIMA certification
The hourly rate range for this position is $29.00 - $45.20. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at **************, or by email at *************. Inquiries will be treated as confidential to the extent permitted by law.
Notice of Non-discrimination
Employment Equity
Read USC's Clery Act Annual Security Report
USC is a smoke-free environment
Digital Accessibility
If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser:
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$29-45.2 hourly Auto-Apply 33d ago
Clinical Specialist
Easterseals Port 4.4
Remote job
**Voted Raleigh's Best Nonprofit Organization and Raleigh's Best Mental Health Services two years in a row!**
Are you a clinician with a passion for making a real difference in the lives of youth living with mental health challenges and intellectual / developmental disabilities? At Easterseals PORT Health (ESPH), our mission is rooted in empowering individuals and strengthening communities. We're seeking a compassionate and creative full-time Clinical Specialist to join our VA REACH team working onsite at our Youth Crisis Therapeutic Home in Culpeper, VA.
$7,500 Sign-on & Retention Bonus
Your Role in Our Mission
The Clinical Specialist provides clinical and administrative support to the REACH Youth Crisis Therapeutic Home (YCTH) and assists the mobile team as needed. In this role you will conduct assessments and reassessments, deliver crisis prevention and intervention services, and support Behavior Technicians on the floor while maintaining a safe, therapeutic environment for up to six youth. The Clinical Specialist assists the YCTH Supervisor in developing and maintaining clinical and therapeutic integrity to the daily programming such as modifying therapeutic groups and developing therapeutic activities. This is a great opportunity to utilize your creativity! The Clinical Specialist also provides support to leadership through virtual oversight of assessments as needed, provides QMHP-T supervision to Behavior Techs, and participates in the residential on-call rotation.
Why Join Us?
As a part of our mission, we help our team members embrace their potential, build resilience, and thrive! You will benefit from ongoing professional growth and development as you work alongside leaders of clinical excellence in mental health and substance use services that care about your success.
Consistent Monday-Friday schedule with your choice of 7:00am-3:00pm, 8:00am-4:00pm, or 9:00am-5:00pm. After training, this role offers the option to work remotely one day per week. Some on-call flexibility is required, with additional stipends provided for on-call coverage.
We also offer a full benefits package for benefits-eligible positions.
Compensation & Benefits
Competitive salary: $60,000 - $70,000 for this full-time, exempt position
Generous paid time off and paid holidays
Full benefits package including Medical, Dental, and Vision benefits
Life and Disability Insurance(company paid)
403(b) Retirement Plan
Employee Assistance Program and legal services support
Public Service Loan Forgiveness (PSLF) qualifying employer
Supervision for licensure
Sign-on & Retention Bonus is paid out at successful completion of 90 days, 6 months, and 1 year for full-time, new hire staff
What We're Looking For
Education: Master's in health, psychology or social work from USDOE or CHEA accredited institution
Licensed or License-eligible as a LPC, LCSW, LMFT
3 years of experience with developmental disabilities and mental health populations
preferred
Experience with crisis prevention and intervention services a plus
Valid driver's license, good driving record and current auto insurance
Proficiency with EHR systems and Microsoft Suite
Ready to Apply?
Join a team where work isn't just something you do - it's a purpose. Bring your expertise to a mission that matters. Apply now at *************** PORT.com or send your resume to recruiter@easterseals PORT.com.
About Easterseals PORT Health
Easterseals PORT Health is a trustworthy and compassionate partner, providing exceptional services in disability, mental health, and substance use to help our neighbors live their best lives. Purpose, dedication, and empathy drive our in-person and telehealth service delivery. Our diverse and inclusive 2,600-member team provides more than 10.2 million hours of meaningful support to 40,200 kids, adults, and families in 11,000 home, facility, and community locations across North Carolina and Virginia.
Easterseals PORT Health is an Inclusive Culture, Diverse Voices, Embracing Potential, Authentic Self, and Learning and Growing (IDEAL) organization.
Applicants of all abilities are encouraged to apply!
$60k-70k yearly 60d+ ago
Clinical Program Manager - CMS Medical Review (RVC)
Broadway Ventures 4.2
Remote job
At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider-we're your trusted partner in innovation.
Location: Remote (U.S.)
