Receptionist
Humana Inc. job in Houston, TX
Become a part of our caring community and help us put health first The Receptionist receives and correctly routes incoming and outgoing telephone calls and accommodates visitors so that all callers/visitors are attended to promptly, courteously, and accurately. The Receptionist performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Checking in and outpatients, insurance verification and data entry.
Center Address: CenterWell Jacinto City, 1910 John Ralston Rd, Ste: 200, Houston, TX 77013
Essential Functions
* Answer phone calls utilizing a Genesys system.
* Ensure accurate and timely processing of all requests by taking appropriate action, such as scheduling appointments, taking messages, transferring calls to appropriate staff.
* Ensure thorough records are maintained by documenting discussion, messages and actions taken to process inquiries.
* Resolve patient issues through independent problem solving and with a goal of first call.
Required Qualifications
* Medical setting experience.
* Strong organizational, written and verbal communication skills.
* Ability to remain calm and helpful even when dealing with upset customers.
* Ability to foster teamwork and partnerships with cross‐functional departments to resolve issues and improve customer experience.
* Proficient with Microsoft Office applications including Microsoft Word, Excel and Outlook.
Preferred Qualifications
* Bilingual English (read, write & speak) and Spanish.
* Experience in EMR systems such as E-Clinical Works, Epic, Athena Health, and/or NextGen.
* 2 years medical setting front desk experience.
* Customer service experience.
* Experience in a highly customer service-oriented environment.
* Knowledge of and strict adherence to HIPAA
Additional Information
Work Schedule: Monday - Friday, 8:00am- 5pm
PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF or Word format)
Use your skills to make an impact
Alert
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
Interview Format - HireVue
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Benefits
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
#LI-MM1
#LI-Onsite
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$41,800 - $50,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Easy ApplyCommunity Health Worker
Humana Inc. job in Houston, TX
Become a part of our caring community and help us put health first Working within an interdisciplinary care integration team (CIT), the Community Health Worker is responsible for proactively engaging patients and serving as the linking role between a patient, their community, and their healthcare ecosystem including PCP and other specialists, and implementing targeted interventions to address barriers to health and increase access to care.
This role requires outreach strategies to engage patients at least weekly, providing culturally appropriate health education, advocate for needs, facilitate communication between key stakeholders in the patient's community (e.g., facilitate coordination with local food bank) and health care providers (e.g., coordinate visits, review annual wellness visits, and education materials, and engage people on the complex items healthcare stakeholders are sharing with them to help establish a question list for their next appointment and work with patients to help navigate).
Community Health Workers (CHW) coordinate care across health and social service systems serving as their patient advocate and support including yet not limited to the following:
* Needs Assessment: Assessing the health needs of a community to identify priority areas for intervention.
* Screening and Coordination: Conducting basic health screenings and help coordinate with the appropriate healthcare providers for further evaluation and treatment.
* Outreach and Home Visits: Conducting community outreach activities, including home visits, to identify individuals and families in need of healthcare services, understand their living situation, and understand what barriers the patient is facing.
* Health Education: Providing culturally appropriate health information and education. Engage patients in material from providers / clinicians to help them understand or formulate questions for their next visit.
* Care Coordination: Facilitate communication between individuals, healthcare providers, and social service agencies to ensure seamless care coordination including facilitation of the coordination in partnership with patients virtually, in home, or on a 3-way call helping patients as needed.
* Advocacy: Advocating for individuals and communities to access necessary healthcare services, addressing barriers including transportation, language, and financial limitations. Includes assisting patients in setting services up and empowering patients/caregivers to support self-management.
* Social Support: Provide emotional support and coaching to individuals navigating complex health situations.
* Community Engagement: encourage and empower patients to build relationships with community leaders and organizations to promote health initiatives and increase community participation (e.g., attend a community center Zumba class with a patient the first time)
* Cultural Competence: Understanding and respecting the cultural differences of the community they serve to effectively communicate and provide culturally sensitive care
Duties and Responsibilities
* Develop a wholistic view of patient needs and facilitate addressing barriers to health
* Identify existing barriers to engagement with necessary resources and supports
* Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support
* Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems
* Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team
* Facilitate interdisciplinary team rounds in partnership with the care team
* Supporting patients' self-determination and motivate patients to meet health goals they have identified
* Facilitate and help patients with necessary services and supports
* This field may include but is not limited to: assistance with transportation, food insecurity, navigation of and application for benefits including, Medicaid, HCBS, working to reduce costs associated with prescription medications, organizing schedules of follow up appointments, alleviating social isolation
* Participate in interdisciplinary review of and coordination around complex patients
* Maintain patient confidentiality in accordance with HIPAA
* Document patient encounters in medical record system in a timely manner
Use your skills to make an impact
Required Qualifications
* Community Health Worker Certification
* Minimum of 2 years of experience working in human services and navigating community-based resources
Preferred Qualifications
* Bachelor's Degree in applicable discipline
* Familiarity with state Medicaid guidelines and application processes
* Experience working with patients with behavioral health conditions and substance use disorders
* Prior experience conducting home visits and knowledge of field safety practices
* Training as an LPN or LVN
* Training as an EMT or paramedic
* Bilingual in English/Spanish with the ability to speak, read and write in both languages without limitations and assistance
Skills/Abilities/Competencies Required
* Ability to multi-task in a fast-paced work environment
* Flexibility to fluidly transition and adjust in an evolving role
* Excellent organizational skills
* Advanced oral and written communication skills
* Strong interpersonal and relationship building skills
* Compassion and desire to advocate for patient needs
* Critical thinking and problem-solving capabilities
Working Conditions
This role has a mobile presence, involving travel to patients' homes, treatment facilities and community-based settings, and assigned clinics to facilitate connections.
