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Patient Service Coordinator jobs at Humana

- 17841 jobs
  • Patient Financial Rep - Per Diem

    Mohawk Valley Health System 4.6company rating

    Utica, NY jobs

    The Patient Financial Representative is responsible for the accurate and timely verification of insurance and benefit information for patients receiving inpatient medical, inpatient psychiatric, observation, ambulatory surgery and/or outpatient procedure related services. Plays a key role in the organization's financial health by obtaining or ensuring that insurance authorizations or pre-authorizations are on file and accurate prior to the service being rendered. This position must also ensure patient demographic and insurance information is correct, resulting in accurate claims for reimbursement. Position provides excellent customer service during all interactions. Core Job Responsibilities For designated services, this position is responsible for ensuring that each patient account has accurate insurance information entered in the correct billing order and that each insurance listed has been verified as eligible for the designated date of service range. For each insurance, benefit information is obtained and documented. Verification and benefit information can be obtained via electronic or verbal method but must be completed prior to services being rendered. Position must have or develop excellent working rapport with surgeons' office staff, as well as hospital nursing staff. For pre-scheduled services, this position is responsible for verifying that authorization is on file with each of the appropriate insurance companies and that authorization is accurate based upon location, CPT code, service type, surgeon, date range and any or all other necessary elements to secure payment for services rendered. For emergent or urgent services, this position is responsible for accurately and timely requesting that each verified insurance company has been notified of patient services being rendered and also request authorization for requested services. Position must have or develop excellent working rapport with insurance company representatives, surgeons' office staff, as well as hospital nursing staff. Ensures each patient account has accurate insurance information entered in the correct billing order and that each insurance company listed has been verified as eligible for the designated date of service range. Secures and documents any and all authorization requirements in appropriate computer systems with relevant information to capture authorization timely. Enters pertinent information in all necessary systems. Retains any written documents received. Performs related duties as assigned. Education/Experience Requirements REQUIRED: High school diploma or equivalent. Minimum 3 years of pre-authorization and/or insurance verification experience. Demonstrated computer proficiency and ability to learn new applications rapidly. Strong documentation skills. Strong follow up skills, accuracy and attention to detail. Excellent customer service and interpersonal skills. Ability to work under restrictive time. PREFERRED: Associate's degree in healthcare related field. 4 years or more of hospital, medical office, coding or billing experience; or 6 years of experience in other healthcare related field. Proficient with EMR, QES, MIDAS, SIS and related computer programs. Licensure/Certification Requirements PREFERRED: Medical terminology certification. Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 95876 Department PATIENT ACCESS SVCS Shift Days Shift Hours Worked 8.00 FTE 0.19 Work Schedule HRLY NON-UNION Employee Status A7 - Occasional Union Non-Union Pay Range $19 - $25/Hourly #Evergreen
    $19-25 hourly 4d ago
  • Hospice Patient Care Coordinator

    Interim Healthcare 4.7company rating

    New Albany, IN jobs

    As a Hospice Patient Care Coordinator (RN) you will be called to care when you're needed most. As part of Interim HealthCare, you'll provide oversight of the care/services furnished by employees to Interim HealthCare Hospice patients. What we offer our Hospice Patient Care Coordinator (RN): Competitive pay, benefits, and incentives Truly flexible scheduling - a dedication to work/life balance - Full-time (FT) Daily Pay option available Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day. As a Hospice Patient Care Coordinator (RN), you will: Collaborate with the Director of Clinical Services to develop and implement processes to ensure the efficient and effective achievement of patient/client outcomes in accordance with physician orders Provide ongoing education to hospice employees including, but not limited to: regulations, guidelines, current standards of hospice and palliative care practice, Interim HealthCare Hospice polices and procedures, quality assessment and performance improvement (QAPI) programs, and each employee's role in each Supervise, evaluate, motivate, and develop professional and paraprofessional employees Use clinical decision making to provide oversight and guidance to the healthcare team to efficiently and effectively manage the assigned patient population Serve as an expert for the hospice admission process and perform admissions as assigned To qualify for a Hospice Patient Care Coordinator (RN) with us, you will need: Gradate of an accredited school of nursing and licensed to practice as an RN in the state in which employed. License is active and in good standing. Two (2) years of experience as a Hospice RN required and at least on year of supervisory experience preferred Able to provide proof of valid driver's license and auto liability insurance in accordance with policy At Interim HealthCare Hospice & Palliative Care, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. #Hospice1
    $22k-33k yearly est. 2d ago
  • LVAD Coordinator

