Precertification Representative PRN
HCA Healthcare job in Idaho Falls, ID
Hourly Wage Estimate: $15.46 - $23.19 / hour Learn more about the benefits offered ( ************************************************************************* ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
**Introduction**
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Precertification Representative Work from Home
**Benefits**
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (**********************************************************************
_Note: Eligibility for benefits may vary by location._
We are seeking a Precertification Representative for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!
**Job Summary and Qualifications**
The Precertification Representative is responsible for requesting, obtaining and following up on authorization requests. Requests and interdepartmental scheduling with minimal delay to customer. Correct utilizationof all systems and accurately enters all mandatory information. Provides instructions to patients and physician's staff on authorization requirements and information. Establish and maintain a working knowledge and vocabulary of scheduled procedures. Manage daily operations including but not limited to: Meditech, Orders Management System, Call Center Equipment (phones, etc.), payer websites.
**In this role you will:**
+ Requests, obtains and follows up on authorization requests
+ Processes Phoned and/or faxed requests processed in a prompt and timely manner
+ Stat requests and interdepartmental scheduling processed promptly;
+ Contacts the facilities, physicians' offices and/or insurance companies to resolve denials/appeals
+ Schedules patient tests, and/or procedures in a prompt, courteous manner;
+ Correctly utilizes the features of the Meditech system and accurately enters necessary information;
+ Instructs patients and physician staff on authorization, test preparation and registration information;
+ Establishes and maintains a working knowledge and vocabulary of procedures scheduled;
+ Demonstrates the willingness and ability to process requests for diagnostic procedures and coordinates the Peer to Peer function as needs arise
+ Checks patient orders for compliance with Medicare guidelines
+ Processes physician's orders in accordance with department standards
+ Assists with orientation of new employees as needed and serves as a resource within the department;
+ Displays confidence when processing difficult or interdepartmental requests;
+ Recognized by customers as knowledgeable and helpful
**Qualifications:**
+ High school diploma or GED preferred.
+ One year of precertification experience preferred
+ Previous Call Center Experience preferred
+ Meditech experience a plus
+ Virtual Employees are required to have wired High Speed Internet Speed 25 MBS Download and15MBS Upload
+ Remote employees are required to live within 60 miles of an HCA hospital.
Parallon (********************** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our Precertification Representative opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team.We are interviewing - apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Assistant Controller
HCA job in Idaho Falls, ID
Salary Estimate: 66040.00 - 99049.60 / year Learn more about the benefits offered for this job. The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
Introduction
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Assistant Controller today with Eastern Idaho Regional Medical Center.
Benefits
Eastern Idaho Regional Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Come join our team as a(an) Assistant Controller. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today!
Job Summary and Qualifications
As the Assistant Controller in our accounting department, you will be assisting in directing and coordinating the financial activities of the Hospital. In this role:
* You will assist the Controller in preparing comprehensive financial information and reports timely and in an accurate manner.
* You will assist with the preparation of financial analysis, which provides the necessary information for Administration to make sound financial decisions for the hospital.
* You will assist the Controller and CFO in ensuring financial statements are complete, accurate and properly stated. You will also assist with the annual budget preparation and completion for the hospital.
* You will ensure that the assigned general ledger accounts are reconciled timely on a monthly basis and all reconciling items are resolved.
* You will assist in annual Corporate Tax Package, and the preparation of the work for the annual Medicare cost report.
* You will be responsible for projects and analysis as directed by the Controller.
What qualifications you will need:
* Bachelor's Degree required; Masters Degree and/or CPA preferred
* Minimum 2 years experience in a Senior Accountant or other accounting leadership role. Healthcare experience preferred.
* Must have experience with the month end close process, with demonstrated ability to prepare/review complex journal entries and financial statements, and reconciliations.
* Leadership abilities, professionalism, common sense, flexibility, promptness, honesty and a service-oriented attitude.