Workstyle: Combination in clinic and field, local travel to meet with members.
Location: Must reside in the Central or South-Central Houston metro OR willing to travel in the Houston area.
Hours: Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$59,100 - $79,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Associate Specialist, Provider Contracts HP
Houston, TX job
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when available, and the application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
**Job Duties**
This role supports negotiations with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports according to departmental procedures.
- Sends out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members.
- Receives calls from prospective providers and answers questions regarding contracting process, policies and procedures.
- Forwards requested information/documentation to prospective providers in a timely manner.
- Maintains database of all contracts and specific applications sent to prospective new providers.
- Completes and updates Provider Information Forms for each new contract.
- Ensures accuracy and completeness of provider demographic information and coordinates communication of such information to Provider Configuration team.
- Sends out new provider welcome packets to providers who have contracted with the plan.
- Utilizes Plan's system to track and follow up with Providers who have not responded to Contracts and/or Applications sent as directed by management.
- Formats and distributes Provider network resources (e.g. electronic specialist directory).
**Job Qualifications**
**REQUIRED EDUCATION** :
High School Diploma or equivalent GED
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
1 year customer service, provider service, contracting or claims experience in the healthcare industry.
**PREFERRED EDUCATION** :
Associate's Degree or Bachelor's Degree in a related field or an equivalent combination of education and experience
**PREFERRED EXPERIENCE** :
Managed Care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Radiologist - Breast Imaging - Kelsey-Seybold - Springwoods Village
Houston, TX job
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Primary Responsibilities:
Join a 30+ radiologist group that is based at our Main Campus location with a possible rotation to an outlying satellite clinic. We are seeking a board-certified radiologist interested in general radiology to include:
* Radiography
* General fluoroscopy and procedures
* Proficiency with interpretation of ultrasound and general body CT preferred
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Medical Degree (MD, DO)
* Accredited Residency training
* Licensed or willing to be licensed in the State of Texas
* Board Certified or Board Eligible
* Driver's License and access to a reliable transportation
Preferred Qualification:
* Bilingual (English/Spanish) fluency
Compensation for this specialty generally ranges from $423,500 to $682,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Mobile Coach Driver - Radiology - Kelsey Seybold Clinic - Main Campus
Houston, TX job
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Primary Responsibilities:
* Abides by state rules and regulations while operating the vehicle to and from assigned locations, in and around the Houston and surrounding areas and is primary contact for troubleshooting issues related to the mobile coach
* Plans ahead to adjust for traffic, construction, or inclement weather in order to arrive to the event on time
* Assists with scheduling routine interior and exterior coach maintenance, and coordination of vehicle preventative maintenance and service
* Assists with completion of Life Safety checks and participates in EHS inspection
* Hours must be flexible with possible weekend hours
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* High School diploma or GED from an accredited program
* 5+ years of personal driving experience
* Proven excellent customer service skill set and solid written and oral communication abilities
* Ability to be detail-oriented, good organizational skills, proactive troubleshooter
* Insurable driving record
* Valid Texas Driver's License and access to reliable transportation
Preferred Qualifications:
* 4+ years of professional driving experience
* Commercial Driver's License
* Bilingual
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $24.23 per hour based on full-time employment. We comply with all minimum wage laws as applicable
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Physical Therapist Assistant, Home Health
Humana Inc. job in Humble, TX
Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life.
As a Home Health Physical Therapist Assistant, you will:
* Administer the physical therapy treatment plan as developed by the Physical Therapist.
* Administer non-complex active and passive manual therapeutic exercises, therapeutic massage, traction heat, light, cold, water, and electrical modalities to patients.
* Accurately documents daily, weekly, or monthly records of clients'. Submits clinical paperwork to the office on time each week.
* Attend educational meetings and coordinates and contributes to department in-services.
* Notify physical therapist or Executive Director of any equipment failures, lack of supplies, staff or client changes, and any other departmental
* Schedule clients and performs varied office tasks.
* Apply concepts of infection control and universal precautions in performing patient care activities.
