Hoag jobs - 3,002 jobs

Hoag Health, the top-ranked health system in Orange County, CA, is seeking an experienced Dermatology Advanced Practice Provider (PA or NP) to join our skin-cancer-focused program in Irvine, CA. This is a full-time, outpatient position within a rapidly growing specialty service dedicated exclusively to skin cancer diagnosis, surveillance, and management. Our program is built around a multidisciplinary team with deep expertise in cutaneous oncology. Patients receive highly specialized care supported by advanced technology, including Mohs micrographic surgery, Vectra WB360 3D total-body imaging, and comprehensive dermoscopic monitoring. We emphasize accurate early detection, evidence-based management, and reducing unnecessary biopsies through high-quality imaging and dermoscopy. This position offers the chance to practice at the leading edge of skin cancer care, using state-of-the-art tools within a program known for innovation, precision, and exceptional outcomes. Details: Fulltime position. Schedule is Monday - Friday Outpatient-based position working in clinic setting Clinic location: Irvine, CA Comprehensive Team including: Dermatologist/Mohs Micrographic Surgeon, Medical Oncologists, Radiation Oncologists, Nurse Navigator Compensation: Competitive Compensation Package Base guaranteed salary Comprehensive benefit package: Medical, dental, vision, PTO, retirement (401k with a match) Generous paid time off policy CME stipend of $2,000 annually Malpractice coverage provided Hoag Health qualifies for public student loan forgiveness Qualifications: Has prior dermatology experience Is competent and confident in dermoscopy (preferred requirement); training will be offered from leading dermscopy expert to upscale the skill Thrives in a focused specialty environment rather than general or cosmetic dermatology Values patient continuity and the opportunity to build long-term, meaningful relationships Appreciates working with autonomy while supported by a highly collaborative team Graduate from a Physician Assistant or Nurse Practitioner training program, evidence of satisfactory performance and completion of proctoring requirements Current license in good standing to practice as a Physician Assistant or Nurse Practitioner in the state of California Current and active DEA licensure Current BLS and ACLS certification Excellent communication skills and interest in working in a collaborative / team-oriented environment are a must. Epic EMR experience is preferred but not required Contact: Steven Yi Physician Consultant ******************

Hoag Health, the top-ranked health system in Orange County, CA is seeking a Medical Director to lead our Addiction Medicine and Mental Health Services program in Newport Beach, CA! Hoag is a renown Integrated Hospital System that provides a full-spectrum of care from detox to inpatient, PHP, IOP, and outpatient recovery-patients receive consistent, connected treatment. Hoag is ranked #2 nationally in addiction medicine patient outcomes. Hoag offers an environment that supports innovative & evidence-based medicine. Our programs are rooted in the latest research, with personalized care plans. Patient outcomes are out top priority. This role involve clinical care and also the opportunity to lead strategic growth initiatives. Hoag is positioned for expansion, with leadership committed to unifying services and elevating care standards. Duties: The Medical Director for Addition Medicine and Mental Health Services is responsible, in collaboration with the Executive Director for establishing Hoag Memorial Hospital Presbyterian as a center of excellence in addition medicine and mental health care. The role oversees the strategic development, integration, and delivery of service across inpatient, outpatient, residential, and community-based settings. Designing and implementing comprehensive, evidence-based programs that support individuals across the continuum of care for substance abuse and mental health conditions. Enhancing access to integrated behavioral health services, including education, prevention, treatment, recovery, support, and crisis intervention. Expanding and improving clinical services for patients and families with a focus on quality, safety, and outcomes. Clinical oversight over direct medical services and multidisciplinary teams including supervision of clinical protocols, coordination of integrated care pathways, compliance with regulatory standards and promoting continuous quality improvement. Provide professional leadership, mentorship, and development of providers through clinical guidance, performance coaching and fostering a culture of continuous learning, collaboration and excellence in addiction medicine and mental health care. Leading education and outreach initiatives to raise awareness and reduce stigma around addictions and mental health targeting both the community and mental healthcare professional. Clinical coverage will be required as part of the team and leadership role. Highlights: Competitive compensation package inclusive of: Base guaranteed salary and performance incentives Comprehensive benefit package inclusive of: Medical, dental, vision, retirement plan (with employer match), PTO, CME stipend Opportunity to join the top-ranked health system in Orange County, CA Opportunity to build the premiere addiction medicine and mental health program in Southern California Opportunity to interface with key stakeholders and community leaders Excellent opportunity for an individual poised to take the next step in their professional career Requirements: Ideal candidate would possess a minimum 10 years administrative and clinical experience in addiction medicine and health services Proven leadership in addiction within a treatment center, department, division or hospital Experience designing and implementing performance management systems in complex operational environments Strong problem-solving, analytical, communication and interpersonal skills. Knowledge and experience with insurance reimbursement, coding and laws and regulation affecting the provision of substance use and mental health in California Knowledge of DHCS licensing and certification Preferred: Advanced training or degree in medical leadership and management (MPH, MBA, MMM, fellowship in leadership, etc.) CA Medical License Board Certified Psychiatrist Fellowship Trained in Addiction Medicine & Board Certified in Preventative Medicine (Addiction Medicine) preferred. Contact: Steven Yi Physician Consultant ******************

