Project Manager - Research Associate - Heart & Vascular
Dartmouth-Hitchcock Concord 4.2
Lebanon, NH jobs
is local to NH/VT; can work remotely but ability to come onsite is needed. The Dartmouth Health Center for Rural Health Care Delivery Science is a Center of Biomedical Research Excellence (COBRE) funded through the National Institute of General Medical Sciences that aims to develop a pipeline of early career investigators focused on addressing gaps in the science of rural health care delivery. The Program Manager-Research Associate is responsible for management of all stages and types of Center initiatives from proposal development, study start-up, regulatory coordination, project planning, activity tracking and reporting, project oversight, and event coordination. Remote work or hybrid schedule available.
Responsibilities
Collaborates with Center leadership to establish project objectives for Cores, policies, procedures and execute projects. Leads Core meetings and provides updates to Center staff and faculty, including all levels of management. Works with Research Project Leaders and research study teams to operationalize research projects, including regulatory tasks, , data collection and supervising other staff assigned to project execution. Initiates and maintains liaison with Center management team and other contacts to facilitate project activities. Manages multiple, parallel projects using formal project planning techniques. Represents Center in project meetings and attend strategy meetings. Responsible for the oversight and management of resources allocated to your project. Establishes effective coordination and communications processes to report as a minimum, schedule, performance, costing, risks and mitigation strategies. Maintains and adheres to project deadlines, timelines, and deliverables. Compiles project status reports. Develops and writes project process and outcome reports. Strong leadership, interpersonal, organizational, presentation and communication skills; ability to foster a collaborative team environment; ability to communicate effectively and respectfully to a diverse community. Performs other duties as required
Qualifications
* Bachelor's Degree with 3 years of experience in project management.
* Previous healthcare industry experience preferred.
* Strong analytical problem solving skills with demonstrated skills to define scope and analyze complex, cross-functional problems and processes.
* Basic knowledge in research evaluation design and descriptive statistics.
* Excellent communication, organizational, decision making and leadership skills with the ability to work independently and as part of a team.
* Excellent writing skills and experience in scientific writing and presentations.
* Must be skilled in the use of MS Word, Excel, PowerPoint and Outlook.
$58k-74k yearly est. Auto-Apply 19d ago
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Senior Network Engineer - Hybrid
Dartmouth-Hitchcock Concord 4.2
Lebanon, NH jobs
Relevant, hands-on experience with deployment and management of Cisco switches, routers, operation and troubleshooting using Cisco Catalyst Center, Infoblox IPAM functions. As well as, Cisco SD-WAN concepts, operations and management, wide area networking, Cisco security products and systems, Internet and Cloud based connectivity, Cisco Data Center Networking, new site installations/integrations.
Supports the area facilities and enterprise network operations. This person would balance time working with current Network Engineering staff, Project/Facilities Managers, and directly with Clinic and Hospital Support Staff. The role is responsible for installation and configuration of diverse network hardware and triage and troubleshooting of operational hardware, systems and circuits. As such, this role requires experience or expertise in a wide range of Cisco network and security technology solutions and implementations.
Responsibilities
Support\Installation, basic configuration and troubleshooting of LAN/WAN network deployments, to include: switches, routers, firewalls, and wireless networking technologies. Produce and update technical documentation and diagrams supporting Engineering and Operations teams as part of regular operations and project requirements. Able to perform equipment upgrades, to include; racking, configuring, patching, testing and troubleshooting / diagnostics. Provides timely communication to the team, operations center and clients, during high stress incidents, notifying them of impending changes or agreed upon service impacts, attending required meetings. Responds quickly to changing support needs work in all manner of clinical areas Demonstrates good verbal and written communications and ability to cross train and interact with all manner of IT Support teams and staff as well as employees and vendor representatives. Demonstrated capability of quickly learning new technologies required for accomplishing all assigned tasks and any related project/implementation goals. Ability to work well independently and as part of an enterprise network engineering support team. Demonstrate appropriate sense of urgency working in production clinical environments, ensuring exceptional customer service and communication Develop in-depth knowledge of DH standards, procedures, policies and operations and how they relate to the enterprise operational needs and to uphold these standards in daily operations Coordinate with third party labor (remote hands) ensuring completion and quality control as per enterprise standards Ability to successfully analyze and resolve complex issues with an emphasis on user satisfaction Capable of supporting multiple tasks in a high-pressure environment maintaining a professional demeanor Perform other duties as required or assigned.
Qualifications
* Bachelor's degree with a minimum of seven years of data network management experience, or the equivalent in education and experience required.
* A minimum of 5 years of experience implementing and supporting a Cisco Systems based enterprise network, complex network equipment and control systems in a rapidly expanding enterprise environment is a must.
* Experience with Cisco IOS, IOSXE, NXOS, Enterprise Management and DNA Center. Cisco ISE/NAC, Cisco Wireless Control Systems, Cisco FP/TD Firewalls, InfoBlox IPAM, DNS, DHCP System are all essential in this position.
* Knowledge of and experience with, SPLUNK, Cisco Umbrella, WAN carrier equipment and Cisco VOIP solutions is a plus.
* Strong troubleshooting skills regarding, network components, both wired and wireless and NAC concepts. The ideal engineer can quickly identify and resolve problems with minimal supervision.
* LAN/WAN troubleshooting and configuration experience - Layer 2, Layer 3, Wireless
* Knowledge of networking protocols and components to include, but not limited to; TCP/IP, DNS, DHCP, OSPF, 802.11 etc.
* Scripting experience - PowerShell, Batch, Bash, Python is a plus.
* Proven ability to successfully analyze and perform problem resolution with an emphasis on user satisfaction.
* Excellent written, oral communications and documentation skills are important
Required Licensure/Certifications
* None
$86k-111k yearly est. Auto-Apply 32d ago
Home Base Veteran Outreach Coordinator
Brigham and Women's Hospital 4.6
Boston, MA jobs
Site: The General Hospital Corporation 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.
Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research.