Schedule: Monday-Friday, 8:00 AM-4:30 PM ET
Employment Type: Full-Time
Position Overview
We are seeking an experienced Program Manager to oversee daily operations for the CMS Review and Validation Contractor (RVC) Program. This role serves as the primary point of contact to the CMS RVC COR and is responsible for ensuring all contract, operational, and medical review requirements are executed in accordance with CMS guidelines.
The ideal candidate brings a strong clinical background (RN), extensive Medicare program knowledge, and proven leadership experience managing large, complex healthcare projects.
Key Responsibilities
Serve as the contractor's authorized representative on all daily operational matters.
Maintain ongoing communication with the CMS RVC COR regarding contract performance, staffing, and deliverables.
Oversee medical review activities and ensure compliance with CMS guidelines and FFS RAC Program requirements.
Lead cross-functional teams and manage staff required to support RVC operations.
Ensure accurate interpretation of Medicare coverage, documentation, and regulatory standards.
Monitor project progress, performance measures, and quality assurance outputs.
Prepare operational updates, reports, and data summaries for CMS and internal leadership.
Ensure effective workflows, staffing coverage, and adherence to deadlines and contract terms.
Provide clinical oversight and guidance across medical review tasks and methodologies.
Required Qualifications
5+ years of Program Management experience overseeing large or complex healthcare projects.
Experience in medical review, healthcare auditing, or clinical review operations.
Extensive knowledge of the Medicare program, including CMS regulatory and operational requirements.
Working knowledge of the CMS FFS RAC Program.
Strong leadership abilities with experience managing multidisciplinary teams.
Education & Licensure
Master's degree in Business, Healthcare Administration, Nursing, Management, or a related healthcare field from an accredited institution.
Current, active U.S. Nursing License (RN); must be maintained throughout employment.
Preferred Skills
Excellent written and verbal communication skills.
Strong analytical, organizational, and problem-solving abilities.
Experience working with government contracts or federal healthcare programs.
Ability to manage multiple projects and deadlines in a fast-paced environment.
Why Join Us
Opportunity to lead mission-critical work that supports the integrity of the Medicare program.
Collaborative team environment with impactful clinical and operational responsibilities.
Competitive compensation and benefits package.
How to Apply
Submit your resume detailing your program management experience, clinical background, and Medicare/CMS expertise.
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hires' employment. In addition, some positions may also require fingerprinting.
Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
$62k-96k yearly est. Auto-Apply 46d ago
Research Coordinator
Stanford University 4.5
Remote job
**Graduate School of Education, Stanford, California, United States** Research Post Date Jan 07, 2026 Requisition # 107987 TheStanford Center on Early Childhood, an initiative of the Stanford Accelerator for Learning, seeks a full time Research Coordinator to join our team. The Research Coordinator will support online survey administration, data processing and cleaning, and overall study administration activities on a fast-paced schedule.
Note: This position is a 1-year fixed term appointment that may be renewed based on performance and funding. This position is eligible for a remote work agreement and limited travel may be required for convenings and events. Interested applicants should submit a resume and a cover letter describing why they are interested in this position at this stage of their career. Candidates must be eligible to work in the US. Visa sponsorship is not available for this position.
**ABOUT US**
Housed at Stanford Graduate School of Education, the Stanford Accelerator for Learningis the first university-wide initiative connecting scholars across disciplines and with external partners to bridge research, innovation, practice, and policy, and bring quality scalable and equitable learning experiences to all learners, throughout the lifespan. The Stanford Accelerator for Learning focuses on learning challenges most in need of new discoveries, evidence, and solutions and where we believe Stanford can make the most difference. Those include: adult & workforce learning, digital learning, early childhood education and development, equity in learning, learning differences, and policy & systems change.
The Stanford Center on Early Childhood (SCEC) is an initiative of the Stanford Accelerator for Learning. The SCEC leverages the current moment of revolutionary science and fosters deep omnidirectional collaboration across sectors, seeking to change the way that research in early childhood is conducted, communicated, and utilized, with the overarching goal that each and every child thrives from the start.