Gould Medical Group is looking for a board-certified Internal Medicine Physician Assistant in Modesto, CA. Gould Medical Group is a growing, 450+ clinician multi-specialty group located about two hours east of San Francisco, California. Our communities offer quick access to the bay area as well as other hot spots such as Napa Valley, Yosemite, and Lake Tahoe. Position Details: Starting base salary: $150,000 Established primary care practice Outpatient position Experience required Supportive/collaborative APC/physician team environment valuing top of licensure practice Support consists of receptionists and CMA?s Lab and imaging on site Stable and growing group EHR: Epic Standard Benefits: Annual 12.0% 401(k) gift Annual CME / business expense allowance Full health, dental, vision, life, disability insurance Group paid malpractice and tail coverage Individual Performance Bonus Relocation assistance Competitive total compensation package Area Details: Close proximity to the Bay Area but dramatically lower cost of living Short driving distance to Yosemite, wine country, Lake Tahoe, Monterey Centrally located with quick access to skiing, hiking, surfing, and entertainment venues of various types Rapidly growing communities Excellent school options Average of 260 days of sunshine annually We look forward to hearing from you: If you are interested in discussing this opportunity, please let me know. Thanks, Leslie Lozano, Physician Recruiter Sutter Gould Medical Foundation ******************************

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. This role will be covering oral maxillofacial/ dental. This is a fully remote position. Job Summary Summary: Assists Manager with the Patient Billing Office's client relationship and coordinate the processing, reporting and analysis of key revenue cycle activities. Provides research support to the manager and assigned practices related to accounts receivable management, patient customer service complaints and Third Party Requests for information. Does this position require Patient Care? No Essential Functions: Assists the Manager in completing tasks including, but not limited to, report review and distribution, billing account inquiries, charge reconciliation and research of missing charges, procedure code dictionary maintenance, and other essential Master files. * Analyze information on trends for practice groups; this may involve account research and downloading or inputting information into spreadsheets. * Provides research and follow-up for inquiries from Customer Service. * Pulls monthly rejection details. The role is responsible for pivoting rejections and analyzing rejections prior to RCAM review. * Work EPIC work queues and resolve edits in compliance with GPM Service standards for assigned billing areas. * Review accounts referred for write-off and document collection efforts prior to transferring for write-off approval. * Assist with the orientation and training of new staff. Qualifications Education High School Diploma or Equivalent required Experience Revenue, billing and related experience 2-3 years required Knowledge, Skills and Abilities * Strong knowledge of medical billing and payer requirements. * Excellent leadership and team management skills. * Proficiency in billing software and electronic health records (EHR) systems. * Strong analytical and problem-solving abilities. * Exceptional communication and interpersonal skills. * Ability to handle multiple tasks and work under pressure. * Ability to work with a high degree of accuracy. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $62,400.00 - $90,750.40/Annual Grade 6 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Primary Duties and Responsibilities The Epic Data Conversion Application Analyst II is responsible for configuring, testing, implementing and supporting the clinical, financial, or administrative Epic modules within their area of support. Oversees practices and processes to ensure integrity, safety and availability of all data and application, supporting the goals and objectives of the customer as well as business needs of Hoag. Collaborates with key stakeholders, end users and other members of the business teams to optimize system configuration, function and access. Recommends technology solutions based on business needs. Must be knowledgeable about the organization's policies, procedures, and business operations. Independently manages problem tickets and service requests, customer requests for system changes, data retrieval requests, system performance problems and optimization opportunities, and participate in the timely resolution of these activities. Troubleshoots and resolves highly complex application errors and other system issues. Actively leads and takes ownership for the build and maintenance of various system dictionaries, profiles, tables and other configuration points. Identifies system enhancement requests and works with the team to implement as applicable. Independently manages small to medium-sized optimization requests. Demonstrates capacity to take on progressively larger and more complex requests. Coordinates with the vendor as appropriate. Tests the system, including any configurations, customizations and new releases, prior to production implementation. Works with end-users to assist with the design and testing of system reports and communicate changes to end users and other staff as applicable. Participates as a team member in various projects. Prepares for and participates in system design, validation and/or remediation sessions. Understands data flow and supports/develops interface files. Develops and maintains documentation (knowledge base articles) outlining standard operating and support procedures. Performs all the functions above with minimal supervision. Performs other duties as assigned. Education and Experience Required: High School Diploma or equivalent required. Minimum of three (3) years' experience with Data Conversion, HL7, Cloverleaf, Epic Bridges or equivalent Integration application systems. Proficient with Microsoft office tools, including Word, Excel, PowerPoint, Visio, and Project Experience participating as a project team member on a large-scale project. Preferred: Associate's Degree in Computer Science, Information Systems or equivalent experience in a related field. Three (3) or more years' experience with application, module or equivalent system as assigned, including experience working in a health care environment department, preferably in an integrated health system environment. License Required Current CA driver's license for local travel License Preferred N/A Certifications Required Epic training and certification in the assigned application area is required. Certification includes completing application certification projects and tests. Have at least one secondary certification and/or badge relevant to supported module. Certifications Preferred Epic Bridges

