Specialization: Emergency Medicine Urgent Care Family Medicine Internal Medicine Family Medicine without OB Pediatric Internal Medicine
Emergency Medicine Physician at Frankfort Regional Medical Center in Frankfort, Kentucky.
Qualified Candidates for Emergency Medicine:
ABEM/AOEBEM certified or board eligible
ABIM/ABFM certified or board eligible with EM experience or EM Fellowship
Join HCA Clinical Services Group Emergency Medicine
Employment with full, comprehensive benefits package including:
Medical
Dental
401K
Occurrence malpractice
PTO
Frankfort Regional Medical Center Emergency Medicine:
33,072 annual Emergency Medicine visits
28 private Emergency Medicine treatment rooms, 1 trauma bay
5 fast-track rooms for rapid Emergency Medicine evaluation
178-bed facility for Emergency Medicine
Level III Trauma Center
Accredited Chest Pain Center with Primary PCI
Accredited Primary Stroke Center
Recipient of numerous awards and accolades for quality of care, including Magnet designation for nursing excellence
Frankfort, Kentucky's capital city, is nestled between Louisville and Lexington along the Kentucky River, and is in the heart of bourbon, horse, and wine country. Part of Kentucky's Golden Triangle, Frankfort residents enjoy fast interstate access to three full service airports and other "big city" amenities of Louisville, Lexington, and Cincinnati. Amidst all the bustling activity, Frankfort still retains a pleasant, secure atmosphere. The vast array of architectural styles, famous land marks, museums of Kentucky's past, and unique shopping make Frankfort a special place for residents. As a place to live and work, Central Kentucky has it all, including affordable housing, outstanding K through 12 schools, and nationally-recognized colleges and universities. You ll also have access to arts and culture and every outdoor activity you can imagine. This part of the country also features a very comfortable climate and the best of all four seasons.
Find out more about our Emergency Medicine position at Frankfort!
$149k-227k yearly est. 1d ago
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PRN Home Health Social Worker
HCA 4.5
HCA job in Lexington, KY
Introduction Do you have the PRN career opportunities as a PRN Home Health Social Worker you want with your current employer? We have an exciting opportunity for you to join Frankfort Regional Healthcare at Home which is part of the nations leading provider of healthcare services, HCA Healthcare.
Benefits
Frankfort Regional Healthcare at Home, 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 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.
* Fertility and family building benefits through Progyny
* Free counseling services and resources for emotional, physical and financial wellbeing
* Family support, including adoption assistance, child and elder care resources and consumer discounts
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan
* Retirement readiness and rollover 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)
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 PRN Home Health Social Worker 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
What qualifications you will need:
* Master's Degree in Social Work or in a human services field, including but not limited to sociology, special education, gerontology, rehabilitation counseling, and psychology
* Previous experience in a healthcare setting working directly with individuals
* Reliable transportation and proof of valid automobile liability insurance
* Must have valid driver's license
Healthcare at Home is a service line from HCA healthcare. We are dedicated to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team of professionals develop an individualized plan of care. Our professionals include registered nurses, licensed practical nurses, therapists, and social workers. We provide the care you need in the comfort of your own home to restore your independence. Healthcare at Home raises the bar on what quality healthcare looks like. Just like family, we pull together to care for, support and celebrate with each other being able to provide exceptional, expert care for patients.
HCA Healthcare has been recognized as one of the Worlds 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 PRN Home Health Social Worker opening. We review all applications. 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
$52k-61k yearly est. 60d+ ago
Analyst, Data (Member Retention)
Molina Healthcare 4.4
Lexington, KY job
**JOB DESCRIPTION** **Job Summary** Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production, and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES**
+ Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers.
+ Sets up process for monitoring, tracking, and trending department data.
+ Prepares any state mandated reports and analysis.
+ Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes.
+ Implements and uses the analytics software and systems to support the departments goals.
**JOB QUALIFICATIONS**
**Required Education**
Associate's Degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 years
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: $80,168 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-116.8k yearly 1d ago
Medical Director, Behavioral Health (NY)
Molina Healthcare 4.4
Lexington, KY 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 (NY) 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.
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 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$186.2k-363.1k yearly 16d ago
Processor, Coordination of Benefits
Molina Healthcare 4.4
Lexington, KY job
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
**Job Duties**
+ Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
+ Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
+ Updates the other insurance table on the claims transactional system and COB tracking database.
+ Review of claims identified for overpayment recovery.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
+ Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
+ Strong verbal and written communication skills.
+ Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
+ Microsoft Office suite proficiency.
**PREFERRED QUALIFICATIONS:**
+ Health care 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: $21.65 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 16d ago
Supervisor, Pharmacy Operations/Call Center
Molina Healthcare Inc. 4.4
Lexington, KY job
Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
* Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations.
* Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations.
* Ensures that adequate staffing coverage is present at all times of operation.
* Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions.
* Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis.
* Participates, researches, and validates materials for both internal and external program audits.
* Acts as liaison to internal and external customers to ensure prompt resolution of identified issues.
* Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review.
* Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures.
* Participates in the daily workload of the department, performing Representative duties as needed.
* Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership.
* Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership.
* Communicates effectively with practitioners and pharmacists.
* Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs.
* Assists with development of and maintenance of pharmacy policies and procedures
* Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies.
Required Qualifications
* At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience.
* Knowledge of prescription drug products, dosage forms and usage.
* Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity.
* Working knowledge of medical/pharmacy terminology
* Excellent verbal and written communication skills.
* Microsoft Office suite, and applicable software program(s) proficiency.
Preferred Qualifications
* Supervisory/leadership experience.
* 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.
* Call center experience.
* Managed care 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: $55,706.51 - $80,464.96 / 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.
$28k-34k yearly est. 35d ago
Data Developer/ BI Developer (MS Azure/ Databricks/ Process Optimization)
Molina Healthcare Inc. 4.4
Lexington, KY job
Database Developer is responsible for the overall development, maintenance, and integrity of various reporting database. You will be responsible for testing, reviewing SQL queries, stored procedures and facilitating code reviews for improving and maintaining new and existing datasets. You will be required to collaboratively work with other infrastructure and business stakeholders to adhere to data governance and ensure system integrity.
Job Duties
* Responsible for integrity of data as utilized by the department
* Develops framework for the automation of data processes across platforms.
* Prepares data for use in reporting and business intelligence systems for internal and external stakeholders
* Creates policies and procedures documenting the technical and business criteria underlying the use of data by the department
* Ensures the propagation of Molina data management process for the department across functional units. This includes the collection of data, the sharing of data, and utilization of data across teams.
* Conduct periodic code review
* Ensure all database programs meet company and performance requirements
* Keep abreast of new technology to keep our platform current
* Conduct data analysis, Gap analysis, Root cause analysis and provide recommendations based on findings.
Job Qualifications
REQUIRED EDUCATION:
Bachelor of Science (BSc) degree in Computer Science or relevant field. 4-5 years working in Data Development in in lieu of degree.
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
* Minimum of 2 years hands on experience with SQL and database development, one of the BI analytics tool (Power BI, Tableau etc), MS Azure, Datalake, Databricks
* Minimum 2 years hands on experience using SSIS and SSRS.
* Knowledge of software development and application program interface.
* Ability to understand users' requirements and a strong problem-solving skillset.
PREFERRED EDUCATION:
Master of Science (MSc) degree in Computer Science or System Analysis.
JOB PROFILE
PREFERRED EXPERIENCE:
* Minimum of 5 years hands on experience with SQL and database development.
* Experience working in a Medicare environment is highly preferred.
* Experience working with Python is highly preferred.
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: $80,412 - $188,164 / 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.
$80.4k-188.2k yearly 4d ago
Adjudicator, Provider Claims
Molina Healthcare Inc. 4.4
Lexington, KY 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 in a call center environment. * Respond to inbound calls to provide support for provider claims adjudication activities including responding to provider to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
* Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
* 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.
* 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 re-adjudicates 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: $21.65 - $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.
$21.7-38.4 hourly 10d ago
Program Manager (Provider Network)
Molina Healthcare Inc. 4.4
Lexington, KY 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: $80,168 - $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.
$80.2k-155.5k yearly 60d+ ago
Senior Medical Records Collector
Molina Healthcare 4.4
Lexington, KY job
JOB DESCRIPTION Job SummaryProvides senior level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records.
- Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application.
- Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff.
- Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application.
- Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation.
- Provides mentorship and leadership to team members and represents at a senior level for process and project improvement initiatives.
- Participates in and prepares feedback for meetings with vendors related to the medical record collection process.
- Some medical records collection related travel may be required.
Required Qualifications- At least 2 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
- Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA).
- Proficiency with data analysis tools (e.g., Excel).
- Ability to manage files, schedules and information efficiently.