* Accept clinical assignments that are consistent with education and competence to care for patients.
* Promote compliance with all fiscal intermediaries and/or other third-party payors, through education, coaching, and other assistance as necessary.
Use your skills to make an impact
Required Experience/Skills:
* Performs other related duties as assigned.
* Associate degree in Physical Therapy from an American Physical Therapy Association.
* Current state license to practice Physical Therapy.
* Valid driver's license, auto insurance and reliable transportation.
* Proof of current CPR certification.
* Minimum two years experience as a Physical Therapy Assistant,
* Comprehensive knowledge of the physical, emotional, social, and biological changes that occur in the geriatric population.
* Self-directed, enthusiastic, and accepts constructive feedback.
* Demonstrates good verbal and written communication and organization skills.
* Communicates and demonstrates a professional image/attitude for patients, families, clients, coworkers, and others.
* Meets mandatory continuing education requirements of CenterWell Home Health and licensing board. Maintains clinical competency in Physical Therapy practice and theory.
* Ability to work a flexible schedule and travel locally.
* Able to maintain confidentiality.
* Maintains current licensure certifications and meets mandatory continuing education requirements.
* Must read, write, and speak fluent English.
* Must have good and regular attendance.
Pay Range
* $41.00 - $57.00 - pay per visit/unit
* $64,200 - $88,000 per year base pay
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$64,200 - $88,000 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Supervisor, Healthcare Services Operations Support
Houston, TX job
JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc.
- Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes.
- Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance.
- Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement.
- Assists in the development and implementation of internal desktop processes and procedures.
- Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.
Required Qualifications- At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience.
- Strong analytic and problem-solving abilities.
- Strong organizational and time-management skills.
- Ability to multi-task and meet project deadlines.
- Attention to detail.
- Ability to build relationships and collaborate cross-functionally.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Supervisory/leadership experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $77,969 - $106,214 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Supervisor Network Development Credentialing - Community Network - Pearland, TX. Kelsey Seybold Clinic
Pearland, TX job
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Primary Responsibilities:
The Credentialing Supervisor oversees the credentialing process and assigned staff to ensure compliance with delegated credentialing accreditation and regulatory agency standards. The Supervisor is responsible for the daily operations of Credentialing in Network Operations Department and ensures processes meet regulation requirements. The Credentialing Supervisor facilitates communication with clinics, physicians, payors, medical directors and other customers.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* High School diploma or equivalent work experience with focus in credentialing
* 5+ years of managed care experience, 1-year supervisory experience
* High degree of knowledge in NCQA, TDI and AAAHC credentialing standards. Proficient computer experience, i.e. Microsoft Word /Excel
* Excellent written, verbal, presentation and leadership skills. Self-starter who can work independently with minimal supervision
* Driver's license and access to reliable transportation
Preferred Qualifications:
* Certifications - CPCS, CPMSM, College Degree
* Managed Care/Hospital Credentialing
* Proficient in Microsoft Access and/or credentialing software programs
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Lead Ultrasound Technologist - Kelsey-Seybold Clinic: Main Campus
Houston, TX job
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Primary Responsibilities:
* Upon the order of a qualified provider, the Ultrasound Lead Technologist utilizes equipment that employs high frequency sound waves for diagnostic purposes according to policies, procedures, and protocols of the KSC Radiology Department and Kelsey-Seybold Clinic. Imaging services vary by location, therefore, performance of special procedures but not limited to breast sonohysterography and/or vascular ultrasound may be required depending on assigned site. The Ultrasound Lead Technologist will utilize the designated Radiology Information System (RIS) to complete clerical processes and the designated Patient Archiving System (PACS). May be assigned to other duties, technical or non-technical if training, experience and credentials are deemed adequate by supervisor to perform those duties. Functions as a team leader, with appropriate attention to process improvement and team development.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* High School diploma or equivalent
* Graduate of an accredited school of Radiologic Technology OR Education sufficient to meet the ACR accreditation guidelines for an US Technologist
* 5+ years of ultrasound experience or 3+ years of KSC Ultrasound experience
* RDMS with 2+ years of specialty ultrasound registries as well as the RVT or RVS OR RT (R) (S), as well as the RVT or RVS
* Proven ability to use computer keyboard and grasp elements of digital image acquisition
* Proven excellent verbal, written and interpersonal communication skills
Preferred Qualifications:
* Bachelor of Science-Healthcare related degree
* RT (R), RDMS, (Ab)(OB)(BR) RVT and/or RVS
* 5+ years of ultrasound experience
* PACS and RIS experience
* Bi-lingual or multi-lingual
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Bilingual Medicare Sales Field Agent (English / Spanish) - East / SE Harris County
Humana job in Baytown, TX
**Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does.
**This position covers the East/Southeast Harris County area including;** **Baytown, Pasadena, Friendswood, and Pearland.**
The MarketPoint Career Channel Team is looking for skilled Medicare Sales Field Agents. This is a **field** **-based** role, and candidates must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Field Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll help bring Humana's strategy to life: deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and impact. You also have the opportunity to impact your own earning potential through sales and building a book of business within your assigned territory.
