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INTEGRIS Health Remote jobs - 55 jobs

  • Manager System Policy Governance

    Integris Health 4.6company rating

    Remote

    INTEGRIS Health is seeking a System Policy Governance Manager. This position will play a key role by (1) designing and implementing a policy governance program (2) chairing our policy governance committee (3) maintaining the policy management system (4) ensuring policies are designed to clearly mitigate organization risks (5) policy changes are communicated to impacted caregivers (6) INTEGRIS Health remains in an audit ready state and (7) historical documents are retained and produced as needed. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status. INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer. Demonstrated experience building and/or leading a policy governance program in a complex organization. Has a clear understanding of Department of Justice expectations for policies. Has an appreciation for and ability to draft policies and procedures that are clear, concise, and provide for accountability within the organization. Is a clear and dynamic communicator who consistently communicates complex information both verbally and in writing. Experience interacting with individuals at all levels of the organization and can adapt communication for the intended audience. Communicates in a manner that encourages open dialogue. Excellent project management and organizational skills. Ability to collaborate effectively with cross-functional teams and stakeholders. Strong analytical and problem-solving skills. Ability to thrive in a fast-paced environment. Ability to set both team and individual goals and determine how to achieve results with limited directions. Ability to prioritize and lead multiple complex projects simultaneously including task delegation and oversight. Experience in understanding multiple facets of a complex health system. At least 5+ years of policy management experience. Healthcare Compliance certification (within 3 years). Thorough understanding and versed in healthcare laws and regulations. The Policy Manager's responsibilities include, but are not limited to, the following: Lead the enterprise policy governance function by developing an efficient and effective approach to maintaining all written policy and policy job aid documentation. Establish and implement key process standard work detailing a clear roadmap towards policy implementation and management. Chair, facilitate and manage an enterprise Policy Governance Committee comprised of enterprise subject matter experts. Establish effective relationships organization-wide to provide consultative advice and guidance to policy owners regarding policy development and governance activities. Conduct policy reviews and provide policy owner support to ensure policies are written in accordance with INTEGRIS Health's policy on policies, existing policies are revised for clarity as needed, policies no longer needed are identified for retirement, and published policies do not contradict other INTEGRIS Health policies. Manage vendor relationships leveraged for policy maintenance and/or development. Function as system administrator for the INTEGRIS Health policy management system by performing document maintenance, education, troubleshooting and support to policy owners and system users. Routinely monitor and report metrics on the policy governance process to compliance leadership, Executive Leadership Team, and various operational leaders and committees. Provide guidance to all caregivers on existing policies. Participate in the Regulatory Oversight Committee. In conjunction with compliance leadership, Regulatory Oversight Committee, policy owners, and subject matter experts, coordinate the development and launch of needed policy education. Routinely monitor and report organizational training completion to compliance leadership, Executive Leadership Team and various operational leaders and committees. Coordinate with the operations to ensure a regular cadence of policy reminders and updates is deployed to the organization. Identify and address organizational policy risks that impact the organization's culture of compliance and, in turn develop and implement work plan initiatives to mitigate identified risks. Manage the timely production of any document or record request received by the Compliance, Legal or Risk departments. Conduct initial policy assessments for potential joint venture partners. Ensure policy management obligations are met for any joint venture partnerships where INTEGRIS Health has management responsibilities. Implement the organization's monthly screening of the Office of Inspector General's exclusion database.
    $48k-71k yearly est. Auto-Apply 60d+ ago
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  • Mental Health Technician Sr

    Integris Health 4.6company rating

    Remote

    INTEGRIS Health, Oklahoma's largest not-for-profit health system has a great opportunity for a Mental Health Technician Sr in Spencer, OK. In this position, you'll be a part of our INTEGRIS Mental Health Spencer Child Psych team providing exceptional work supporting the INTEGRIS Health caregivers and the community. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as front-loaded PTO, 100% INTEGRIS Health paid short-term disability, increased retirement match, and paid family leave. The Mental Health Technician Sr as a member of the treatment team under the direction of the RN or Nursing Manager. Responsibilities include actively supporting the philosophy and structure of the milieu through management and supervision of the patients in a manner that is age and developmentally appropriate. This position requires population specific competencies. Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires. INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer. Bachelor's degree related to social sciences or human relations field or 5 years of previous mental health work experience Must be 21 years of age or older Must be able to communicate effectively in English INTEGRIS Mental Health: This job prefers, if needed, the incumbents to operate an INTEGRIS-owned vehicle OR personal vehicle (non-INTEGRIS owned) and have a current Oklahoma State Driver's License as well as a driving record which is acceptable to our insurance carrier. The Mental Health Technician Sr responsibilities include, but are not limited to, the following: Acts as a primary caregiver to assigned patients, including assisting patients with daily living skills as needed Spends individual time with each assigned patient on a daily basis helping patients attain treatment goals Documents patient information for assigned patients Utilizes accepted intervention, under the direction of the RN, Nursing Supervisor, Nurse Manager, or Director Nursing, in dealing with problematic patient behaviors (i.e., therapeutic holds) Makes patient rounds as prescribed by unit policy and/or patient needs Assists in patient admission/discharge and transportation as needed Rides/Drives van when assigned, and monitors patient behavior to ensure physical and emotional safety The Mental Health Technician Sr reports to the Manager with general supervision from the RN on shift. Mental Health staff must be able to assist with physical restraint of patients, utilizing the identified Behavior Technique System. This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Moderate exposure to hazardous risks, including potential for exposure to infections and communicable diseases, blood and body fluids, electrical equipment, chemicals, such a alcohol, betadine, cudex, STAT 3, Clorox, Medi-Sol, hexacloraphene, cidex, etc. and needle sticks. Potential for bodily injury related to lifting and incidents of workplace violence. Must follow universal safety precautions. Exposed to constant interruptions, noise, disagreeable odors, and assorted chemicals. May float to other units. May need to withstand outside temperatures for extended periods. Contact with children and adolescents who may exhibit physical, behavioral outbursts related to a mental health condition. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
    $26k-30k yearly est. Auto-Apply 24d ago
  • Request Fulfillment Coordinator