    Piedmont Healthcare Inc. 4.1company rating

    Atlanta, GA jobs

    The LVAD Coordinator provides specialized outpatient care for patients with Left Ventricular Assist Devices (LVAD). This role focuses on patient and caregiver education, seamless care coordination across multidisciplinary teams, and adherence to regulatory standards to optimize patient outcomes. Responsibilities include guiding patients through peri-operative and long-term management, facilitating clinic visits, monitoring through established protocols, and supporting quality improvement initiatives. The position requires strong critical thinking, adaptability, and collaboration in a fast-paced environment. Responsibilities: Participates in the development, implementation, and maintenance of the left ventricular assist device (LVAD) program and the heart transplant program; to coordinate and manage the patient care of this high-risk patient population throughout the continuum. Qualifications: Education Graduate from a Registered Nurse Program Required Work Experience 4 years of professional clinical experience Required Cardiovascular focus experience Preferred 1 year experience caring for LVAD patients and heart transplant patients Preferred Licenses and Certifications Current License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License Required ACLS BLS and certification Required Business Unit : Name: Piedmont Hospital
    $41k-55k yearly est. 3d ago
  • Medical Staff Credentialing Specialist

    Rwjbarnabas Health Corporate Services 4.6company rating

    Somerset, NJ jobs

    Job Title: Credentialing Specialist Department Name: Medical Staff Status: Salaried Shift: Day Pay Range: $52,666.00 - $72,416.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Credentialing Specialist is accountable for performing duties related to the sending, receiving, processing, and primary source verifying applications for initial and reappointment and their related clinical privileges. Exemplifies a culture of excellence, effective communication and collaboration, and customer service with central Medical Staff Office (MSO) leadership and staff, internal and external customers, providers, and clinical and administrative leaders within RWJBarnabas Health. Handles, with discretion, issues that are significant, complex, multidisciplinary, sensitive, and confidential. Possesses and develops a strong grasp of the medical staff operations and the cultures of each affiliated institution and works to collaborates with local Medical Staff Offices to facilitate timely completion of credentialing processing. Works to develop an overall singular culture of excellence and efficiency across the enterprise. Qualifications: Required: Associates degree or combination of education and experience deemed equivalent Successful completion of all RWJBarnabas Health orientation programs Preferred: Two years' prior experience in Medical Staff credentialing preferred. Certified Professional in Medical Staff Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred Knowledge of credentialing software and associated applications strongly preferred (MDStaff) Excellent interpersonal and communication skills Scheduling Requirements: This is an onsite role in Somerset, NJ with hybrid/ remote capabilities if/when available. Essential Functions: Oversees and assists with application management and verification activities, preliminary analysis of application and verification information Analyze verification information, to include identifying red flag and/or adverse information and notifying central MSO leadership in accordance with policies Oversee the monitoring of expiring information such as but not limited to DEA, license, professional liability insurance, and specialty board certification status; maintain and update credentials file(s) Management of database entries for accuracy and completeness Maintenance of electronic files as required Effective and timely communication with local medical staff offices Timely and accurately prepare credential files for audit and submission to the hospitals Monitor staff productivity in accordance with standard turn-around-times Maintain a working knowledge of relevant regulatory standards (i.e., TJC, DNV and NCQA), state and federal requirements, and applicable Medical Staff Bylaws Assist with the development and implementation of credentialing and recredentialing workflows to ensure efficient and effective alignment of processes Assist in the development or revision of credentialing related forms Participation in special project teams as assigned Training of new staff as assigned - credentialing procedures, software, and workflows Enforcement of internal procedures and controls and problem resolution Takes a proactive role in monitoring and assisting in improving team productivity Continually strives to achieve individual, team and departmental goals All other duties as assigned Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. #LI-AB1
    $52.7k-72.4k yearly 2d ago
  • Patient Care Representative

