Job DescriptionJoin the Cleveland Clinic team at our Hillcrest Hospital, where you will work alongside passionate caregivers and provide patient-first healthcare. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. Cleveland Clinic provides what matters most: career growth, delivering world-class care to our patients, continuous learning, exceptional benefits and working for an organization that offers many long-term career paths. A Registered Nurse is responsible for understanding complicated medical histories, advanced surgical procedures, pain modalities and thorough nutritional support. Cleveland Clinic will assist you by offering tuition reimbursement and cross-training for professional development. +1 216-307-2685,,258874042# United States, Cleveland Cleveland Clinic is recognized as the No. Certifications: Current state licensure as Registered Nurse (RN).$50k-93k yearly est.10d ago
Home Care STNA Ashtabula County Virtual Open House Event Wednesday March 22nd 10:00 AM to 12:00 PM
Provides personal care and assists with home care patients, under the supervision of the RN Case Manager or therapist, Initiates and maintains positive relationships with patients customers and co workers. Minimum one year home care experience preferred.$31k-37k yearly est.13d ago
LPN, Ambulatory Home Care Services Virtual Open House Wednesday 22nd 1:00 PM-3:00 PM
LPN - Licensed Practical Nurse$38k-62k yearly est.13d ago
Sr Specialist, Delegation Oversight (Claims)- REMOTE - CA ONLY
Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.
This position is in California and is in Claims.
KNOWLEDGE/SKILLS/ABILITIES
Coordinates, conducts, and documents delegation assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements.
Prepares status reports from Delegated Entities. Develops corrective action plans when deficiencies are identified, and documents follow-up to completion. Ensures compliance with reporting requirements by tracking the receipt and completeness of reports.
Develops corrective action plans when compliance issues are identified, and document follow-up to completion.
Assists with meetings of the Delegation Oversight Committee, including the preparation of documents for committee oversight of delegated functions.
Works with Network Management team to develop and maintain delegation agreements and assessment tools.
Prepares delegation oversight document evidence for state monitoring visits and NCQA accreditation surveys and participates on Molina's work team.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree or equivalent combination of education and experience.
Required Experience
3+ years managed care experience.
Min. 1 year experience completing delegation oversight assessment/ audits.
Data analysis experience.
Required License, Certification, Association
Valid State Driver's License
Preferred Education
Bachelor's Degree in Business or Health Care related field.
Preferred Experience
5 years managed care experience.
2 years' experience completing delegation oversight assessments/audits.
Quality management/regulatory experience with increasing responsibility.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHPO #Li-BeMore
Pay Range: $45,390.49 - $88,511.46 a year*
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.$45.4k-88.5k yearly14d ago
Inpatient Coding Educator - Remote
Responsible for assuring coding is being performed accurately. Is responsible for assessing coding accuracy and completeness of inpatient medical record documentation by conducting random and focused coding audits; documenting, preparation and timely presentation of audit results. Educates individuals on the rules/regulations associated with coding. Functions as lead coding advisor to Coding Specialists and answers all educational questions timely.
1. Functions as Lead Coding Advisor to assigned HIS Coding Specialists
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Performs, training and quality monitoring of new, established employees and students.
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Responsible for providing timely feedback on the application of coding guidelines, practices, and proper documentation techniques and data quality improvements.
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Performs random coding quality review on monthly basis and provides timely feedback, additional training and education as needed.
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Identifies and trends areas of opportunity for performance improvement for all coders and provides appropriate feedback to management.
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Demonstrates comprehensive understanding of CCs/MCCs, impact on quality reporting, UHDDS guidelines, HACs and PSIs.
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Assists with the analysis of case mix reports and other statistical reports.
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Demonstrates comprehensive understanding of APG, EAPG and LCD\NCD and CCI regulatory edits.
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Responsible for researching errors related to coding or missed documentation from the medical record in order to provide accurate coding guidance to support established processes.
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Assists with the facilitation of scheduled external audits.