- Ability to effectively interface with staff, clinicians, and leadership.
- Strong prioritization skills and detail orientation.
- Strong verbal and written communication skills, including professional phone etiquette.
- Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
Preferred Qualifications
- Registered Health Information Technician (RHIT).
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: $21.65 - $34.88 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-34.9 hourly 8d ago
Medical Review Nurse (RN)- Itemized Bill Review
Molina Healthcare Inc. 4.4
Lexington, KY job
Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care.
ESSENTIAL JOB DUTIES:
* Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing.
* Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions.
* Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement to providers.
* Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues.
* Identifies and reports quality of care issues.
* Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to clinical experience.
* Prepares and presents cases representing Molina, along with the chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings.
* Reviews medically appropriate clinical guidelines and other appropriate criteria with medical directors on denial decisions.
* Supplies criteria supporting all recommendations for denial or modification of payment decisions.
* Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals.
* Provides training and support to clinical peers.
* Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols.
REQUIRED QUALIFICATIONS:
* At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
* Registered Nurse (RN). License must be active and unrestricted in state of practice.
* Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC).
* Experience working within applicable state, federal, and third-party regulations.
* Analytic, problem-solving, and decision-making skills.
* Organizational and time-management skills.
* Attention to detail.
* Critical-thinking and active listening skills.
* Common look proficiency.
* Effective verbal and written communication skills.
* Microsoft Office suite and applicable software program(s) proficiency.
PREFERRED QUALIFICATIONS:
* Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care certifications.
* Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics.
* Billing and coding 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: $29.05 - $67.97 / 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.
$29.1-68 hourly 14d ago
Physical Therapy Assistant PRN
HCA Healthcare 4.5
HCA Healthcare job in Frankfort, KY
Do you have the PRN career opportunities as a(an) Physical Therapy Assistant PRN you want with your current employer? We have an exciting opportunity for you to join Frankfort Regional Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.
**Benefits**
Frankfort 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 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.
+ Fertility and family building benefits through Progyny
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ Family support, including adoption assistance, child and elder care resources and consumer discounts
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan
+ Retirement readiness and rollover 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)
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) Physical Therapy Assistant PRN 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**
The Physical Therapist Assistant is responsible for providing services that help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients with injuries or disease as directed by the Physical Therapist. The Physical Therapist Assistant works closely with the Physical Therapist and patients to restore, maintain, and promote the patient's overall fitness and health. The Physical Therapist Assistant may also be required to make assessments and give input to the Physical Therapist to allow for a professional determination of the patient's ability to be independent and reintegrate into the community or workplace after injury or illness or determine the need for placement in a SNF/Rehab Unit. Finally they must be able to communicate changes in the patient's condition to the Physical Therapist, appropriately document the treatments, its purpose, and the patient's progress toward the established goals/outcomes.
What you will do in this role:
+ You will demonstrate the knowledge and skills necessary to provide appropriate care for patient populations served in his/her department.
+ You will demonstrate knowledge to assess, plan, evaluate, and document care in coordination with the health care team across the continuum.
+ You will assess patients/families ability to learn and incorporate teaching throughout hospitalization and in preparation for discharge.
+ You will deliver compassionate, holistic care, while supporting the rights and dignity of all patients.
What qualifications you will need:
+ State of Kentucky Physical Therapist Assistant License Required.
+ Must be a graduate of an accredited PTA program
+ Basic Life Support (BLS) certification, current *Obtained/maintained within timeframes required by hospital policy
Frankfort Regional Medical Center (******************************* has provided quality healthcare services for over 40 years. We give patient's access to trained physicians and advanced technology. Our 170+ bed hospital is one of the region's leading acute care facilities in Central Kentucky. Frankfort Regional has built an excellent reputation for outstanding subspecialty services. In addition, we have an exceptional network of quality primary care physicians in both family practice and internal medicine. We are consistently named as one of the Best Places to Work in Kentucky.
At Frankfort Regional Medical Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
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 Physical Therapy Assistant PRN opening. We review all applications. 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
$52k-64k yearly est. 60d+ ago
Food Service Hospitality Associate
HCA 4.5
HCA job in Frankfort, KY
Do you have the PRN career opportunities as a(an) Food Service Hospitality Associate you want with your current employer? We have an exciting opportunity for you to join Frankfort Regional Medical Center which is part of the nations leading provider of healthcare services, HCA Healthcare.
Benefits
Frankfort 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 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.