The Home Base Veteran Outreach Coordinator is a point of contact for veterans and their families seeking care and/or education regarding Post Traumatic Stress (PTS), Traumatic Brain Injury (TBI) and other combat-related stress. When not assigned to the Intensive Clinical Program, the Veteran Outreach Coordinator role changes to educate and provide outreach to New England-based veterans and their families about Post Traumatic Stress (PTS), Traumatic Brain Injury (TBI), and encourages the community to take advantage of services available through the Home Base Program. The Coordinator is an employee of MGH and works alongside a team of world class medical professionals to help educate veterans, their families, social workers, employers, community service providers, veterans' groups, and others as to how to recognize symptoms of PTS/TBI and the ways in which they or their loved ones can seek help. The Veteran Outreach Coordinator guides veterans through the treatment evaluation process in the Home Base Clinic and works closely with the clinical staff in the Home Base Program around patient case management and ongoing monitoring of patient needs. The Coordinator provides active patient outreach, including phone, email, in-person meetings and text messaging.
Job Summary
Summary
Responsible for community outreach, engagement, and support to enhance access to behavioral health programs. The Outreach Coordinator collaborates with community partners, healthcare professionals, and social service agencies to promote mental health awareness and address the behavioral health needs of individuals.
Does this position require Patient Care? Yes
Essential Functions
* Conduct proactive outreach within the community to identify individuals in need of behavioral health services.
* Establish relationships with community organizations, schools, primary care providers, and other relevant stakeholders to enhance outreach efforts.
* Conduct initial assessments to identify the behavioral health needs of individuals.
* Provide information and referrals to appropriate behavioral health services and resources.
* Respond to crisis situations and provide immediate support and intervention.
* Collaborate with crisis intervention teams, law enforcement, and emergency services as needed.
* Advocate for individuals with behavioral health needs to ensure they receive timely and appropriate care.
* Conduct community education and awareness programs on mental health topics.
Qualifications
Education
Bachelor's Degree preferred
Experience
* minimum of 1-3years of military experience with at least one deployment preferred but not required
* must have honorable discharge (proof of DD 214 required).
Knowledge, Skills and Abilities
* Strong knowledge of behavioral health services, resources, and crisis intervention techniques.
* Excellent communication, interpersonal, and organizational skills.
* Ability to work independently and collaboratively within a team.
* Sensitivity to the understanding of the social determinants of health.
* Proficiency in using electronic health records and documentation systems.
* Valid driver's license and reliable transportation for community outreach.
Additional Job Details (if applicable)
Physical RequirementsStanding Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%)
Remote Type
Hybrid
Work Location
One Constitution Wharf
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Rotating (United States of America)
Pay Range
$20.43 - $29.21/Hourly
Grade
4
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:
The General Hospital Corporation 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.
$20.4-29.2 hourly Auto-Apply 34d ago
Home Base Patient Services Coordinator II (PSC II)
Brigham and Women's Hospital 4.6
Boston, MA jobs
Site: The General Hospital Corporation 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.
Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research.
The Home Base Patient Service Coordinator (PSC) serves as a key member of the team that provides superior care and exceptional service to its patients. One critical dimension of this service focuses on patient check-in process and improving the human experience upon our patients' arrival to our practice and throughout the duration of their visit. The Home Base PSC will play an important role in redefining and reinvigorating the patient welcome and check-in experience. The PSC will be the crucial "face and attitude" of this patient-centered practice. While also providing medical scheduling services, the PSC will have the unique opportunity to work within a supportive team setting enabled by systems and technologies that will allow the employee to provide patient care and services at their highest levels. In addition, the PSC will be responsible to assist in special projects when skillset and capacity allow, as deemed appropriate by the Practice Manager.
Job Summary
Summary
Performs both administrative and clinical functions to support smooth and efficient clinical service or practice operations under general supervision. Performs basic clerical work and tasks that are repetitive and routine. Administrative duties related to patient visits including scheduling, check-in, check-out duties. Actual job duties may vary by Department.
Does this position require Patient Care? No
Essential Functions
* Perform routine administrative and clerical duties relating to a clinical service or physician practice office.
* Make patient appointments and maintain appointment records.
* Greet and assist patients.
* Answer telephones, assist callers with routine inquiries, and schedule appointments.
* File materials in patient folders and print appointment schedules.
* Process patient billing forms and scan documents to patient medical record/LMR.
* Call for patient medical records and laboratory test results.
* Open and distribute unit mail or faxes.
* Type forms, records, schedules, memos, etc., as directed.
* Handles, screens and/or takes messages related to prior authorizations, provider questions, prescription refills, and test results.
* Acts as "Super User" for scheduling, registration and billing systems.
* Provides assistance and training to others in these areas.
* May perform more complex or specialized functions (i.e. schedule changes/blocking) at more advanced competency level.
Qualifications
Education
High School Diploma or Equivalent required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Certified Medical Administrative Assistant [CMAA] - Data Conversion - Various Issuers preferred
Experience
office experience 2-3 years required
Knowledge, Skills and Abilities
* Proficiency with all Office Suite,
* Knowledge of office operations and standards and understanding of office procedures including filing, copying, scanning, printing and faxing.
* Ability to use phone system and manage more non-routine phone calls and solve routine issues as appropriate.
* Communicating effectively in writing as appropriate for the needs of the audience and talking to others to convey information effectively.
* Understanding written sentences and paragraphs in work related documents, to correspond and communicate with others clearly and effectively (including composing/editing e-mail, memos and letters), and to take complete and accurate messages.
* Managing one's own time and the time of others.
* Well organized and good time management skills to manage multiple tasks effectively, follow established protocols, and work within systems.
Additional Job Details (if applicable)
Physical RequirementsStanding Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%)
Remote Type
Hybrid
Work Location
One Constitution Wharf
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$17.36 - $24.45/Hourly
Grade
3
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:
The General Hospital Corporation 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.