Eastern Idaho Regional Medical Center (EIRMC) is a full-service hospital with 318+ patient beds. Our hospital is the largest medical facility in the region. We serve southeast Idaho, western Wyoming, Yellowstone National Park, and parts of Montana. Our facility has an ER, a Level II Trauma Center, a Level 1 ICU (one of two in Idaho), and the only Burn Center in the state of Idaho. We have the region's only Pediatric Intensive Care Unit for critically ill children. Our 74-bed Behavioral Health Center offers inpatient and outpatient mental health care for adolescents and adults.
We are part of the HCA Healthcare network - which includes more than 300 affiliate facilities across the country - offering our colleagues the opportunity for travel and relocation. HCA Healthcare and EIRMC are all about caring for people. This care extends to patients, families, and colleagues.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Assistant Controller opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Adjudicator, Provider Claims
Idaho Falls, ID job
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. * Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
* Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
* Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
* Assists in reviews of state and federal complaints related to claims.
* Collaborates with other internal departments to determine appropriate resolution of claims issues.
* Researches claims tracers, adjustments, and resubmissions of claims.
* Adjudicates or readjudicates high volumes of claims in a timely manner.
* Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
* Meets claims department quality and production standards.
* Supports claims department initiatives to improve overall claims function efficiency.
* Completes basic claims projects as assigned.
Required Qualifications
* At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
* Research and data analysis skills.
* Organizational skills and attention to detail.
* Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
* Customer service experience.
* Effective verbal and written communication skills.
* Microsoft Office suite and applicable software programs proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.16 - $38.37 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
QNXT Configuration Analyst
Idaho Falls, ID job
Responsible for providing business process redesign, communication and change management for operations. Backend operationalization of policies, standardization of system set-up and a resource for all departments and health plans company-wide.
Knowledge/Skills/Abilities
* Conduct interviews with staff and management to assess internal business processes within a department or function to ensure compliance with existing organizational Policies and Procedures, Standard Operating Procedures and other internal guidelines.
* Review, research, analyze and evaluate information to assess compliancy between a process or function and the corresponding written documentation. Use analytical skills to identify variances. Use problem solving skills and business knowledge to make recommendations for process remediation or improvement.
* Summarize and document assessment outcomes and recommendations. Ensure that they are appropriately communicated (written and verbal) to process owners and management.
* Collaborate with process owners to maintain and/or create business process documentation and workflows related to Core Operations functions.
* Serve as liaison between Core Operations and internal and external auditors for all formal Core Operations audits that are not compliance related.
* Coordinate, facilitate and document audit walkthroughs.
* Research, collect or generate requested documentation. Provide timely and accurate responses, both written and verbal.
* Research and respond to clarifying questions submitted by internal and external auditors. Work in partnership with other functional areas as needed..
* Ability to write SQL queries
* Experience with QNXT configuration
* Experience with troubleshooting and analyzing issues.
* Experience working in a Medicare environment is highly preferred.
* Claims adjudication experience is highly preferred.
Job Qualifications
Required Education
Associate's Degree or two years of equivalent experience
Required Experience
* Four years proven analytical experience within an operations or process-focused environment. Additional required experience for Corporate Operations:
* Analytical experience within managed care operations.
* Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider information management, claims processing and other related functions.
Preferred Education
Bachelor's Degree
Preferred Experience
* Six years proven analytical experience within an operations or process-focused environment.
* Previous audit and/or oversight experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $116,835 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Associate Specialist, Provider Contracts HP
Idaho Falls, ID job
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when available, and the application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
Job Duties
This role supports negotiations with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports according to departmental procedures.
* Sends out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members.
* Receives calls from prospective providers and answers questions regarding contracting process, policies and procedures.
* Forwards requested information/documentation to prospective providers in a timely manner.
* Maintains database of all contracts and specific applications sent to prospective new providers.
* Completes and updates Provider Information Forms for each new contract.
* Ensures accuracy and completeness of provider demographic information and coordinates communication of such information to Provider Configuration team.