**POSITION SUMMARY**
RAPID began as a program of two national surveys of households with children under age 6 and the child care workforce. Led by Philip Fisher, Stanford Center on Early Childhood Director, the RAPID National Survey administers monthly surveys on a rapid-cycle schedule, and has collected data from more than 25,000 households and 13,000 child care providers in all 50 states. The survey and data inform policy, advocacy, academic, parent and practitioner audiences on the experiences, challenges, and strengths of parents of young children and child care providers. The goal is to support parent- and provider-driven policies and programs that equitably and effectively serve families, providers, and young children.
RAPID is now implemented in community, state, and national contexts, working in partnership with local and state organizations. The RAPID datasets are extensive and quickly growing, and include both quantitative and qualitative data.
This position will include online survey administration, data processing and cleaning, and overall study administration activities on a fast-paced schedule.
All members of the study team will play an integral role in providing timely and important data on the experiences of families with young children. This Research Coordinator will work collaboratively with RAPID's Project Leads and research team to incorporate new measures into the online survey instruments, administer the monthly surveys and collect data, and prepare those data for analysis. The Research Coordinator will maintain standardized documentation and follow all data cleaning and data management processes as outlined in the team's Manual of Procedures. The Research Coordinator may also be responsible for survey operation logistics, including managing participant payments, recruitment, and communications. Strong organizational skills, ability to handle multiple priorities, and excellent orientation to details are vital to success in this position. The Research Coordinator must be willing to work closely and collaboratively with other team members. The Research Coordinator must have experience working in fast-paced academic research settings and be able to communicate clearly with team members and other stakeholders about the work they are responsible for carrying out.
This position does not have any direct supervision responsibilities.
**Your primary responsibilities will include:**
+ Plan and perform research tasks requiring initiative and judgment by applying basic knowledge and understanding of scientific theory when precedents do not provide specific guidance. General instruction provided by the supervisor as needed. May interpret study results in collaboration with supervisor or PI.
+ Participate in the development and administration of survey instruments and rating scales requiring judgment in applying non-routine procedures. Analyze and summarize results for review with supervisor. Audit the accuracy and validity of data.
+ Review and audit case report forms for completion and accuracy with source documents, and ensure compliance with research protocols.
+ Identify, select, extract and summarize data and structured information. Present summary of findings to supervisor.
+ Conduct literature searches, and write literature summaries and manuscripts, requiring preliminary judgments after the supervisor outlines conceptual approach.
+ Build and organize data as requested by principal investigator or supervisor; use common statistical programs requiring the application of job control language in generating and organizing data.
+ Adapt new, nonstandard methods outlined by supervisor in designing and evaluating phases of research projects, (i.e., educational materials, questionnaires, strategies for recruitment, data quality control procedures and processes). May follow up with the Institutional Review Board (IRB) to ensure renewals are approved and completed, seeking guidance where necessary.
+ Assist with development, communication and design of research findings to internal and external audiences, which may include web updates, social media, and/or white papers, for use in recruitment, educational, or awareness of programs, with guidance from supervisor.
+ May orient and train new staff or students.
**To be successful in this position, you will bring:**
+ Bachelor of Arts degree in an applicable social science related field, or combination of education and relevant experience in an applicable social science.
+ General understanding of scientific theory and methods, typically gained through completion of an undergraduate degree in a related field.
+ General computer skills and ability to quickly learn and master computer programs.
+ Ability to work under deadlines with general guidance.
+ Excellent organizational skills and demonstrated ability to complete detailed work accurately.
+ Effective oral and written communication skills.
+ Ability to work with human study participants.
**Preferred Education & Experience:**
+ Familiarity with Qualtrics or other online survey tools
+ Experience using SPSS, R and/or other data management and analysis software
+ Demonstrated ability to use collaborative tools such as Google Drive, Dropbox, Slack, MS Teams, in an academic and/or professional context
+ Spanish/English language bilingual fluency
**Physical Requirements*:**
+ Frequently perform desk-based computer tasks, grasp lightly/fine manipulation, lift/carry/push/pull objects that weigh up to 10 pounds.
+ Occasionally stand/walk, sit, use a telephone, writing by hand, and sort/file paperwork or parts.