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Responsible for designing, implementing, and managing ongoing Departmental monitoring activities and educational programs to ensure proper coding and compliance with all regulatory statutes.
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Performs targeted second level reviews.
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Maintains up to date credentials.
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Maintains updated knowledge of regulatory guidelines and regulations affecting the coding field.
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Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department.
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Participates in educational and informational activities as required.
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Participates in student mentorship programs
2. Performs other duties as assigned such as, assists when needed, with abstracting Medical Records to identify, sequence, and code diagnostic and procedural information timely and accurately.
Qualifications
Education
Associate degree in HIM required. Bachelor’s degree in HIM preferred.
Required Credentials, License, and / or Certifications
RHIT or RHIA required. CCS preferred.
Experience & Knowledge:
5 plus years of ICD-10 coding experience required, preferably in a large academic medical center.
• Thorough, up-to-date clinical skills, current working knowledge of pathology, pharmacology, surgical procedures, etc.
• Excellent written and verbal communication skills required.
• Ability to function independently and as a team player in a fast-paced environment required.
• Must be detail-oriented and organized, with good problem solving ability.
• Notable client service, communication, and relationship building skills required.
Special Skills & Equipment Knowledge:
Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.) required.$52k-78k yearly est.30d ago
Nurse Practitioner - Surgery
EXPERIENCE 5 years experience as a nurse practitioner. Base pay is just one piece of the total rewards program offered by Sutter Health.$116k-134k yearly est.3d ago
Job DescriptionJoin the Cleveland Clinic team at our Hillcrest Hospital, where you will work alongside passionate caregivers and provide patient-first healthcare. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. Cleveland Clinic will assist you by offering cross-training for professional development. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare. +1 216-307-2685,,258874042# United States, Cleveland Cleveland Clinic is recognized as the No. At Cleveland Clinic, we know what matters most.$59k-73k yearly est.18d ago
Genomic Scientist
Job Summary: The primary focus of this position will be to coordinate clinical testing and reporting at the Regional Molecular Genetic Pathology laboratory. In addition, the job requires extensive data analysis of microarray or other data and preparation of aberration summaries. Position requires interdependent work with all staff and Directors at the laboratory, as well as, physician group. Overall, position involves many aspects of genetic testing, including sample to data analysis to final report coordination. Essential Responsibilities: + Patient laboratory case management of clinical genomic testing results. + Answering questions regarding Genetic testing and providing information on Genetic tests and testing methodologies. + Participate in laboratory test design and development, including education of laboratory staff in test reporting/clinical correlation. + Evaluation, annotation, and classification of novel chromosomal rearrangements and gene variants based on extensive review and collation of public and private databases. + Analyzing, interpreting, and reporting data generated by complex genomic techniques such as next generation sequencing and microarrays. + Generating information sheets for the analyzed cases using relevant clinical information to draft a comprehensive interpretive report in collaboration with the laboratory directors. + Supporting the clinical testing service of the tumor profiling laboratory in working with the team of molecular pathologists, laboratory directors and genetic counselors. + Reviewing patient medical history prior to testing, performing review of genomic data, helping maintain the active knowledgebase for variant interpretation and reporting. + Providing follow-up to physicians and/or other clinical providers regarding test results. + Performing necessary duties in providing testing assistance and data analysis in oncology (Tumor genomics). + Performing data analysis and summary generation on SNP arrays and next generation sequencing. + Being able to use a variety of computational databases such as db SNP, the UCSC and European genome browsers, COSMIC, etc., to aid in the interpretation of genomic variants + Providing Genetic testing support to all departments. + Other duties as necessary. Basic Qualifications: Experience + Minimum two (2) years experience in genomic data analysis and interpretation in clinical context. Education + MA or MS in Molecular Genetics, Genetic Counseling, or a related field with experience in genomic data analysis and interpretation in clinical context. License, Certification, Registration + N/A Additional Requirements: + Professional knowledge of the rapidly changing