$17.4-24.5 hourly Auto-Apply 36d ago
Per Diem Health Plan UM Medical Director
Brigham and Women's Hospital 4.6
Somerville, MA jobs
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
Mass General Brigham Health Plan UM Medical Director
Qualifications
Education: MD or DO required
Licenses and Credentials:
* Physician - Massachusetts active full license required
Experience:
* 5+ years of Health Plan UM experience
* at least 5 years of clinical practice experience
Knowledge, Skills and Abilities:
* Utilization Management experience
* Excellent written and oral communications skills
* Proficient in basic computer skills, use of EHR's, digital tools
* Multitasking abilities
* Adaptable to change due to business growth
Job Description:
* Handles utilization management initial determinations, appeals and grievances within the scope of their expertise as defined by Medicare, MassHealth, NCQA and the Division of Insurance and within the compliance requirements of key regulatory and accreditation entities
* Use CMS, state and internal medical necessity policies to guide MN determinations
* Complete peer to peer case discussions with requesting providers as assigned
* Refer to IRO/external review if specialist match or expertise is needed
* Interact, communicate and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees
* Monitors performance metrics to identify areas for continuous improvement and ensure compliance
* Establishes and maintains positive relationships with colleagues and customers and gains their trust and respect
* Ensure diversity, equity and inclusion are integrated as a guiding principle
Other duties as assigned with or without accommodation
Additional Job Details (if applicable)
* Primarily remote position
* M-F 830-5pm EST
* Ensures that all assigned work is completed within regulatory timelines
* Checks and addresses assigned work queues, email, Teams messages during assigned work hours
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
0
Employee Type
Regular
Work Shift
Day (United States of America)
EEO Statement:
Balance Sheet Cost Centers 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.
$179k-266k yearly est. Auto-Apply 9d ago
Per Diem ED Radiologist- Remote Reads
Umass Memorial Health 4.5
Worcester, MA jobs
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Everyone Is a Caregiver
At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.
Hiring Range: $175.48/hr - $209.13/hr
Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.
UMass Memorial Medical Group is seeking additional Per Diem ED Radiologists to either work onsite or remotely read. We are seeking additional per diem radiologists for all shift types (7a-3p, 3p-11p, 11p-7a).
About our Department:
Our department is comprised of ~80 Radiologists, 20 residents, 9 fellows and 15 PhDs. In our ED group we have a team of 15.
Our health system covers over one million lives and is a Level 1 Trauma Center with 95,000 ED visits per year.
Our department has over $6M/year in research funding. Academic pursuits are encouraged and supported both in the realms of research and education.
Our department has state of the art imaging equipment, AGFA PACS system, EPIC EMR, Tera-Recon image processing software, Powerscribe 360 and is running several AI algorithms.
Radiologist Requirements:
ED Radiologists work at the University campus with one resident and/or one Emergency Radiology fellow, and remotely cover several other hospitals. Additional opportunities for internal moonlighting within the department are available if desired.
We offer three shift types to include 7am-3pm, 3pm-11pm and 11pm-7am. We can offer hybrid schedules to include remote reading days but an onsite presence is required.
You must be comfortable interpreting the following modalities: CT, MRI, ultrasound, and Basic nuclear medicine.
Fellowship training in Emergency Radiology is desired but not required.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.
As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.
If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
$175.5-209.1 hourly Auto-Apply 60d+ ago
Home Base SOF Admissions Social Worker
Brigham and Women's Hospital 4.6
Boston, MA jobs
Site: The General Hospital Corporation 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.
LCSW: starting pay rate $68,224
LICSW: starting pay rate $92,227
SIGN ON BONUS AVAILABLE for eligible Non-MGB employees:
$3,000 FOR LCSW, $10,000 FOR LICSW/LMHC, Please ask about the details!
Job Summary
Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research.
The Massachusetts General Hospital seeks a dynamic Licensed Clinical Social Worker (LCSW)/Licensed Independent Clinical Social Worker (LICSW) to serve on the Special Operations Team. In this role, the LCSW/LICSW will provide and oversee the provision of psychiatric, psychosocial, and overall mental health services and referrals for military Special Operators into the Home Base program. They will also be dedicated to supporting the Special Operations Forces (SOF) program and will provide coverage to other clinical operations as needed. The LCSW/LICSW may help cover approximately 2-3 weekend shifts per year.
Summary
This position will collaborate with other professionals to evaluate patients' medical or physical condition and to assess client needs as part of the interdisciplinary team. They work collaboratively with all healthcare team members to develop and implement treatment plans that support patient-centered plans of care for both individual patients and the medical community.
Does this position require Patient Care? Yes
Essential Functions
* Provides psychosocial assessments of patients and families with social, emotional, interpersonal, and/or environmental issues. Formulates biopsychosocial assessment, disposition, and treatment plans.
* Collaborate with other professionals to evaluate patients' medical or physical condition and to assess client needs as part of the interdisciplinary team.
* Monitor, evaluate, and record client progress according to measurable goals described in the treatment and care plan.
* Coordinate care for Special Operations Forces (SOF) veterans and military-connected family members seeking care at Home Base with the appropriate internal or external clinicians in a multi-disciplinary team, coordinated care model.
* Serve as a contact point for accepting and triaging SOF referrals from internal clinicians, outside clinicians and self-referred patients.
* Serve as primary case manager for patients in SOF admissions process in collaboration with Admissions Coordinator, including, but not limited to, the following responsibilities: conduct pre-screening to assess treatment and evaluation needs for SOF patients referred; coordinate signing of Release of Information forms, acquire relevant medical records, and coordinate with SOCOM where applicable; serve as point of contact for ongoing questions from the patient as they arise.
* Monitor patient's status in admissions process using appropriate documentation.
* May be asked to collaborate with SOF/ComBHaT team, patients, clinical team, and Resource Specialist to identify clinical and psychosocial needs in patients' home communities and identify appropriate resources.
* May provide direct clinical services to Veterans and/or family members, which may include group or individual therapy.
* May provide psychoeducation regarding PTSD, TBI, and related conditions to Veteran patients and family members as clinically appropriate within the context of the Intake and triage duties.
* Collaborate with an inter-disciplinary team of clinical staff (social workers, psychologists, nurses, psychiatrists, physiatrists, physical therapists, etc.) to coordinate patient care and plan for discharge/aftercare when needed.
* Consult with team to facilitate mandated assessments when abuse is suspected (child, disabled adult, elder), and safety assessment when violence is reported. Collaborates with MGH resources (HAVEN and Child Protection Team).
* May assist with crisis intervention and management.
* Documents timely and relevant information in patient electronic medical record and Home Base database.
* Provide coverage for social work responsibilities in Outpatient Clinic as needed.