We're actively seeking a qualified candidate to join Hoag at Home in an onsite role focused on Home Health and/or Hospice billing and claims follow-up. The ideal individual will have hands-on experience working with both commercial and government payors, including Medicare, Medi-Cal, and private insurance plans. This position requires strong attention to detail, proficiency in resolving claim denials, and familiarity with electronic health records and billing platforms. Responsibilities Primary Duties And Responsibilities The Collector serves as the account representative for Hoag in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution. Completes assigned accounts within assigned work queues. Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to Hoag. Reviews and completes payor and/or patient correspondence in a timely manner. Escalates to the payor and/or patient accounts that need to be appealed due to improper billing, coding and/or underpayments. Reports new/unknown billing edits to direct supervisor for review and resolution. Has a strong understanding of the Revenue Cycle processes, from Patient Access (authorizations & admissions) through Patient Financial Services (billing & collections), including procedures and policies. Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and conditions, as well as Federal and State requirements. Interprets Explanation of Benefits (EOBs) and Electronic Admittance Advices (ERAs) to ensure proper payment as well as assist and educate patients and colleagues with understanding of benefit plans. Understanding of hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims. Demonstrates knowledge of and effectively uses patient accounting systems. Documents all calls and actions taken in the appropriate systems. Accurately codes insurance plan codes. Establishes a payment arrangement when patients are unable to pay in full at the time payment is due. May review for applicable cash rates, special rates, applicable professional and employee discounts. May process bankruptcy and deceased patient accounts. Performs other duties as assigned. Consistently meets individual productivity and quality assurance standards Performs other duties as assigned. Qualifications Education and Experience: High school diploma or equivalent required. One year of previous hospital business experience, or equivalent required or strong background in customer service. Basic experienece with insurance plans, hospital reimbursement methodology, and/or ICD10 and CPT coding. License Required: N/A License Preferred: N/A Certifications Required: N/A Certifications Preferred: N/A