* Sends out new provider welcome packets to providers who have contracted with the plan.
* Utilizes Plan's system to track and follow up with Providers who have not responded to Contracts and/or Applications sent as directed by management.
* Formats and distributes Provider network resources (e.g. electronic specialist directory).
Job Qualifications
REQUIRED EDUCATION:
High School Diploma or equivalent GED
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
1 year customer service, provider service, contracting or claims experience in the healthcare industry.
PREFERRED EDUCATION:
Associate's Degree or Bachelor's Degree in a related field or an equivalent combination of education and experience
PREFERRED EXPERIENCE:
Managed Care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $42.2 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Ultrasound Technologist PRN
HCA job in Idaho Falls, ID
Hourly Wage Estimate: 30.34 - 42.47 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
Introduction
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Ultrasound Technologist PRN today with Eastern Idaho Regional Medical Center.
Benefits
Eastern Idaho Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Come join our team as a(an) Ultrasound Technologist PRN. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today!
Job Summary and Qualifications
As an Ultrasound Technologist, you will be part of our friendly and compassionate Ultrasound team. We are proud to provide the "care like family" mission of the hospital. We are looking for someone to join our team that works hard to support each other where the patients are the center of all we do.
In this role:
* You will perform a variety of Ultrasound Procedures and are responsible for exam protocols that provide diagnostic information to the interpreting physician.
* You must have a working knowledge of the life-saving techniques and be capable of performing well under pressure.
* You will assume the responsibility for specified examinations and will be responsible for introducing the basics of ultrasound to the student technologists.
* You will be responsible for assessment, treatment of care appropriate to all ages of patients served.
* You will demonstrate your knowledge and skills in obtaining and interpreting information in terms of the patients' needs.
What qualifications you will need:
* Basic Cardiac Life Support must be obtained within 30 days of employment start date
* (RDMS) Registered Diagnostic Medical Sonographer, or (RVT) Registered Vascular Technician, or (RDMS-OB/GYN) RDMS Obstetrics & Gynecology must be obtained within 30 days of employment start date
Eastern Idaho Regional Medical Center (EIRMC) is a full-service hospital with 318+ patient beds. Our hospital is the largest medical facility in the region. We serve southeast Idaho, western Wyoming, Yellowstone National Park, and parts of Montana. Our facility has an ER, a Level II Trauma Center, a Level 1 ICU (one of two in Idaho), and the only Burn Center in the state of Idaho. We have the region's only Pediatric Intensive Care Unit for critically ill children. Our 74-bed Behavioral Health Center offers inpatient and outpatient mental health care for adolescents and adults.
We are part of the HCA Healthcare network - which includes more than 300 affiliate facilities across the country - offering our colleagues the opportunity for travel and relocation. HCA Healthcare and EIRMC are all about caring for people. This care extends to patients, families, and colleagues.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Ultrasound Technologist PRN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Care Review Clinician (RN)
Idaho Falls, ID job
we are seeking a (RN) Registered Nurse who must hold a compact license.
, home office with internet connectivity of high speed required
Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on set schedule)
Looking for a RN with experience with appeals, claims review, and medical coding.
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
• Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
• Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
• Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
• Processes requests within required timelines.
• Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
• Requests additional information from members or providers as needed.
• Makes appropriate referrals to other clinical programs.
• Collaborates with multidisciplinary teams to promote the Molina care model.
• Adheres to utilization management (UM) policies and procedures.
Required Qualifications
• At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Ability to prioritize and manage multiple deadlines.
• Excellent organizational, problem-solving and critical-thinking skills.
• Strong written and verbal communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Certified Professional in Healthcare Management (CPHM).
• Recent hospital experience in an intensive care unit (ICU) or emergency room.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $26.41 - $61.79 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Executive Chef
HCA job in Idaho Falls, ID
Salary Estimate: 68120.00 - 95388.80 / year Learn more about the benefits offered for this job. The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
Introduction
Do you want to join an organization that invests in you as a(an) Executive Chef? At Eastern Idaho Regional Medical Center, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.