* For LICSWs: provide clinical supervision to LC-level and/or MSW students as needed.
* Additional responsibilities as assigned.
Qualifications
Education
Master's Degree Social Work required or Master's Degree Mental Health & Behavioral Medicine required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Current professional licensure in Massachusetts (LCSW required, LICSW preferred).
Experience
Clinical Social Worker I
Clinical Experience in a medical setting 0-1 years required
Clinical Social Worker II
Clinical Experience in a medical setting 2-3 years required
Knowledge, Skills and Abilities
* Excellent organizational and time management skills.
* Excellent crisis intervention skills.
* Good problem solving and conflict resolution skills.
* Ability to work well collaboratively and independently.
* Strong written and verbal communication skills.
* Knowledge of community resources and the aging process.
* Demonstrates basic foundational skills, showing fundamental knowledge and a commitment to the application of professional values and ethics.
* Demonstrates fundamental skills in formulation, assessment of risks, crisis intervention completion of psychosocial treatment plans, and appropriate documentation.
* May need assistance and guidance in ensuring the patient's needs, safety measures, and concerns are brought forward. Emerging knowledge of internal and external resources.
* Developing and demonstrating interpersonal collaboration in a medical setting- inpatient or outpatient.
* May need coaching/guidance in this area.
* May provide some assistance and support with onboarding for new team members.
* Aware of opportunities in department/service initiatives; participates in initiatives at an entity level. Uses data to measure progress.
* Demonstrate fundamental skills under supervision. May need assistance in promoting collaboration among healthcare team members, other colleagues, and the organization to support and enhance patient care.
Additional Job Details (if applicable)
Physical Requirements
* Standing Frequently (34-66%)
* Walking Frequently (34-66%)
* Sitting Occasionally (3-33%)
* Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
* Carrying Frequently (34-66%) 20lbs - 35lbs
* Pushing Occasionally (3-33%)
* Pulling Occasionally (3-33%)
* Climbing Rarely (Less than 2%)
* Balancing Frequently (34-66%)
* Stooping Occasionally (3-33%)
* Kneeling Occasionally (3-33%)
* Crouching Occasionally (3-33%)
* Crawling Rarely (Less than 2%)
* Reaching Frequently (34-66%)
* Gross Manipulation (Handling) Frequently (34-66%)
* Fine Manipulation (Fingering) Frequently (34-66%)
* Feeling Constantly (67-100%)
* Foot Use Rarely (Less than 2%)
* Vision - Far Constantly (67-100%)
* Vision - Near Constantly (67-100%)
* Talking Constantly (67-100%)
* Hearing Constantly (67-100%)
Remote Type
Hybrid
Work Location
One Constitution Wharf
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$56,992.00 - $82,992.00/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:
The General Hospital Corporation 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.
$57k-83k yearly Auto-Apply 58d ago
Clinical Review Specialist, Remote
Brigham and Women's Hospital 4.6
Somerville, MA jobs
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 3d ago
Financial Clearance Spec-REMOTE
Umass Memorial Health 4.5
Worcester, MA jobs
Are you a current UMass Memorial Health caregiver? Apply now through Workday.
Exemption Status:
Non-Exempt
Hiring Range:
$20.94 - $33.59
Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.
Schedule Details:
Monday through Friday
Scheduled Hours:
8:00am - 4:30pm
Shift:
1 - Day Shift, 8 Hours (United States of America)
Hours:
40
Cost Center:
99940 - 5478 Financial Clearance
Union:
SHARE (State Healthcare and Research Employees)
This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
Everyone Is a Caregiver
At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.
Responsible for assessing and verifying patient information for scheduled for medical services. This requires verification of patient's demographic, financial and insurance information. Collects co-pays, deductibles, coinsurances, and down payments. Provides estimates for services when appropriate. Receives and processes patient financial liability payments for current and past balances. The focus is to collect patient liabilities prior to service and to resolve any insurance and financial issues prior to services being rendered. Reschedules appointments when appropriate under the guidance of department leader. This position is the front line for customer service, pre-registration and access to care for scheduled services.
I. Major Responsibilities:
1. Initiates contact with insurance companies to obtain eligibility, gather accurate patient billing information, and performs collections with outstanding accounts receivable.
2. Accurately estimates the patient financial liability (copayments, deductibles, coinsurances, deposits, etc. via obtaining accurate demographic and financial information). Answers patient inquiries regarding their liability and able to explain the variables involved.
3. Receives and processes patient payments.
4. Ensures pre-certification authorization and or referral is in placement prior to service being rendered.
5. Appropriately referring patients to Financial Counselors or Business Office dependent on need of patient.
6. Reschedules appointments when requested by patient or, under advisement of department leader, when due to financial circumstances appointment requires postponement.
7. Enters clear, concise notes concerning financial clearance status in system based on communications.
8. Demonstrate knowledge and understanding of all job-related policies and procedures and adheres to and consistently applies the Financial Clearance Policy in all patient cases.
9. Assesses gaps in patient coverage to determine patient financial exposure prior to rendering service.
10. Consistently demonstrates ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
11. Performs other duties as assigned, or directed, to ensure smooth operation of the department/unit.
II. Position Qualifications:
License/Certification/Education:
Required:
1. Minimum High School Diploma, or G.E.D., business concentration preferred.
Preferred:
1. Associate degree, or higher, preferred.
Experience/Skills:
Required:
1. Four plus (4+) years of experience within a business office setting, hospital revenue cycle preferred, Physician office or collection agency.
2. Prior experience in a healthcare environment required.
Preferred:
1. Working knowledge of personal computers and business office applications preferred.
2. Familiarity with hospital computer systems is a plus.
3. Knowledge of third party collections and reimbursement preferred.
Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.
III. Physical Demands and Environmental Conditions:
On-the-job time is spent in the following physical activities:
1. Stand - 1/3
2. Walk - 1/3
3. Sit - 2/3
4. Talk or hear - 2/3
5. Uses hands to finger, handle or feel - 2/3
This job requires that weight be lifted, or force be exerted:
1. Up to 10 pounds - 1/3
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.
As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.