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 There are so many important jobs that go into providing the very best health care. Jobs that patients may never notice but could be critical to their care. This is one of those jobs. Our IS Request Fulfillment Coordinator oversees and optimizes the complete lifecycle of service request handling within the IT Service Management framework, including activities related to service fulfilment and catalogue management. It's the sort of job that needs a detailed eye and a knack for problem solving. Project Management and Business Analyst experience preferred Monday-Friday. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Partner with Service Owners to identify the requirements for Franciscan application functionality and workflow. Participate in and facilitate application workflow design and system build. Collaborate with onshore/offshore developers. Minor build as appropriate. Identify and respond to complex changes in service offerings and processes. Provide solutions while allowing for innovation. Identify the criteria needed for service requests fulfillment, and coordinate/organize all resources (technical and business teams) required to process requests. Work as a liaison for the service transition team and guides the organization on delivering changes into the service structure. Regularly coordinate with Service Owners to suggest improvements to system use and processes. Advocate for improvements through the integrated service management approach. Identify service gaps, errors, and changes that could introduce quality inefficiencies and pose a potential risk to the organization through testing. Validate request records for completeness and accuracy. Submit requests for a final quality control checkpoint, which includes findings of the requests fulfillment process for future reference. QUALIFICATIONS Preferred Bachelor's Degree Business, healthcare IT, information technology or computer science Required High School Diploma/GED 5 years Relevant work experience Required 10+ years In lieu of Bachelor's degree 10 years of experience Required 2 years IT Service Management, ITIL, and/or Request Management experience Required 2 years Mastery technical and business knowledge in multiple disciplines/processes Preferred 2 years System implementation and support Preferred 2 years Experience with ITSM tools for request fulfilment, process optimization, incident tracking, and workflow automation Preferred Information Technology Infrastructure Library (ITIL) Foundations - AXELOS latest version System certification - . ServiceNow Certified System Admin (CSA) course required; CSA certification preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Request Fulfillment Coordinator $93,148.92- $128,079.77INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $32k-39k yearly est. Auto-Apply 13d ago
  • Hospital Outpatient Coding Educator (1.0 D)

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Hospital Outpatient Coding Educator is responsible for coordinating and conducting coding training and developing training content and materials for the Franciscan Alliance Corporate Coding Department, hospital outpatient and professional coding staff. This position ensures training practices are standardized and result in consistent coding outcomes, as well as provides input regarding the content of policies and procedures. This position ensures all new and existing staff members are trained and adhere to current coding policies and procedures. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Develops and maintains all corporate outpatient coding education, training policies and procedures, and coding reference materials. Leads training sessions and assess coder comprehension of covered materials. Makes recommendations for the development of coding resources and policy and procedure development. Assists corporate coding leadership with training and/or development of a performance improvement track for coding coworkers in the corrective action process related to quality or productivity performance. Coordinates with Coding Auditors to prepare education material based on audit results. Develops and maintains a consistent coding operations orientation program, and reports the coders' progress to coding leadership throughout the orientation and training processes Assists Coding Manager and Supervisor with review and response to external coding audits. Acts as a nosologist, analyzing and interpreting disease, procedure classifications, and terminologies for the accurate translation of healthcare data. Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability. Ability to analyze information, make decisions and exercise independent judgement. Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance. Participates in problem identification, performs root cause analysis and recommends a solution to Coding Management. Assists with development and maintenance of software system workflow for standardization and maximum efficiency. Oversees system testing with regards to any published software updates or software functionality changes Identifies template variation within the EMR that has a negative impact on coding edits/errors. Escalates trends and makes recommendations for template revisions/standardization to FAIS HIM team and Coding Leadership. Coordinates all testing efforts with coding superusers and FAIS teams. Assists with annual verification of coding staff credentials. Orients new physicians with regards to the coding department's role in the revenue cycle, and prepare training material for coding related to physician education. Assists with identification and implementation of process improvements according to industry best practice standards to make the best use of resources, decrease costs and improve coding services across the specialized service lines. QUALIFICATIONS High School Diploma/GED With 5 years of Franciscan coding experience - Required or Associate's Degree in Health Information Management - Required Bachelor's Degree in Health Information Management - Preferred Surgery Coding Experience - Required 5 Years Franciscan outpatient coding with CCS, CCS-P, CPC - Required or 3 Years Outpatient Coding Experience with RHIT/RHIA - Required 3 Years Coding Manager or Trainer/Auditor - Preferred CCS, Certified Coding Specialist from American Health Information Management Association (AHIMA) - Required or CPC, Certified Professional Coder from the American Academy of Professional Coders (AAPC) - Required or CCS-P, Certified Coding Specialist - Physician from the American Health Information Management Association (AHIMA) - Required RHIT, Registered Health Information Technician from American Health Information Management Association (AHIMA) - Preferred or RHIA, Registered Health Information Administrator from American Health Information Management Association (AHIMA) - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coding Educator - Hospital Outpatient/Professional $51001.60-$75868.00INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $34k-64k yearly est. Auto-Apply 12d ago
  • Epic Principal Trainer - Optime/Radiant/Cupid

    Saint Francis Health System 4.8company rating

    Remote

    Current Saint Francis Employees - Please click HERE to login and apply. Full TimeDays Job Summary: The Epic Principal Trainer is responsible for developing and maintaining Epic course curricula and supporting training materials; building, testing and maintaining the training environment; delivering Epic curricula to end users using training strategies that meet a variety of learning styles; educating and training other trainers; working with the Training Team to analyze and coordinate the availability of trainers, schedules, rooms, workstations and other resources, and answering Epic functionality questions from Managers and end users. Minimum Education: High School Diploma or GED. Bachelor's Degree preferred. Licensure, Registration and/or Certification: Obtain and maintain Epic certification in assigned application module(s). Work Experience: 0 - 6 months related experience. Knowledge, Skills and Abilities: Ability to work with Microsoft Office applications for the production and management of training materials, interoffice communication, and use and exchange of shared project and department documents. Excellent interpersonal and communication skills. Strong teaching skills that have been demonstrated on various projects, particularly related to healthcare a plus. Essential Functions and Responsibilities: Develop/implement classroom training, one-to-one training, computer based training, and/or just in time (JIT) training of the clinical or revenue cycle personnel on a variety of functions; and applications of the electronic health record. Set up/deliver training in a formal class setting or at-the-elbow support/optimization in the workplace setting. Plan, identify needs, and implement programs and materials to achieve the skills/competencies necessary to meet patient safety, data management, compliance, HIPAA, CHI policies and procedures, Joint Commission, and/or other regulatory requirements. Facilitate problem solving/conflict resolution related to the practitioner usage of the electronic health record. Recommend changes and determine outcomes to improve the quality of education, patient safety, staff efficiency, and/or organizational effectiveness. Collaborate and communicate with Information Services, various steering groups, and the users to coordinate enhancements, resolve operation problems and improve operational quality. Participate in departmental meetings/initiatives, quality improvement activities, and committees as assigned. Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field. Working Relationships: Works with internal customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: Ability to travel as required for Epic training. Ability to travel to remote work sites as needed. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Information Technology Training - Saint Francis Connect Location: Tulsa, Oklahoma 74136 EOE Protected Veterans/Disability
    $74k-98k yearly est. Auto-Apply 60d+ ago
  • Integration Specialist (Epic Bridges)