    L.E. Cox Medical Centers 4.4company rating

    Branson, MO jobs

    :A Patient Care Representative III will be responsible for delivery, set-up and education of durable medical equipment and supplies, which could occur in the customer home, Home Support office or clinic/hospital settings. Provides 24-hour/day coverage to Home Support customers and triage all calls effectively. They will also be responsible for some referral intake and warehouse duties. Education: ▪ Required: High School Diploma or Equivalent Experience: ▪ No Previous Experience Required Skills: ▪ Must be able to use computer/software systems, phone system in order to transmit orders. ▪ Markets and represents Home Support in a positive and professional manner at all times. ▪ Possesses the ability to communicate as a team when problem solving, discussing comments, ideas and issues with co-workers and supervisors. ▪ Familiar and compliant with regulatory agencies and CoxHealth Home Support policy and procedures as it relates to their job. ▪ Demonstrates timeliness, courtesy, sincerity and patience when dealing with internal and external customers. Maintains a clean and organized work area in order to facilitate timely order placement and easy order tracking Utilizes supplies in an efficient manner and orients and maintains a thorough working knowledge of the warehouse and inventory management systems. ▪ Effectively maintains current knowledge of respiratory and DME equipment and trends related to home care. ▪ Defines hospital emergency codes, OSHA standards, infection control methods and performs lifting principles in completing the job. Practices safety principles in completing job. ▪ Able to communicate the problems/needs of the PCR III job responsibilities and of a patient or customer well and through the appropriate channels ▪ Utilizes current committee structures and formal line of communication to promote problem solving and decision making and to communicate results. ▪ Utilizes standards, guidelines and protocols for optimal care delivery. Incorporate data and information to continually improve care and practice to enhance outcome. ▪ Familiar and compliant with DOT, Joint Commission, OSHA, FDA regulations and CoxHealth Home Support policy and procedure as it relates to their job. Licensure/Certification/Registration: ▪ Required: Must obtain Class E Driver's License within 30 days of hire
    $33k-40k yearly est. 14d ago
  • Registration Specialist II

    Coxhealth 4.7company rating

    Springfield, MO jobs

    :The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department. Education ▪ Required: High school diploma or equivalent Experience ▪ Preferred: At least 1-2 years prior registration experience Skills ▪ Proficient in using computers and computer systems ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills. ▪ Ability to multi-task in a fast-paced environment ▪ Able to work independently and collaboratively in a team Licensure/Certification/Registration ▪ N/A
    $26k-29k yearly est. 23d ago
  • Registration Specialist I - Pulmonology Clinic

    L.E. Cox Medical Centers 4.4company rating

    Springfield, MO jobs

    :The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. The Registration Specialist I greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist I based on business needs of the department. Education ▪ Required: High School Diploma or Equivalent Experience ▪ Preferred: 1-2 Years Related Experience Skills ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills ▪ Able to work independently and collaboratively in a team ▪ Proficient in using computers and computer systems ▪ Ability to multi-task in a fast-paced environment Licensure/Certification/Registration ▪ N/A
    $23k-28k yearly est. 1d ago
  • Surgery Scheduler - ENT

