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 8d ago
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Clinical Specialist, Cardiopulmonary
Livanova Plc
Remote job
Join us today and make a difference in people's lives!
LivaNova is a global leader in cardiovascular systems, committed to providing comprehensive perfusion solutions and customer support through continuous training and education. We are excited to be launching our next generation heart lung machine and are currently looking to add to our ClinicalSpecialist team. The ClinicalSpecialist will play a critical role in the launch of the Essenz Perfusion System, embarking upon a #NewEraOfPerfusion, as well as support the comprehensive suite of LivaNova perfusion products.
Why join LivaNova's clinical team? You can play a major role in improving the lives of patients and their families. We have an environment where you are empowered and encouraged to challenge the status quo and help shape the future of clinician education and support. You will also be surround by teammates, with decades of experience in this industry, who are looking forward to both guiding you as well as learning from you. Help us make a difference - join us in transforming patient lives with health innovation that matters.
RESPONSIBILITY AND AUTHORITY
Provides clinical and product education to Healthcare Professionals on the full portfolio of LivaNova Cardiopulmonary products. Training sessions may be conducted in person or virtually and must align with all approved instructions for use. These sessions include coordinating hospital clinical and non-clinical demonstrations, in-person and virtual education programs, intra-operative case coverage, supporting product evaluations and ad hoc training when needed. The clinicalspecialist must both work independently within their role but remain highly collaborative with their team and company stakeholders (sales). Therefore, the individual must be able to work independently, work as collaborator and manage internal stakeholders, as well as manage their own time effectively.
PRIMARY ACTIVITIES
Provides clinicians and medical staff clear clinical instructions to ensure continuity of education and support related to all aspects of patient outcomes, in accordance with the product's Instructions for Use (IFU)
Coordinates, directs, and delivers clinical training programs on LivaNova products, as necessary and appropriate.
Develops and maintains product knowledge excellence of the LivaNova CP portfolio of products.
Professionally integrates into all accounts building trust and relationships and establishes strong rapport with customers.
Collaborates weekly with key internal stakeholders for installations and evaluations, including the ClinicalSpecialist team, Field/Technical Service & Account Executives - working seamlessly in order to increase all team's efficiency and time with the customer.
Maintains a positive, proactive, customer service manner with customers and sales personnel during stressful situations.
Will foster high trust relationships with customers, and all LivaNova team members.
Takes a positive, proactive approach to solving complex and/or unusual clinical/therapy/technical problems.
Foresees obstacles and plans accordingly for seamless execution.
Assists Account Executives in urgent clinical needs and related product information
Responsible for adhering to all regulatory and LivaNova policies to ensure patient safety and company responsibility.
Develops and maintain an in-depth knowledge of assigned accounts and customers to include competitor activity.
Supports evaluations as needed within and account and supports sales strategies for capital equipment opportunities within accounts.
Provides feedback to providers both within operating room setting and outside operating room setting on the directions for use specific to the product and its maintenance
Attend trade shows/conferences/congresses to maintain clinical expertise and current market state, as well as meet customer and support product discussions.
Meet all requirements and maintain credentialing status in order to access accounts
Provides sales support when needed on clinical in-services, training and guidance to current or potential customers.
Maintains positive and cooperative communications and collaboration with all levels of employees, customers, contractors, and vendors.
Performs other related duties and responsibilities, on occasion, as assigned.
Collaborates with regional and global marketing teams as needed on ongoing projects, clinical discussion, program development and product development.
Contributes to the development of all education programs both internally and externally
Support training of the sales team for new hires, ongoing education and product launches.
Team player with a strong ability to collaborate amongst the clinical team as well as other teams within LivaNova (sales, technical service, marketing, quality etc)
TRAVEL REQUIREMENTS
Ability to travel primarily domestically (up to 80%) and be available for off hours, urgent issue resolution.
Non-travel work from home weeks will be assigned
MINIMUM REQUIREMENTS AND QUALIFICATIONS (UNIVERSAL)
Perfusion education, current or history of Certified Clinical Perfusionist Certification or Licensure is required with a minimum of 5 years of clinical practice.
Ability and desire to teach
Works well within teams both cross-functionally and teams that may or may be not located within a specific building or geography
Project management skills
Excellent written and oral communication skills required
Self-confidence and effectiveness in dealing with a wide variety of customer types.
Highly effective at working both independently and part of the large-scale collaborative team.
Possesses a high energy level and a high degree of interpersonal skills, both verbal and written.
Proficiency in computer skills to execute virtual programs and presentations with the customer
Desire and ability to participate and motivate others in team efforts.
Proficiency in computer applications including Microsoft Word, Excel, PowerPoint, Teams/Zoom.
Sit 80% Stand/Walk 20%
Repetitive use on computer
Lifts 0-50 lbs
Ability to understand scientific facts and package them into a cohesive communication model for healthcare professionals
Oral and written comprehension
Ability to meet hospital credentialing requirements
Availability to work weekends when needed
Travel within US and abroad
Blood Borne Pathogen Exposure
PAY TRANSPARENCY
A reasonable estimate of the annual base salary for this position is $145,000- $160,000 + discretionary annual bonus. Pay ranges may vary by location.
Our commitment to Diversity & Inclusion:
LivaNova values equality and celebrates diversity. We are committed to ensuring that our recruitment process is fair, transparent and free from unlawful discrimination.
Our selection process is driven by the key demands/requirements for the role rather than bias or discrimination on the basis of a candidate's sex, gender identity, age, marital status, veteran status, non-job-related disability/handicap or medical condition, family status, sexual orientation, religion, color, ethnicity, race or any other legally protected classification.
Notice to third party agencies:
Please note that we do not accept unsolicited resumes from recruiters or employment agencies. In the absence of a signed Recruitment Services Agreement, we will not consider, or agree to, payment of any referral compensation or recruiter fee. In the event that a recruiter or agency submits a resume or candidate without a previously signed agreement, we explicitly reserve the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency.
Beware of Job Scams:
Please beware of potentially fraudulent job postings or suspicious recruiting activity by persons posing as LivaNova recruiters or employees. The scammers may attempt to solicit confidential, personal information, such as a social security number, or your financial information. LivaNova will never ask for fees prior/during/after the application process, nor will we ask for banking details or personal financial information in return for the assurance of employment. If you are concerned that an offer of employment might be a scam or that the recruiter is not legitimate, please verify by searching for “See Open Jobs” on *************************************** and check that all recruitment emails come from **************** email address.