**What You'll Do in This FIELD Based Role:**
+ **Deliver** : Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage.
+ **Differentiate** : Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits-providing a personalized experience that sets Humana apart.
+ **Grow** : Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource in your community.
You'll engage with customers in the **FIELD** through a mix of in-person, virtual, and phone interactions. **Face-to-face visits in prospective members' homes are a key part of this role.**
**Why Join Humana?**
+ **People-first culture** that supports your personal and professional growth.
+ **Inclusive and diverse environment** that values multilingual talent and cultural understanding.
+ **Autonomy and flexibility** to manage your schedule and success.
+ **Purpose-driven mission** to help people achieve their best health-and transform healthcare along the way.
**Benefits include:**
+ Medical, Dental, Vision, and a variety of other supplemental insurances
+ Paid Time Off (PTO) and Paid Holidays
+ 401(k) retirement savings plan with a competitive match
+ Tuition reimbursement and/or scholarships for qualifying dependent children
+ **And much more!**
**Use your skills to make an impact**
**Required Qualifications**
+ **Bilingual** **in English and Spanish, with the ability to speak, read, and write fluently in both languages.**
+ **Active Health Insurance License** or ability to obtain.
+ Must reside in **the designated local territory** to effectively serve the community.
+ Comfortable with **daily face-to-face interactions** in prospective members' homes and engaging with the community through service, organizations, volunteer work, or local events.
+ Valid state **driver's license** and **proof of personal vehicle liability insurance** meeting at least 25/25/10 coverage limits (or higher, based on state requirements).
**Preferred Qualifications**
+ **Active Life and Variable Annuity Insurance License** .
+ Prior experience **selling Medicare products** .
+ Experience in **public speaking or delivering presentations** to groups.
+ Associate's or Bachelor's degree.
+ Experience using Microsoft Office tools such as **Teams, Excel, Word, and PowerPoint** .
**Additional Information**
+ This position is in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and MVR review.
+ Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
+ Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Schedule** **:** Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success.
**Training:** Most of your training will be done virtually for the first five weeks of employment and attendance is mandatory.
**Interview Format:**
As part of our hiring process for this opportunity, we are using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected to move forward in the process, you will receive a text message inviting you to participate in a HireVue prescreen. In this prescreen, you will receive a set of questions via text and given the opportunity to respond to each question. You should anticipate this prescreen taking about 15 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process.
**Pay Range**
The range below reflects a good faith estimate of total compensation for full time (40 hours per week) employment at the time of posting. This compensation package includes both base pay and commission with guarantee. The pay range may be higher or lower based on geographic location. Actual earnings will vary based on individual performance, with the base salary and commission structure aligned to company policies and applicable pay transparency requirements.
$80,000 - $125,000 per year
**Work Equipment, Environment and Internet**
To ensure Home/Remote/Field or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home/Remote/Field or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
\#medicaresalesrep
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Easy ApplyMedical Imaging Assistant - Kelsey Seybold Clinic - Main Campus
Houston, TX job
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Primary Responsibilities:
* Schedule ancillary tests and procedures in a medically correct sequence in the Medical Imaging and Cardiology Lab Dept
* Confirm and reschedule appointments when needed Give patients appropriate instructions, directions, and prep kits
* Assist technologists in patient care for the entire life cycle, from check-in to discharge, aligning with their scope of responsibilities
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* High School diploma or GED
* Demonstrated basic PC literacy
* Alpha/Num Forms Entry experience
* Proven excellent Customer service skills
Preferred Qualifications:
* 1+ years of scheduling experience
* 1+ years of medical or radiology experience
* Proven insurance knowledge
* Ability to work efficiently in a high-volume area
* Bilingual
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Speech Language Pathology Assistant-Kelsey Seybold Clinic: Fort Bend Campus
Sugar Land, TX job
**Explore opportunities with Kelsey-Seybold Clinic,** part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind **Caring. Connecting. Growing together.**
The SLPA will work under the supervision of a Speech Language Pathologist (SLP). The SLPA will assist in treatment planning and ongoing management of patients receiving Speech Therapy. The SLPA will also implement treatment plans for patients who have been evaluated by the Speech Language Pathologist.