    L.E. Cox Medical Centers 4.4company rating

    Springfield, MO jobs

    The Surgery Scheduler co-ordinates all necessary appointments for the patient and attending physicians schedule. Maintains block times for all physicians. Provide patient education as appropriate for appointments to include follow up after surgery. Job Requirements Education • Required: High School Diploma or Equivalent Experience • No Prior Experience Required Skills • Excellent verbal and written communication skills. • Able to work independently and collaboratively in teams. • Self starter. • Proficient in using computers and computer systems Licensure/Certification/Registration • Basic Life Support Certification preferred Education: ▪ Required: High School Diploma or Equivalent Experience: ▪ Required: None Skills: ▪ Excellent verbal and written communication skills. ▪ Able to work independently and collaboratively in teams. ▪ Self starter. ▪ Proficient in using computers and computer systems Licensure/Certification/Registration: ▪ Preferred: Basic Life Support Certification
    $24k-34k yearly est. 13d ago
  • Sr Patient Experience Representative-Ambulatory (Onsite)

    Boston Children's Hospital 4.8company rating

    Needham, MA jobs

    Job Summery: The Senior PER will be responsible for monitoring clinic activity to ensure the best possible patient experience. Assists with resolving customer service and scheduling issues. Provides positive and effective customer service that supports departmental and hospital operations. Obtains and records required authorizations on electronic or manual scheduling systems to compile and distribute patient and staff schedules. Monitors daily schedule to optimize resource utilization and patient experience. Answers, screens, and routes telephone calls, records, and forwards messages, and triages calls for urgent information or services. Responds to requests for routine information or assistance within scope of knowledge and authority. Initiates call for emergency services as required. Participates in the development of training programs to update staff on department/hospital processes, including patient experience-focused initiatives and computer training. Demonstrates high-level problem-resolution skills, teamwork, and multitasking. Participates in and contributes to departmental and organizational initiatives projects with a focus on continuous process improvement. Key Responsibilities: Customer Service & Patient Interaction While professional experience and qualifications are key for this role, make sure to check you have the preferable soft skills before applying if required. Delivers positive, effective customer service to patients, families, and visitors; resolves complex issues; responds to inquiries about hospital policies; collaborates with referring providers to manage complex patient needs. Patient Registration & Admissions Registers patients, verifies demographics and insurance, collects documentation and co-payments, and ensures accurate billing. May gather clinical data (height, weight, temperature) and assist with room preparation. Scheduling & Coordination Schedules patient appointments and procedures across departments; monitors clinic activity and daily schedules to optimize flow and resource use; coordinates with clinicians to support efficient operations. Discharge & Financial Support Supports discharge processes, communicates with Financial Counsel, processes prior authorizations and referrals, and reconciles patient payments and deposits. Administrative Support Manages calendars, schedules meetings/events, handles communications and documentation, processes forms, manages records and mail, and coordinates services with other departments. Patient Flow & Communication Participates in handoffs and huddles; routes calls, messages, and emergencies; ensures smooth patient and visitor flow throughout the department. Training & Staff Support Trains, orients, and cross-trains staff; keeps staff informed on systems, procedures, and policy updates; assists in resolving issues and serves as a resource for billing, operations, and payer requirements. Technology Use Proficient in office and clinical systems (e.g., Microsoft Office, phone/email, EMR, billing/scheduling applications); enrolls patients in online portals. Process Improvement Participates in departmental initiatives, recommends process changes, and supports implementation of system and workflow improvements. Minimum Qualifications Education: High School Diploma or GED required Experience: Minimum of 1 year as a PER or related healthcare experience. This role is eligible for a $2,000 sign on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 12 months) Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork. The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting. Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. xevrcyc Experience the benefits of passion and teamwork.
    $41k-49k yearly est. 2d ago
  • Sr Patient Experience Representative-Ambulatory (Onsite)