$145k-160k yearly Auto-Apply 60d+ ago
Central CA based Clinical Specialist - Remote, USA
Calyxo
Remote job
Calyxo, Inc. is a medical device company headquartered in Pleasanton, California, USA. The company was founded in 2016 to address the profound need for improved kidney stone treatment. Kidney stone disease is a common, painful condition that consumes vast amounts of healthcare resources each year. Our team is led by executives and investors with a proven track record of commercializing paradigm-shifting devices to meet unmet needs within urology.
Are you ready to change the future of kidney stone treatment? We are seeking high achievers who want to be part of a dynamic team working in a fun, diverse atmosphere.
Summary:
The ClinicalSpecialist is a focused individual who has a passion for patient care and physician and staff education. This person will proctor cases to excellence and independently cover CVAC procedures, training the surgical team on the safe and effective uses of the device. The ClinicalSpecialist works closely with the surgical team members to provide clinical product assistance to the surgeon by being familiar with the surgical procedure, instruments, supplies, and equipment.
The ClinicalSpecialist will train the surgical team on instrument preparation prior to cases and during the surgical procedure. This role will manage inventory needs in the account and any accompanying administrative requirements.
This role is not considered for pathway to a Territory Sales Manager at Calyxo Inc, due to the tenure and experience required to execute the Territory Sales Manager role.
Ideal candidates will live in the targeted geographical area.
This position can cover any CVAC case in the territory, region, or at times, the nation, as assigned. The ClinicalSpecialist will also provide clinical support for physician training and sales training programs.
In This Role, You Will:
Provide clinical case coverage as assigned
Train the surgical team to assist in good patient outcomes and verbally support cases during training period
Acquire and maintain current knowledge of perioperative surgical technology practice and hospital policies and procedures
Develop technical acumen to a level to serve as an educational resource
Demonstrate appropriate interactions with all hospital service providers
Maintain and prepare equipment and kits for surgery, including Quality Control audits of equipment and kits
Troubleshoot equipment according to standard procedure
Provide intra-operative clinical product support
Ensure that 100% of received inventory and returned inventory matches shipping documents
Reconcile inventory/usage as well as missing inventory
Assist in the delivery of procedural training to physicians and medical staff
Be an effective member of the commercial team and play a key role in ensuring positive clinical outcomes
In partnership with TSM, perform account management: such as Account Set Up, Clinical Engagement, Case Support and Clinical Outcomes
In Partnership with TSM, support education of APPs, Office and Hospital Staff
In partnership with TSM, help facilitate and support Residency Education
Ensure compliance with all company policies, including the quality policy, on label promotion and interactions with health care professionals
In this role, you will collaborate with ClinicalSpecialist teams to review and discuss case presentations and peer to peer knowledge sharing
Other duties as assigned
Who You Will Report To:
Regional Clinical Manager (RCM)
ClinicalSpecialist I Requirements:
Clinical experience such as:
Scrub Tech
X-Ray Tech
RN or BSN
Laser Tech
ClinicalSpecialist II Requirements:
In addition to all of the above:
Industry experience (1-3 years)
Prior Employment as a ClinicalSpecialist with a medical device company or experience working with Mobile Litho Provider Companies
Comfortable with the pace required to be successful in a start-up
Ability to provide intraoperative procedural guidance
Willingness to travel outside of the designated territory
Sr. ClinicalSpecialist Requirements:
In addition to all of the above
Industry experience: 3+ years of full-time employment by a medical device company as a clinicalspecialist (or comparable position) focused on case coverage and patient outcomes (not equipment/service provider).
Clinical experience: Intraoperative Coaching Experience
OR experience: Fluent in Staff and Support Training
Track record of success. Urology experience preferred.
Understands the medical device industry
Comfortable with the pace required to be successful in a start-up
Ability to provide intraoperative procedural guidance
Understands sales processes and training
Willingness to travel outside of the designated territory
General Requirements:
Experience in surgical technique and sterile procedures in the operating room
Experience utilizing fluoroscopy is a plus
Customer relationship and procedural skill development are highly desired
Highly desirable candidates will have a degree or certification in a medical-related field (ex: LPN, RN, Surg Tech, Rad Tech, etc).
Able to travel by car up to 90%
Compliance with relevant county, state, and federal rules regarding vaccinations.
What We Offer:
At Calyxo, you will be part of a knowledgeable, high-achieving, experienced, and fun team. You will work in a diverse work environment with experienced, proven leaders and have an opportunity to shape our company culture. You will experience constant learning and dynamic challenges to help you grow and be the best version of yourself.
We also offer a compensation plan as follows:
Competitive salary
Total Compensation: $100,000 - $140,000 annually
Base Salary: $80,000, $100,000, or $120,000 per year (DOE)
Annual Variable Bonus: $20,000
Plus, generous allowances such as:
Auto Allowance: $9,600
Cell Phone/Internet Allowance: $1,800
Stock options: ownership and a stake in growing a mission-driven company
Employee benefits package that includes 401(k), healthcare insurance and paid vacation
Calyxo is deeply committed to fostering an environment where diversity and inclusion are not only valued but also prioritized. We believe a diverse and inclusive community empowers us to act courageously, care deeply, and dream boldly to impact people in big ways. Diverse viewpoints bring diverse capabilities, which strengthen our focus and fuel our growth.
Calyxo is proud to be an equal opportunity employer, seeking to create a welcoming and diverse environment. All applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status or any other applicable legally protected characteristics
Legal authorization to work in the United States is required. In compliance with federal law, all persons hired will be required to verify their identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.
Disclaimer:
At Calyxo, we prioritize a transparent and structured interview process to ensure the best fit for both our candidates and our team. Please be aware of the following:
Structured Interview Process: Our hiring process includes multiple stages of interviews where you will have the opportunity to communicate directly with Calyxo employees. This ensures that you gain a comprehensive understanding of the role and our company culture.
Verification of Identity: We do not extend job offers without first meeting candidates, either virtually or in person. This step is crucial to maintain the integrity of our hiring process and to ensure mutual alignment.
Beware of Scams: Calyxo will never request sensitive personal information, such as your full name, address, phone number, or identification documents, via email or online forms before an official interview. Calyxo representatives will always contact you using an email format of ********************************. If you receive a request for information from any other domain, please contact us directly at ****************** to verify the legitimacy of the communication.
We appreciate your interest in joining Calyxo and look forward to getting to know you through our official channels.