Benefits
Eastern Idaho Regional Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Executive Chef like you to be a part of our team.
Job Summary and Qualifications
Under the supervision of the Nutritional Services Director, the Executive Chef is expected to perform a variety of duties for the preparation, cooking, and serving of all foods for patients, cafeteria, and doctor's dining room as well as catering, using creative, health conscience techniques, recipes, menus, and presentation. This position requires a thorough knowledge of Food and Nutrition Services, policies and procedures, and regulatory requirements. Must possess safe cooking equipment and safety techniques. The ability to assume responsibility and exercise authority is required. Very frequent interactive associations and managerial tasks are inherent in this position. A professional demeanor and the ability to communicate effectively with management, physicians and employees is essential. The ability to maintain confidentiality of information is essential.
Major Responsibilities:
* Directly responsible for the food preparation for patients, the cafeteria, doctors' dining room and any special requests.
* Develops and implements work standards, sanitation procedures, and personal hygiene requirements, consistent with Hospital rules, local, state, and federal regulations and food handling principles.
* Inspects food preparation and serving areas, equipment and storage facilities, observes the appearance and personal habits of staff to detect deviations and violations of current health regulations and orders corrective measures as necessary.
* Responsibility for physical assets: The employee will be responsible for the equipment and supplies that are issued to perform job functions during his/her shift. Employees are responsible for tagging and depositing personal property found with the Security Department during their duties.
* Participates with the Director and Clinical Nutrition Manager in menu planning.
* Determines type and accurate quantity of foods to be prepared.
* Exhibits proficiency in culinary techniques.
* Performs all duties as assigned by supervisor in a cooperative and timely manner.
* Serves as a role model for the department and ensures the highest level of customer service at all times
* Supervises and prepares, breakfast, lunch, and dinner meals as well as special functions.
* Supervises Hot Production Staff, including hiring, training, counseling, and evaluating.
* Conducts regularly scheduled meetings with staff. Coordinates staff scheduling and assignments to ensure economical and timely food preparation.
* Performs other duties as assigned.
* Practices and adheres to the "Code of Conduct" and "Mission and Value Statement."
What qualifications you will need:
* High School Diploma or GED Required
* 3+ years of experience in Food Services Management required
* Culinary Certification Required within 90 days of Employment
* Three to five years experience in Food Service Management preferred
* Serve Safe Certification required within 60 days of hire
HealthTrust Supply Chain is a critical part of HCA Healthcare's strategy. Our focus is to improve performance and reduce costs. We do this by joining non-clinical and administrative functions. HealthTrust Supply Chain best practice methodologies. We develop, apply and monitor cost-efficient initiatives and programs for HCA Healthcare. By improving facility efficiency, medical professionals can focus on our mission - patient care.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Executive Chef opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
HT-AFHP
Medical Director, Behavioral Health
Idaho Falls, ID job
JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and decrease costs.
• Facilitates behavioral health-related regional medical necessity reviews and cross coverage.
• Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses.
• Responds to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts.
• Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric diagnoses and treatment.
• Provides second level behavioral health clinical reviews, peer reviews and appeals.
• Supports behavioral health committees for quality compliance.
• Implements behavioral health specific clinical practice guidelines and medical necessity review criteria.
• Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS).
• Assists with the recruitment and orientation of new psychiatric medical directors.
• Ensures all behavioral health programs and policies are in line with industry standards and best practices.
• Assists with new program implementation and supports for health plan in-source behavioral health services.
Required Qualifications
• At least 3 of relevant experience, including 2 years of medical practice experience in psychiatry/behavioral health, or equivalent combination of relevant education and experience.
• Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice.
• Board Certification in Psychiatry.
• Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff.
• Ability to work cross-collaboratively within a highly matrixed organization.
• Strong organizational and time-management skills.
• Ability to multi-task and meet deadlines.
• Attention to detail.
• Critical-thinking and active listening skills.