    Saint Francis Health System 4.8company rating

    Remote

    Current Saint Francis Employees - Please click HERE to login and apply. Full TimeDays Job Summary: The Integration Specialist supports interfaces and integration engine functions. This role focuses primarily on the interface engine Cloverleaf with a secondary focus on Epic Bridges. Understands requirements from various hospitals and practices regarding their Health Information Exchange needs. Minimum Education: High School Diploma or GED. Bachelor's degree in Computer Science, Engineering or Math, preferred. Licensure, Registration and/or Certification: Cloverleaf Level II and/or Epic Bridges certification, preferred. Work Experience: 3 - 4 years related experience. Knowledge, Skills and Abilities: Knowledge of Standards (HL7 V2.X, HL7 CDA, XML), Environment (AIX, Linux, Windows). Languages (TCL), Databases (SQLite.), Protocols ITCP/IP, SOAP, SFTP, REST API), and Management Tool (Teams, Microsoft Office 360). Essential Functions and Responsibilities: Interface development, validation, and deployment using the Cloverleaf Integration Engine and Epic Bridges. Interface support and maintenance, including after-hours support. File Transfer development, support, and maintenance. Provide functional support to Application and testing teams. Provide quality documentation and status updates. Understand requirements from various Hospitals and Practices regarding their Health Information Exchange needs. Review and modify interfaces to ensure technical accuracy, security, and reliability. Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field. Working Relationships: Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: Ability to travel as required for Epic training. Ability to travel to remote work sites as needed. Supplemental Information: This document generally describes the essential functions of the job, and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Information Technology Patients, Affiliates and Interface Systems - Yale Campus Location: Virtual Office, Oklahoma 73105 EOE Protected Veterans/Disability
    $57k-92k yearly est. Auto-Apply 3d ago
  • Program Director, Clinical Pharmacy Programs

    Cancer Treatment Centers of America 4.9company rating

    Remote

    About City of Hope, City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S., and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines, as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope's uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas. The successful candidate: Under the supervision and leadership of the Executive Director of Pharmacy, the Program Director of Clinical Pharmacy Programs is responsible for programmatic and strategic oversight and coordination of all aspects of the Pharmacy Clinical Programs across CAP pharmacy, in conjunction with the counterpart incumbent, to enhance patient outcomes and safety in the most efficient and optimal fashion. The Program Director of Clinical Pharmacy Programs collaborates closely with the Executive Director and other pharmacy leaders to establish the vision for the clinical services provided at City of Hope CAP. Responsibilities include but are not limited to planning and executing new clinical programs, partnering to standardize and optimize medication utilization across the System, leading the regional Formulary/Pharmacy and Therapeutics/other related committees, and developing and implementing policies, guidelines and best practices related to medication therapy. Position is also responsible for management of the CAP pharmacoeconomic program to ensure cost effectiveness of treatments provided. Additionally, the Program Director is responsible for developing strategies to mitigate drug shortage impact to patients treated at all CAP sites. Collaboration is imperative to the success of this position, so routine communication with providers, nurses, pharmacists, and other clinical leaders is essential. This resource will work very closely with clinical pharmacists and pharmacy leadership at each CAP site, helping to guide and lead the development of consistent clinical programs across the System. Essential Functions: Clinical Program Oversight and Compliance: Strategically plan and provide leadership for all aspects of Enterprise Clinical Pharmacy Program across all CAP sites. Developing new programs based on patient needs and optimizing existing programs and practices. Standardizing clinical practices, medication management policies/guidelines, and treatment plans across all CAP sites. Leading the Formulary, Pharmacy and Therapeutics (P&T), and other related committees. Providing drug formulary oversight. Developing and coordinating implementation plans for the use of new products in compliance with institutional policies and regulatory guidelines (e.g. FDA, The Joint Commission) Developing metrics to measure staff productivity and program effectiveness. Liaising between internal affiliated departments and external stakeholders to ensure program integrity. Pharmacoeconomics Program: Leading pharmacoeconomic initiatives to enhance patient care and optimize cost effectiveness of treatments provided. Monitoring the pharmaceutical marketplace for cost saving opportunities. Implementing and tracking therapeutic conversions. Other Responsibilities: Clinical development of pharmacy staff to promote practice at top of their license. Supporting research, publication, and presentation opportunities for the staff at local and national level. Collaborating with schools of pharmacy to oversee pharmacy student training during City of Hope rotations. Representing City of Hope-CAP Pharmacy Department at professional and community organizations at the local, state, and national level. Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality. Performs other related duties as assigned or requested. The following Pillars in Action are the behaviors that accelerate our impact as we deliver on our Vision and Strategic Priorities: Position Qualifications: Minimum Education: Doctor of Pharmacy Degree (Pharm.D.) Minimum Experience: 6 years of experience planning and executing pharmacy programs with 10 years of experience in a hospital setting Req. Certification/Licensure: Current Pharmacy license Board Certified Oncology Pharmacist (BCOP) Preferred Education: ASHP accredited PGY-1 or PGY-1 and PGY-2 Residencies Preferred Experience: 5 years of experience in Oncology Skills/Abilities: Personal computer approximately 75% of time Working/Environmental Conditions: Work is primarily performed within an office setting. Frequent meetings & walking to meeting sites as required City of Hope is an equal opportunity employer. To learn more about our comprehensive benefits, click here: Benefits Information City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location. This position is eligible for an annual incentive bonus.
    $66k-100k yearly est. Auto-Apply 54d ago
  • System Vice President Revenue Cycle Management Operational Performance