$100k-140k yearly Auto-Apply 16d ago
Clinical Innovation Specialist
Jukebox Health
Remote job
At Jukebox Health, our mission is to empower everyone to live safer, healthier, more independent lives at home. We partner with health plans to make homes safer and more accessible for older adults and high-needs populations. We achieve this by combining technology with networks of clinicians, suppliers, and installers to deliver personalized home modifications and environmental supports nationwide. Founded by experienced entrepreneurs, Jukebox Health is a fast growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot.
We are seeking a Clinical Innovation Specialist to serve as a strategic clinical partner for enterprise health plan clients, providing specialized expertise in home-based interventions, risk stratification, and program optimization. This role leverages Jukebox Health's institutional knowledge in environmental modifications and LTSS populations to enhance our partners' wellness program outcomes and claims management effectiveness. The Clinical Innovation Specialist will maintain dedicated engagement with assigned client accounts through structured touchpoints and on-demand consultation, translating clinical expertise into measurable value for health plan partners.
Key Responsibilities Clinical Program Design
Apply specialized knowledge of home safety, functional assessment, and environmental risk factors to identify members who would benefit from Jukebox programs
Conduct data reviews to identify clinical patterns suggesting environmental modification needs and DME recommendations that could prevent claim progression
Serve as clinical subject matter expert for program development, refinement, and evaluation
Develop and iterate on evidence-based protocols, eligibility criteria, and outcomes frameworks informed by Jukebox's cross-client experience
Data-Driven Decision Making
Partner with client and internal data teams to operationalize HIE data access
Develop and maintain risk stratification models and clinical surveillance systems for proactive member identification
Produce quarterly risk stratification model updates incorporating latest HIE data feeds, rolling average risk scores, predictive analytics, and model performance validation
Participate in Joint Operating Committee meetings with prepared analysis including member health trends, risk trajectory reporting, program performance metrics, and optimization opportunities
Clinical Consultation
Act as clinical voice in partner-facing conversations
Bridge clinical, claims, and program management functions, translating clinical complexity into operational decisions
Provide on-demand clinical expertise for time-sensitive decisions, protocol development, staff training, and vendor evaluations
Deliver QBRs with clinical effectiveness evaluation, evidence-based protocol modifications, and ROI projections
Qualifications
Required
Clinical degree or licensure (OT, PT, or related healthcare credential)
5+ years of clinical experience with demonstrated expertise in home-based care, LTSS populations, or environmental modifications
Experience with health plan operations, care management, or utilization management
Strong analytical skills with ability to interpret claims data and clinical information
Excellent communication skills with ability to translate clinical concepts for diverse stakeholders
Experience developing clinical protocols, eligibility criteria, or program frameworks
Experience in a startup or high-growth healthcare environment
Preferred
Experience working with Medicaid managed care organizations or MLTSS programs
Background in risk stratification, predictive modeling, or population health analytics
Knowledge of home modification interventions, DME, or accessibility solutions
Experience with Health Information Exchange (HIE) systems and/or claims data and data integration
Familiarity with value-based care models and outcomes measurement
How We Invest In You
Generous company-funding of our health, vision, and dental plans
HSA plan with company seeding
FSA plan
Short and Long-Term Disability
Life and Personal Accident Insurance
Hospital Insurance
401k immediately upon hire
Generous candidate referral program
Yearly wellness stipend
Time Away
Unlimited PTO + 10 paid holidays
Remote First Team
$1000 stipend towards work from home costs
Frequent team off-sites and get-togethers around the country
Collaborative team environment
Monthly Townhalls
High trust environment
A laptop and company swag upon hire
Compensation Range: $100,000 - $110,000/year + company equity
$100k-110k yearly Auto-Apply 42d 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 6d ago
Field Clinical Specialist - Shockwave -Dallas, TX - Remote
6120-Janssen Scientific Affairs Legal Entity
Remote job
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at *******************
Job Function:
MedTech Sales
Job Sub Function:
Clinical Sales - Hospital/Hospital Systems (Commission)
Job Category:
Professional
All Job Posting Locations:
Dallas, Texas, United States
:
Job Description
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow and profoundly impact health for humanity. Learn more at *******************/.
Fueled by innovation at the intersection of biology and technology, we're developing the next generation of smarter, less invasive, more personalized treatments. Ready to join a team that's pioneering the development and commercialization of Intravascular Lithotripsy (IVL) to treat complex calcified cardiovascular disease. Our Shockwave Medical portfolio aims to establish a new standard of care for medical device treatment of atherosclerotic cardiovascular disease through its differentiated and proprietary local delivery of sonic pressure waves for the treatment of calcified plaque.
Position Overview
The Field ClinicalSpecialist is a visible position that will provide case support to physicians within certain territories. Case support will be done on peripheral and coronary interventional procedures in the pre-market and post-market phases of product development with the Shockwave Medical Intravascular Lithotripsy (IVL) technology. The Field ClinicalSpecialist will also play a critical role in clinical studies including device training, case support and ensuring timely data collection for clinical programs. Case support may be required to support other territories at certain times. You must be located in the Dallas area.
Essential Job Functions
Physician and hospital staff training, and procedural case coverage to ensure the safe and effective use of medical devices.
Effectively meet the needs of internal and external customers with a sense of urgency and drive.
Present clinical study training materials based on investigational plans to support the safe and effective use of medical devices, inclining study protocol, instructions for use, core lab manuals and case report forms.
Manage key study investigators; foster and maintain strong relationships through direct interactions with medical advisors and clinical leaders.
Partner with other clinical research colleagues to meet business needs in the field including site re-training, data collection for timely database locks and resolution of critical issues.
Administrative activities including training to procedures, manage territory travel and budgets.
Other duties as assigned.
Qualifications
Minimum Bachelor's Degree in business, science, nursing or related fields, or equivalent experience.
Minimum 2 years' experience directly supporting interventional or surgical procedures within a hospital setting OR, 1 year of industry, hospital-based life sciences, sales support experience. Cardiovascular industry experience preferred but not required.
Working knowledge of clinical research, Good Clinical Practice (GCP) and regulatory compliance guidelines for clinical trials.
A history of effective collaboration with regulatory agencies through clinical studies and market releases.
Product knowledge including product vigilance and medical device reporting.
High attention to detail and accuracy.
Computer skills (MS Office products, word processing, spreadsheets, etc.).
Finance and budgeting knowledge.
Good prioritization and organizational skills.
Excellent critical thinking skills.
Excellent influencing and negotiation skills.
High energy and results-oriented individual who is mature and successful in a business environment and is skilled in motivating and inspiring people.
Entrepreneurial “hands-on” experience. Pro-active and “can do” attitude.