• Decision-making and problem-solving skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
Preferred Qualifications
• Experience with utilization/quality program management.
• Managed care experience.
• Peer review experience.
• Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification.
#PJHS
#LI-AC1
#HTF
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,092.71 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Associate Analyst, Clinical Informatics (Bilingual in Spanish Required) - Monday - Friday 7AM - 4PM PST (REMOTE)
Idaho Falls, ID job
Provides entry level analyst support for clinical information systems activities. Responsible for provision of application technical support and design for clinical information systems - ensuring creation of workflows and enhancements that support process improvement and change management initiatives. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Assists in the development and support of clinical, practice management and operational workflows.
- Assists in the design of workflow analysis, device integration, planning and implementation of clinical systems.
- Participates in the system implementation life cycle including: planning, implementation, training, and post-implementation support.
- Assists in issue resolution related to the clinical information system.
Required Qualifications
- At least 1 year of system implementation experience, or equivalent combination of relevant education and experience.
- Knowledge of systems design methods and techniques.
- Knowledge base in health care informatics.
- Ability to work independently, within a team and collaboratively across teams.
- Analysis, synthesis and problem-solving skills.
- Attention to detail and accuracy.
- Multi-tasking, planning, and workload prioritization skills.
- Verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Supervisor, Healthcare Services Operations Support
Idaho Falls, ID job
JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
* Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc.
* Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes.
* Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance.
* Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement.
* Assists in the development and implementation of internal desktop processes and procedures.
* Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
Required Qualifications• At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience.
* Strong analytic and problem-solving abilities.
* Strong organizational and time-management skills.
* Ability to multi-task and meet project deadlines.
* Attention to detail.
* Ability to build relationships and collaborate cross-functionally.
* Excellent verbal and written communication skills.
* Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
* Supervisory/leadership experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $77,969 - $106,214 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Senior Analyst, Business
Idaho Falls, ID job
Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.
JOB DUTIES
* Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements.
* Monitors regulatory sources to ensure all updates are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings.
* Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements.
* Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
* Where applicable, codifies the requirements for system configuration alignment and interpretation.
* Provides support for requirement interpretation inconsistencies and complaints.
* Assists with the development of requirement solution standards and best practices while suggesting improvement processes to consistently apply requirements across states and products where possible.
* Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
* Coordinates with relevant teams for analysis, impact and implementation of changes that impact the product.
* Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes.
KNOWLEDGE/SKILLS/ABILITIES
* Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation are agreed on and clear for solutioning.
* Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
* Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
* Ability to concisely synthesize large and complex requirements.
* Ability to organize and maintain regulatory data including real-time policy changes.
* Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
* Ability to work independently in a remote environment.
* Ability to work with those in other time zones than your own.
JOB QUALIFICATIONS
Required Qualifications
* At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.
* Policy/government legislative review knowledge
* Strong analytical and problem-solving skills
* Familiarity with administration systems
* Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams
* Previous success in a dynamic and autonomous work environment
Preferred Qualifications
* Project implementation experience
* Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA).
* Medical Coding certification.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $128,519 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Field Nurse Practitioner (Boise, ID)
Idaho Falls, ID job
The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and “pop up” clinic.
The Nurse Practitioner will be required to work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatric, women's health).
Perform comprehensive medical assessments, order appropriate tests/procedures for diagnostic purposes, formulate treatment plans, obtain specialists' consultations as needed, and do appropriate documentations as required.
Job Duties
Provide general medical care and care coordination to various and/or specific patient levels - adults, women's health, pediatric, and geriatric.
Perform comprehensive evaluations including history and physical exams for gaps in care and preventative assessments
Address both chronic and acute primary care complaints, and able to ascertain medical urgency
Establish and document reasonable medical diagnoses
Seek specialty consultation as appropriate
Order/perform pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptom; able to work within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately
Responsible for knowing when a patient's needs are beyond their scope of knowledge and when physician oversight is needed.