If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
$20.9-33.6 hourly Auto-Apply 1d ago
AR Specialist I - REMOTE
Umass Memorial Health 4.5
Worcester, MA jobs
Are you a current UMass Memorial Health caregiver? Apply now through Workday.
Exemption Status:
Non-Exempt
Hiring Range:
$19.74 - $30.80
Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.
Schedule Details:
Monday through Friday
Scheduled Hours:
8-430
Shift:
1 - Day Shift, 8 Hours (United States of America)
Hours:
40
Cost Center:
99940 - 5436 Med Specs Ancillary Pod Ar
Union:
SHARE (State Healthcare and Research Employees)
This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
Everyone Is a Caregiver
At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.
Responsible for follow-up of complex claims for payment.
I. Major Responsibilities:
1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments.
2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice.
3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts.
4. Makes appropriate payor and plan changes to secondary insurers or responsible parties.
5. Inputs missing data as required and corrects registration and other errors as indicated.
Standard Staffing Level Responsibilities:
1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6. Maintains, regular, reliable, and predictable attendance.
7. Performs other similar and related duties as required or directed.
All responsibilities are essential job functions.
II. Position Qualifications:
License/Certification/Education:
Required:
1. High School Diploma
Experience/Skills:
Required:
1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement.
2. Ability to perform assigned tasks efficiently and in timely manner.
3. Ability to work collaboratively and effectively with people.
4. Exceptional communication and interpersonal skills.
Preferred:
1. One or more years of experience in health care billing functions.
Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.
III. Physical Demands and Environmental Conditions:
Work is considered sedentary. Position requires work indoors in a normal office environment.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.
As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.
If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
$19.7-30.8 hourly Auto-Apply 39d ago
Epic Principal Trainer - Optime/Radiant/Cupid
Saint Francis Health System 4.8
Remote
Current Saint Francis Employees - Please click HERE to login and apply.
Full TimeDays
Job Summary: The Epic Principal Trainer is responsible for developing and maintaining Epic course curricula and supporting training materials; building, testing and maintaining the training environment; delivering Epic curricula to end users using training strategies that meet a variety of learning styles; educating and training other trainers; working with the Training Team to analyze and coordinate the availability of trainers, schedules, rooms, workstations and other resources, and answering Epic functionality questions from Managers and end users.
Minimum Education: High School Diploma or GED. Bachelor's Degree preferred.
Licensure, Registration and/or Certification: Obtain and maintain Epic certification in assigned application module(s).
Work Experience: 0 - 6 months related experience.
Knowledge, Skills and Abilities: Ability to work with Microsoft Office applications for the production and management of training materials, interoffice communication, and use and exchange of shared project and department documents. Excellent interpersonal and communication skills. Strong teaching skills that have been demonstrated on various projects, particularly related to healthcare a plus.
Essential Functions and Responsibilities: Develop/implement classroom training, one-to-one training, computer based training, and/or just in time (JIT) training of the clinical or revenue cycle personnel on a variety of functions; and applications of the electronic health record. Set up/deliver training in a formal class setting or at-the-elbow support/optimization in the workplace setting. Plan, identify needs, and implement programs and materials to achieve the skills/competencies necessary to meet patient safety, data management, compliance, HIPAA, CHI policies and procedures, Joint Commission, and/or other regulatory requirements. Facilitate problem solving/conflict resolution related to the practitioner usage of the electronic health record. Recommend changes and determine outcomes to improve the quality of education, patient safety, staff efficiency, and/or organizational effectiveness. Collaborate and communicate with Information Services, various steering groups, and the users to coordinate enhancements, resolve operation problems and improve operational quality. Participate in departmental meetings/initiatives, quality improvement activities, and committees as assigned.
Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field.
Working Relationships: Works with internal customers via telephone or face to face interaction. Works with other healthcare professionals and staff.
Special Job Dimensions: Ability to travel as required for Epic training. Ability to travel to remote work sites as needed.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Information Technology Training - Saint Francis Connect
Location:
Tulsa, Oklahoma 74136
EOE Protected Veterans/Disability
$74k-98k yearly est. Auto-Apply 60d+ ago
Integration Specialist (Epic Bridges)
Saint Francis Health System 4.8
Remote
Current Saint Francis Employees - Please click HERE to login and apply.
Full TimeDays
Job Summary: The Integration Specialist supports interfaces and integration engine functions. This role focuses primarily on the interface engine Cloverleaf with a secondary focus on Epic Bridges. Understands requirements from various hospitals and practices regarding their Health Information Exchange needs.
Minimum Education: High School Diploma or GED. Bachelor's degree in Computer Science, Engineering or Math, preferred.
Licensure, Registration and/or Certification: Cloverleaf Level II and/or Epic Bridges certification, preferred.
Work Experience: 3 - 4 years related experience.
Knowledge, Skills and Abilities: Knowledge of Standards (HL7 V2.X, HL7 CDA, XML), Environment (AIX, Linux, Windows). Languages (TCL), Databases (SQLite.), Protocols ITCP/IP, SOAP, SFTP, REST API), and Management Tool (Teams, Microsoft Office 360).
Essential Functions and Responsibilities: Interface development, validation, and deployment using the Cloverleaf Integration Engine and Epic Bridges. Interface support and maintenance, including after-hours support. File Transfer development, support, and maintenance. Provide functional support to Application and testing teams. Provide quality documentation and status updates. Understand requirements from various Hospitals and Practices regarding their Health Information Exchange needs. Review and modify interfaces to ensure technical accuracy, security, and reliability.
Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field.
Working Relationships: Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.
Special Job Dimensions: Ability to travel as required for Epic training. Ability to travel to remote work sites as needed.
Supplemental Information: This document generally describes the essential functions of the job, and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Information Technology Patients, Affiliates and Interface Systems - Yale Campus
Location:
Virtual Office, Oklahoma 73105
EOE Protected Veterans/Disability
$57k-92k yearly est. Auto-Apply 3d ago
Cancer Registrar, Certified - FT - Days - Remote
Sanford Health 4.2
Fargo, ND jobs
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
Scheduled Weekly Hours:
40Salary Range: $21.50 - $34.50
Union Position:
No
Department Details
Remote Fargo only
Summary
The Cancer Registrar, Certified holds the Oncology Data Specialist (ODS) certification and independently abstracts all cancer sites into the Cancer Registry while meeting quality standards. This role efficiently and effectively performs all cancer registry workflows including case finding, abstracting, patient follow-up, and safety net workflows.