    Boston Children's Hospital 4.8company rating

    Washington, DC jobs

    Job Summery: The Senior PER will be responsible for monitoring clinic activity to ensure the best possible patient experience. Assists with resolving customer service and scheduling issues. Provides positive and effective customer service that supports departmental and hospital operations. Obtains and records required authorizations on electronic or manual scheduling systems to compile and distribute patient and staff schedules. Monitors daily schedule to optimize resource utilization and patient experience. Answers, screens, and routes telephone calls, records, and forwards messages, and triages calls for urgent information or services. Responds to requests for routine information or assistance within scope of knowledge and authority. Initiates call for emergency services as required. Participates in the development of training programs to update staff on department/hospital processes, including patient experience-focused initiatives and computer training. Demonstrates high-level problem-resolution skills, teamwork, and multitasking. Participates in and contributes to departmental and organizational initiatives projects with a focus on continuous process improvement. Key Responsibilities: Customer Service & Patient Interaction Delivers positive, effective customer service to patients, families, and visitors; resolves complex issues; responds to inquiries about hospital policies; collaborates with referring providers to manage complex patient needs. Patient Registration & Admissions Registers patients, verifies demographics and insurance, collects documentation and co-payments, and ensures accurate billing. May gather clinical data (height, weight, temperature) and assist with room preparation. Scheduling & Coordination Schedules patient appointments and procedures across departments; monitors clinic activity and daily schedules to optimize flow and resource use; coordinates with clinicians to support efficient operations. Discharge & Financial Support Supports discharge processes, communicates with Financial Counsel, processes prior authorizations and referrals, and reconciles patient payments and deposits. Administrative Support Manages calendars, schedules meetings/events, handles communications and documentation, processes forms, manages records and mail, and coordinates services with other departments. Patient Flow & Communication Participates in handoffs and huddles; routes calls, messages, and emergencies; ensures smooth patient and visitor flow throughout the department. Training & Staff Support Trains, orients, and cross-trains staff; keeps staff informed on systems, procedures, and policy updates; assists in resolving issues and serves as a resource for billing, operations, and payer requirements. Technology Use Proficient in office and clinical systems (e.g., Microsoft Office, phone/email, EMR, billing/scheduling applications); enrolls patients in online portals. Process Improvement Participates in departmental initiatives, recommends process changes, and supports implementation of system and workflow improvements. Minimum Qualifications Education: High School Diploma or GED required Experience: Minimum of 1 year as a PER or related healthcare experience. This role is eligible for a $2,000 sign on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 12 months) Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork. The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting. Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
    $37k-43k yearly est. 3d ago
  • MA Care Coordinator

    Rutland Regional Medical Center 4.7company rating

    Rutland, VT jobs

    The MA Care Coordinator is a versatile member of the outpatient clinic team providing a wide range of operational and administrative support to the providers, leaders, and staff within the clinic setting. This multi-faceted role is a knowledgeable resource and able to assist in day-to-day activities of all aspects of clinic operations. This position provides flexibility in supporting a variety of operational functions as needed based on staffing or workflow. Minimum Education High School graduate or equivalent. Graduate of Medical Assistant program preferred. Minimum Work Experience Experience with a variety of healthcare software applications. 3 Years' experience in physician practice or outpatient clinic setting serving in both administrative and clinical support roles preferred. Required Licenses/Certifications BLS Certification through American Heart Association. Medical Assistant Certification/Registration or Current Vermont State LNA License preferred. Required Skills, Knowledge, and Abilities Demonstrated strong knowledge of Medical Terminology. Demonstrated strong knowledge of basic computer skills Highly discreet, able to routinely handle confidential materials. Able to manage multiple priorities and assignments. Excellent verbal and written communication skills. Strong customer service skills. Demonstrated interpersonal skills required to successfully interact with a variety of customer groups. Pay Range: $20.27 - $29.96 #PM24 PI1e318f2d39e9-37***********3
    $20.3-30 hourly 3d ago
  • Care Coordinator PRN

    University Health 4.6company rating

    Pleasanton, TX jobs

    /RESPONSIBILITIES Perform expert leadership skills in the management of staff and coordination of patient care activities. Do not wait to apply after reading this description a high application volume is expected for this opportunity. Work collaboratively with all healthcare providers and non-health care providers. Serves as a mentor and role model for all staff. Reports to a Nursing Director or Executive Director. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas. BSN is required. National certification (e.g., CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related fields is required. Three (3) years of recent, full-time hospital or clinic experience are required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. External applicants must have at least two (2) years in an equivalent management capacity. LICENSURE/CERTIFICATION A current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. xevrcyc Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
    $29k-35k yearly est. 2d ago
  • Care Coordinator