Create and implements a medical plan of care
Schedule patient appointments for visits when appropriate
Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization
Perform face-to-face in-person visits in a variety of settings including home, skilled nursing facilities, and public locations.
Additionally, may perform face-to-face visits via alternate modalities based on business need, leadership direction, and state regulations
Order bulk laboratory orders to target specific populations of member.
Perform alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develop appropriate plan of care
Participate in community-based “Pop Up Clinics” as way of building relationship with community while addressing gaps in health care
Drive up to 120 miles a day on a regular basis to a variety of locations within the assigned region. There may be drives beyond 120 miles as part of Extended Mileage Special Project days. Special Projects may include an overnight hotel stay.
Obtain and maintain cross state license in other states besides home state based on business need.
Collaborate with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively
Actively participate in regional meetings
Prescribe medications and perform procedures as appropriate
Perform timely documentation in medical records in an electronic medical record computer system
On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment
JOB QUALIFICATIONS
REQUIRED EDUCATION:
Master's degree in family health from accredited nursing program
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
Advanced computer skills. Proficient with Word, Excel, and Electronic Medical Record.
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
An active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners; American Nurses Credentialing Center
Current state-issued license to practice as a Family Nurse Practitioner
Current Basic Life Support for Healthcare Professional certification
Current unrestricted driver's license
PREFERRED EDUCATION:
PREFERRED EXPERIENCE:
3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home health, community health, or public health setting
Previous experience in home health as a licensed clinician, especially in management of chronic conditions
Experience with underserved populations facing socioeconomic barriers to health care
Fluency in a language in addition to English is plus
Immunization and point of care testing skills
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJNurse
#HTF
Pay Range: $79,608 - $172,483.8 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Medical Assistant
HCA job in Idaho Falls, ID
Hourly Wage Estimate: 17.44 - 25.30 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
Introduction
Do you want to join an organization that invests in you as a(an) Medical Assistant? At Idaho Physician Services, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.
Benefits
Idaho Physician Services offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Medical Assistant like you to be a part of our team.
Job Summary and Qualifications
Seeking a Clinical Medical Assistant for our practice who provides clinical expertise to ensure all patients receive high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now.
What you will do in this role:
* Scheduling and canceling patient appointments
* Checking-in and checking-out patients
* Entering charges and payments
* Answering the telephone
* Verifying patient insurance and demographics
* Collection of co-payments/coinsurance and personal balances.
* Performs selected administrative duties and assists nursing staff.
* May collect patient specimens.
* Takes patient histories and vital signs.
* Prepares exam and treatment rooms with necessary instruments.
* Gives injections, and applies casts, splints, and dressings, as applicable.
* Prepares and maintain supplies and equipment for treatments, including sterilization.
* Assists physician in preparing for minor surgeries and physicals.
* Perform other duties as required.
* Must read, understand, and adhere to all Physician Services policies and procedures.
* Practice and adhere to the Code of Conduct and Mission and Value Statement.
* Practices certified as Patient Center Medical Home include these additional job duties:
* Coordinates continuity of patient care with external healthcare organizations and facilities and referrals from the primary care provider to a specialty care provider.
* Participates on a team for data collection, health outcomes reporting, audits and programmatic evaluation related to Patient Centered Medical Home.
What Qualifications you will need:
* One year of Medical Assisting or other direct clinical patient care experience in a healthcare setting.
* Medical Assistant Certification - required. Acceptable certifications are RMA, CCMA, CMA, NCMA, or NCRMA certification/ABR-OE credentials is acceptable OR
* Medical Assistants who recently graduated (within the last 12 months) from a Medical Assisting training program must obtain Medical Assistant certification within 60 days of employment. OR
* Candidates/incumbents with one year of Medical Assistant work experience who do not possess Medical Assistant Certification must obtain Medical Assistant Certification within one year of hire date.