    SSM Health Saint Louis University Hospital 4.7company rating

    Hillsboro, MO jobs

    It's more than a career, it's a calling. MO-SSM Health Mission Hill Worker Type: Regular Job Highlights: The SSM Revenue Cycle team is on a fast track to optimization and looking for a strategic thought leader with a proven track record in transformation. This executive role has high visibility within the organization and is a position considered for long term succession planning. Named 150 Top Places to Work in Healthcare 2024 - Becker's Healthcare Named One of the Diversity Leaders 2024 - Modern Healthcare Named One of America's Greatest Workplaces for Diversity 2024 - Newsweek Named One of America's Greatest Workplaces for Women 2024 - Newsweek Named One of America's Greatest Workplaces for Job Starters 2024 - Newsweek SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization's 40,000 team members and more than 13,900+ providers are committed to providing exceptional health care services and revealing God's healing presence to everyone they serve. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. This position IS remote work eligible. SSM Health currently offers remote work within limited states. To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact: Angela Jones Executive Talent Partner *************************** #LI-Remote Job Summary: The Vice President for Revenue Cycle Management Operational Performance is responsible for the strategic leadership, oversight and optimization of hospital and ambulatory revenue cycle operations. Provide visionary leadership while fostering strong partnerships to ensure the accuracy and integrity of revenue processes. Partners with the Chief Revenue Cycle Officer to establish and deliver on the Revenue Cycle strategic vision. Job Responsibilities and Requirements: Job Responsibilities and Requirements: Develop and implement strategic initiatives to enhance revenue cycle operations while ensuring the accuracy and integrity of revenue processes. Oversight and management of coding, coding education, Health Information Management (HIM), Revenue Integrity to include CDM, Accounts Receivable, Cash Management, and Denial Management to ensure compliance with regulatory standards and optimize reimbursement. Develop and implement strategies for denial management to minimize revenue loss. Foster strong partnerships with internal and external stakeholders to drive revenue cycle improvements. Analyze and report on revenue cycle performance, identifying areas for improvement, and implementing corrective actions. Thought partner with Net Revenue, Information Technology, Finance, Clinical Operations and other stakeholders in continuous revenue improvement. Exhibits superior management skills that emphasize team building and strong leadership with the ability to provide clear vision and direction. Leadership development and career pathing to ensure next level leadership readiness. Creates a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability utilizing a participative management style to ensure staff retention Develops and manages the operating and capital budgets for operations, analyzes variances, develops plans and takes appropriate actions for productivity and performance improvements. EDUCATION Master's degree in business or healthcare administration OR Bachelor's degree with equivalent experience EXPERIENCE Ten years of experience within the area of revenue management, specifically experience with billing and collections at a multi-entity healthcare organization or large complex revenue cycle services with five year's leadership experience. Department: 8700000033 RCM Leadership Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $132k-215k yearly est. Auto-Apply 41d ago
  • Clinical Documentation Specialist, First Reviewer

    SSM Health Saint Louis University Hospital 4.7company rating

    Remote

    It's more than a career, it's a calling IL-REMOTE STL PLAN Worker Type: Regular Job Highlights: **Must have prior experience as a Clinical Documentation Specialist** Required Qualifications: 1 year of experience as a Clinical Documentation Specialist Additional Two years' in an acute care setting or relevant experience Graduate of accredited school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialist (ACDIS) Preferred Qualifications: CCDS certification Proficiency with MS Office Tool - especially Excel. Prior experience reviewing PSI (patient safety indicator) or experience with Vizient specialized mortality reviews. Eligible Remote States: Candidates are required to reside on one of SSM's approved States: Alabama, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Missouri, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, and Wisconsin. Pay Range: $74,484.80 - $111,737.60 Pay Rate Type: SalarySSM Health values the skills and talents that each team member brings to our organization. Compensation for this role is based on a variety of components including relevant experience, labor market, and other qualifications. The posted pay range for this position is what SSM Health reasonably expects, in good faith, to offer based on the circumstances at the time of posting. SSM Health may ultimately pay more or less than the posted range as permitted by law. Job Summary: Performs concurrent analytical reviews of clinical and coding data to improving physician documentation for all conditions and treatments from point of entry to discharge, ensuring an accurate reflection of the patient condition in the associated Diagnosis Related Group (DRG) assignments, case-mix index, severity of illness (SOI), and risk of mortality (ROM) profiling, and reimbursement. Facilitates the resolution of queries and educates members of the patient care team regarding documentation guidelines and the need for accurate and complete documentation in the health record, including attending physicians and allied health practitioners. Collaborates with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine a working and final DRG, SOI, and/or ROM. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Completes initial reviews of patient records and evaluates documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate diagnosis review group (DRG) assignment, risk of mortality (ROM), and severity of illness (SOI). Maintains appropriate productivity level. Conducts follow-up reviews of patients every to support and assign a working or final DRG assignment upon patient discharge, as necessary. Queries physicians regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record when needed. Identifies issues with reporting of diagnostic testing proactively. Enhances expertise in query development, presentation, and standards including understanding of published query guidelines and practice expectations for compliance. Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record. Attends department meetings to review documentation related issues. Conducts independent research to promote knowledge of clinical topics, coding guidelines, regulatory policies and trends, and healthcare economics. Collaborates with coding to reconcile the DRG and resolves mismatches utilizing the escalation policy. Troubleshoots documentation or communication problems proactively and appropriately escalates. Reviews and clarifies clinical issues in the health record with the coding professionals that would support an accurate DRG assignment, SOI, and/or ROM. Assists in the mortality review and risk adjustment process utilizing third-party models. Demonstrates an understanding of complications, comorbidities, SOI, ROM, case mix, and the impact of procedures on the billed record. Imparts knowledge to providers and other members of the healthcare team. Maintains a level of expertise by attending continuing education programs. Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient's age-specific needs and clinical needs as described in the department's scope of service. Works in a constant state of alertness and safe manner. Performs other duties as assigned. EDUCATION Graduate of accredited school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialist (ACDIS) EXPERIENCE Two years' in an acute care setting or relevant experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS) Or Physician Assistant in Medicine, Licensed - Illinois Department of Financial and Professional Regulation (IDFPR) Or Physician - Regional MSO Credentialing Or Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) Or Advanced Practice Nurse (APN) - Illinois Department of Financial and Professional Regulation (IDFPR) Or APN Controlled Substance - Illinois Department of Financial and Professional Regulation (IDFPR) Or Full Practice Authority APRN Control Substance - Illinois Department of Financial and Professional Regulation (IDFPR) Or Full Practice Authority APRN - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS) Or Physician Assistant - Missouri Division of Professional Registration Or Physician - Regional MSO Credentialing Or Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Missouri Division of Professional Registration Or Nurse Practitioner - Missouri Division of Professional Registration State of Work Location: Oklahoma Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS) Or Acknowledgement of Receipt of Application for Physician Assistant - Oklahoma Medical Board Or Physician Assistant - Oklahoma Medical Board Or Physician - Regional MSO Credentialing Or Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) Or Advanced Practice Registered Nurse (APRN) - Oklahoma Board of Nursing (OBN) Or Certified Family Nurse Practitioner (FNP-C) - American Academy of Nurse Practitioners (AANP) State of Work Location: Wisconsin Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS) Or Physician Assistant - Wisconsin Department of Safety and Professional Services Or Physician - Regional MSO Credentialing Or Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Or Advanced Practice Nurse Prescriber (APNP) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: ********** Sys Clinical Documentation ImprovementScheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
    $35k-48k yearly est. Auto-Apply 7d ago
  • Certified Tumor Registrar