* Fertility and family building benefits through Progyny
* Free counseling services and resources for emotional, physical and financial wellbeing
* Family support, including adoption assistance, child and elder care resources and consumer discounts
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan
* Retirement readiness and rollover 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)
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) Food Service Hospitality Associate 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
The Food and Nutrition Food Service Worker will be a competent Support services employee who is responsible for the cleanliness, organization, and distribution of food and supplies in the Food & Nutrition Department.
Summary:
* Demonstrates the ability to perform specific competencies as listed on the Competency Checklist.
* Meets mutually agreed upon performance goals/objectives established annually as listed on the performance management plan.
* Utilizes systems/processes to ensure patient safety, infection control practices, department security & HIPPA guidelines.
* Maintain and adhere to Food & Nutrition's uniform and personal appearance standards at all time
* Utilizes proper processes to achieve patient, customer & physician satisfaction goals.
* Foster a culture of commitment to the HCA vision, mission, and values of the organization.
What qualifications you will need:
* High School Graduate\Equivalent preferred
* 1 + years of experience in healthcare preferred
* Food Handlers or ServSafe Certificate within 90 days of hire
Frankfort Regional Medical Center has provided quality healthcare services for over 40 years. We give patients access to trained physicians and advanced technology. Our 170+ bed hospital is one of the regions leading acute care facilities in Central Kentucky. Frankfort Regional has built an excellent reputation for outstanding subspecialty services. In addition, we have an exceptional network of quality primary care physicians in both family practice and internal medicine. We are consistently named as one of the Best Places to Work in Kentucky.
At Frankfort Regional Medical Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
HCA Healthcare has been recognized as one of the Worlds 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 Food Service Hospitality Associate opening. We review all applications. 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
$25k-29k yearly est. 15d ago
Allied-RT - RRT
HCA Frankfort Regional Medical Center 4.5
HCA Frankfort Regional Medical Center job in Frankfort, KY
Evaluates and treats patients with respiratory disorders, operates respiratory equipment, and communicates with the pulmonology team.
$21k-33k yearly est. 60d+ ago
Corporate Development Manager (Mergers and Acquisitions)
Molina Healthcare Inc. 4.4
Lexington, KY job
Provides lead level support in the execution of merger and acquisition transactions and actively contributes to the advancement of Molina Healthcare's overall growth strategy. Duties include strategically identifying, sourcing, evaluating, and executing Molina Healthcare's inorganic growth initiatives, including acquisitions, divestitures, joint ventures, and strategic partnerships. Collaborates closely with Molina Healthcare's Mergers and Acquisitions (M&A) and operational leadership to evaluate and execute meaningful growth initiatives.
Job Duties
* Partners with internal stakeholders to research and assess potential acquisition opportunities.
* Develops financial and valuation models and perform comprehensive analyses to assess potential transaction opportunities and influence decision-making.
* Coordinates all aspects of the M&A process, including due diligence, data rooms, transaction documents, internal updates, and senior management/board presentations.
* Coordinates deal activities among internal cross-functional teams and external parties.
* Embraces ad-hoc assignments and projects across Corporate Development and in support of post-acquisition integration efforts.
* Actively participates in reviewing and negotiating transaction agreements.
* Establishes a robust understanding of customer segments, industry trends, market positioning, and emerging opportunities.
Required Qualifications
* At least 5 years' experience in investment banking, private equity, management consulting, corporate development, or similar environments, or equivalent combination of relevant education and experience
* Exceptional financial modeling, interpersonal, and project management skills.
* Attention to detail. Strong work ethic. Proactive self-starter. Calm under pressure. Able to adapt to fast-paced, ambiguous environments. High learning agility. Consummate teammate.
* Excellent written communication skills. Strong spoken communication skills.
Preferred Qualifications
* Bachelor's degree in Finance, Economics, Mathematics, or a similar field.
* Previous healthcare 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: $88,453 - $206,981 / 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.
$88.5k-207k yearly 9d ago
Patient Advocate Representative - Saint Joseph
Tenet Healthcare Corporation 4.5
Lexington, KY job
Responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and non-governmental programs. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment. Also responsible for obtaining and completing the Confidential Financial Statement form and assisting patients in the process of applying for any benefits for which they may be eligible.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Conducts interviews with patients and/or family members.
* Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle.
* Performs financial clearance function including collections. Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review.
* Follows up on EES assigned accounts to ensure follow-through on Government application submitted. Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility.