We are so glad you are interested in joining Sutter Health! Organization: ABSMC-Summit Campus Provides administrative leadership to Food Production operations, which may include one or more teams performing related work. Establishes and implements goals, standards and practices that guide and support initiatives while ensuring the delivery of quality service or exceptional customer/employee experiences. Develops and fosters a solid partnership with leaders, work teams and other employees to facilitate and collaborate on initiatives, to resolve operational challenges and/or to improve processes. Works with senior leadership to develop and establish short- and long-term strategic plans that complement system, operating unit or affiliate goals and initiatives, including business, operations, and/or organizational priorities. Sets priorities and allocates resources to align with business objectives and annual plan. Develops and establishes the direction of policies and procedures, and sets a structure for providing a safe and productive work environment. Establishes overall operating and capital budget with input from management team, ensuring financial targets are achieved and variances are addressed timely. : OPERATIONS. * Provides administrative leadership for Food Production department or program, which may include one or more teams performing related work. * Establishes and implements goals, standards and practices that guide and support initiatives while ensuring the delivery of quality service or exceptional customer/employee experiences. * Develops and fosters a solid partnership with leaders, work teams and other employees to facilitate and collaborate on initiatives, to resolve operational challenges and/or to improve processes. * Develops and establishes the direction of Food Production Services including policies and procedures and sets a structure for providing a safe and productive work environment. * Ensures protocols are in place to comply with affiliate and operating unit policies and procedures, and regulatory requirements. * Takes a strategic approach in identifying best practices and standardizing workflows/processes and developing plans of action to implement changes. * Establishes and communicates priorities and operational objectives to ensure business results are achieved. * Makes rounds with staff and customers, listening to concerns and issues, conducting service recovery, and ensuring deficiencies are addressed. * Develops, implements and/or ensures corrective action plans are implemented to address or minimize operational risk. * Reviews complaints and incidents, responding as appropriate and ensuring improvement plan, if needed, is developed and implemented. * Directs or leads continuous improvement efforts using Lean or other process improvement methods and concepts. * Promotes efficient and effective communications between departments and/or business teams to improve and standardize work flows * Identifies and works to remove barriers that may hinder delivery of services or the achievement of process/productivity improvement and efficiency. * Develops and maintains a working relationships external peers and/or local/state/federal agencies to facilitate and collaborate on issues resolution. * Negotiates with external partners, vendors or agencies relating to contracts, services and audits, ensuring terms and conditions follow operating unit and/or system protocols. * Provides guidance and/or direct intervention in resolving operating challenging or complex situations. * Keeps leadership informed of operations that may impact the community at-large or require proactive intervention. STRATEGY/PLANNING. * Works with senior leadership to develop and establish short- and long-term strategic plans that complement system, operating unit or affiliate goals, including business, operations, and/or organizational priorities. * Communicates strategic plans to department managers to ensure alignment of goals. * Sets priorities and allocates resources to align with business objectives and annual plan. * Leads departmental goal setting process, and provides roadmap for accomplishing goals. Monitors progress, developing action plans to address issues and challenges. * Communicates affiliate, operating unit and system goals to staff, helping staff understand impact on patients, operations and resources. * Develops/approves plan of action to address current and future resource needs in order to meet service and/or operational demands and objectives. * Identifies process improvement opportunities, and ensures action plans short/long term operational objectives. * Monitors operational trends and recurrent issues, ensuring managers implement appropriate actions to address issues. * Actively includes other leaders in the development of new or existing programs. * May participate in and/or facilitate ad-hoc committees and task forces to collaborate on or support new or ongoing initiatives. FINANCIAL MANAGEMENT. * Establishes overall operating and capital budget with input from management team, ensuring financial targets are achieved and variances are addressed timely. * Approves department operating budgets, and capital requests. * Works with department managers to ensure achievement of financial targets via effective utilization of personnel, resources and supplies. * Monitors department productivity, ensuring operational challenges are addressed timely. * Reviews financial reports, and develops and implements corrective action plans to address unfavorable variances. * Reviews and approves employee expense reimbursements, and billing statements from vendors according to established protocol. PEOPLE. * Provides and fosters an inclusive work environment that encourages staff engagement and collaboration, establishing a culture of teamwork * Manages assigned staff, makes hiring and termination decisions, and reviews and approves timekeeping records. * Establishes expectations with all direct reports, holds individuals and work teams accountable, and ensures job descriptions accurately reflect job responsibilities and expectations. * Evaluates staff performance and determines/approves merit increase. Provides constructive feedback, coaching and counseling. Implements disciplinary actions and/or performance improvement plans to achieve desired performance. May work with leadership when major disciplinary action is necessary or in consultation with Human Resources. * Provides opportunities for career development, role expansion, and cross-training. * Conducts staff meetings for informative and educational purposes. * Responds timely to alleged violations of policies, procedures, regulations and standards of conduct by evaluating or initiating investigative procedures. May consult with Human Resources or Compliance to determine appropriate course of action. * Ensures staff maintains current and appropriate professional credentials. * During peak periods or emergencies, may perform tasks to assist team in achieving business results. * May assume responsibilities of one-up leader role during his/her absence. EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. Bachelor's: Bachelor's degree in food and/or nutrition science, food service management, or related field CERTIFICATION & LICENSURE: SS-Serve Save Certified Certified Dietary Manager TYPICAL EXPERIENCE: 12 years recent relevant experience. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $75.88 to $113.82 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

Northern California Family Medicine Opportunity ??? Loan Forgiveness Available Gould Medical Group is looking for BE/BC Family Medicine physicians in Ceres, Modesto, Lodi, Turlock, Tracy, and Patterson, CA. Gould Medical Group is a growing, 525 clinician multi-specialty group located about two hours east of San Francisco, California. Our communities offer quick access to the bay area as well as other hot spots such as Napa Valley, Yosemite, and Lake Tahoe.