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 At Franciscan Health, the Certified Tumor Registrar (CTR) is a data information specialist responsible for the identification, collection, and management of health, medical, and outcome information on oncology patients. Primary responsibilities include abstracting and coding specific patient, cancer, and treatment information from numerous sources, as well as maintaining and updating existing patient records. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Abstract cancer-related data, according to ICD-10, American College of Surgeons, American Joint Commission On Cancer (AJCC), and other guidelines, to generate reports regarding cancer surveillance and improvement of care. Review patient cases, identify potential cases for the registry, and assess whether the case is reportable, is already reported, or could potentially be recorded in a file of non-reportable cases. Assist with monthly and annual data submissions and quality assurance reviews, to ensure compliance with the American College of Surgeons, American Joint Commission On Cancer (AJCC), and other guidelines. Facilitate and organize tumor board and other case conferences. Monitor, report, and record tumor registry activities, to ensure compliance with Commission On Cancer (CoC) and other accreditations. QUALIFICATIONS Associate's Degree required 1 year of Tumor Registry experience p referred Certified Tumor Registry (CTR) OR Oncology Data Specialist - Certified (ODS-C) required RHIA or RHIT p referred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Tumor Registrar $25.58 - $33.25INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $47k-61k yearly est. Auto-Apply 6d ago
  • Account Follow Up Rep

    Cancer Treatment Centers of America 4.9company rating

    Remote

    About City of Hope, City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S., and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines, as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope's uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas. The successful candidate: Account Follow-up Representative (AFR) Job Overview: The Account Follow-up Representative (AFR) is responsible for understanding and reconciling various insurance practices, both contracted and non-contracted. The role focuses on maximizing reimbursement and resolving patient or insurance (hospital or physician) account balances by employing comprehensive follow-up tactics in the following areas: Insurance Account Follow-up (hospital or physician): Handle the reimbursement and resolution processes for insurance accounts. Self-pay Account Follow-up: Concentrate on collecting the patient responsibility portion left by insurance using assistance programs and tools. This area also includes managing the inbound call center. Administration of Financial Programs: Support patients with medical balances through Financial Assistance, Co-pay Assistance, Free Drug programs, Drug Replacement, etc. Minimum Job Qualifications: Education: High school diploma or equivalent, or passed proficiency exam. Experience: At least 3 years of accounts receivable (A/R) experience in a hospital or physician healthcare setting, including insurance and self-pay healthcare collections/billing, and insurance verification. Demonstrated analytical capability and experience with account reconciliation and balancing. Knowledge, Skills, and Abilities: Strong knowledge of medical terminology, ICD-9 codes, CPT/HCPCs codes. Familiarity with Medicare Bad Debt laws and requirements, and Fair Debt Collection laws. Understanding of insurance contracts and reimbursement methodologies. Ability to interpret Explanation of Benefits (EOBs) and navigate patient insurance policies. Knowledge of collection agency work, probate courts, and bankruptcy laws and regulations. Advanced written and verbal communication skills. Proficiency in technology, especially in spreadsheet management and trend analysis. Excellent organizational skills, with the ability to manage multiple priorities and responsibilities. Exceptional customer service skills. City of Hope is an equal opportunity employer. To learn more about our comprehensive benefits, click here: Benefits Information City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
    $33k-39k yearly est. Auto-Apply 5d ago
  • Clinical Denial Specialist II

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Clinical Denial Specialist II functions as a hospital liaison to appeal denied claims for Medicare, Medicaid, Managed and Commercial insurance. This position entails detailed retrospective review via EPIC of patient medical records to analyze and compile data for additional documentation request and claim denials, using trends and patterns identified to support process improvement. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Schedule: Monday - Friday, 8am - 5pm Develop reports Review governmental contractor's response Identify underlying root causes for potential denials and works closely with departments and Clinical Documentation Integrity to reduce denials Write and ensure all appeals are filed in a prompt and timely manner for Medicare, Medicaid, Managed, and Commercials Payor Audit medical documentation for adherence to insurance and CMS guidelines relating to inpatient/observation services, or other denial issues Knowledge of inpatient criteria to establish medical necessity letters QUALIFICATIONS Active Indiana RN license required BSN or Associate's with 5 years of nursing experience required 3 years of denial experience required 5 years of nursing or case management experience preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Clinical Denial Specialist II $52395.20-$77948.00INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $38k-64k yearly est. Auto-Apply 4d ago
  • Coding Manager

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Corporate Coding Manager develops and implements coding strategies and provides operational leadership to manage and maintain efficient coding processes. This position supervises staff, prepares and forecasts budgets and strategic plans oversees quality assurance programs, and ensures regulatory compliance. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Provides oversight and leadership to the Coding Supervisors within the department, and manages the performance of coworkers through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team. Oversees the auditing and education program to ensure accurate and compliant coding and billing practices. Makes decisions regarding changes to coding staff day-to-day functions; aligns all aspects of coding operations to align acute and ambulatory corporate initiatives, including standardized corporate coding policy and procedure development and enforcement. Participates in problem identification, performs root cause analysis, and develops a solution that produces expected outcomes and intended results. Assists with the development of the organizational wide standardization and implementation of a corporate coding compliance plan to include compliance with external regulatory and accreditation requirements. Creates an environment that coworkers want to work in and maintain a high level of coworker satisfaction. Serves as department liaison for regional meetings and projects and to other teams that interact with the coding team; assists with items specific to coding needs for planning of new department builds and department revisions. Assists the Coding Manager with inquiries/audits and denials from third party agencies related to coding. Function Purpose Orientation to coding fundamental support role in business operations in supporting the revenue cycle and how coding influences. (ex. Physicians, Clinical Operations teams, BPCI, quality measures Acts as a nosologist, analyzing and interpreting disease and procedure classifications and terminologies for the accurate translation of healthcare data; applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability. Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance. Maintains expert knowledge of Franciscan Alliance coding software tools; assists with development and maintenance of software system workflow for standardization and maximum efficiency. Assists with identification and implementation of process improvements, according to industry best practice standards, to make the best use of resources, decrease costs and improve coding services across the specialized service lines. Director with development and manages departmental budgets, including making budget allocations, approving expenditures and ensuring expenses are within budget. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders, and adheres to official coding guidelines. QUALIFICATIONS Associate's Degree Health Information Management - Required Bachelor's Degree Health Information Management - Preferred 4 years Coding Manager - Required 4 years Franciscan Coding Supervisor - Required 3 years Coding Experience - Required Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Required - OR - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Required TRAVEL IS REQUIRED: Up to 20%JOB RANGE:Coding Manager $77,750.40 - $121,492.80INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $57k-75k yearly est. Auto-Apply 17d ago
  • Epic Application Analyst - Cupid