Supporting HCA Healthcares 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Medical Assistant opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
CT Coordinator
HCA job in Idaho Falls, ID
Hourly Wage Estimate: 32.62 - 48.93 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
Introduction
Do you have the career opportunities as a(an) CT Coordinator you want with your current employer? We have an exciting opportunity for you to join Eastern Idaho Regional Medical Center which is part of the nations leading provider of healthcare services, HCA Healthcare.
Benefits
Eastern Idaho Regional Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Our teams are a committed, caring group of colleagues. Do you want to work as a(an) CT Technologist where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
Job Summary and Qualifications
As the CT Coordinator, you will be responsible for all first-line supervision of CT personnel and coordination of activities within the CT department. Our team works together and supports each other like family where the patients are the center of all we do. We are looking for someone who has the ability to lead, coach and mentor our CT staff.
In this role:
* You will be responsible for all first-line supervision of CT personnel and coordination of activities with the CT department.
* You will coordinate activities associated with ACR Accreditation and ensure compliance with regulatory agencies.
* You will perform and demonstrate proficiency and understanding in a variety of routine to complex CT procedures at a technical level for diagnostic and preoperative purposes.
* You will exercise independent judgement and responsibility.
* You will train other department personnel, as necessary, to allow them to become familiar with all CT scanners and equipment.
* You will assist in the clinical education of radiologic technology students as well as assisting with in services within the department.
* You will assure the highest degree of quality patient care is maintained at all times.
What qualifications you will need:
* Basic Cardiac Life Support must be obtained within 7 days of employment start date
* (ARRT-CT) Computed Tomography
* (ARRT-R) Radiography
* Occasional/ Intermittent Required
* 1 years experience Required Years of Experience
Eastern Idaho Regional Medical Center (EIRMC) is a full-service hospital with 318+ patient beds. Our hospital is the largest medical facility in the region. We serve southeast Idaho, western Wyoming, Yellowstone National Park, and parts of Montana. Our facility has an ER, a Level II Trauma Center, a Level 1 ICU (one of two in Idaho), and the only Burn Center in the state of Idaho. We have the region's only Pediatric Intensive Care Unit for critically ill children. Our 74-bed Behavioral Health Center offers inpatient and outpatient mental health care for adolescents and adults.
We are part of the HCA Healthcare network - which includes more than 300 affiliate facilities across the country - offering our colleagues the opportunity for travel and relocation. HCA Healthcare and EIRMC are all about caring for people. This care extends to patients, families, and colleagues.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Coord CT opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Program Manager (Provider Network)
Idaho Falls, ID job
Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.
Job Duties
* Provide project summaries that will be senior leadership facing with ties to market SAI goals.
* Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
* Plans and directs schedules as well as project budgets.
* Monitors the project from inception through delivery.
* May engage and oversee the work of external vendors.
* Focuses on process improvement, organizational change management, program management and other processes relative to the business.
* Leads and manages team in planning and executing business programs.
* Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
* Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.
* Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
* Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
* Generate and distribute standard reports on schedule
JOB QUALIFICATIONS
REQUIRED EDUCATION:
Bachelor's Degree or equivalent combination of education and experience.
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
* 3-5 years of Program and/or Project management experience.
* Operational Process Improvement experience.
* Healthcare experience.
* Experience with Microsoft Project and Visio.
* Excellent presentation and communication skills.
* Experience partnering with different levels of leadership across the organization.
PREFERRED EDUCATION:
Graduate Degree or equivalent combination of education and experience.
PREFERRED EXPERIENCE:
* 5-7 years of Program and/or Project management experience.
* Provider Network and SAI
* Excel and PowerPoint
* Managed Care experience.
* Experience working in a cross functional highly matrixed organization.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pharmacy Representative
Idaho Falls, ID job
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
* Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
* Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
* Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
* Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
* Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
* Assists members and providers with initiating verbal and written coverage determinations and appeals.
* Records calls accurately within the pharmacy call tracking system.
* Maintains established pharmacy call quality and quantity standards.
* Interacts with appropriate primary care providers to ensure member registry is current and accurate.
* Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation.