Salary Range: $22.000 - $33.5900 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education. The Collector I, II, III serves as the account representative for Hoag in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution. Completes assigned accounts within assigned work queues. Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to Hoag. Reviews and completes payor and/or patient correspondence in a timely manner. Escalates to the payor and/or patient accounts that need to be appealed due to improper billing, coding and/or underpayments. Reports new/unknown billing edits to direct supervisor for review and resolution. Has a strong understanding of the Revenue Cycle processes, from Patient Access (authorizations & admissions) through Patient Financial Services (billing & collections), including procedures and policies. Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and conditions, as well as Federal and State requirements. Interprets Explanation of Benefits (EOBs) and Electronic Admittance Advices (ERAs) to ensure proper payment as well as assist and educate patients and colleagues with understanding of benefit plans. Understanding of hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims. Demonstrates knowledge of and effectively uses patient accounting systems. Documents all calls and actions taken in the appropriate systems. Accurately codes insurance plan codes. Establishes a payment arrangement when patients are unable to pay in full at the time payment is due. May review for applicable cash rates, special rates, applicable professional and employee discounts. May process bankruptcy and deceased patient accounts. Performs other duties as assigned. Consistently meets individual productivity and quality assurance standards. Performs other duties as assigned. Current Openings: Collector I - Customer Service/SBO Collector I - Patient Accounting (Hospital billing) Collector II - Revenue Cycle EPIC Collector III - Revenue Cycle Operations Education and Experience All Collector Roles: High school diploma or equivalent required. One year of previous hospital business experience, or equivalent required or strong background in customer service (minimum required for level I) Basic experienece with insurance plans, hospital reimbursement methodology, and/or ICD10 and CPT coding. Location: Costa Mesa, CA About Hoag: Hoag is a nonprofit, regional healthcare delivery system in Orange County, California. Delivering world class, comprehensive, personalized care, Hoag consists of 1,800 top physicians, 15 urgent care facilities,10 health and wellness centers, and two award-winning hospitals. Hoag offers a comprehensive blend of health care servicesthat includes seven institutes providing specialized services in the following areas: cancer, digestive health, heartand vascular, neurosciences, spine, women's health, and orthopedics through Hoag's affiliate, Hoag Orthopedic Institute, which consists of an orthopedic hospital and four ambulatory surgical centers. Hoag is the highest-ranked hospital in Orange County by U.S. News & World Report and the only OC hospital ranked in the Top 10 in California, as well as a designated Magnet hospital by the American Nurses Credentialing Center (ANCC). For more information about Hoag careers, visit careers.hoag.org. Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Primary Duties and Responsibilities The Insurance Verification Specialist verifies insurance and benefit coverage for services in assigned department(s). This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. Reviews physician orders for medical necessity and accuracy and provides clinical documentation to support proper authorization. Accurately and timely codes insurance in the billing system. Provides patient education of service of benefits, status of pending or denied authorizations and gets assistance in resolving. Determines copayment and deductible amounts, maintains charge entry and reconciles daily charges. Accurately enters insurance benefit and authorization information into patient accounts. Seeks assistance as needed to maintain service levels. May arrange for peer-to-peer evaluations between physician offices and insurance companies as requested. Performs other duties as assigned. Education and Experience High school diploma or equivalent required. Two to three years' experience in patient access or related healthcare experience required. Intermediate knowledge of Windows computers and data entry required. Experience with billing, insurance verification, coding, authorization guidelines, ICD 10 and CPT-4 coding, and/or medical terminology preferred. Degree and/or certificate in related field preferred. Additional department specific requirements are: Outpatient Treatment Center: Two to three years' experience in hospital registration with strong emphasis in Oncology preferred. Radiation Oncology: Two to three years' experience in hospital registration with strong emphasis in Oncology preferred. License Required N/A License Preferred N/A Certifications Required N/A Certifications Preferred N/A

Requisition ID 39607 Department Clinical Resource Management Location Escondido, California Poway, California Union Not Applicable Salary Range 78.75 - 105.50 Job Type Full-Time Shift Day Hours Per Shift 8 Hours Per Pay Period 80 at Palomar Health Description Responsible for the operations for Clinical Resource Management Department. Accountable for leading the operations of the Clinical Excellence initiatives of the health system, and for oversight of the Case Management, Social Services, Utilization Review and Clinical Documentation Improvement functions of the acute care hospitals across the district. Accountable for leading the operations of the Clinical Excellence initiatives of the health system, and for oversight of the Case Management, Social Services, Utilization Review and Clinical Documentation Improvement functions of the acute care hospitals across the district.Responsible for the operations for Clinical Resource Management Department. Accountable for leading the operations of the Clinical Excellence initiatives of the health system, and for oversight of the Case Management, Social Services, Utilization Review and Clinical Documentation Improvement functions of the acute care hospitals. Provides oversight to ensure efficient and effective use of resources; appropriate placement of inpatients and transfer of patients from Palomar Health; flow of patients through the continuum of care; support from Social Services for mandatory reporting; ongoing review and improvement of clinical documentation of patient care; and, assistance to patients requiring social services to return to the community. Develops and mentors a high performing team for all areas of responsibility. Ensures financial viability by managing both applicable revenue and expenses with attention to supply cost utilization and a high level of productivity in cost centers under direct control. Coordinates directly with Managed Care Organizations and Palomar Health managed care and contract staff to ensure efficient care and appropriate reimbursement is received. Develops and implements cost saving measures associated with length of stay and appropriate utilization review. Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.Job Requirements Minimum Education: Masters Degree in a related field or Masters Degree in progress with an expected completion date within 3 years of hire Preferred Education: Not Applicable Minimum Experience: 2-3 years Preferred Experience: 3-5 years Required Certification: Not Applicable Preferred Certification: Certification in specialty area of practice or role Required License: Valid Driver's License Preferred License: Current CA RN License #LI-AM1 Current employees are not eligible for hiring incentives. We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.