Job Description
Independently analyzes and interprets clinical and demographic data and determine appropriateness of case inclusion in cancer database. Identifies, codes and abstracts records of all eligible cancer patients (analytic and non-analytic), utilizing the cancer registry data system within the guidelines and requirements of the American College of Surgeons CoC, State, Cancer Registry standard setters, and other applicable requirements. Completes abstracting in a multi-facility database structure, analyzes cases for inclusion or exclusion, performs patient follow-up analysis, and is able to complete all safety net workflows. Maintains work performance within production and quality guidelines. Works proficiently in Epic workflows. Completes necessary continuing education to maintain ODS certification, compliance with CoC accreditation standards, and maintains current knowledge of guidance/updates issues by cancer registry standard setters. Possesses knowledge of ICD-10, ICD-0, and morphology coding. Requires extensive knowledge of anatomy, physiology, disease processes, and current standards of care. Adheres to, displays and upholds the Sanford Values. Serves as a role model on professionalism, attitude, knowledge, demeanor and execution of duties. Regularly uses critical thinking skills, problem solving and decision making skills in the course of work. Possesses attributes to include: Skillful and flexible at managing change. Understands a systems approach to problem solving. Possesses excellent written and oral communication skills. Well organized. Willingness and ability to make decisions and be accountable for same. Flexibility, creativity and a willingness to implement new ideas. Knowledgeable in computer hardware and software applications including Microsoft Office, electronic medical records (EMR) and Cancer Registry database. Ability to work with team members in remote locations using a variety of technologies. Works extensively with electronic medical records and protected health information and is required to adhere to Health Insurance Portability and Accountability Act (HIPAA) privacy and security regulations and policies related to the same.
Qualifications
Oncology Data Specialist certified through the National Cancer Registrars Association is required and must meet post-secondary education requirements of NCRA.
Minimum of one year Cancer Registry experience is preferred.
Oncology Data Specialist certified through the National Cancer Registrars Association is required.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
$21.5-34.5 hourly Auto-Apply 5d ago
Contract Management Specialist I
Cincinnati Childrens Hospital 4.5
Remote
JOB RESPONSIBILITIES
Professional Development- Developing professional expertise. Applies company policies and procedures to resolve a variety of issues
Customer Service- Effectively identify, prioritize and communicate with leadership and stakeholders. Demonstrate clear, diplomatic, effective oral and written communication skills to clients. Exhibit initiative, effort, resourcefulness and professional demeanor when providing detailed contract, budget, development, negotiation or management assistance, as required. Develop and strengthens relationships with other departments whose services and products are integrated. Establish and maintain effective working relationships with other staff. Provide guidance and training on relevant aspects of budget and contracting issues to these constituencies. Ensure reasonable follow-up on outstanding issues, and escalate relevant issues as appropriate.
Contract compliance- Assist stakeholders and business operations staff in developing agreements that comply with CCHMC policies and regulations (e.g. HIPAA, FDA, HSRP, export compliance, etc.), and apply those frameworks into contracting.
Contract Negotiaton- Negotiate, draft, and process various types of contracts with public and private entities. Responsible for various types of research funding agreements with different sponsors (i.e., government federal and state, foundation, and industry). Responsible for agreements to support research and academic collaborations, including multi-site projects, such as data and materials transfer agreements, research collaboration agreements, services agreements (e.g. personal services, consulting, lab services, etc.), and network/consortium/registry agreements.
Centralized support for 1-3 divisions
JOB QUALIFICATIONS
Bachelor's degree in a related field
3+ years of work experience in a related job discipline or equivalent combination of education and experience
Primary Location
Remote
Schedule
Full time
Shift
Day (United States of America)
Department
Sponsored Programs
Employee Status
Regular
FTE
1
Weekly Hours
40
*Expected Starting Pay Range
*Annualized pay may vary based on FTE status
$61,401.60 - $78,291.20
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
One of the nation's America's Most Innovative Companies as noted by Fortune
Consistently certified as great place to work
A Leading Disability Employer as noted by the National Organization on Disability
Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
$61.4k-78.3k yearly Auto-Apply 28d ago
Epic Application Analyst - Cupid
Saint Francis Health System 4.8
Remote
Current Saint Francis Employees - Please click HERE to login and apply.
Full TimeDays
Schedule: Monday - Friday | 8:00am -5:00pm | On call rotation after hours and weekends required
Job Summary: The Application Analyst has primary responsibility for system design, build, testing, validation, and ongoing support of assigned applications.
Minimum Education: High school diploma or GED. Bachelor's degree strongly preferred.
Licensure, Registration and/or Certification: Obtain and maintain Epic certification in assigned application module(s).
Work Experience: One year of related experience. Current internal/external Epic operational experience strongly preferred. Epic Cupid certification and/or Cardiology clinical experience.
Knowledge, Skills and Abilities: Ability to complete Epic certification and maintain certification in assigned application module(s). Basic computer skills. Ability to work independently and within a team across multiple disciplines. Ability to establish and meet work schedules within limited time frames and under tight deadlines. Analytical ability to solve both business and technical problems. Excellent interpersonal and communication skills.
Essential Functions and Responsibilities: Responsible for obtaining and maintaining in-depth knowledge of functional workflows and the software functionality necessary to support them. Participate in future state workflow review and development and complete the system build necessary to support these new workflows. Work collaboratively in workgroups and across interdisciplinary teams. Identify system optimization and enhancements and collaborate with vendors and other technology, project team, and end-user resources in order to design and implement effective solutions. Research issues and use independent analysis and judgment to produce solution options (including alternative solutions when necessary to address system limitations) to complex matters. Continually identify opportunities for functional improvement in applications. Provide tier-2 support of application incidents reported through the help desk. Maintain up to date documentation. Implement changes using documented processes that are compliant with departmental policies and procedures. Promote the Mission, Vision, and Values of the Health System and practice a high level of customer service in all aspects of job duties.
Decision Making: Independent judgment in making decisions from many diversified alternatives that are subject to general review in final stages only.