Ability to consider and accept feedback and suggestions for continuous improvement.
Works effectively on cross-functional teams. Demonstrated willingness to make decisions and to take responsibility for such.
Effective written, verbal and presentation skills with all levels of customers and management.
Ability to work in a fast-paced environment while managing multiple priorities
Operate as a team and/or independently while demonstrating flexibility to changing requirements.
There may be continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day)
Significant travel >50% of time requiring the employee to be effective in a remote manner.
Employee may be required to lift objects up to 40lbs or more. Employees will be required to work in an air conditioned office space and possibly perform some tasks in our non-temperature controlled warehouse space.
Pay Transparency:
Additional Information:
The base pay range for this position is $100,000 - plus a strong variable component.
The Company maintains a highly competitive sales incentive compensation program. Under current guidelines, this position is eligible for participation in this program in accordance with the terms of the applicable plan.
This position is eligible for a car allowance through the Company's Fleet program
Employees and/or eligible dependents may be eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance.
Employees may be eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)).
Employees are eligible for the following time off benefits:
Vacation - up to 120 hours per calendar year
Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington - up to 56 hours per calendar year
Holiday pay, including Floating Holidays - up to 13 days per calendar year
Work, Personal and Family Time - up to 40 hours per calendar year
Additional information can be found through the link below. *********************************************
The compensation and benefits information set forth in this posting applies to candidates hired in the United States. Candidates hired outside the United States will be eligible for compensation and benefits in accordance with their local market.
Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
Johnson and Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, please email the Employee Health Support Center (
********************************
) or contact AskGS to be directed to your accommodation resource.
Required Skills:
Preferred Skills:
Business Behavior, Communication, Consulting, Cross-Selling, Customer Centricity, Customer Effort Score, Customer Retentions, Execution Focus, Goal Attainment, Hospital Operations, Innovation, Market Research, Medicines and Device Development and Regulation, Sales, Solutions Selling, Sustainable Procurement, Vendor Selection
$100k yearly Auto-Apply 9d ago
Clinical Specialist
U.S. Renal Care, Inc. 4.7
Remote job
The ClinicalSpecialist (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. 1d ago
Specialist Clinical Coding II
Seh Saint Elizabeth Medical Center
Remote job
Engage with us for your next career opportunity. Right Here.
Job Type:
Regular
Scheduled Hours:
40
💙 Why You'll Love Working with St. Elizabeth Healthcare
At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We're guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do.
🌟 Benefits That Support You
We invest in you - personally and professionally.
Enjoy:
- Competitive pay and comprehensive health coverage within the first 30 days.
- Generous paid time off and flexible work schedules
- Retirement savings with employer match
- Tuition reimbursement and professional development opportunities
- Wellness, mental health, and recognition programs
- Career advancement through mentorship and internal mobility
Job Summary:
Processes medical records by coding, abstracting data, and producing information for third party billing and to provide a complete statistical data base.
Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.
Job Description:
Identifies and codes principal and secondary diagnoses in appropriate sequence according to Official Coding Guidelines to provide information for billing purposes. Primarily responsible for coding Ancillary accounts. Meets department coding standards for quality and productivity of 96%. New staff are expected to meet these standards upon completion of the training. Assigns all codes based on documentation. Participates in corporate compliance program. Upholds the highest ethical standards.
Abstracts demographic and medical information into computer system following departmental guidelines to provide an accurate data base for statistical reference.
Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, coding questions, physician queries, rebills, etc.
Completes various reports such as productivity reports, statistical reports, and log sheets in order to maintain an accurate source of reference material and other documentation. Performs daily or weekly follow-up of all dates assigned and submits update according.
Attends educational program and applies knowledge to enhance job performance. Uses resources available for accurate coding (i.e., Coding Clinic and CPT Assistant).
Performs other duties as assigned.
Education, Credentials, Licenses:
High school diploma or GED; previous coding classes required.
CCS/COC/CIC is preferred.
Specialized Knowledge:
Medical Terminology, Anatomy and Physiology, Use of personal computer
Kind and Length of Experience:
2 to 4 years hospital coding experience needed
FLSA Status:
Non-Exempt
Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.
$50k-88k yearly est. Auto-Apply 16d ago
Clinical Denials Specialist
UASI
Remote job
United Audit Systems, Inc. (UASI), a rapidly growing healthcare consulting firm seeks to expand its professional team of employees by adding experienced Clinical Appeals Review Nurse to our team. The Clinical Appeals Review Nurse is responsible for completing clinical denial reviews to determine appropriate appeal of patient accounts. The ideal candidate will have a combination of clinical experience in a hospital acute care setting and experience providing reviews of the hospital billing and charging policies.
Primary Responsibilities:
Completes clinical review of pre- and post-claim denials
DRG Denials
Perform a variety of audit services including charge audit, compliance audit, medical necessity, denials and other requests as needed. Audits may be performed on a concurrent or retrospective basis
Review and analyze the client inpatient and/or outpatient itemized billing statement and the patient medical record and related documentation to identify items that were not billed correctly.
Document findings on appropriate form and submit findings to client management staff daily so new billing forms can be generated in hospitals billing systems.
Adhere to the National Health Care Billing Audit Guidelines, UASI Code of Conduct and Compliance Program, and the client third party audit policy while performing all duties.
Attend meetings with members of client-hospital finance, medical records, and ancillary departments.
Educate Client-Hospital personnel on validation and documentation of charges if requested by client contract relationship.
Navigate hospitals medical record system and understand where to locate the financial information in relation to the patient payor billing information
Requirements:
RN Certification
CCDS or CDIS Certification preferred
Experience with DRG Denials
Epic experience preferred
InterQual and Medical Necessity experience
Ability to read and comprehend itemized billing statement, patient medical record and other laboratory reports
Ability to analyze medical information and determine appropriate billing procedures
Ability to effectively communicate with others
Analytical thinking process
UASI is the employer of choice due to our outstanding reputation for excellence within the industry and for our comprehensive benefit package which includes:
Medical, dental, vision and life insurance, short/long-term disability, 401(K) and referral bonuses
Training opportunities and reimbursement for professional certifications
UASI's unique approach to employee appreciation which include: birthday recognition, holiday gift selections, performance awards, and years of service awards
$50k-88k yearly est. Auto-Apply 2d ago
General Interest - Clinical Roles
Familywell
Remote job
Don't see the role you're looking for?