* Conducts field visits to patient homes for skip tracing and or assisting patient with documents.
* Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Working familiarity with the rules and regulations pertaining to Federal, State and County programs
* P/C systems literate including Windows, and Microsoft Outlook, Excel and Word programs
* Ability to work independently
* Excellent oral and written communication skills, as well as the clear understanding of the English language
* Detail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms
* Ability to prioritize and manage multiple tasks with efficiency
* Bi-lingual preferred (Spanish)
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* High School diploma or equivalent
* Minimum 2 years work experience with Social Services or Hospital Admitting or related area
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to sit and work at a computer terminal for extended periods of time
* Must be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedside
* Ability to travel if required
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Both Hospital and Office facilities, in direct contact with Patients and Staff
OTHER
* Some travel may be required
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$29k-33k yearly est. 7d ago
Medical Assistant
HCA 4.5
HCA job in Frankfort, KY
Introduction Full time (Monday - Friday, days), no nights, no on call, no weekends, no holidays Do you want to join an organization that invests in you as a Medical Assistant? At Capital Surgical Clinic, 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
Capital Surgical Clinic 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.
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:
* You will prepare patients for examination and treatment by taking patient histories and vital signs
* You will prepare exam and treatment rooms with the necessary instruments for your patients including preparation and maintenance of supplies and equipment for treatments, including sterilization
* You will give injections and assist with lab testing and phlebotomy
* You will assist physicians in preparing for minor surgeries and physicals
* You will answer telephone calls to the practice and screens for referral
What Qualifications you will need:
* Graduation from an accredited Medical Assisting program OR twelve months of direct clinical patient care experience in a healthcare setting OR current Medical Assistant certification
* Candidates with one year of Medical work experience who do not possess Medical Assistant Certification must obtain Certification within one year of hire date
* Medical Assistants who recently graduated from a Medical Assisting training program will obtain a clinical MA certification within 60 days of employment
* Active and unrevoked RMA, CCMA, CMA, NCMA, or NCRMA certification/ABR-OE credentials is highly preferred
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.
$31k-37k yearly est. 60d+ ago
Ultrasound Technologist
HCA 4.5
HCA job in Frankfort, KY
Ultrasound Tech- PRN Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Ultrasound Tech with Frankfort Regional Medical Center you can be a part of an organization that is devoted to giving back!
Benefits
Frankfort 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.
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Frankfort Regional Medical Center family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Ultrasound Tech to help us reach our goals. Unlock your potential!
Job Summary and Qualifications
The ultrasound technologist is responsible for performing a variety of complex specialized technical tasks utilizing high frequency ultrasound waves to assist with the detection of anatomical abnormalities.
What you will do in this role:
* You will be responsible for performing a variety of imaging procedures ordered by the physician.??
* You will be responsible for day-to-day activities to ensure the delivery of quality patient care in a diagnostic/therapeutic environment.?
* You will demonstrate the ability to perform surgery and portable exams.?
* You will accurately follow physician orders, document the completion of the exam in Meditech, scans document and verify images in PACS.??
* You will follow proper procedures for quality controls and HLD related to equipment and accessories.?
* You will demonstrate proper documentation concerning the patient's history, including lab values.?
What qualifications you will need:
* Graduate of a Diagnostic Medical Sonography program
* ARDMS registered or acquire within 6 months?
* BLS current?
Frankfort Regional Medical Center has provided quality healthcare services for over 40 years. We give patients access to trained physicians and advanced technology. Our 170+ bed hospital is one of the regions leading acute care facilities in Central Kentucky. Frankfort Regional has built an excellent reputation for outstanding subspecialty services. In addition, we have an exceptional network of quality primary care physicians in both family practice and internal medicine. We are consistently named as one of the Best Places to Work in Kentucky.
At Frankfort Regional Medical Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
HCA Healthcare has been recognized as one of the Worlds 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
Be a part of an organization that invests in you! We are reviewing applications for our Ultrasound Technologist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$78k-93k yearly est. 60d+ ago
National Contracting Director (Large Hospital Systems)
Molina Healthcare Inc. 4.4
Lexington, KY job
Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina Healthcare successfully establish and maintain distinct high performing networks of compassionate and culturally sensitive providers who:
* Are aligned with our mission to provide quality health services to financially vulnerable families and individuals covered by government programs;
* Help meet or exceed applicable access criteria and adequacy standards for covered services;
* Agree to sign standard provider services agreements approved by applicable state/federal agencies and built on Molina's business standards that include sustainable value-based reimbursements; and
* Are committed to providing quality healthcare for low income Members in an efficient and caring manner.'