+ Rarely twist/bend/stoop/squat, kneel/crawl, rarely reach/work above shoulders, operate foot and/or hand controls. _* - Consistent with its obligations under the law, the University will provide reasonable accommodation to any employee with a disability who requires accommodation to perform the essential functions of the job._
**Working Conditions:**
+ May be required to work non-standard, extended or weekend hours in support of research work.
The expected pay range for this position is $26.34-$34.00 per hour. Stanford University provides pay ranges representing its good faith estimate of the salary or hourly wage the university reasonably expects to pay for a position upon hire. The pay offered to a selected candidate will be determined based on factors such as (but not limited to) the scope and responsibilities of the position, the qualifications of the selected candidate, departmental budget availability, internal equity, geographic location, and external market pay for comparable jobs. At Stanford University, base pay represents only one aspect of the comprehensive rewards package.
The Cardinal at Work website (************************************************************* detailed information on Stanford's extensive range of benefits and rewards offered to employees. Specifics about the rewards package for this position may be discussed during the hiring process.
**Why Stanford is for You:**
Imagine a world without search engines or social platforms. Consider lives saved through first-ever organ transplants and research to cure illnesses. Stanford University has revolutionized the way we live and enrich the world. Supporting this mission is our diverse and dedicated 17,000 staff. We seek talent driven to impact the future of our legacy. Ourcultureandunique perksempower you with:
+ **Freedom to grow.** We offer career development programs, tuition reimbursement, or audit a course. Join a TedTalk, film screening, or listen to a renowned author or global leader speak.
+ **A caring culture.** We provide superb retirement plans, generous time-off, and family care resources.
+ **A healthier you.** Climb our rock wall, or choose from hundreds of health or fitness classes at our world-class exercise facilities. We also provide excellent health care benefits.
+ **Discovery and fun.** Stroll through historic sculptures, trails, and museums.
+ **Enviable resources.** Enjoy free commuter programs, ridesharing incentives, discounts and more!
**How to Apply:**
We invite you to apply for this position by clicking on the "Apply for Job" button. To be considered, you must submit a cover letter and résumé along with your online application.
+ _Finalist must successfully complete a background check prior to working at Stanford University._
+ _This is a fixed-term position with an end date of one year and is renewable based on performance and funding_
+ _Candidates must be eligible to work in the US. Visa sponsorship is not available for this position._
_The job duties listed are typical examples of work performed by positions in this job classification and are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Specific duties and responsibilities may vary depending on department or program needs without changing the general nature and scope of the job or level of responsibility. Employees may also perform other duties as assigned._
_Stanford is an equal employment opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law._
Additional Information
+ **Schedule: Full-time**
+ **Job Code: 4234**
+ **Employee Status: Fixed-Term**
+ **Grade: E**
+ **Requisition ID: 107987**
+ **Work Arrangement : Remote Eligible**
$26.3-34 hourly 10d ago
Clinical Coordinator (Hybrid)
Samuel Merritt University 4.6
Remote job
The ClinicalCoordinatorcoordinates the clinical and/or community placement activities of the pre-licensure or graduate nursing programs within the College of Nursing for an assigned campus. Assists the team to develop, coordinate, assigns, and maintain clinical and/or community site relationships. Collects and/or maintains documentation required by the clinical and/or community sites to be compliant with policies and standards. Collaborates with the specific placement director for program-specific needs.
Duties and Responsibilities:
I. CoordinateClinical Placements
1. Work with CCT leadership and Clinical Directors of pre-licensure to ensure adequate clinical/community placements (sites, preceptors, and required hours) are available.
2. Communicate effectively with the relevant individuals and groups (internally and externally) reporting any concerns to the Director(s) of Clinical Affairs for follow-up.
3. Provide guidance and support for students to prepare for onboarding and progression through the entire clinical/community placement process.
4. Maintain ongoing communication with the ClinicalCoordinators and Placement Directors regarding updates (e.g., new policies, new trainings) from clinical partners that may have an impact on student placement.
5. Participate in meetings with clinical partners locally and/or regionally as requested by CCT leadership.
6. Maintain, or have immediate access to, the documents required by clinical partners to demonstrate student and faculty compliance during audits.