At FamilyWell Health, we're always excited to connect with passionate clinicians who share our commitment to supporting women's mental health. If you're a licensed mental health provider, PMHNP, social worker, or psychiatric provider who believes in compassionate, evidence-based care, we'd love to hear from you. Submit a general interest application to let us know about your experience and interests-we'll reach out as new opportunities arise that may be a great fit.
Background:
Are you passionate about making a meaningful impact in women's mental health care? Here's your chance to be a vital part of FamilyWell's mission to enhance access to high-quality, equitable, and affordable mental health services for pregnant, postpartum, and menopausal individuals across the U.S. FamilyWell Health is an AI-enabled mental health start-up dedicated to solving the women's mental health crisis by seamlessly embedding high quality, equitable, & affordable mental health care into OB/Gyn practices. FamilyWell provides comprehensive virtual mental health services designed specifically for integration into OB/Gyn and Family Medicine practices utilizing the psychiatric collaborative care model. FamilyWell's virtual care team model delivers evidence-based coaching, therapy, care coordination, and psychiatric services with specialized expertise in perinatal mental health and perimenopause/menopause. For more information: familywellhealth.com.
Please be aware of recruitment scams. FamilyWell will never ask candidates to pay money, request sensitive personal information early in the process, or conduct interviews over unsecured platforms. All official communication will come from an @
familywellhealth.com
email address.
$50k-88k yearly est. Auto-Apply 49d ago
Clinical Theranostic Specialist - West (Molecular Imaging)
Telix Pharmaceuticals
Remote job
Telix Pharmaceuticals is a dynamic, fast-growing radiopharmaceutical company with offices in Australia (HQ), Belgium, Japan, Switzerland, and the United States. Our mission is to deliver on the promise of precision medicine through targeted radiation. At our core, we exist to create products that seek to improve the quality of life for people living with cancer and rare diseases. You will be supporting the international roll-out of our approved prostate cancer imaging agent and helping us to advance our portfolio of late clinical-stage products that address significant unmet need in oncology and rare diseases.
Job Summary
The Clinical Technical Specialist (CTS) will serve as a key leader in site onboarding, medical education, and radiopharmaceutical optimization, ensuring the successful adoption and utilization of Telix products in both commercial and clinical trial settings. This role will oversee multiple, complex site activation initiatives, drive cross-functional collaboration, and strategically contribute to Medical Affairs objectives by shaping research priorities, optimizing imaging protocols, and advancing disease state education.
Key Accountabilities
Lead and oversee the strategic onboarding of new imaging sites, ensuring seamless integration of Telix radiopharmaceuticals into both commercial and clinical trial workflows.
Develop and implement best practices for imaging site optimization, including protocol standardization, scanner settings, and workflow efficiency improvements, ensuring high-quality imaging outcomes.
Oversee and execute key field activities in alignment with Medical Affairs strategy, ensuring optimal support for product launches, clinical research, and physician education.
Directly contribute to shaping research priorities by identifying critical data gaps, real-world evidence opportunities, and medical insights, ensuring alignment with Telix's scientific and commercial objectives.
Lead site engagement strategies, working closely with imaging centers, nuclear medicine specialists, and key stakeholders to ensure optimal patient access and product utilization.
Establish and manage a structured approach for scientific education, developing training materials, presenting medical and product information, and ensuring consistent knowledge dissemination to internal and external stakeholders.
Represent Telix Medical Affairs at high-profile medical/scientific meetings, capturing and synthesizing insights that shape company strategy and future product development.
Stay informed on imaging best practices and emerging technologies.
Act as a key liaison between Medical Affairs and cross-functional teams, ensuring alignment with Commercial, Marketing, Clinical Operations, and Regulatory teams.
Manage key projects and initiatives within the Medical Affairs function, ensuring efficient execution and measurable impact on Telix's strategic goals.
Ensure compliance with pharmaceutical regulations, corporate policies, and ethical guidelines, proactively addressing any gaps in training or adherence.
Education and Experience
BS or MS degree in scientific discipline (preferred Radiology or similar) or equivalent experience required
Certification by Nuclear Medicine Technology Certification Board (NMTCB) or the American Registry of Radiologic Technologist (ARRT) required
5 years of experience with advanced oncology PET scanning and optimization required
Experience in radiopharmaceuticals required, prostate cancer preferred
Thorough understanding of relevant policies guiding the Pharmaceutical Industry
Experience/expertise in interpretation of scientific data, market research, and competitive intelligence tools
Proficient in Microsoft Office Suite
Proven track record of delivering results that meet or exceed targeted objectives.
Excellent verbal and written communication skills
Strong multi-tasking, time-management, organization and interpersonal skills, business acumen, and high level of emotional intelligence
Detailed knowledge of regulations and practices related to industry interactions with healthcare professionals.
Ability to take initiative and work both independently and in a team environment
Ability to quickly understand complex disease areas, treatments, and clinical development plans, healthcare landscape, hospitals, healthcare professionals, and patient journey
Valid driver's license.
Local, regional, and national travel up to 75%
Must live within close proximity to major airport
Key Capabilities:
Inclusive mindset: Demonstrate an understanding and appreciation for diversity, and actively work to create an inclusive environment where everyone feels valued and respected
Creativity and innovation: Possess a willingness to think outside the box and come up with unique and creative solutions to challenges
Commitment to excellence: Take pride in your work and consistently strive for excellence in everything you do
Results-oriented: Driven to achieve goals and objectives, with a strong focus on delivering measurable results
Ethical behavior: Act with integrity and demonstrate a commitment to ethical behavior in all interactions with colleagues and stakeholders
Adaptability: Comfortable working in a dynamic environment, able to adjust to changing priorities, and willing to take on new challenges
Strong communication skills: Able to communicate effectively with colleagues and stakeholders at all levels, using clear and concise language
Collaboration: Work effectively as part of a team, actively sharing knowledge and expertise to achieve common goals
Resilience: Demonstrate the ability to bounce back from setbacks and persevere in the face of challenges
Continuous learning: Show a commitment to ongoing learning and professional development, continually seeking out opportunities to expand your knowledge and skills
At Telix, we believe everyone counts, we strive to be extraordinary, and we pursue our goals with determination and integrity. You will be part of an engaged and supportive group of colleagues who all have a shared purpose: to help people with cancer and rare diseases live longer, better quality lives. Being a Telix employee means being a part of a unique, global, interdisciplinary team working to deliver what's next in precision medicine. We have hybrid and remote employees located all around the world. We offer competitive salaries, annual performance-based bonuses, an equity-based incentive program, generous vacation, paid wellness days and support for learning and development.