**Primary Responsibilities:**
+ Assist speech-language pathologists in the assessment and treatment of speech, language, cognitive and voice disorders. Implement speech and language programs or activities as planned and directed by speech-language pathologists
+ Assist speech-language pathologists in the conduct of client screenings or assessments of language, voice, fluency, articulation, or hearing
+ Implement treatment plans or protocols as directed by speech-language pathologists
+ Assist speech-language pathologists in the remediation or development of speech and language skills
+ Collect and compile data to document clients' performance or assess program quality
+ Document clients' progress toward meeting established treatment objectives
+ Test or maintain equipment to ensure correct performance
+ Assist speech-language pathologists in the conduct of speech-language research projects
+ Conduct in-service training sessions, or family and community education programs
+ Perform support duties such as preparing materials, keeping records, maintaining supplies, and scheduling activities
+ Prepare charts, graphs, or other visual displays to communicate clients' performance information
+ Assist the speech-language pathologists during assessment of students, patients, and clients exclusive of administration and/or interpretation
+ Follow documented treatment plans or protocols developed by the supervising SLP
+ Document student, patient, and client performance (e.g., tallying data for the SLP to use; preparing charts, records, and graphs) and report this information to the supervising SLP
+ Demonstrate or share information with patients, families, and staff regarding feeding strategies developed and directed by the SLP
+ Assist with clerical duties, such as preparing materials and scheduling activities, as directed by the SLP
+ Perform checks and maintenance of equipment
+ Assist with departmental operations (scheduling, recordkeeping, safety/maintenance of supplies and equipment)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current Texas licensure as a Speech-Language Pathology Assistant by the Texas Board of Speech Pathology and Hearing Examiners or be an eligible candidate
+ Experience in the Speech Language Pathology field
**Preferred Qualifications:**
+ 1+ years in the Speech Language Pathology field
+ Bilingual English/Spanish
+ Willingness to cover two locations/clinics
+ Excellent interpersonal skills, with the ability to establish rapport and communicate effectively with clients, families, and interdisciplinary teams
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Home Health Sales Specialist
Humana Inc. job in Humble, TX
Become a part of our caring community and help us put health first As a Home Health Sales Executive, you will: * Call on physicians, hospitals, skilled nursing facilities' management, discharge planners, and case managers within an assigned territory to promote our homecare services.
* Build and maintain client relationships.
* Prepare business plans and maintain target lists. Prioritize accounts in accordance with the market sales plan.
* Gather and organize account-related information and provide input on key customer opportunities, service line extensions and proposal or contract pricing.
Use your skills to make an impact
Required Experience/Skills:
* Bachelor's degree in Marketing, Business, or a health related science (e.g., nursing, pharmacy, etc.) or the equivalent plus a minimum of two years health care or related industry sales experience generally required.
* Excellent selling, organization, problem-solving skills and the ability to appropriately represent the Company service capabilities to the targeted referral source audience is required.
* Previous healthcare sales experience preferred such as selling in skilled nursing facilities (SNFs), DME, ortho, cardio, etc OR previous experience as a clinical liaison preferred
* Excellent interpersonal communication and presentation skills required. Microsoft Office proficiency required.
* Ability to travel within assigned territory and to sales meetings as required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$70,500 - $95,300 per year
This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Inventory Specialist
Houston, TX job
Responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the entire store, including both front end and pharmacy. Supports pharmacy inventory management activities, including receiving, counting, ordering, and facilitating returns. Champions On-Shelf Availability and is responsible for receiving, counting, pricing, returns, and all in-store inventory processes. Validates and ensures accuracy of planograms.
Responsible for reviewing and coordinating the proper use of reports and system applications, which have an impact on the accuracy of front end and pharmacy on-hand balances and pricing.
Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods including prescription drugs.
In designated stores, as required, opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling and cashier responsibilities, and ensuring the floor and stock room are ready for the business day.
Customer Experience
Engages customers by greeting them and offering assistance with products and services. In designated stores, when serving as the leader on duty, resolves customer issues and answers questions to ensure a positive customer experience.
Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Operations
Executes and coaches team members on warehouse and vendor inventory management processes including but not limited to creating, reviewing, and receiving orders.
Scans in all deliveries while the vendor is still in the store, including common carrier deliveries. Focuses on One Box receiving. Takes the appropriate action marking delivery as received if the product was physically delivered, contacting vendor for past undelivered scheduled receipts, and opening tickets as needed to correct inaccurate orders.
Under the supervision of the pharmacist-in-charge, verifies all pharmacy shipments are posted for products physically received at the store. Completes or verifies postings of all pharmacy warehouse orders, ABC prescription and OTC orders daily, secondary vendor orders, flu and dropship orders performing any necessary tote audits, and accurately reporting any shortages or damaged product.
Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs.
Under the supervision of the pharmacist-in-charge,completes pharmacy inventory activities including but not limited to pharmacy recalls following Pharmacy Hazardous Waste Policy, vendor returns, non-controlled, and damaged salvage returns. Facilitates excess inventory returns or interstore pharmacy transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims.
Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible for basic department pricing, including daily price changes, accurate pricing with correct signage, and reliable and timely completion of any additional regulatory pricing tasks.
Responsible for supporting front end and pharmacy ordering by ordering expense items. Monitors pharmacy manual orders to identify excess orders. Maintains consigned inventory and orders as required.