7. Develop and maintain proficiency in multiple applications for all clinical placement activities.
II. Procurement and Management of Clinical Sites
1. Maintain relationships with existing sites/preceptors to ensure a positive relationship.
2. Represent the Samuel Merritt University School of Nursing in a positive and professional manner.
3. Prepare, and review for accuracy, the clinical contract request forms and submit to the SMU Contract Specialist for processing.
4. Monitor contract status of all clinical sites (new and existing contracts) and notify Directors when contracts expire or need renewal.
5. Maintains an accurate database to document status of student displacements and the resolution.
III. Compliance
A. CLINICAL SITES
1. Maintain a current repository of all SMU required preceptor documents and manage the distribution of these documents to clinical sites as necessary.
2. Submit required clinical/community documents to the sites in a timely and complete manner.
3. Submit course syllabi and objectives to clinical/community partners/preceptors prior to the start of the course at their requests.
4. Communicate with the hospital partners regarding Preceptorship and provide necessary paperwork/documentation for the student rotation.
5. Submit to the clinical/community sites student rosters, contact information and other required information prior to clinical rotations.
B. STUDENTS
1. Ensure students have submitted all required documents for their specific clinical site assignments in a timely manner.
2. Assist AA to confirm all student compliance requirements are complete and uploaded into the SMU system as required by Samuel Merritt University programs and various clinical sites.
3. Ensure students are aware of required documents and/or logs they need to maintain during their clinical/community rotations. This includes providing students with instructions on how to access, complete and submit.
4. Maintain access to My Clinical Exchange and other similar systems (i.e., accounts) are up to date; monitor for account expirations
5. Confirm access for students to site specific systems, i.e., OAR (Sutter) and UC Davis. Identity; monitor for expiration dates and need for renewal.
C. FACULTY
1. Ensure clinical faculty have submitted all required documents for their specific clinical site assignments in a timely manner.
2. Assist AA to ensure all faculty compliance requirements are met and uploaded into the SMU system as required by Samuel Merritt University programs and various clinical sites.
3. Ensure access to My Clinical Exchange and other similar systems (i.e., accounts) are up to date; monitor for account expirations
4. Confirm access for faculty to site specific systems, i.e., OAR (Sutter,) UC Davis and NUIDs Identity; monitor for expiration dates and need for renewal.
IV. General Administrative Support
1. Receive and direct inquiries from clinical/community sites, preceptors, and students to appropriate administrators, faculty, and staff, as needed
2. Assist AA with scheduling on campus electronic health record training for faculty (PL) and students prior to start of clinical/community rotation
3. Participate in new student orientation, as appropriate for each program, to provide clinical/community overview and unique requirements
4. Assist AA to schedule/arrange new faculty orientation at the clinical/community site; maintain documentation of completion date.
5. Collaborate with Program Chair/Course Managers to ensure clinical/community faculty are appropriate for each clinical setting.
MINIMUM QUALIFICATIONS
Self-starter that takes initiative and independently develops solutions.
Strong leadership and evaluation skills.
Excellent communication, written, oral and negotiation skills.
Excellent interpersonal skills that would support optimal public relations for CCT and the SoN.
Good judgement and creative critical thinking to solve problems and to develop alternative solutions.
Handle privileged information in a confident manner.
Ability to organize and prioritize workload.
Effective project planning and implementation skills.
Excellent organizational and operational skills.
Excellent concentration and attention to details required for an extended period of time
Extensive computer experience and the ability to use the Microsoft Office Suite (Word, Excel, PowerPoint).
Ability to speak effectively with public, co-workers, faculty and student populations.
Ability to receive and interpret detailed information through written and verbal communication.
Ability to read and write clear documents
PHYSICAL REQUIREMENTS
Considerable time is spent at a desk using a computer.
Physical ability to lift, bend and flex the upper body.
Ability to lift up to 20-30 pounds; Ability to push and pull carts.
May be required to attend conference and training sessions within Bay Area.
May be required to travel occasionally to offsite campuses and agency locations.
EDUCATION, QUALIFICATIONS AND/OR EXPERIENCE
Bachelor's Degree Required
SUPERVISORY RESPONSIBILITIES
Assist with supervising/managing student employees and work-study projects
Employee Status:RegularExemption Status:United States of America (Non-Exempt) Time Type:Full time Job Shift:
Pay Range:
$29/hr to $35/hr ( non exempt/hourly) Samuel Merritt University currently provides base salary ranges for all positions-on job advertisements-in the United States based on local requirements. Individual compensation will ultimately be determined based on a variety of relevant factors including but-not limited to qualifications, geographic location, and other relevant skills.