    Saint Francis Health System 4.8company rating

    Remote

    Current Saint Francis Employees - Please click HERE to login and apply. Full TimeDays Schedule: Monday - Friday | 8:00am -5:00pm | On call rotation after hours and weekends required Job Summary: The Application Analyst has primary responsibility for system design, build, testing, validation, and ongoing support of assigned applications. Minimum Education: High school diploma or GED. Bachelor's degree strongly preferred. Licensure, Registration and/or Certification: Obtain and maintain Epic certification in assigned application module(s). Work Experience: One year of related experience. Current internal/external Epic operational experience strongly preferred. Epic Cupid certification and/or Cardiology clinical experience. Knowledge, Skills and Abilities: Ability to complete Epic certification and maintain certification in assigned application module(s). Basic computer skills. Ability to work independently and within a team across multiple disciplines. Ability to establish and meet work schedules within limited time frames and under tight deadlines. Analytical ability to solve both business and technical problems. Excellent interpersonal and communication skills. Essential Functions and Responsibilities: Responsible for obtaining and maintaining in-depth knowledge of functional workflows and the software functionality necessary to support them. Participate in future state workflow review and development and complete the system build necessary to support these new workflows. Work collaboratively in workgroups and across interdisciplinary teams. Identify system optimization and enhancements and collaborate with vendors and other technology, project team, and end-user resources in order to design and implement effective solutions. Research issues and use independent analysis and judgment to produce solution options (including alternative solutions when necessary to address system limitations) to complex matters. Continually identify opportunities for functional improvement in applications. Provide tier-2 support of application incidents reported through the help desk. Maintain up to date documentation. Implement changes using documented processes that are compliant with departmental policies and procedures. Promote the Mission, Vision, and Values of the Health System and practice a high level of customer service in all aspects of job duties. Decision Making: Independent judgment in making decisions from many diversified alternatives that are subject to general review in final stages only. Working Relationships: Coordinates activities of others (does not supervise). Leads others in same work performed (does not supervise). Works directly with patients and/or customers. Works with internal customers via telephone or face to face interaction. Works with external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above. Special Job Dimensions: Ability to travel as required for Epic training. Ability to travel to remote work sites as needed. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Information Technology Ancillary Clinical Systems - Saint Francis Connect Location: Virtual Office, Oklahoma 73105 EOE Protected Veterans/Disability
    $71k-103k yearly est. Auto-Apply 60d+ ago
  • Float Patient Services Rep - Cardiology Rural Outpatient Clinics

    Integris Health 4.6company rating

    Remote

    INTEGRIS Health Cardiovascular Physicians, Oklahoma's largest not-for-profit health system has a great opportunity for a Patient Service Representative that will float to Altus and Elk City, Oklahoma. In this position, you'll work Monday - Friday Days with our team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front-loaded PTO, 100% INTEGRIS Health paid short-term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health. The Patient Services Representative is responsible for answering telephones, taking concise messages, scanning and indexing information into the medical record, handling requests for medical records and basic scheduling. This position requires population specific competencies. Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires. INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer. REQUIRED QUALIFICATIONS EXPERIENCE: 6 months customer service experience IMG Float Pool: This job requires the incumbents to operate a INTEGRIS-owned vehicle OR personal vehicle (non-INTEGRIS-owned) and therefore must have a current Oklahoma State Driver's License as well as a driving record which is acceptable to our insurance carrier. PREFERRED QUALIFICATIONS EXPERIENCE: 1-year clerical experience Experience in the following areas: responsibility for cashier procedures and/or basic accounting, clinic check in/out procedures, basic health insurance, HMO, PPO, and basic medical terminology, general knowledge of CPT and ICD-9 coding 6 months telephone customer service experience The Patient Services Representative responsibilities include, but are not limited to, the following: Responsible for receiving and/or dispatching incoming phone calls Collects payments for copays and deductibles Makes financial arrangements for patients Performs check in and out duties accurately and timely Makes appointments for visits and, if an emergency, informs a clinical employee or provider Verifies insurance eligibility and benefits and records the information in the medical record; completes referrals to specialty providers, home health, etc. Accurately enters patient demographics into the practice management system Takes messages when answering the telephone, correctly spelling names and identifying patient by two patient identifiers according to National Patient Safety Goals Takes clear and concise messages from pharmacies, physicians and hospital personnel; directs the message to the Clinical employee and/or Provider Manages large call volume while maintaining excellent telephone etiquette Organizes workflow to meet patient needs in a timely manner Reports to Office Manager/Supervisor. This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Must be able to handle a high volume of telephone calls (potentially hundreds per day), and high volume of patient interaction (potentially hundreds per day), i.e., scheduling appointments, discussing billing problems, setting up payment arrangements, collecting past due payments. Must be able to handle multiple tasks and work in a high stress environment. May be required to drive. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
    $28k-31k yearly est. Auto-Apply 41d ago
  • ACO Care Manager III (WFH-0.5)