    University Health 4.6company rating

    San Antonio, TX jobs

    /RESPONSIBILITIES Care Coordinator will be instrumental in assisting the department and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
    $29k-35k yearly est. 3d ago
  • Care Coordinator

    University Health 4.6company rating

    Seguin, TX jobs

    / RESPONSIBILITIES Apply fast, check the full description by scrolling below to find out the full requirements for this role. The Care Coordinator is responsible for coordinating and streamlining the care of patients referred to the Interventional Cardiology Clinic. In this role, you will work closely with multidisciplinary teams, triage referred patients, facilitate timely and appropriate provider scheduling, and ensure continuity of care across outpatient and inpatient settings. The coordinator also serves as a liaison between referring providers, the interventional team, and patients, while supporting program growth through outreach and data management. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full-time hospital experience preferred. Work experience in cardiovascular or interventional cardiology nursing preferred. Strong knowledge of cardiac procedures, terminology, and clinical workflow. Familiarity with catheterization lab operations, cardiovascular imaging, and post-procedure. Prior experience with patient navigation or care coordination in a cardiology setting preferred. Proficiency in Epic or other major EHR systems preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. xevrcyc Case Manager Certification (CCM or ANCC) is highly desirable.
    $29k-35k yearly est. 2d ago
  • Care Coordinator (SAN ANTONIO)

    University Health 4.6company rating

    San Antonio, TX jobs

    Any additional information you require for this job can be found in the below text Make sure to read thoroughly, then apply. /RESPONSIBILITIES The Care Coordinator is responsible for coordinating and streamlining the care of patients referred to the Interventional Cardiology Clinic. In this role, you will work closely with multidisciplinary teams, triage referred patients, facilitate timely and appropriate provider scheduling, and ensure continuity of care across outpatient and inpatient settings. The coordinator also serves as a liaison between referring providers, the interventional team, and patients, while supporting program growth through outreach and data management. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full-time hospital experience preferred. Work experience in cardiovascular or interventional cardiology nursing preferred. Strong knowledge of cardiac procedures, terminology, and clinical workflow.Familiarity with catheterization lab operations, cardiovascular imaging, and post-procedure. Prior experience with patient navigation or care coordination in a cardiology setting preferred. Proficiency in Epic or other major EHR systems preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. xevrcyc Case Manager Certification (CCM or ANCC) is highly desirable.
    $29k-35k yearly est. 2d ago
  • Care Coordinator - Expert in Patient Placement and Status Determination (SAN ANTONIO)

    University Health 4.6company rating

    San Antonio, TX jobs

    Please read the information in this job post thoroughly to understand exactly what is expected of potential candidates. /RESPONSIBILITIES At the front door of University Health, this role serves to screen patients needing placement in acute or observation beds for the purposes of correct status determinations, and the coordination of appropriate diversions to home or other level of care more appropriate for the services needed to be rendered. This position requires assertive clinical acumen and communication skills for serving in the liaison roles with medical staff, nursing, and patients and families. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. National certification (e.g. CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related field is preferred. Three years recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. Must complete a Clinical Documentation Improvement Course within specified time of hire date. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. xevrcyc Case Manager Certification (CCM or ANCC) is highly desirable.
    $29k-35k yearly est. 2d ago
  • Care Coordinator - Supports seamless transitions for Medicare patients (BOERNE)

    University Health 4.6company rating

    Boerne, TX jobs

    Before applying for this role, please read the following information about this opportunity found below. /RESPONSIBILITIES CareCoordinator will be instrumental in assisting the department and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable. xevrcyc Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
    $29k-35k yearly est. 2d ago
  • Care Coordinator PRN - Leadership Excellence in Patient Care Coordination (HONDO)