$29 hourly Auto-Apply 60d+ ago
Travel Clinical Research Assistant
Care Access 4.3
Remote job
Care Access is working to make the future of health better for all. With hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly to communities that often face barriers to care. We are dedicated to ensuring that every person has the opportunity to understand their health, access the care they need, and contribute to the medical breakthroughs of tomorrow.
With programs like
Future of Medicine
, which makes advanced health screenings and research opportunities accessible to communities worldwide, and
Difference Makers
, which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Through partnerships, technology, and perseverance, we are reimagining how clinical research and health services reach the world. Together, we are building a future of health that is better and more accessible for all.
To learn more about Care Access, visit *******************
How This Role Makes A Difference The Travel Clinical Research Assistant is an entry level clinical position and is designed to fully integrate the individual in the Care Access Research process while learning the skills necessary to be a Clinical Research Coordinator. This position has potential growth and advancement within the Care Access Research organization. This role will perform a variety of clinical and administrative tasks in support of clinical trials and assist in the performance of clinical procedures to collect data on patients enrolled and/or seeking enrollment in clinical studies. Much of the work for this role will be done onsite at a clinical event or site location. How You'll Make An Impact
Perform independent venipuncture; manage difficult draws and re-attempts per protocol.
Collect, label, process, package, and ship biospecimens; maintain chain of custody and temperature controls.
Set up/tear down event sites; prepare kits/supplies; uphold aseptic technique and biohazard safety.
Communicate clearly with participants and on-site teams; escalate issues promptly.
Ability to understand and follow institutional SOPs.
Participate in recruitment and pre-screening events (may be multiple locations).
Assist with preparation of outreach materials.
Request medical records of potential and current research participants.
Schedule visits with participants, contact with reminders.
Obtain informed consent per Care Access Research SOP, under the direction of the Clinical Research Coordinator (CRC).
Complete visit procedures as required by protocol, under the direction of the CRC.
Record data legibly and enter in real time on paper or e-source documents.
Request and issue study participant payments.
Update all applicable internal trackers and online recruitment systems.
Assist with administrative tasks such as copying, scanning, filing, mailing, emailing, etc.
Assist with maintaining all site logs.
Assist with inventory and ordering equipment and supplies.
Maintain adherence to FDA regulations and ICH guidelines in all aspects of conducting clinical trials.
Maintain effective relationships with study participants and other Care Access Research personnel.
Interact in a positive, professional manner with patients/participants, sponsor representatives, Investigators and Care Access Research personnel and management.
Communicate clearly verbally and in writing.
Perform other duties as assigned. The duties and responsibilities listed above are representative of the nature and level of work assigned and are not necessarily all-inclusive.
The Expertise Required
Ability and willingness to work independently with minimal supervision.
Ability to learn to work in a fast-paced environment.
Excellent communication skills and a high degree of professionalism with all types of people
Excellent organizational skills with strong attention to detail
A working knowledge of medical and research terminology
A working knowledge of federal regulations, Good Clinical Practices (GCP)
Critical thinker and problem solver
Friendly, outgoing personality with the ability to maintain a positive attitude under pressure.
Contribute to team and site goals.
Proficiency in Microsoft Office Suite
High level of self-motivation and energy
An optimistic, “can do” attitude.
Certifications/Licenses, Education, and Experience:
1+ year recent hands-on phlebotomy experience in a clinical setting.
≥200 total venipunctures; ≥25-50 capillary sticks; ≥30-50 sticks in the last 2-3 months.
Some Clinical Research experience preferred.
Demonstrated competency in specimen processing.
Working knowledge of ICH-GCP, basic research terminology, and HIPAA/PHI handling.
Comfortable using mobile apps/eSource and standard office tools.
Current national phlebotomy certification (one of):
ASCP Phlebotomy Technician (PBT)
AMT Registered Phlebotomy Technician (RPT)
NHA Certified Phlebotomy Technician (CPT)
NCCT National Certified Phlebotomy Technician (NCPT)
CA/WA/LA/NV specific licensure/certification if role is based there
How We Work Together
Location: Candidates must be willing to travel in support of community events within your metropolitan area and occasional national travel.