Primary Duties and Responsibilities The Sr. Inventory Medical Specialist will manage daily operations associated with the procurement and management of all stock and non-stock (e.g. new, single use, contract conversion) supplies utilized by the department. Will work closely with to ensure supplies are maintained at full par levels, with a focus on continuous process improvement. Manages the acquisition, storage, flow and tracking of all products. Engages in procuring, tracking, maintaining and safeguarding operating room (OR) supplies. Collaborates with customers and supply chain staff to identify optimal sources for all OR related products. Oversees inventory management for an entire OR. Education and Experience High school diploma or equivalent work experience. More than 2 years of inventory management experience in a hospital environment and knowledge of the functionality and use of automated inventory control systems. Able to oversees inventory management for an entire OR such as Newport Surgery Center or HHI Ability to understand and apply effective strategies for increasing overall operational efficiency and cost reduction outcomes with respect to OR supply chain inventory. Identify compliance deficiencies and/or systemic weaknesses and implement timely corrective action to forestall or remedy License Required: Valid California driver's license for those who are authorized to operate Hoag vehicles License Preferred: N/A Certifications Required N/A Certifications Preferred N/A

When you join the Huntington Hospital team, you are aligning yourself with an organization whose values drive our philosophy of compassionate community care. Over the past 129 years, we've grown from a small 16-bed hospital to a nationally recognized healthcare leader with 619 beds. As part of our commitment to providing equitable, high-quality care to all members of our community, we embrace differences and work hard to create a place of belonging for our patients and our employees. When you join the Huntington family, you'll be empowered to enact change that continuously improves our ability to deliver world-class care, with kindness and dignity, to all who need it. Internal Workers - Please log into your Workday account to apply Huntington Hospital Employee Login Expectations: Under limited supervision, the nuclear medicine technologist produces quality scans for medical interpretation. Works as part of the team to provide quality patient service in a timely manner and coordinates work in compliance with Department, State and Federal Policies. This position may require flexibility of hours. EDUCATION: Satisfactory completion of formal nuclear medicine technology training by either the NMTCB or the ARRT(N). EXPERIENCE/TRAINING: Two years experience preferred. LICENSES/CERTIFICATIONS: Required: Certified Nuclear Medicine Technologist (CNMT) or Certified Technologist Nuclear Medicine (CTNM) issued by California Department of Public Health or American Registry of Radiologic Technologists Nuclear Medicine Technology (ARRT(N)) issued by American Registry of Radiologic Technologists Current Basic Life Support Provider (BLS) issued by American Heart Association SKILLS: Knowledge of nuclear radiopharmacy and ability to perform venipuncture. Job Title: Nuclear Medicine Technologist Department: Nuclear Medicine Shift Duration: 8 Primary Shift: Days Time Type: Part time Location: 100 W California Blvd, Pasadena, CA 91105 Pay Range: The estimated base rate for this position is $58.86 - $89.77. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions.

Requisition ID 41056 Department Practice Admin Location Poway, California Union Not Applicable Salary Range 44.02 - 61.63 Job Type Part-Time Shift Day Hours Per Shift 08 Hours Per Pay Period 40 Description Plans and conducts a systematic method for identifying, reporting and evaluating infections. Conducts surveillance process and communicates results to appropriate committees/departments. Uses epidemiological method and surveillance data to evaluate current infection prevention practices and quality improvement action plans. Provides on-going reviews and evaluation of safety equipment and products, waste management procedures and makes appropriate recommendations based on current standards. Liaisons with Public Health Department by reporting required communicable diseases. Enhances professional knowledge and practice by actively participating in professional organizations such as the Association for Professionals in Infection Control and Epidemiology (APIC), and by seeking out appropriate educational opportunities to improve and broaden knowledge of infection prevention and control. Represents infection prevention principles and current knowledge in quality improvement process. Contributes to any medical group audits or licensure by facilitating compliance with infection prevention and control standards as set forth by regulatory agencies. Collaborates with Employee Health on issues of exposures, immunization and other employee-related infection issues. Supports the medical group's risk management program by providing technical information regarding infection prevention issues and notifying Risk Management of potential issues. Conducts infection surveillance activities at Palomar Health Medical Group. Participates in infection prevention education by providing orientation, in-services or resources to staff, physicians, and the community based on identified needs. Maintains knowledge of safety and house-wide issues by completing mandatory classes. Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health Medical Group rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health Medical Group. Job Requirements Minimum Education: Bachelor's Degree in Nursing or health related field or combination of education and Infection Control certification Preferred Education: Bachelor's Degree in NursingMinimum Experience: At least 1 year in an ambulatory healthcare setting Preferred Experience: 3+ years as an infection control practitioner with associated responsibilities Required License: Valid Driver's LicensePreferred License: Current CA RN License or Current CA Medical TechnologistRequired Certification: American Heart Association recognized BLS - Healthcare ProviderPreferred Certification: Certified Infection Control Practitioner We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.