Telix Pharmaceuticals is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
VIEW OUR PRIVACY POLICY HERE
$50k-88k yearly est. Auto-Apply 2d ago
Clinical Specialist, Ventilation
Zoll Medical Corporation
Remote job
Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.
The Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally. Products include AEDs, trauma kits, ventilators, temperature management solutions, and more. Our dedicated employees take pride in their commitment to improving patient outcomes while delivering world-class customer service.
At ZOLL, you won't just have a job. You'll have a career-and a purpose.
Join our team. It's a great time to be a part of ZOLL!
Essential Function Requirements:
* Deliver increased revenue by increasing market share at existing accounts and executing on strategic sales initiatives.
* Be a resource for R&D and Marketing during special projects, VOC, and being a leading voice to our customers for new products and technology.
* Functioning as an extension of Learning and Development through participation in national field and classroom training of new sales consultants and other internal customers.
* Implement and execute sales strategies developed by the leadership team by providing product introductions/overviews and training for customers during the commercialization of products.
* Participate in professional society meetings/trade shows, to promote products and support activities where appropriate, related to clinical trials.
* Maintain and increase professional and technical knowledge by on-the-job training, attending educational workshops, reviewing professional publications, establishing personal networks, and participating in professional societies.
* Ensure good communication is established within and across functional groups.
* Directly support the timely installation and monitoring of medical device products and services.
* Participate in pre-sales support, assessment, and evaluation of new products and services; provide feedback to internal stakeholders to drive client acceptance and utilization of new medical devices. Facilitate User Preference Evaluations for new products.
* Develop, plan, and manage client in-service and training programs; provide product and service education to staff at hospitals and other medical facilities to facilitate technology adoption and workflow change management.
Required/Preferred Education and Experience
* Minimum 5 years clinical experience as a respiratory therapist required.
* Ability to meet requirements in vendor credentialing services, e.g., Reptrax,
Vendormate, etc.
* Ability to develop strong relationships with key opinion leaders.
* Strong leadership, team building, negotiation, and execution skills in a selling
environment.
* Strong presence, presentation, and communication skills.
* Ability to think strategically and position company and products for success.
* Must be highly organized and able to execute tactics in a timely manner.
* Professional verbal and written communication skills.
* Proficiency in using Outlook, Webex, Zoom, Teams, PowerPoint, Excel, SFDC, etc.
Education
* Licensed Respiratory Therapist or at least one NBRC Credential
ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patient's lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.
ZOLL Medical Corporation appreciates and values diversity. We are an Equal Opportunity Employer M/F/D/V.
ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990
#LI-REMOTE
#LI-RF1
The annual salary for this position is:
$95,000.00 to $125,000.00
Factors which may affect starting salary include geography, skills, education, experience, and other qualifications of the successful candidate. Details of ZOLL's comprehensive benefits plans can be found at *********************
Applications will be accepted on an ongoing basis until this position is filled. For fully remote positions, compensation will comply with all applicable federal, state, and local wage laws, including minimum wage requirements, based on the employee's primary work location.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or status as a protected veteran.
ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.
$95k-125k yearly Auto-Apply 60d+ ago
Senior Clinical Specialist - Generalist
Viz.Ai 4.3
Remote job
Viz.ai is the pioneer in the use of AI algorithms and machine learning to increase the speed of diagnosis and care across 1,800+ hospitals and health systems in the U.S. and Europe. The AI-powered Viz.ai OneTM is an intelligent care coordination solution that identifies more patients with a suspected disease, informs critical decisions at the point of care, and optimizes care pathways and helps improve outcomes. Backed by real-world clinical evidence, Viz.ai One delivers significant value to patients, providers, and pharmaceutical and medical device companies.
The Role:
The clinical team serves as the subject matter experts in clinical workflows to incorporate clinical knowledge in our product development and implementation processes. The clinical team builds relationships internally and externally to provide expertise to education and training with respect to specific disease states, workflow integration
As we build and scale our company, we are looking for a ClinicalSpecialist who will:
Report directly to the Sr. Director of Clinical Strategy & Care Pathways
Serve as the clinical voice and trusted partner to inform product development and drive implementation of Cardiovascular Products in initial pilots and ongoing efforts, if pilots are successful
Collaborate with product managers and across the Viz R&D organization to ensure clinical input is incorporated into product development and the voice of the customer is built into all that we do
Ensure product meets clinical standards and workflow needs
Act as interface between Clinical teams and internal Viz teams
Assist in shaping marketing materials to communicate a clear clinical value proposition. Work alongside marketing to bring products to market
Partner with cross functional teams to define and shape new and innovative clinical opportunities in order to help achieve product and business goals
Develop and implement internal and external toolkits to drive optimization in clinical workflow
Collaborate with Customer Success and Data & Analytics to identify KPIs, monitor engagement and performance, provide feedback and data to relevant stakeholders
Build strong relationships with external partners to ensure future commercial success
You will love this job if:
You are passionate about neurology care, critical care, acute workflows
You have a deep understanding of clinical workflows in neurology, pulmonary and diagnostic procedures
You are outcome driven and focus on moving multiple teams towards the objective
You have an entrepreneurial drive and attitude as well as a passion for workflow optimization through delightful product experience
You enjoy working across cross functional teams to facilitate clinical knowledge transfer to Commercial, Marketing, and Product Teams.
Requirements:
Experience with clinical workflows and processes associated with clinical trials
6+ years Clinical experience in Neurology Care plus industry experience (required)
Strong understanding of diagnostic medical imaging and workflow utilization
Business experience or exposure within a healthcare product company in area of clinical specialty needed, min experience as an advisor or clinical consulting capacity
AI Native: You treat AI as a core part of your workflow, using tools like ChatGPT to enhance productivity and output.
Bachelor's degree in Nursing or Business Administration or experience in, Healthcare Administration or as a, Registered Diagnostic Cardiac or Vascular Sonographer, or Advanced Practice Provider (NPPA) or other related field
Proven ability to manage complex projects and stakeholder needs effectively
Excellent written and oral communication skills
Ability to travel (30-50%)
Why should you join us?
If you are looking to make an impact -join our mission.
If you want to be a part of an amazing team -our people are the heart of everything we do.
If You are a self-starter and naturally motivated.
Viz offers competitive benefits, including medical, dental, vision, 401k, generous vacation, and other great benefits to full-time employees.
Viz.ai is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. If you're applying for a position in San Francisco, review the San Francisco Fair Chance Ordinance guidelines applicable in your area.
Our salary ranges are determined by role, level, and location. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. Your recruiter can share more about the specific salary range for your preferred location during the hiring process.