Ensures all designated pull & quarantine item on-hands are updated and placed in the designated holding area.
Maintains accurate inventory counts. Maintains the accuracy of on-hand quantities including but not limited to basic departments, stockroom, overstock locations.
Under the supervision of the pharmacist-in-charge, maintains accurate inventory counts and accuracy of on-hand quantities in pharmacy and completes pharmacy smart counts.
Ensures the store maintains inventory compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products).
Assists in the maintenance of inventory records, including receiving and posting of all products (in the front-end)) received at the store in all inventory systems. Organizes files and retains all invoices/receipts/return authorizations necessary for all inventory activities.
Helps to prepare for physical inventory and supports the physical inventory day activities, including but not limited to preparing sales floor, stockroom, and pharmacy for inventory and auditing the third party team on the day of inventory.
Supports keeping all counters and shelves clean and well merchandised.
Knowledgeable of all store systems and equipment.
Assists and coaches store team on all package delivery activities, including scanning in and out of packages, completing all daily inventory functions and, package returns at Walgreens. Supports execution of Pickup Program.
In designated stores, when serving as the leader on duty, responsible and accountable for registering all related sales on assigned point-of-sale system (POS), including records of scanning errors, price verifications, items not on file, price modifications, and voids. Completes product returns, order voids, customer refunds, cash drops to safe, and provides change as requested for point of sale.
Complies with all company policies and procedures; maintains respectful relationships with coworkers.
Completes any additional activities and other tasks as assigned.
Training & Personal Development
Attends company-based trainings for continuous development and completes all e-learning modules including safety training requirements.
Obtains and maintains a valid pharmacy license/certification as required by the state.
Communications
Serves as a liaison between management and non-management team members by coaching and developing other capabilities with inventory systems. When serving as the leader on duty, communicates assigned tasks to team members and reports disciplinary issues and customer complaints to management.
Six months of prior work experience with Walgreens (internal candidates) or one year of prior retail work experience (external candidates).
Must be fluent in reading, writing, and speaking English (except in Puerto Rico).
Must have a willingness to work a flexible schedule, including evening and weekend hours.
“Achieving expectations” rating on last performance review and no written disciplinary actions in the previous 12 months (internal candidates only).
Demonstrated attention to detail and ability to multi task and manage execution.
Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
Prefer previous experience as a shift lead, pharmacy technician, designated hitter, or customer service associate.
Prefer to have prior work experience with Walgreens, with an evaluation on file.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Cardiology Nurse Practitioner
Humana Inc. job in Houston, TX
Become a part of our caring community and help us put health first The Nurse Practitioner, Cardiology applies advanced education and clinical competencies within the cardiology specialty to achieve optimal patient outcomes. The Nurse, Cardiology Practitioner works on problems of diverse scope and complexity ranging from moderate to substantial. The Cardiology Nurse Practitioner serves as a health-care provider who specializes in diagnosis, management, and follow-up of patients with any suspected or known heart diseases. The Nurse Practitioner work assignments involve outpatient office and telehealth visits, curbside consults with referring physicians, coordination of pacemaker/defibrillator monitoring, initiation and delivery of IV medications, supervision of stress testing, and patient and/or provider-level didactic presentations. This is a rare opportunity that allows for work-life balance within the field of cardiology, with working hours M-F, and no hospital call or weekend requirements. This position does require supporting more than location and travel will be expected within the Houston region. Responsibilities: *
Evaluates and treats center patients in accordance with standards of care. * Follows level of medical care and quality for patients and monitors care using available data and chart reviews. * Acts as an active participant and key source of medical expertise with the care team through daily huddles. * Helps Area Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor. * Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. * Follows policy and protocol defined by Clinical Leadership. * Meets with Area Medical Director and Lead Cardiologist about quality of care, review of outcome data, policy, procedure and records issues. * Participates in potential growth opportunities for new or existing services within the Center. * Participates in rotating coverage for after-hours urgent phone calls from patients. * Assures personal compliance with licensing, certification, and accrediting bodies. * Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care. Use your skills to make an impact Required Qualifications *
Current and unrestricted APRN license or willing to obtain a medical licenses in state of practice; * Graduate of accredited APRN program of an accredited university * Excellent verbal and written communication skills * Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients * Fully engaged in the concept of "Integrated team based care" model * Willingness and ability to learn/adapt to practice in a value-based care setting * Superior patient/customer service * Basic computer skills, including email and EMR * At least 1 year of prior experience working as a cardiovascular nurse practitioner. * Experience with pacemaker/ICD monitoring OR wiliness to participate in dedicated training on pacemaker/ICD management throughout the first year of employment * High level of skill in placing IVs and administering IV medications when needed by the practice Preferred Qualifications *
Associate of the ACC (AACC credential) * Experience supervising stress testing * Experience with dobutamine pump * Work experience in electrophysiology * Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment preferred. * Knowledge of Medicare guidelines and coverage * Bilingual is a plus * Knowledge of HEDIS quality indicators preferred Additional Information *
Guaranteed base salary + semi-annual bonus * Excellent benefit package - health insurance effective on your first day of employment * CME Allowance/Time * Occurrence Based Malpractice Insurance * 401(k) with Employer Match * Life Insurance/Disability Job Requisition: * Paid Time Off/Holidays * Minimal Call Scheduled Weekly Hours 40 Monday to Friday 8:00 a.m. to 5:00 p.m. #LI-SA1 #nursepractionercareers Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,700 - $174,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Physical Therapist, Home Health
Humana Inc. job in League City, TX
Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life.