Working Relationships: Coordinates activities of others (does not supervise). Leads others in same work performed (does not supervise). Works directly with patients and/or customers. Works with internal customers via telephone or face to face interaction. Works with external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above.
Special Job Dimensions: Ability to travel as required for Epic training. Ability to travel to remote work sites as needed.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Information Technology Ancillary Clinical Systems - Saint Francis Connect
Location:
Virtual Office, Oklahoma 73105
EOE Protected Veterans/Disability
$71k-103k yearly est. Auto-Apply 60d+ ago
Risk Adjustment Revenue Manager (Remote)
Sanford Health 4.2
Marshfield, WI jobs
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Risk Adjustment Revenue Manager (Remote) Cost Center:682891390 SHP-Strategic FinanceScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; 8:00 am - 5:00 pm (United States of America) Job Description:
The Risk Adjustment Revenue Manager is responsible for risk adjustment strategy and related revenue management for Security Health Plan's Medicare, Affordable Care Act and Medicaid business. This individual provides development and implementation of programs and initiatives to improve the accuracy of the coding, including education; retrospective and prospective review processes; and vendor contract management; accountability for preparation for and management of the Centers for Medicare and Medicaid Services (CMS) and the Department of Health Services (DHS) auditing processes; management of encounter data processes; and management of applicable state and federal guidance. The Risk Adjustment Revenue Manager works collaboratively with Security Health Plan executives and leadership as well as Marshfield Clinic Health System (MCHS) executives and leadership to lead risk adjustment strategy and process.
JOB QUALIFICATIONS
EDUCATION
Minimum Required: Bachelor's Degree in Business Administration, Finance, Health Care Administration, Management or related field required.
Preferred/Optional: Post graduate degree(s) desirable.
EXPERIENCE
Minimum Required: Five years of experience in risk adjustment or related area. Three years of experience in a management or leadership role and experience in the healthcare industry. Demonstrate a broad understanding of healthcare and health insurance. Demonstrate proficiency with verbal and written communication, strategic planning and business acumen.
Preferred/Optional: Working knowledge of CMS and/or Medicaid risk adjustment methodologies.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required: Certifications in professional coding and risk adjustment coding from American Academy of Professional Coders. State of Wisconsin driver's license with an acceptable driving record.
Preferred/Optional: None
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
$72k-94k yearly est. Auto-Apply 14d ago
Utilization Management Coordinator (H)- Remote
Saint Francis Health System 4.8
Remote
Current Saint Francis Employees - Please click HERE to login and apply.
This position is ECB status - requires a minimum number of worked hours per month as needed by the department; limited benefit offerings.
#ALDIND
The shift for this role would be as needed during the weekdays.
Location: Remote
Job Summary: Provides administrative and clinical support to the hospital and treatment team throughout the review of patients, their placement in various levels of care and their receipt of necessary services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with providers the details of reimbursement issues; also participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal processes. Provides staff education as needed to further the goals of UR.
Minimum Education: Has completed the basic professional curricula of a school of nursing as approved and verified by a state board of nursing, and holds or is entitled to hold a diploma or degree therefrom or Master's degree in Social Work, Counseling or related behavioral health field.
Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or Professional Counselor (LPC) license, or Marriage and Family Therapist (LMFT).
Work Experience: 3 - 4 years of related experience in behavioral health care, part of which may be experience in Behavioral health managed care.
Knowledge, Skills and Abilities: Working knowledge of Microsoft Word, Excel and Access as might be used in the preparation of correspondence and reports. Effective interpersonal, written and oral communication skills. Ability to integrate the analysis of data to discover facts or develop knowledge, concepts or interpretations. Ability to organize and prioritize work in an effective and efficient manner. Ability to be detail oriented as required in the examination of numerical data. Ability to synthesize clinical case data into concise summaries.
Essential Functions and Responsibilities: Meets time requirements for review intervals, supplying the required clinical information to obtain authorization. Responds promptly to authorizing entity's need for further detail. Participates in treatment team or Patient Care Committee, providing information about eligibility, benefits and criteria for the selected level of care. Seeks treatment information for use in providing reviews for authorization of services. Contributes to discharge planning. Participates in quality of care process improvement. Identifies QI Triggers for individual patient situations, reporting them promptly to the Process Improvement/Quality Director, to appropriate clinicians and to the UM Manager. Reviews eligibility and benefits of patients, matching the level of care utilization. Assures compliance with Managed Care Behavioral Health standards in the area of UM procedures and documentation to permit accreditation for Laureate and/or to maintain the delegation standards established by the managed care contracts. Investigates and prepares appeals for insurance companies, when denial of reimbursement is related to medical necessity or to other treatment issues. Participates in UM process improvement on an ongoing basis and participates in the UR Staff Committee's process improvement goals.
Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from supervisor.
Working Relationship: Works directly with patients and/or customers. Works with internal customers via telephone or face to face interaction. Works with external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above.
Special Job Dimensions: None.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Pre-Arrival - Yale Campus
Location:
Tulsa, Oklahoma 74136
EOE Protected Veterans/Disability
$45k-56k yearly est. Auto-Apply 5d ago
Behavioral Health Specialist, Community Case Manager
Cincinnati Childrens Hospital 4.5
Remote
This position requires meeting clients in their homes, community, schools, etc. In addition, transporting clients in their own vehicle to/from appointments, school, community events, etc. Community Psychiatric Support Treatment (CPST) and Therapeutic Behavioral Services (TBS) provide services to children and adolescents with mental illness within all settings that meet the needs of the individual. These services may involve collateral contacts. CPST and TBS services provides an array of services delivered by community based providers. Services address the individualized mental health needs of the client which vary in hours, type, and intensity of services. CPST/TBS services are designed to provide specific, measurable, and individualized services to each client served.
Activities of the service shall consist of one or more of the following:
Ongoing assessment of needs;
Assistance in achieving personal independence in managing basic needs as identified by the individual and/or parent or guardian;
Facilitation of further development of daily living skills, if identified by the individual and/or parent or guardian;
Assistance with accessing natural support systems in the community; and linkages to formal community service/systems;
Symptom monitoring;
Coordination and/or assistance in crisis management and stabilization as needed;
Advocacy and outreach;
Mental health interventions that address symptoms, behaviors, thought processes, etc., that assist an individual in eliminating barriers to seeking or maintaining education and employment.