At Hoag Concierge Medicine we create lasting relationships between our patients, doctors and health support team.? We are proud of our patient-centered, physician-forward culture built on open communication, respect and trust. We are seeking an energetic, team-oriented Primary Care Physician to join the Hoag Concierge Medical Group at our newest Wellness Clinic in Costa Mesa, CA. Our care model allows each of our physicians to develop a deep relationship with their patients and provide an elevated level of clinical care and practice management. We have been voted the #1 most trusted and respected hospital system in Orange County six years in a row and would like you to be part of our ongoing journey to provide the best possible care to the communities we serve! Position Details and Requirements: Responsible for providing primary care to a limited patient panel including individualized prevention, treatment planning, coordination of care and overall wellness. Energetic self-starter who can work independently and contribute to a team environment delivering the highest quality of medical care in a five-star service environment. Consulting with patients to understand their symptoms and health concerns. Diagnosing and treating acute illnesses as well as managing chronic diseases and conditions, such as hypertension, heart disease, or diabetes Prescribing or administering medication, therapy, and other specialized medical care to treat or prevent illness, disease, or injury Explaining procedures and discussing test results or prescribed treatments with patients Monitoring patients' conditions and progress, and re-evaluating treatments, as necessary Providing health and wellness advice to patients, including diet, physical activity, hygiene, and disease prevention Immunizing patients against preventable diseases Maintaining detailed notes of appointments with patients, including comments, tests, and/or treatments prescribed, and test results Referring patients to other medical specialists, when necessary Providing support and advice to patients receiving long-term care Preparing official health documents or records, when necessary Conducting research into the testing and development of new medications, methods of treatment, or procedures to prevent or control illness, disease, or injury Impeccable bedside manner, high EQ and ability to communicate effectively with patients Partner with a multidisciplinary team of exercise physiologists and health coaches to build personalized wellness programs for patients Contribute to the innovative, learning culture of the group and practice Qualifications M.D. or D.O. Degree Board Certified or Board Eligible in Internal Medicine or Family Medicine EMR Proficient (EPIC experience a plus) Valid and active California medical license Exceptional attention to detail Excellent communicator who can empathize with patients. Compensation and Benefits: Competitive Compensation Package: Base guaranteed salary plus bonus potential Comprehensive Benefits: Medical, dental, vision, retirement, Paid time off, SME stipend Malpractice and tail coverage provided Contact: Steven Yi Physician Consultant ******************

Primary Duties and Responsibilities The Sr. Clinical Research Finance Coordinator supports the Clinical Research Office and with minimal direction and considerable use of independent judgment, the Sr. Clinical Research Finance Coordinator will utilize financial concepts, communication skills, and experience/knowledge of the clinical research enterprise to provide clinical research finance services. This role will support the development of projects and processes from study initiation through completion by collaborating with investigators and other stakeholders. This position will require excellent communication and organizational skills, and solid foundational, financial, and operational knowledge in clinical research. Works efficiently to ensure accounts are worked thoroughly and within a timely manner. Assists department, service line, or strategic focus area with administrative and financial activities associated with research or other sponsored projects. Assists with budget-to-actual analyses and financial projections. Perform accounts payable and accounts receivable tasks for study fund accounts. Performs other duties as assigned. The Sr. Clinical Research Finance Coordinator assist with staff training, works closely with the USC finance team maintaining Contract and Budget Amendments, assist with Oversight of the USC invoice process for Phase 1 research, developing Hoag's USC Internal budgets, tracking USC invoicing and USC study payments. Assist with financial projects and is a resource of many Financial Clinical Research aspects. Education and Experience Bachelor's degree in Accounting, Finance or equivalent experience in a related field and minimum of 2+ years clinical research experience; or an equivalent combination of education and experience required Proficiency in Microsoft Outlook, Excel, Word, PowerPoint, accounting software, and excellent with databases Ability to work accurately in a high-volume processing environment under pressure and on deadline Knowledge in EPIC, Velos and Lawson preferred