As a Home Health Physical Therapist, you will:
* Plan and administer prescribed skilled physical therapy treatment and training for patients suffering from various injuries, illnesses and functional disabilities to attain highest level of physical function.
* Test/screen the patient's physical strengths to assist the physician in evaluating the patient's level of function and records findings to develop or pursue treatment programs and establish measurable training objectives.
* Develop/implement a conditioning/rehabilitation program consistent with physician's Plan of Treatment and the overall goals of the patient/rehab team. Adjust treatment as needed to achieve maximum results.
* Confer with physician and clinical team members to obtain additional patient information and assist in developing, implementing and revising the therapy treatment program and Plan of Treatment.
* Provide Physical Therapy Assistants and Home Health Aide
* staff with written instructions/care plan that reflects current plan of care as related to therapy, supervise/evaluate staffs' performance. Monitor the appropriate completion of documentation by physical therapy assistants and home health aides/personal care workers as part of the supervisory/leadership responsibility.
* Accurately, promptly and thoroughly document patients' care observations, interventions and evaluations. Assure that interim (verbal) orders received from the physician and physical therapist are promptly and accurately documented, submitted for physician signature and implemented
* Report patient's progress to the patient's physician, Clinical Manager, staff, patient and family. Submit evaluation, treatment plans, progress reports and discharge summary to the supervisor and care management staff.
Use your skills to make an impact
Required Experience/Skills:
* Degree from an accredited Physical Therapy Program (approved by the APTA)
* Minimum of one year physical therapy experience preferred
* Current and unrestricted Physical Therapy license
* Current CPR certification
* Strong organizational and communication skills
* A valid driver's license, auto insurance, and reliable transportation are required.
Pay Range
* $60.00 - $83.00 - pay per visit/unit
* $93,900 - $129,300 per year base pay
Scheduled Weekly Hours
1
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$93,900 - $129,300 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Primary Care Physician
Humana Inc. job in Houston, TX
Become a part of our caring community and help us put health first Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating multiple centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness.
Total compensation package (base pay + bonus) could exceed $300K depending on experience and location.
The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value-based care provider focused on quality of care for the patients we serve. Our care team consists of doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do.
Responsibilities:
* Evaluates and treats center patients in accordance with standards of care.
* Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
* Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
* Acts as an active participant and key source of medical expertise with the care team through daily huddles.
* Helps regional medical director and center administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
* Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.
* Follows policy and protocol defined by clinical leadership.
* Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.
* Participates in potential growth opportunities for new or existing services within the Center.
* Participates in the local primary care "on-call" program of CenterWell as needed.
* Assures personal compliance with licensing, certification, and accrediting bodies.
* Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.
Use your skills to make an impact
Required Qualifications:
* Current and unrestricted medical license or willing to obtain a medical license in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required
* Graduate of accredited MD or DO program of accredited university
* Excellent verbal and written communication skills
* Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients
* Fully engaged in the concept of "Integrated team-based care" model
* Willingness and ability to learn/adapt to practice in a value-based care setting
* Superior patient/customer service
* Basic computer skills, including email and EMR
* This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
Preferred Qualifications:
* Board certification or eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred
* Active and unrestricted DEA license
* Medicare Provider Number
* Minimum of two to five years directly applicable experience preferred
* Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment
* Knowledge of Medicare guidelines and coverage
* Knowledge of HEDIS quality indicators
Additional Information:
* Base salary +bi-annual incentive
* Excellent benefit package - health insurance effective on your first day of employment
* CME Allowance/days
* Occurrence Based Malpractice Insurance
* Relocation and sign-on bonus options
* 401(k) with employer tch
* Life Insurance/Disability
* Paid Time Off/Holidays
* Minimal Call
And more
#physiciancareers
#LI-SA1
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,700 - $329,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Occupational Therapist Assistant, Home Health
Humana Inc. job in Bellaire, TX
Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life.
As a Home Health Occupational Therapist Assistant, you will:
* Provide therapy services planned, delegated and supervised by the qualified Occupational Therapist in accordance with the patient's Plan of Treatment.