principles and practice of medical, clinical, and genetics laboratory required. + Must have effective oral and written, presentation and communication skills, superior organizational skills and be able to work independently. + Computer skills appropriate for laboratory and clinical case management necessary. + Strong background in Human Genetics and Molecular Genetics. + Display excellent writing, communication, problem-solving and organizational skills. + The position requires knowledge and skills related to interpreting and reporting data from high complexity genomic techniques including next generation sequencing and microarrays. Preferred Qualifications: + Prior experience with variant evaluation using online databases, in-silico variant analysis tools, and interpreting genetic testing results is preferred. + Positive attributes include excellent organizational skills, a strong interest in learning, the ability to multi-task, and an ability to work independently. + Familiarity with SNP arrays and next generation sequencing. (Direct experience with these technologies in a diagnostic setting a plus) + Must be comfortable using a variety of computational databases such as db SNP, the UCSC genome browser, COSMIC, etc., to aid in the interpretation of genomic variants. + PhD in Molecular Genetics, Genomics, or a related field. Notes; + Rotating weekends as needed. COMPANY: KAISER TITLE: Genomic Scientist LOCATION: Los Angeles, California REQNUMBER: External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.$111k-174k yearly est.4d ago
Facilities Services Director
Experience Minimum eight (8) years of experience in management/leadership, preferably in health care or a related facilities services environment.$155k-266k yearly est.14d ago
Clinical Nursing Director - Perioperative Services
Description -
Sign-on bonus eligible position!
Plans, organizes, directs, evaluates and coordinates inpatient-nursing services within a service line. Collaborates with KFHP/H and the Medical Group staff in the development and execution of strategic plans, providing quality care, and managing cost-effective services which are aligned with federal, state, and local regulations. Responsible for achieving the strategic vision for nursing in their assigned areas of accountability. Responsible for the quality of nursing care and services to patients in their assigned areas of responsibility. Accountable for the following areas dependent upon medical center beds and services offered: Adult Services: Med Surg, Dialysis, Clinical Dietician, Critical Care, TCU, RT, ED if applicable. Maternal Child Health: Labor & Delivery, Pediatrics, PICU, NICU, Maternity, and Normal Newborns (may be combined with Perioperative). Perioperative: OR, PACU, Central Sterile, Ambulatory Surgery Centers (may be combined with MCH). Maintains key Relationships with Clinical and Administrative Director peers, Chiefs of Service, other department directors reporting to Assistant Administrators for clinical and operations, regional PCS, AMGAs, community peers.
Essential Responsibilities:
Collaborates with CNO and other medical center management in identifying and implementing innovative models and best practices with an emphasis on quality of care, service improvements and cost reduction.
With TPMG partner, directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused delivery of services and cost effective utilization of necessary services. Builds trust with the nursing team through visibility.
Coordinates with TPMG to provide for the seamless transition of patients across the continuum of care. Establishes partnerships with facility leadership groups. In collaboration with medical staff and facility leadership ensures a superior care experience and a safe environment with patients and staff. Ensures policies, practices, and procedures comply with administrative, legal and regulatory requirements of the Health Plan contract and governmental and accrediting agencies.
Provides clinical and professional oversight for areas of accountability.
Assures successful implementation of organizational strategies such as Hospital Efficiency, Work Place Safety, Supply Cost Initiative including OR Back-log, Patient satisfaction.
Through the hiring, retention, and development of internal staff in areas of accountability, achieves staffing ratios and optimal patient outcomes with minimal dependence on premium pay (overtime and registry/traveler staff).
Mentors nursing managers in development of leadership skills, fiscally accountable staffing/scheduling practices, professional development of staff, and outcomes based practice.
Oversees the development of department standards as identified by regulatory agencies including policies and procedures.
Develops services that achieve a high level of customer satisfaction with emphasis on customer service, highest standards of quality and innovation.
Maintains a state of continuous regulatory readiness.
Manages and resolves human resource, labor relations, employee and department safety and risk management issues.
Enhances nursing practice and patient outcomes through the effective use of clinical practice and GRASP committees.
Participates in developing the hospitals plan for the recruitment and retention of nursing resources to ensure that a sufficient number of qualified staff members are available to meet the needs of the patients.