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The ACO Care Manager III is critical for working with assigned beneficiaries, assessing, facilitating, planning, and advocating health needs on an individual basis. In this role you will assist with the coordination of delivery of cost-effective Healthcare services and establish a transition plan for post-acute care. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Weekend Position- Saturday & Sunday- 10-hour days Works collaboratively with other members of the Healthcare team in coordination of the patient's care. Meets patient and family to complete psychosocial history and assess family dynamics. Reviews computer record and chart and becomes familiar with the patient's history and current circumstances. Assesses the Plan of Care to meet patient needs. Connects patients to relevant community resources as required, with the goal to increase satisfaction, patient health, and well-being and reduce Healthcare costs. Guides the delegation of responsibilities to the appropriate staff member to meet the needs of the patient. Ensures services are in compliance with professional standards, state and federal regulatory requirements. Implements discharge plans as agreed upon by patient, family, and physician. Provides education for families, patients and other members of the healthcare team. Acts as a liaison between patients, consulting physician, referring physician or outside agencies to coordinate patient appointments, admission, or surgery. Coordinates the exchange of information either written or verbal before and after patients are seen. Maintains patient accounts by obtaining, recording, and updating personal and financial information. Assists patients, family members or other client support members with concern and empathy. QUALIFICATIONS Associate's Degree- Nursing/Patient Care- Required Bachelor's Degree- Nursing/Patient Care- Preferred Registered Nurse (RN)- State Licensing Board- Indiana- Required Registered Nurse (RN)- State License Board- Illinois- Required within 180 days of hire Certified Case Manager (CCM)- Commission for Case Manager Certification- Preferred Basic Life Support (BLS) American Heart Association- Required 5 Years Nursing/Patient Care Experience- Required 1 Year Case Management Experience- Preferred TRAVEL IS REQUIRED: Up to 20%JOB RANGE:ACO CMIII $73,278.40 -$100,776.00INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $58k-72k yearly est. Auto-Apply 12d ago
  • Clinical Dietitian- Hybrid Option

    Saint Francis Health System 4.8company rating

    Tulsa, OK jobs

    **Current Saint Francis Employees - Please click HERE (*************************************************************** **to login and apply.** Full Time Days \#ALDIND Job Summary: Provides professional methods to improve the nutritional health of a patient and keep the body healthy. Works in collaboration with any other healthcare staff to provide needed evaluations, assessments, education, development of nutritional plan(s), implementation and subsequent re-evaluation regarding nutritional therapy and requirements. Minimum Education: Baccalaureate Degree along with completion of a dietetic education program accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND). Licensure, Registration and/or Certification: Registered Dietitian by the Academy of Nutrition and Dietetics and a current Dietitian License with the Oklahoma Board of Medical Licensure and Supervision. In some instances new graduates may be registration-eligible and provisionally licensed. Work Experience: Minimum 6 months related experience, preferred. Knowledge, Skills and Abilities: Basic nutrition assessment and counseling skills. Effective written, oral and interpersonal communication skills. Ability to integrate the analysis of data to discover facts or develop knowledge, concepts or interpretations. Ability to organize and prioritize work in a timely and efficient manner. Ability to be detail oriented as required in the examination of clinical and numerical data. Basic computer skills. Essential Functions and Responsibilities: Assesses patient nutritional status and associated risk factors through patient and provider contacts. Develop and communicate recommendations for a suitable diet in keeping with or developing treatment plan to achieve desired outcomes. Provides appropriate, pertinent consultation in a timely fashion for inclusion in the reporting processes. Serves as a resource and nutritional specialist as needed. Provides counseling based on established standards of care and practice guidelines. Counsels individuals on nutritional principles, dietary plans and diet modifications, food selection and preparation, as appropriate. Gathers appropriate patient education manuals, visual aids, and other materials for patient mailings. Evaluates patient compliance with dietary interventions. Provides coaching to improve life style behaviors contributing to poor nutrition and poor health. Coordinates nutritional case management/therapy activities with health care team members. Conducts responsibilities in accordance with the standards set by applicable federal and state laws, policies and procedures, and applicable professional standards and codes of ethics. Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from supervisor. Working Relationships: Works directly with patients and/or customers. Works with internal and external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Nutrition & Food Services Dietitians - Yale Campus Location: Tulsa, Oklahoma 74136 Under the Oklahoma Medical Marijuana Use and Patient Protection Act (OMMA), a safety sensitive position is defined as any job that includes tasks or duties that the employer believes could affect the safety and health of the employee performing the task or others. This position has been identified as a safety sensitive position. This statute allows employers to lawfully refuse to hire applicants for safety-sensitive jobs or to discipline or discharge employees who work in safety-sensitive jobs if they test positive for marijuana, even if they have a valid license to use medical marijuana. **EOE Protected Veterans/Disability**
    $50k-58k yearly est. 4d ago
  • Data System Engineer III

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 We are seeking a Site Reliability & DevOps Systems Engineer to design, automate, and maintain the infrastructure supporting our enterprise data and analytics platforms, including Power BI, Tableau, Databricks, and Epic Cogito. This role bridges systems engineering, DevOps development, and data operations - ensuring our analytics ecosystems are resilient, automated, secure, and high-performing. You will manage Azure DevOps and GitHub environments for CI/CD, infrastructure-as-code (IaC), and environment deployments, while collaborating with BI, data engineering, and cloud teams to standardize and optimize platform operations. Data Systems Engineer III (DSE) is responsible for making intuitive, high-level decisions in designing data analytics infrastructure to extract and organize data for authorized individuals to access. Responsibilities include identifying a company's internal and external data sources, collaborating with department heads to determine their data needs and using the information to create and maintain data analytics infrastructure for company employees. Is responsible for software design and implementation for the development team. The Architect will design and develop a unified vision for software characteristics and functions, with the goal of providing a framework for the development of software or systems that result in high-quality IT solutions. DSE III takes direction and guidance from lead data systems architect and department leadership to work towards enhancement of self and the team's capabilities around data and analytic competencies. Mentors junior architects and guides users across the organization to promote data education and a data-driven culture in all aspects of clinical and business operation. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Facilitate the establishment and execution of the roadmap and vision for information delivery and management; including the modernizing the data platforms, on-prim and cloud data, BI & analytics, content management and data management Work with stakeholders to understand their vision, challenges, and pain points. Work with data and analytics experts to strive for greater functionality in our data systems; consults with data systems management teams to get a big-picture idea of the data needs. Conduct detailed assessments of the data landscape including data platforms, technology architecture, data flows, data consumption, data integration and documentation Identifying installation solutions for new databases; determining the requirements for a new database. Develop future state architecture and process/data flows to realize the modern data strategy Design modern data supply chain, and evaluate and recommend new tools and technologies Guide the decision making of selecting cloud vs on-premise environments and assist with cloud service provider selection Document and present data strategies to stakeholders, gain buy in, and grow strategic relationships Assist in the development of capability roadmaps Identifying areas for improvement in current systems; participate in setting objectives and scope, and developing a roadmap for the data initiatives that support the client leadership in meeting their objectives Auditing database regularly to maintain quality; creating systems to keep data secure Own the technical relationship with the client, be a technical subject matter expert and principal data evangelist across the planning efforts that intersect the data discipline. Educate clients and internal constituents on the available technologies and general best practices. Mentor others as they build complex strategy and solutions Provide specialized expertise, cross-industry perspective, and thought leadership in big data, cloud, enterprise information management, and other next generation technology offerings Provides maintenance and support; performs other duties, as assigned. Qualifications Required Bachelor's Degree Business, Computer Science, Engineering, Information Systems, Public Health, or related field Preferred Master's Degree Computer Science, Business, Healthcare Management, Information Systems, or related field 6 years Systems, Application, and/or Database platforms administration experience with platforms such as Epic, SQL Server, Tableau, SAS, BusinessObjects etc. Experience architecting data management, analytics, business intelligence and application integration solutions. Required TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Data Systems Engineer III $82,931.74 - $114,031.14INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $83k-107k yearly est. Auto-Apply 60d+ ago
  • Utilization Management Coordinator (H)- Remote