* Assist in the implementation of vocational/education programs and activities established by registered Occupational Therapist designed to restore, reinforce, and enhance task performances, diminish or correct pathology, and to promote/maintain health and self-sufficiency.
* Design/adapt equipment and working and/or living environment. Fabricate devices to assist and improve function and independence and participation in the program and/or community where possible.
* Provide therapeutic treatment and instruction to patients as directed by the qualified Occupational Therapist and in accordance with physician orders to improve/restore strength, coordination, range-of-motion and function or teach compensation measures.
* Report information and observations to Occupational Therapist and/or Clinical supervisor, document observed information in patient records and prepares clinical notes. Assist with preparation of progress reports. Maintain and submit documentation as required by the Company and/or facility.
* Instruct patients and family members regarding home programs as well as care and use of adaptive equipment.
* Participate in care coordination and discharge planning activities and act as a resource to other health care personnel in meeting patient's needs.
* Design community reintegration activities, as appropriate, to assist the client in the physical reconditioning effort, and/or the psychological adjustment and coordinate the plan with members of the interdisciplinary team.
Use your skills to make an impact
Required Experience/Skills:
* Current and unrestricted OTA licensure
* Minimum of six months occupational therapist assistant experience preferred
* Home Health experience a plus
* Current CPR certification
* Good organizational and communication skills
* A valid driver's license, auto insurance, and reliable transportation are required.
Pay Range
* $41.00 - $57.00 - pay per visit/unit
* $64,200 - $88,000 per year base pay
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$64,200 - $88,000 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Associate Specialist, Provider Contracts HP
Houston, TX job
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when available, and the application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
Job Duties
This role supports negotiations with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports according to departmental procedures.
* Sends out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members.
* Receives calls from prospective providers and answers questions regarding contracting process, policies and procedures.
* Forwards requested information/documentation to prospective providers in a timely manner.
* Maintains database of all contracts and specific applications sent to prospective new providers.
* Completes and updates Provider Information Forms for each new contract.
* Ensures accuracy and completeness of provider demographic information and coordinates communication of such information to Provider Configuration team.
* Sends out new provider welcome packets to providers who have contracted with the plan.
* Utilizes Plan's system to track and follow up with Providers who have not responded to Contracts and/or Applications sent as directed by management.
* Formats and distributes Provider network resources (e.g. electronic specialist directory).
Job Qualifications
REQUIRED EDUCATION:
High School Diploma or equivalent GED
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
1 year customer service, provider service, contracting or claims experience in the healthcare industry.
PREFERRED EDUCATION:
Associate's Degree or Bachelor's Degree in a related field or an equivalent combination of education and experience
PREFERRED EXPERIENCE:
Managed Care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $42.2 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Dermatology Physician - Kelsey-Seybold Clinic
Houston, TX job
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Kelsey-Seybold dermatologists see a wide range of patients including adult and pediatric. They diagnose, treat, and manage all types of medical dermatology conditions including (but not limited to) acne, eczema, psoriasis, bullous diseases, and skin cancers.
The Kelsey-Seybold Dermatology team is growing. Currently, 19 providers see patients at 11 Kelsey-Seybold locations in the greater Houston area. Of the 19 providers, two are dermatopathologists and one is a Mohs surgeon.
Kelsey-Seybold dermatologists offer many additional services for patients including phototherapy (nb UVB, PUVA, excimer), extended patch testing, and select cosmetic services. Kelsey-Seybold dermatologists collaborate extensively with other Kelsey specialists including General Surgery, ENT, Plastic Surgery, Hematology/Oncology, Rheumatology, Infectious Disease, and Radiation Oncology.
Kelsey-Seybold dermatologists are invited to participate in a monthly tumor board as well as journal club that meets quarterly.
What makes an Optum Career different?
* Be part of a best-in-class employee experience that enables you to practice at the top of your license
* We believe that better care for clinicians equates to better care for patients
* We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations
* Practice medicine autonomously, with the support, not restrictions, of a sustainable and thriving national health care organization
Kelsey-Seybold Clinic, a part of Optum, is Houston's premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey in Houston's renowned Texas Medical Center. Kelsey-Seybold offers quality medical care in 65 medical specialties. The organization operates the largest freestanding Ambulatory Surgery Center in Texas. It offers state-of-the-art Varian TrueBeam and Varian Edge radiation therapy technology at a nationally accredited Cancer Center. Its comprehensive offerings include an accredited Sleep Center, comprehensive laboratory services, advanced imaging and diagnostics, and on-site Kelsey Pharmacy locations. Together, we're making health care work better for everyone.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Medical Degree (MD, DO, M.B.B.S.)
* Licensed or willing to be licensed in the State of Texas
* Board Certified or Board Eligible in Dermatology
* Unrestricted DEA license or ability to obtain prior to employment
Preferred Qualification:
* Bilingual (English/Spanish) fluency
Compensation for this specialty generally ranges from $360,000 to $672,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.