Utilizes research data to implement clinical changes and the delivery of patient care and member services.
Accesses KP Health Connect to evaluate the quality of care provided. Uses KP Health Connect to manage clinical operations. Monitors quality, appropriateness, and accuracy of KP Health Connect documentation. Maintains role specific KP Health Connect competencies.
Directs the budget and resource allocations for designated departments. Manages the financial performance and identifies and implements strategies to reduce costs and improve quality of care and services.
Communicates effectively as hospitals advocate to members of the community, continually seeking ways to improve and promote the public relations objective of the hospital and marketing services.
Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Qualifications -
Experience
Minimum seven (7) years of nursing experience in patient care.
Minimum five (5) years of management experience required.
Education
Graduate of accredited school of nursing.
Masters in Nursing or Bachelors in Nursing with Masters degree in related field.
License, Certification, Registration
Registered Nurse License (California) required at hire
Additional Requirements:
Demonstrate strong interpersonal communication skills.
Demonstrate ability to lead and manage through influence and change.
Proven ability to deliver results for meeting organizational objectives
Demonstrate knowledge of federal and state laws and regulations such as: Knox-Keene Act, Federal HMO Act, Nurse Practice Act, The Joint Commission, and all applicable Medicare and Medi-Cal regulations.
ACLS, PALS, NRP certification may be required for positions in specific department.
National Certification preferred within 1 year of hire
Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
Magnet/shared governance experience preferred
Managing in a collective bargaining environment preferred
Doctor of Nursing Practice (DNP) or PhD in Nursing preferred
$109k-144k yearly est.16d ago
Research Associate I
Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing. Must have own car, valid driver's license and willing to travel throughout Greater Sacramento Area daily with periodic travel to downtown Oakland. Primary Location: California,Sacramento,S. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Kaiser Permanente conducts compensation reviews of positions on a routine basis.$31.3k-40.5k yearly4d ago
Research Associate I
At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Kaiser Permanente conducts compensation reviews of positions on a routine basis. COMPANY: KAISER TITLE: Research Associate I LOCATION: Oakland, California REQNUMBER: External hires must pass a background check/drug screen.$57k-83k yearly est.4d ago
Otolaryngology-General ENT(with Academic Responsibilities) Opportunity- Oakland, CA
$379k-390k yearly7d ago
Medicaid Actuarial Analyst
$70k-90k yearly est.11d ago
Executive Compensation Consultant V
$77k-99k yearly est.16d ago
Regional Virtual Medical Center Undergraduate Student Temp
Please be prepared to spend part of your time working remotely and part of your time working at the following address: 17284 Slover Avenue Suite 112, Fontana, CA 92337 TITLE: Regional Virtual Medical Center Undergraduate Student Temp At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. LOCATION: Fontana, California$39k-47k yearly est.41d ago
Regional Virtual Medical Center Undergraduate Student Temp
Please be prepared to spend part of your time working remotely and part of your time working at the following address: 17284 Slover Avenue Suite 112, Fontana, CA 92337 TITLE: Regional Virtual Medical Center Undergraduate Student Temp At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. LOCATION: Fontana, California$39k-47k yearly est.41d ago
Optimization Consultant - REGIONAL PALM COURT II - Virtual MC Digital Doctors - Per Diiem
LOCATION: Fontana, California Must be proficient in KP HealthConnect. TITLE: Optimization Consultant - REGIONAL PALM COURT II - Virtual MC Digital Doctors - Per Diiem$110k-140k yearly est.60d+ ago
Optimization Consultant - REGIONAL PALM COURT II - Virtual MC Digital Doctors - Per Diiem
LOCATION: Fontana, California Must be proficient in KP HealthConnect. TITLE: Optimization Consultant - REGIONAL PALM COURT II - Virtual MC Digital Doctors - Per Diiem$110k-140k yearly est.60d+ ago
Instructional Designer, Remote
LOCATION: Fontana, California$61k-76k yearly est.60d+ ago