    Saint Francis Health System 4.8company rating

    New Haven, CT jobs

    Current Saint Francis Employees - Please click HERE to login and apply. This position is ECB status - requires a minimum number of worked hours per month as needed by the department; limited benefit offerings. #ALDIND The shift for this role would be as needed during the weekdays. Location: Remote Job Summary: Provides administrative and clinical support to the hospital and treatment team throughout the review of patients, their placement in various levels of care and their receipt of necessary services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with providers the details of reimbursement issues; also participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal processes. Provides staff education as needed to further the goals of UR. Minimum Education: Has completed the basic professional curricula of a school of nursing as approved and verified by a state board of nursing, and holds or is entitled to hold a diploma or degree therefrom or Master's degree in Social Work, Counseling or related behavioral health field. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or Professional Counselor (LPC) license, or Marriage and Family Therapist (LMFT). Work Experience: 3 - 4 years of related experience in behavioral health care, part of which may be experience in Behavioral health managed care. Knowledge, Skills and Abilities: Working knowledge of Microsoft Word, Excel and Access as might be used in the preparation of correspondence and reports. Effective interpersonal, written and oral communication skills. Ability to integrate the analysis of data to discover facts or develop knowledge, concepts or interpretations. Ability to organize and prioritize work in an effective and efficient manner. Ability to be detail oriented as required in the examination of numerical data. Ability to synthesize clinical case data into concise summaries. Essential Functions and Responsibilities: Meets time requirements for review intervals, supplying the required clinical information to obtain authorization. Responds promptly to authorizing entity's need for further detail. Participates in treatment team or Patient Care Committee, providing information about eligibility, benefits and criteria for the selected level of care. Seeks treatment information for use in providing reviews for authorization of services. Contributes to discharge planning. Participates in quality of care process improvement. Identifies QI Triggers for individual patient situations, reporting them promptly to the Process Improvement/Quality Director, to appropriate clinicians and to the UM Manager. Reviews eligibility and benefits of patients, matching the level of care utilization. Assures compliance with Managed Care Behavioral Health standards in the area of UM procedures and documentation to permit accreditation for Laureate and/or to maintain the delegation standards established by the managed care contracts. Investigates and prepares appeals for insurance companies, when denial of reimbursement is related to medical necessity or to other treatment issues. Participates in UM process improvement on an ongoing basis and participates in the UR Staff Committee's process improvement goals. Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from supervisor. Working Relationship: Works directly with patients and/or customers. Works with internal customers via telephone or face to face interaction. Works with external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Pre-Arrival - Yale Campus Location: Tulsa, Oklahoma 74136 EOE Protected Veterans/Disability
    $46k-57k yearly est. Auto-Apply 19d ago
  • Nuclear Medicine Technologist - Days

    Integris Health 4.6company rating

    Remote

    INTEGRIS Health, Oklahoma's largest not-for-profit health system has a great opportunity for a Nuclear Med Tech in Ponca City, OK. In this position, you'll be a part of our INTEGRIS Health Ponca City Nuclear Medicine team providing exceptional work supporting the INTEGRIS Health caregivers and the community at large. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health. The Nuclear Medicine Technologist provides thorough processing of all diagnostic and therapeutic nuclear medicine procedures and is responsible for maintaining and complying with the guidelines of the Nuclear Regulatory Commission. Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires. INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer. REQUIRED QUALIFICATIONS LICENSE/CERTIFICATIONS: •ARRT-NMT (NUCLEAR MEDICINE TECHNOLOGY) OR NMTCB-NMT (NUCLEAR MEDICINE TECCHNOLOGY) within 12 months of hire •BLS (Basic Life Support) Issued by American Red Cross or American Heart Association OR CPR (Cardiopulmonary Resuscitation) Issued by American Red Cross or American Heart Association within 90 days of hire Must be able to communicate effectively in English (verbal/written). This job requires the incumbents to operate a INTEGRIS-owned vehicle OR personal vehicle (non INTEGRIS-owned) and therefore must have a current Oklahoma State Drivers License as well as a driving record which is acceptable to our insurance carrier. PREFERRED QUALIFICATIONS EDUCATION: •Bachelor's degree preferred. The Nuclear Medicine Technologist responsibilities include, but are not limited to, the following: Orders and/or prepares the appropriate radiopharmaceuticals Performs highly technical nuclear medicine procedures and utilizes computers to process and manipulate patient data to attain exam results Maintains proper records to assure the department operates within the guidelines established by the Nuclear Regulatory Commission Records patient results on the proper media Performs quality control procedures on all nuclear medicine cameras, dose calibrators and well/probe counters Manipulates complex mathematical formulas to calculate decay of radiopharmaceuticals and their biological half lives, and compounds complex drug kits, which may follow difficult and precise patterns of production When working in the Mobile Nuclear Department may be required to drive Mobile Coach or other hospital vehicle to rural facilities to perform job duties. The Nuclear Medicine Technologist reports to the Lead Nuclear Technician. This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Daily exposure to low level radiation from sealed sources, patient doses, patient dose administration, and dosed patients in addition to occasional exposure to higher levels of radiation from the administration of therapeutic radiopharmaceuticals. Some exposure to patient blood, other bodily fluids and vector borne pathogens. Must be able to work in excess of 8 hours per day/40 hours per week and participate in the on call roster. May be required to wear universal protective clothing. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
    $33k-61k yearly est. Auto-Apply 60d ago

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