Knowledge/Skills/Abilities
* Under the leadership of the AVP, Provider Network Management & Operations, oversees development and implementation of provider network and contract strategies, identifying those specialties and geographic locations upon which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership.
* Develops and maintains a standard provider reimbursement strategy consistent with reimbursement tolerance parameters (across multiple specialties/geographies). Obtains input from Corporate, Legal and other stakeholders regarding new reimbursement models and oversees their development.
* Develops and maintains a system to track contract negotiation activity on an ongoing basis throughout the year; utilizes and oversees departmental training on the enterprise contract management system (Emptoris).
* Directs the preparation of provider contracts and oversees negotiation of contracts in concert with established company templates and guidelines with physicians, hospitals, and other health care providers.
* Contributes as a key member of the department's leadership team and participates in committees addressing the department's strategic goals and organization.
* Oversees the maintenance of all provider contract information and provider contract templates and ensures that contracts can be configured within the QNXT system. Works with Legal, Corporate and other stakeholders as needed to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.
* Monitors and reports network adequacy for Medicare and Medicaid services.
* Develops strategies to improve EDI/MASS rates.
* Educates and works with assigned state Health Plans on any corporate changes or initiatives as necessary.
* Works with assigned national vendors to improve contractual terms and maintain positive relationships.
* Provides national contracts support for other Molina departments/functions, including: Provider Services (and activities with provider association(s) and Joint Operating Committee management); Delegation Oversight; Provider Network Administration (provider information management and business analyses of national contracts/benefits to support accurate configuration for claims payment); Provider/Member Inquiry Research and Resolution; and Provider/Member Appeals and Grievances.
* Coordinates with Corporate and Business Development teams to ensure that Molina grows faster (profitable growth) than our competitors in target new markets and expansion opportunities.
* Provides training and guidance as needed to the Contract Managers and Contract Specialist(s).
* Helps develop and utilize standardized contract templates and Pay for Performance strategies.
* Utilizes sound reporting and analytical tools to develop and refine strategic work plans..
Job Qualifications
Required Education
Bachelor's Degree in a related field (Business Administration, etc.) or equivalent experience.
Required Experience
7 - 10 years minimum experience in Healthcare Administration, Managed Care, and/or Provider Network Mgmt & Operations with an emphasis on value based provider contracting.
Required License, Certification, Association
N/A
Preferred Education
Master's Degree
Preferred Experience
3-5 years minimum experience in contracting with hospitals, physician groups, high volume specialists and ancillary providers.
Preferred License, Certification, Association
N/A
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: $107,028 - $250,446 / 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.
$67k-109k yearly est. 18d ago
Patient Care Tech
HCA 4.5
HCA job in Frankfort, KY
PCT- FT Days Do you want to join an organization that invests in you as a(an) Patient Care Tech? At Frankfort 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
Frankfort 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 Patient Care Tech like you to be a part of our team.
Job Summary and Qualifications
As a Patient Care Technician you will be a crucial member of our collaborative nursing care team, delivering hands-on care and helping create a safe, welcoming environment for patients. Your support brings comfort, dignity, and connection to those who need it most - and helps make our mission to improve lives a reality for patients every day.
Your responsibilities will include:
* Assisting with patient preparation, mobility, transfers, and comfort to support smooth procedures and recovery
* Providing non-medicated care like dressing changes, skin protection, and use of supportive devices
* Keeping patient areas, operating rooms, and common spaces clean, organized, and stocked to maintain safety and efficiency
* Managing supplies, equipment, and environmental logs to keep the team ready and protect patients through infection control
* Communicating kindly with patients, families, and the care team while promoting safety and quality efforts
What qualifications you will need:
* Basic Cardiac Life Support must be obtained within 30 days of employment start date
Frankfort Regional Medical Center has provided quality healthcare services for over 40 years. We give patients access to trained physicians and advanced technology. Our 170+ bed hospital is one of the regions leading acute care facilities in Central Kentucky. Frankfort Regional has built an excellent reputation for outstanding subspecialty services. In addition, we have an exceptional network of quality primary care physicians in both family practice and internal medicine. We are consistently named as one of the Best Places to Work in Kentucky.
At Frankfort Regional Medical Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
HCA Healthcare has been recognized as one of the Worlds 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 Patient Care Tech 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.