REPRESENTATIVE RESPONSIBILITIES
·Patient/Family Interaction and Education
Provides therapeutic intervention to assigned caseload of patients based upon an Individualized Treatment Plan (ITP) developed with the families, at the frequency specified in the ITP, under the supervision of the Clinical Manager. Critical thinking skills are employed in implementing these therapeutic interventions, which are provided in the patients home, school and other natural environments in the community as appropriate. Transports patient and/or caregiver in personal automobile (after conducting a safety assessment) at times to provide individualized supportive services and to help ensure attendance at all appointments. Provides coaching and psychoeducation to families in a culturally competent manner, including safety plans as indicated. Consistently integrates age specific and culturally diverse concepts into patient care, taking into consideration both the patient's chronological age and developmental functioning. Recognizes the effects that trauma may have on the patient and family. Utilizes Situation Awareness concepts as appropriate. Embraces relationship-based care.
·Interdisciplinary Teaming
Participate in regular team planning meetings as appropriate or needed. Assist the multidisciplinary team during patient care, and/or parent and staff training related to individual behavioral and education programs, data collection, and environmental modifications to promote patient success. Implement discipline specific interventions after discipline modeling and treatment integrity checks.
·Behavioral Intervention/Clinical Activity
Function as a member of the outpatient behavioral intervention program to assess behavioral function and implement behavioral and educational protocols. Implement behavior assessment protocols as designed by psychology staff. Provide insight into antecedent events and consequences that may affect behavioral treatment. Implement individualized and/or group behavior and education intervention plans as prescribed. Utilize safe management and crisis intervention techniques as appropriate. Participate in problem-solving of behavioral-medical treatment options. Participate in team staffing of children.
·Clinical Documentation
Documents accurately and timely the therapeutic interventions provided and response of patients/families/significant adults in the electronic medical record (Epic) per state requirements and established quality standards. Apply appropriate policies and procedures for work flow within Epic, including accurately implementing Epic Prelude, Epic Cadence and Epic Ambulatory.
EDUCATION/EXPERIENCE
Required:
High school diploma or equivalent AND 2 years of work experience in a related job discipline
This position requires an active Ohio drivers license with less than five points on your record.
Preferred:
Bachelor's Degree in a related field
Primary Location
Remote
Schedule
Full time
Shift
Day (United States of America)
Department
Psychiatry
Employee Status
Regular
FTE
1
Weekly Hours
40
*Expected Starting Pay Range
*Annualized pay may vary based on FTE status
$21.00 - $25.72
Market Leading Benefits Including*:
Medical coverage starting day one of employment. View employee benefits here.
Competitive retirement plans
Tuition reimbursement for continuing education
Expansive employee discount programs through our many community partners
Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
Physical and mental health wellness programs
Relocation assistance available for qualified positions
*
Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
One of the nation's America's Most Innovative Companies as noted by Fortune
Consistently certified as great place to work
A Leading Disability Employer as noted by the National Organization on Disability
Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
$31k-41k yearly est. Auto-Apply 60d ago
Claims Auditor (Remote - WI or MN)
Sanford Health 4.2
Marshfield, WI jobs
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Claims Auditor (Remote - WI or MN) Cost Center:682891379 SHP-ClaimsScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; day shifts (United States of America) Job Description:
JOB SUMMARY
The Claims Auditor is responsible for performing payment, procedural accuracy, turnaround time, compliance and operational audits as directed by management. The Claims Auditor has working knowledge of the overall aspects of claim processing, both in and outside of Security Health Plan. Audit responsibilities include applying effective, appropriate and efficient audit procedures in collecting, analyzing and reporting concise and relevant findings.
JOB QUALIFICATIONS
EDUCATION
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required: High school diploma or equivalent. Successful completion of the following courses per departmental procedures, within one year of hire: current procedural terminology (CPT), current international classification of diseases (ICD), health care procedure coding system (HCPCS) and medical terminology.
Preferred/Optional: Associate degree in business, medical or related field. Successful completion of the following courses per departmental procedures at time of hire: current procedural terminology (CPT), current international classification of diseases (ICD), health care procedure coding system (HCPCS) and medical terminology.
EXPERIENCE
Minimum Required: Three years' experience related to health insurance claim processing. Three years' experience related to CPT/HCPCS and current ICD coding. Demonstrated proficiency with analytical problem solving, written and oral communications and the Microsoft Office Suite. Working knowledge of anatomy & physiology.
Preferred/Optional: One year experience in claims auditing.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required: Certified Professional Coder (CPC) or Certified Professional Coder - Payer (CPC-P) certification awarded by the American Academy of Professional Coders (AAPC) within three years of hire based on the department position the resides in.
Preferred/Optional: Certified Professional Coder (CPC) or Certified Professional Coder - Payer (CPC-P) certification awarded by the American Academy of Professional Coders (AAPC) at time of hire.
QUALIFYING APPLICANTS FROM WI & MN WILL BE CONSIDERED
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
$34k-38k yearly est. Auto-Apply 60d+ ago
Remote - CLINICAL DIETITIAN PRN
Johns Hopkins Medicine 4.5
Bethesda, MD jobs
The Clinical Dietitian works collaboratively with a multi-disciplinary health team to promote wellness, maintain current health, and/or intervene in acute or chronic illness
Plans and calculates nutrition support for therapeutic diets based on patients' health care needs
Instructs patients and their families on nutrition
Charts and documents patients' progress and performs other professional duties
Shift:
REMOTE!!!!
PRN- Casual/On-Call (Based on the Need of the Dept)
Every other Weekend of Work
Day Shift: 8:00am - 4:30pm
Location: Suburban Hospital,
8600 Old Georgetown Rd, Bethesda, MD 20814
Education:
Requires a Bachelor degree from an accredited college or university
Licensure/Certification:
Requires registration with the Commission on Dietetic Registration
Must be a Licensed Dietitian-Nutritionist within the State of Maryland or be eligible to apply for licensure prior to hire
Salary Range: Minimum 38.00/hour - Maximum 38.00/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.
In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!
Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.