Travel: Duties may require travel in the following models:
Tuesday through Saturday Work Weeks
Temporary Event Support (3-7-day deployment durations)
Frequency and length of travel may depend on the length and location of study, site, and event.
Deployments normalize to a 32 to 42-hour work week on average.
The expected salary range for this role is $24.00 - $38.00 USD per hour for full time team members.
Benefits & Perks (US Full Time Employees)
Paid Time Off (PTO) and Company Paid Holidays
100% Employer paid medical, dental, and vision insurance plan options
Health Savings Account and Flexible Spending Accounts
Bi-weekly HSA employer contribution
Company paid Short-Term Disability and Long-Term Disability
401(k) Retirement Plan, with Company Match
Diversity & Inclusion
We work with and serve people from diverse cultures and communities around the world. We are stronger and better when we build a team representing the communities we support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to, and will not be discriminated against on the basis of, race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Care Access is unable to sponsor work visas at this time.
If you need an accommodation to apply for a role with Care Access, please reach out to: ********************************
$24-38 hourly Auto-Apply 3d ago
Respiratory Care Research Coordinator (Intermittent)
University of Washington 4.4
Remote job
School of Nursing has an outstanding opportunity for a Respiratory Care Research Coordinator (Intermittent) (Respiratory Care Lead (NE H NI CNU)
The Spirometry 360 research team provides methodological spirometry expertise to clinical and study teams, including virtual spirometry coaching, overreading and grading, and training to facilitate optimal spirometry implementation. The Spirometry 360 Respiratory Care Research Coordinator will assist with the development and implementation of research protocols while ensuring research projects are conducted in compliance with federal regulations, institutional/departmental guidelines, and other regulatory standards. The research team primarily supports studies on pediatric and adult asthma and other respiratory conditions. An ideal candidate is an independent worker who is comfortable working in a team setting.
This position is fully remote and requires the ability to manage multiple, and often changing, priorities and timelines, and frequent communication with the project team regarding the status of assigned tasks and any issues that may arise.
Key Responsibilities:
Regulatory and research protocol adherence.
Development of process and workflows.
General research support.
Regulatory and Research Protocol Adherence (45%):
Conduct research activities in accordance with applicable institutional/departmental guidelines, federal regulations, and principles.
Overread spirometry tests and record grades into research data portals in accordance with national standards (e.g., American Thoracic Society) and study protocols.
Provide virtual spirometry coaching to study participants as outlined in study protocol.
Report any protocol deviations or concerns to program director to ensure research quality.
Development of Processes and Workflows (40%):
Contribute to the development of workflows and protocols for data collection, including synchronous spirometry coaching, overreading, logistics, and data reporting.
Assist with creating and performing quality assessment and improvement methods.
Ensure consistent updates are communicated between team and research partners.
General research support (15%):
Provide instructions on home spirometry maneuvers to practitioners, coordinators, participants and caregivers.
Attend Spirometry 360 team meetings, meetings with research collaborators and external vendors, as appropriate.
Other duties as assigned.
Minimum Requirements:
Completion of a respiratory care program approved by the State of Washington Department of Health AND eighteen months of experience as a Respiratory Care Practitioner.
Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.
Legal Requirement
Licensed as a Respiratory Care Practitioner (Registered Respiratory Therapist - RRT) by the State of Washington.
Additional Requirements:
Two years of experience coaching and reading spirometry maneuvers.
Human Subjects Protection training (e.g., CITI) and Good Clinical Practice (ICH-GCP) certification, current at time of hire or completed prior to start. Training must be maintained per sponsor/IRB requirements.
Desired Qualifications:
NBRC Registered Respiratory Therapist (RRT) credential or active state Respiratory Care Practitioner (RCP) license.
Experience working within clinical setting.
Pediatric spirometry experience.
Research experience.
Strong organizational skills and attention to detail.
Strong verbal and written communication skills with the ability to manage relationships and interact with a wide range of researchers, clinicians, and research participants.
Proficiency in Microsoft Office software.
Proficiency with audio/visual conference software, e.g. Zoom.