Base salary range:
Tier 1 (Greater SF/Silicon Valley Bay area)$138,000-162,000
Tier 2 (Greater NYC/NJ/CT Metro/Seattle): $132,000- 155,000
Other: $114,000-$148,000
Total compensation includes base salary + variable +options
#LI: GH1
#LI: remote
$45k-79k yearly est. Auto-Apply 33d ago
Respiratory OverRead Clinical Specialist
Clario 4.8
Remote job
Join Clario and help transform lives by unlocking better evidence. As a Respiratory OverRead ClinicalSpecialist, 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 17d 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 30d ago
Clinical Onboarding Specialist
Charlie Health Behavioral Health Operations
Remote job
Why Charlie Health?
Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.
Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home.
As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you.
About the Role
Our workforce is rapidly expanding and subject to changing processes as we scale and adopt cutting edge behavioral health technology. The Clinical Onboarding Specialist manages all aspects of onboarding, from pre boarding communication to launching into client-facing care. This role collaborates with multiple departments to ensure training materials are clinically relevant, impactful, and inclusive of all learning styles. The Clinical Onboarding Specialist is responsible for overseeing new employees integrate into the organization, conducts training sessions, and provides support to ensure a smooth transition for new hires.
We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you're inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today.
Responsibilities
Manages new hire onboarding from preboarding through client-facing care.
Support Clinical training efforts, learning the intricacies of your defined Onboarding Cohorts' roles and responsibilities so you can assist as they come up to speed.
Assists new hires with completing all necessary steps required to complete Charlie Health's rigorous Clinical onboarding process, stepping in to provide additional direct training and support directly as needed.
Maintains regular contact with new hires via all available channels, including email, phone, and text.
Assures that onboarding materials are up to date, relevant, and impactful.
Works seamlessly with recruiting, onboarding, leadership, regulatory, and HR operations departments to keep them apprised of new hire progress and performance.
Conducts periodic audits of employee file data for timeliness and completeness.
Maintains strict confidentiality when managing sensitive employee and contractor information.
Escalates issues promptly and with diplomacy and discretion.
Cultivates positive interpersonal relationships with clinical and administrative leadership as well as external partners.
Other duties as assigned.
Requirements
Bachelor's Degree required
2 years of HR onboarding administration or training experience required
HR experience in a clinical setting is highly desirable
Excellent verbal and written communication skills
Ability to maintain strict confidentiality
Detail-oriented
Outside the box thinker; excellent at problem solving
Familiarity with and willingness to use cloud-based communication software - Google Suite, Slack, Zoom, Dropbox
Strong interpersonal, relationship-building and listening skills, with a natural, consultative style
Ability to energize, communicate, and build rapport at all levels within an organization
Work authorized in the United States and native or bilingual English proficiency
Please note that members of this team who live within 45 minutes of a Charlie Health office are expected to adhere to a hybrid work schedule
Benefits
Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.#LI-Remote
The total target base compensation for this role will be between $44,000 and $58,000 per year at the commencement of employment. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include other Charlie Health-sponsored benefits.
Based on the nature of this role, you will need to complete several state background checks for clearance to see clients. Florida requires a fingerprint based background check, with more information found here. Please note that the cost for this background check will be paid for in full by Charlie Health.
Our Values
Connection: Care deeply & inspire hope.
Congruence: Stay curious & heed the evidence.
Commitment: Act with urgency & don't give up.
Please do not call our public clinical admissions line in regard to this or any other job posting.
Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.
Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.
At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.
Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.
By clicking "Submit application" below, you agree to Charlie Health's Privacy Policy and Terms of Service.
By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.
$44k-58k yearly Auto-Apply 7d ago
Clinical Specialist, Ventilation
Zoll Data Systems 4.3
Remote job
Acute Care Technology
At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.
The Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally. Products include AEDs, trauma kits, ventilators, temperature management solutions, and more. Our dedicated employees take pride in their commitment to improving patient outcomes while delivering world-class customer service.
At ZOLL, you won't just have a job. You'll have a career-and a purpose.
Join our team. It's a great time to be a part of ZOLL!
Essential Function Requirements:
Deliver increased revenue by increasing market share at existing accounts and executing on strategic sales initiatives.
Be a resource for R&D and Marketing during special projects, VOC, and being a leading voice to our customers for new products and technology.
Functioning as an extension of Learning and Development through participation in national field and classroom training of new sales consultants and other internal customers.
Implement and execute sales strategies developed by the leadership team by providing product introductions/overviews and training for customers during the commercialization of products.
Participate in professional society meetings/trade shows, to promote products and support activities where appropriate, related to clinical trials.
Maintain and increase professional and technical knowledge by on-the-job training, attending educational workshops, reviewing professional publications, establishing personal networks, and participating in professional societies.
Ensure good communication is established within and across functional groups.
Directly support the timely installation and monitoring of medical device products and services.
Participate in pre-sales support, assessment, and evaluation of new products and services; provide feedback to internal stakeholders to drive client acceptance and utilization of new medical devices. Facilitate User Preference Evaluations for new products.
Develop, plan, and manage client in-service and training programs; provide product and service education to staff at hospitals and other medical facilities to facilitate technology adoption and workflow change management.
Required/Preferred Education and Experience
• Minimum 5 years clinical experience as a respiratory therapist required.
• Ability to meet requirements in vendor credentialing services, e.g., Reptrax,
Vendormate, etc.
• Ability to develop strong relationships with key opinion leaders.
• Strong leadership, team building, negotiation, and execution skills in a selling
environment.
• Strong presence, presentation, and communication skills.
• Ability to think strategically and position company and products for success.
• Must be highly organized and able to execute tactics in a timely manner.
• Professional verbal and written communication skills.
• Proficiency in using Outlook, Webex, Zoom, Teams, PowerPoint, Excel, SFDC, etc.
Education
• Licensed Respiratory Therapist or at least one NBRC Credential
ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patient's lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.
ZOLL Medical Corporation appreciates and values diversity. We are an Equal Opportunity Employer M/F/D/V.
ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990
#LI-REMOTE
#LI-RF1
The annual salary for this position is:
$95,000.00 to $125,000.00
Factors which may affect starting salary include geography, skills, education, experience, and other qualifications of the successful candidate. Details of ZOLL's comprehensive benefits plans can be found at *********************
Applications will be accepted on an ongoing basis until this position is filled. For fully remote positions, compensation will comply with all applicable federal, state, and local wage laws, including minimum wage requirements, based on the employee's primary work location.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or status as a protected veteran.
ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.
$95k-125k yearly Auto-Apply 60d+ ago
Clinical Policy Specialist
Caresource 4.9
Remote job
The Clinical Policy Specialist I provides clinical policy support to both new and established lines of business (LOB) through managing state submissions, submitting Communication Request Forms, tracking processes, and ensuring clinical policy compliance.
Essential Functions:
Assist Clinical Policy Project Specialist to execute, monitor and support new lines of business throughout the entire clinical policy project lifecycle.
Audit, monitor and prepare clinical policies for NQCA, state, and internal audits
Develop, implement, configure, and maintain decision trees, workflows, documentation and monitoring protocols to operationalize clinical policies and criteria in a timely manner
Participate in department initiatives and projects including implementation of new document management systems
Support the development and maintenance of enterprise Clinical Policy programs (i.e., policy assessments, department newsletter, network notification communications)
Collaborate with interdisciplinary team members to achieve team goals
Participate in risk assessment and continuous improvement activities, as needed
Follow Workfront procedures to coordinate and implement changes ensuring regulatory, compliance, and business goals are met
Ensure timely submission, accurate documentation, and tracking of all Communication Request Forms and network notifications for clinical policies to be published on external websites
Monitor the CareSource public website to ensure policies are accurately published and accessible
Document and track state submissions and approvals, keeping consistent communication with Clinical Policy team, leadership, and regulatory as necessary.
Track and trend clinical policy metrics (i.e., CRF, archives, revisions) reported monthly, quarterly, end of year, and as needed
Assist with Policy Tech functions to streamline policies through the entire end-to-end process
Support the operational processes of the Clinical Policy Governance Committee (CPGC)
Create agendas, document, and store minutes and pertinent records for all assigned team meetings as necessary
Maintain and update job related internal policies and procedures applicable to Clinical Policy process and workflows
Provide coverage for both Policy Coordinator and Policy Project Specialist when needed
Perform any other job duties as requested
Education and Experience:
Bachelor's degree or equivalent years of relevant work experience is required
Health plan experience is preferred
SharePoint management experience preferred
Minimum of two (2) years of healthcare policy experience is preferred
Documentation Management system experience is preferred
Competencies, Knowledge and Skills:
Computer skills/proficiency level with Microsoft Word, Excel, search engines, and bibliographic software
Detail-oriented and critical thinker
Proficient in documentation management systems
Proficient in SharePoint
Proficient in creating and delivering effective PowerPoint presentations
Knowledge of medical terminology, pharmacy claims processing, and healthcare administration
Ability to interpret clinical information
Excellent verbal and written communications skills
Presentation and decision-making skills
Excellent organization and tracking skills
Strong problem-solving skills
Ability to communicate effectively with employees at all levels of the organization.
Ability to work autonomously and in a team environment
Ability to handle multiple priorities/projects simultaneously
Licensure and Certification:
Basic Six Sigma or Lean certification preferred
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Occasional travel may be required to fulfill job duties
Compensation Range:
$54,500.00 - $87,300.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-JM1
$54.5k-87.3k yearly Auto-Apply 6d ago
Clinical Specialist - New England
Noah Homes 4.1
Remote job
Who We Are
Noah Medical is building the future of medical robotics. Our next generation robotic platform targets early diagnosis and treatment of patients across multiple indications. We are looking for exceptional engineers and key team members. Our incredibly talented team of engineers, innovators, and industry leaders bring years of experience from the top healthcare companies in the world, including: Intuitive, Auris, Stryker, Johnson & Johnson, Boston Scientific, Verb Surgical, Mako, Think Surgical, Medrobotics, and Hansen. We are looking for talented, motivated and ambitious team members to revolutionize robotic surgery.
About The Team
Our Clinical Sales Team is a dynamic and collaborative group committed to revolutionizing the field of robotic surgery by introducing groundbreaking solutions that contribute to improved patient outcomes, enhanced procedural efficiency. From seasoned industry experts to enthusiastic entry-level professionals, we foster an environment where knowledge is shared, and every team member has the opportunity to contribute to our collective success.
We collaborate seamlessly with other departments, including engineering, marketing, and product management to ensure that our solutions not only meet the highest clinical standards but also resonate with the market, driving success in the competitive landscape.
A Day In The Life Of Our ClinicalSpecialist:
Support live clinical cases across multiple accounts - exercise independent judgment based on your comprehensive understanding of Noah technology, to advise HCPs how to best use the devices while in surgery.
Assist with procedural setup and staff education
Ensure KPI collection and clinical documentation
Partner with Sales and Marketing for account success
Contribute to training and onboarding in the field
Note: the work will be predominantly intellectual and not standardized on a daily basis. You'll be expected to apply advanced knowledge in learning acquired from a prolonged course of specialized intellectual instruction/study, including training at Noah Medical.
About You
1-2 years in a clinical, healthcare, or procedural support role
Bachelor's Degree required; advanced degree preferred
Comfortable exercising discretion and independent judgment
Strong attention to detail and team collaboration
Passion for supporting excellent patient care
Eager to grow clinical and commercial skills
#LI-Remote
Benefits & Perks (For Full Time Employees):
Competitive Salary
Comprehensive health insurance including Medical, Dental and Vision + HSA and FSA options
Equity & Bonus Program
Life Insurance (company paid & supplemental) and Disability insurance
Mental health support through medical insurance programs
Legal and Pet Insurance
12+ paid holidays, 15-20 days of PTO + sick time
Paid parental leave
In-office snacks and beverages
In-office lunch stipend
Learning & Development Opportunities: On-demand online training and book reimbursement
Team building and company organized social and celebration events
Noah Medical may offer remote, hybrid, or onsite work arrangements within the state of California depending on the specific team and/or role where applicable.
Noah Medical is an Equal Opportunity Employer. We celebrate diversity and are committed to ensuring an inclusive environment for our employees. Applicants are considered for all positions without regard to race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, ancestry, age, genetic information, physical or mental disability, marital or protected military or veteran status, or any other consideration made unlawful by federal, state or local laws.
Please visit our Careers Page to view our latest openings.
NO AGENCIES PLEASE -
Please do not outreach to any managers or submit any resumes without a signed agreement from Talent Acquisition. Resumes shared with anyone at Noah Medical without a signed agreement will be considered your gift to us and
no fee will be paid.
$31k-40k yearly est. Auto-Apply 49d 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 ClinicalSpecialist 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 ClinicalSpecialist 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 ClinicalSpecialist 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 ClinicalSpecialist 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!