* Proactively identifies ways to improve pharmacy call center member relations.
Required Qualifications
* At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
* Excellent customer service skills.
* Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
* Ability to multi-task applications while speaking with members.
* Ability to multi-task applications while speaking with members.
* Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
* Ability to meet established deadlines.
* Ability to function independently and manage multiple projects.
* Excellent verbal and written communication skills, including excellent phone etiquette.
* Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
* Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
* Health care industry experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.16 - $28.82 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Corporate Development Manager
Idaho Falls, ID job
This position will be responsible for supporting the execution of merger and acquisition transactions and will actively contribute in advancing Molina Healthcare's overall growth strategy. The role entails working closely with the senior members of the Corporate Development team and will actively interact with the business leaders and senior management team at Molina.
The ideal candidate will have at least two years of experience as an analyst at an investment bank or similar firm.
Knowledge/Skills/Abilities
* Develop financial models and perform analyses to assess potential acquisition, joint venture and other business development opportunities (i.e., discounted cash flow, internal rate of return and accretion/dilution)
* Prepare ad-hoc analyses and presentations to help facilitate various discussions
* Research and analyze industry trends, competitive landscape and potential target companies
* Coordinate deal activities among internal cross-functional teams and external parties
* Coordinate due diligence and closing-related activities
* Actively participate in reviewing and negotiating transaction agreements
* Prepare board and senior management presentations
Job Qualifications
REQUIRED EDUCATION:
Bachelor's degree in Accounting or Finance or related fields
REQUIRED EXPERIENCE:
* Minimum 5 years' experience in financial modeling and analysis
* Ability to synthesize complex ideas and translate into actionable information
* Strong analytical and modeling skills
* Excellent verbal and written communication skills
* Highly collaborative and team-oriented with a positive, can-do attitude
* Ability to multi-task, set priorities and adhere to deadlines in a high-paced organization
PREFERRED EXPERIENCE:
* Prior analyst experience in investment banking strongly preferred
* Healthcare industry experience preferred
PHYSICAL DEMANDS:
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJCorp
#LI-AC1
Pay Range: $80,412 - $156,803 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Outpatient Coding Resolution Specialist
HCA job in Idaho Falls, ID
Hourly Wage Estimate: 21.87 - 32.81 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
Introduction
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Outpatient Coding Resolution Specialist Parallon
This is a work from home position!
Flexible schedule Monday-Friday!
Benefits
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
We are seeking an Outpatient Coding Resolution Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!
Job Summary and Qualifications
As a work from home Outpatient Coder, you will work outpatient coding related alerts/edits for same day surgery, observation, wound care, emergency department, and/or diagnostic areas predominately post initial/final coding. You will also perform the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked and corrected according to the established procedures and thresholds and communicated as appropriate.
What you will do in this role:
* Compiles daily work list from eRequest, CRT and/or other alert/edit systems
* Enters detailed notes to update eRequest to provide details if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution
* Escalates alert/edit resolution issues as appropriate to minimize final billing delays
* Monitors the aging of accounts held by an alert/edit, prioritizes aged accounts first, and reports to leadership 2 Job Description
* Works with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits
* Communicates coding revisions to the applicable party (e.g., CIS, lead, manager, international log)
* Completes MOCK abstracts as necessary (e.g., combining the codes for outpatient claims subject to the payment window)
* Assists the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC)/Hold Reasons
* As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS-II) duties
* Periodically works with their Manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression
What Qualifications you will need:
* Undergraduate (associates or bachelors) degree in HIM/HIT preferred
* 2+ years of acute care, observation and/or same day surgery hospital outpatient coding experience required
* RHIA, RHIT and/or CCS preferred
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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
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"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our Outpatient Coding Resolution Specialist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Radiology/Imaging - CT Tech
Idaho Falls, ID job
Also known as CT technicians, CT technologists take diagnostic images of patients' internal structures using computerized tomography equipment. They ensure that patients are correctly positioned and closely monitored during CT scans.