Conditions of Employment
Typical hours occur between 9am and 6pm
The schedule may require occasional prearranged hours outside of business hours due to the nature of global spirometry testing.
Local travel, within Western Washington State, may be required 1-2 times annually.
This is a permanent position, albeit on an intermittent basis, as work becomes available.
Compensation, Benefits and Position Details
Pay Range Minimum:
$40.98 hourly
Pay Range Maximum:
$58.60 hourly
Other Compensation:
-
Benefits:
For information about benefits for this position, visit ****************************************************************************************
Shift:
First Shift (United States of America)
Temporary or Regular?
This is a temporary position
FTE (Full-Time Equivalent):
0.00%
Union/Bargaining Unit:
Not Applicable
About the UW
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
Our Commitment
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.
To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********.
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
$40k-55k yearly est. 10d ago
Regulatory Assistant - Clinical Research
Cenexel 4.3
Remote job
About Us:
Each of CenExel's research sites specialize in Phase I to Phase IV clinical trials. Our Centers of Excellence comprise some of the most well respected and long-standing research facilities in the country. Specialty areas of research across our sites include Psychiatry, Acute Post Op Pain, Asian Bridging, Dermatology, GI, and Neurology. Each of our Centers of Excellence has tremendous experience and expertise in complex early phase trials, and all our sites have in-patient capability. We focus on quality people, teamwork, and highly experienced clinical research managers with a history of success.
Along with an exceptional work environment that promotes teamwork, positive leadership, and optimal work-life balance, CenExel Clinical Research also provides highly competitive compensation and a generous benefits package to full time employees after 30 days of employment including Health Insurance, Dental, Vision, LTD, STD, Life Ins, and 401k.
Hourly Rate: $20.00 - $22.00/hr (depending on education, experience, and skillset)
Schedule: Monday - Friday 08:00 AM - 04:30 PM
Job Summary:
Assist the Regulatory Specialists/Manager in maintaining clinical trial documents for submission to regulatory agencies in accordance to site SOPs, ICH, GCP, and FDA guidelines.
SOPs (Standard Operating Procedures)
ICH (International Council for Harmonization)
GCP (Good Clinical Practices)
FDA (Food and Drug Administration)
Essential Responsibilities and Duties:
Complies with current protocols, site SOPs, GCPs, IRB (Institutional Review Board) and FDA guidelines.
Uploads regulatory documents with RealTime eDOCs System and files is paper binders, as necessary.
Prepares, obtains, organizes and maintains regulatory and training documents in various storage mediums.
Tracks submissions and ensure timely filing of documents.
Obtains CVs (Curriculum Vitae) of external Investigators and other contract personnel and their signatures for appropriate regulatory documents.
Forwards revised copies of protocols, informed consents, and other pertinent study documents to appropriate staff.
Assists in obtaining necessary signatures from investigators.
Works closely with study sponsor/CRO and key clinical trial personnel on relevant regulatory document issues.
Ensures Clinical Conductor regulatory information is current.
Participates in team meetings and complies with training requirements.
Assists sponsors/CRO's as needed.
Supports and ensures strictest adherence to best practices, FDA Code of Federal Regulations, ICH (International Conference on Harmonization), GCP (Good Clinical Practices), CenExel standard operating procedures, site working Practices, protocol, and company guidelines and policies.
Assumes other duties and responsibilities as assigned. The above responsibilities are a general description of the level and nature of the work assigned to this classification and are not to be considered as all inclusive.
Education/Experience/Skills:
Must be able to effectively communicate verbally and in writing.
Minimum: High School graduate or equivalent.
Minimum of 1 year of related experience in clinical research
Must be self-directed and able to work with minimal supervision.
Able to take a flexible approach to shifting priorities.
Motivated to work consistently in a fast-paced and rapidly changing environment.
Working Conditions
Indoor, Office environment.
Essential physical requirements include sitting, typing, standing, and walking.
Lightly active position, occasional lifting of up to 20 pounds.
Reporting to work, as scheduled, is essential.
Ability to work overtime, weekends, and/or holidays as needed.
Ability to travel as needed.
Remote work arrangement depending on location.
CenExel Clinical Research is an Equal Opportunity Employer. All applicants will be considered for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or status.