Primary Duties and Responsibilities The Specialist is responsible for resolving inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date. The Specialist will ensure first-call-resolution standards are followed and will refer and follow-up as per Hoag guidelines. Ensure accuracy, reports issues, and works to resolve. Ensure compliance and regulatory guidelines and health plan requirements are met. Documents actions taken following HIPAA guidelines. May assist in providing customer service, member services, and others in working with providers/billing offices when needed. Assist in identifying and reporting issues working with the management team to help minimize re-work and address front-end process issues. Performs other duties as assigned. Revenue Cycle May also maintains databases, audit information and works with patients to process patient payment. May follow up with insurance companies on outstanding or unpaid claims, create/send statements to patients. Clinic MSO The Claims Billing Specialist handles 35-40 calls daily from healthcare providers, health plans, billing companies, and members on inquiries related to claims, eligibility, and authorization Document all incoming calls following HIPAA guidelines in handling patient data Support the claims department by preparing claim receipts and correspondences received in the Hoag Clinic MSO mailroom Assist with daily pick-ups and distribution of mail and correspondences from dedicated post office boxes, fax machines, e-fax, secure file transfers, as well as sending provider EOBs, member letters, misdirected claims, and other letters sent by the Claims team Interact in a positive and collaborative manner with internal and external partners especially in demanding and tense situations with providers and patients exhibiting a caring, empathetic, and patient attitude Support the claims team in implementing initiatives in improving claims processing efficiency Assist in provider customer service, member services, health plan, and other customers including making and answering phone calls to providers/billing offices when necessary, based on team guidelines Education and Experience Required: High School Diploma or equivalent 1+ years of experience in medical claims/billing processing or claims customer service in a health plan, medical group, or IPA environment, knowledge of HMO/managed care regulatory guidelines Proficient in Microsoft Word, Excel, Typing/Data Entry Revenue Cycle Experience in and knowledge of all medical billing protocols including HCPCS, ICD-10, and CPT codes as well as EMR system experience Preferred: Revenue Cycle Experience with Epic Tapestry CRM system and in claims adjudication; Working knowledge of regulatory guidelines in managed care (Title 22, AB1455, AB1203, AB1324, AB72, CMS guidelines, COB guidelines, etc.), claims processing, code categories (CPT, ICD, etc.) Clinic MSO Experience with Epic Tapestry CRM system, 1 year of experience in claims adjudication License Required: N/A License Preferred: N/A Certifications Required N/A Certifications Preferred N/A

When you join the Huntington Hospital team, you are aligning yourself with an organization whose values drive our philosophy of compassionate community care. Over the past 129 years, we've grown from a small 16-bed hospital to a nationally recognized healthcare leader with 619 beds. As part of our commitment to providing equitable, high-quality care to all members of our community, we embrace differences and work hard to create a place of belonging for our patients and our employees. When you join the Huntington family, you'll be empowered to enact change that continuously improves our ability to deliver world-class care, with kindness and dignity, to all who need it. Internal Workers - Please log into your Workday account to apply Huntington Hospital Employee Login Expectations: Performs a variety of standardized tests and procedures in conjunction with associated clerical and quality assurance functions. Assists with the general operation of the assigned section/shift under direct supervision of licensed personnel. This position may require flexibility of hours. EDUCATION: Minimum of 2 years of college (preferably in the Laboratory Sciences) or equivalent laboratory bench experience, required. EXPERIENCE/TRAINING: Must have experience as required by the particular position. SKILLS: Must be able to multitask and consistently follow instructions. Job Title: Clinical Laboratory Technician Per Diem Department: Microbiology Shift Duration: 8 Primary Shift: Nights Time Type: Part time Location: 100 W California Blvd, Pasadena, CA 91105 Pay Range: The estimated base rate for this position is $25.20 - $35.99. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions.

Requisition ID 41329 Department Organizational Learning Location Escondido, California Union Not Applicable Salary Range 51.99 - 78.09 Job Type Full-Time Shift Day Hours Per Shift 8 Hours Per Pay Period 80 at Palomar Health Description Under the direction of the Manager for Educational Services, the Clinical System Educator assumes responsibility for the design, implementation and evaluation of clinical orientation and organization wide clinical education and in-servicing. Works cross-functionally to ensure clinical staff have the skills and training they need to succeed in their individual departments within the healthcare setting. Facilitates Clinical Services Orientation which incorporates a variety of teaching methodologies (e.g., didactic, simulation, case study, etc.) to ensure staff new to the organization receive the information and training they need to meet performance standards, maintain regulatory compliance and support quality care for the population they serve. Partners with subject matter experts to devise education programs which encourage amalgamation of knowledge, skill, aptitude, and clinical reasoning of team members including nurse residents/new to specialty staff. Advocates for innovative learning tactics to assist the learner meet performance expectations, promote engagement and stimulate a positive workplace culture. Continuously evaluates the quality of orientation, educational programs and courseware employed to further professional clinical skills, patient care methods and best collaboration practices across the organization. Facilitates and supports the change process to meet the needs of organizational directives and learning initiatives. Oversees the application and maintenance process of continuing education (e.g., BRN, C.N.A, Rehab) for the organization. Participates in Palomar Health committees and councils as member, leader consultant as appropriate to expertise. Accountable to deliver results on-time and according to the needs of the customer. Maintains a strong work ethic, effectively manages competing priorities and accomplishes assignments with minimal supervision.Job Requirements Minimum Education: Bachelor's Degree in Nursing Preferred Education: Master's Degree in Nursing or other education related field of study Minimum Experience: 2 - 5 years previous experience as a clinical educator, lead, preceptor and/or supervisor. Preferred Experience: 5+ years previous experience as a clinical educator Required Certification: American Heart Association recognized BLS - Healthcare Provider Preferred Certification: Certification in specialty area of practice or role Required License: Valid Driver's License Current CA RN License Preferred License: Not Applicable Current employees are not eligible for hiring incentives. We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.