    University Health 4.6company rating

    Hondo, TX jobs

    Remember to check your CV before applying Also, ensure you read through all the requirements related to this role. /RESPONSIBILITIES Perform expert leadership skills in the managementof staff and coordination of patient care activities. Work collaboratively with all healthcare providers and non-health care providers. Serves as a mentor and role model for all staff. Reports to a Nursing Director or Executive Director. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas. BSN is required. National certification (e.g.,CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related fields is required. Three (3) years ofrecent, full-time hospital or clinic experience are required.Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required.External applicants must have at least two (2) years in an equivalent management capacity. LICENSURE/CERTIFICATION A currentlicense from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. xevrcyc Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
    $29k-35k yearly est. 2d ago
  • Care Coordinator

    University Health 4.6company rating

    Hondo, TX jobs

    /RESPONSIBILITIES At the front door of University Health, this role serves to screen patients needing placement in acute or observation beds for the purposes of correct status determinations, and the coordination of appropriate diversions to home or other level of care more appropriate for the services needed to be rendered. Please make an application promptly if you are a good match for this role due to high levels of interest. This position requires assertive clinical acumen and communication skills for serving in the liaison roles with medical staff, nursing, and patients and families. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. National certification (e.g. CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related field is preferred. Three years recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. Must complete a Clinical Documentation Improvement Course within specified time of hire date. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. xevrcyc Case Manager Certification (CCM or ANCC) is highly desirable.
    $29k-35k yearly est. 2d ago
  • Trauma Outcomes Coordinator

    University Health 4.6company rating

    Pleasanton, CA jobs

    /RESPONSIBILITIES The Senior Trauma Outcomes Coordinator must possess a background in trauma nursing and performance improvement and patient safety. This position assists the trauma quality program to promote the delivery of optimal and efficient services across the continuum of trauma care, from pre-hospital to rehabilitation. The Senior Trauma Outcomes Coordinator requires knowledge and skill in nursing practice, evidence-based practices, trauma center operations, quality and process improvement, principles of teaching. Through collaboration with Trauma Services faculty/staff, responsible for, ensuring continuous improvement in care of the injured patient from admission through patient disposition and follow-up . Responsible for maintaining documented records of assigned trauma PI activities and security of the Trauma Outcomes database. Obtains and analyzes information in order to develop new or modify existing PI initiatives. Creates customized reports based on analyses of data for dissemination and makes recommendations to improve the quality of trauma care and outcomes. Utilizes state and national benchmarks to determine trauma care standards. May serve as facilitator/leader of process improvement efforts. Provides training and supervision for new Trauma Outcomes Coordinators. EDUCATION/EXPERIENCE Required Qualifications: Bachelor's Degree from an accredited school of professional nursing. Must have three (3) or more years of Trauma PI experience, including working with an ACS Verified trauma program. Must have practiced as a RN for minimum of three (3) years in an Emergency Department or Critical Care Area, including experience providing care to trauma patients. Current licensure by the Board of Nurse Examiners for the State of Texas or proof of reciprocity of licensure between the State of Texas and another state. Basic Life Support (BLS) certification Advanced Cardiac Life Support (ACLS) certification Trauma Nursing Core Course (TNCC) Provider Pediatric Advanced Life Support (PALS) or Emergency Nursing Pediatric Course (ENPC), if assigned pediatric cases Trauma Outcomes and Performance Improvement Course (TOPIC) Trauma Care After Resuscitation (TCAR) or Pediatric Care After Resuscitation (PCAR) Professional certification (CEN, CCRN, TCRN, or similar) within 1 year of employment Excellent communication and interpersonal skills required Preferred Qualifications: · Master's Degree from an accredited school of professional nursing. · Trauma Nursing Core Course (TNCC) Instructor. · Advanced Trauma Care for Nurses (ATCN) Instructor. · Training course in Injury Severity Scoring. · Advanced quality training and certifications (LEAN Six Sigma, Team STEPPS, other similar) LICENSURE/CERTIFICATION Current licensure as a Registered Nurse in the State of Texas is required.
    $40k-57k yearly est. 3d ago

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