Organization: SCAH-Sutter Care at Home - UT As the Clinical Referral Specialist, this person frequently interacts with referral sources, other members of the referral center staff, home health, Advanced Illness Management (AIM) and hospice staff across offices and all others necessary to facilitate the start of patient care.$62k-68k yearly est.3h ago
Remote Family Nurse Practitioner (Field Visits Required)
The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and “pop up” clinic.
The Nurse Practitioner will be required to work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatric, women's health).
Perform comprehensive medical assessments, order appropriate tests/procedures for diagnostic purposes, formulate treatment plans, obtain specialists' consultations as needed, and do appropriate documentations as required.
Provide general medical care to various and/or specific patient levels - adults and geriatric.
Perform comprehensive evaluations including history and physical exams for risk adjustment and other regulatory assessments
Address both chronic and acute primary care complaints, and able to ascertain medical urgency
Establish and document reasonable medical diagnoses
Seek specialty consultation as appropriate
Order pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptom; able to work within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately
Discuss unusual or unclear symptoms or results with consulting physician in a timely manner
Accept feedback and direction from the supervising physician
Create and implements a medical plan of care
Provides care coordination and preventative care services for geographical as well as virtual targets who are stratified by risk.
Schedule patient appointments for telehealth or in-person visits when appropriate
Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization
Perform diagnostic and/or therapeutic procedures within his/her level of training and expertise, and as outlined on the practice agreement and written protocol with the supervising physician
Perform face-to-face in-person visits in a variety of settings including home, skilled nursing facilities, and public locations.
Additionally, perform face-to-face synchronous video communications using Telehealth platform based on business need and leadership direction
Order bulk laboratory orders to target specific populations of member.
Perform alternating on-call coverage to triage any urgent lab results and develop appropriate plan of care
Participate in community-based “Pop Up Clinics” as way of building relationship with community while addressing gaps in health care
Drive up to 120 miles a day on a regular basis. There may be drives beyond 120 miles as part of Extended Mileage Special Project days.
Obtain cross state license in other states besides home state based on business need.
Collaborate with fellow nurse practitioners to develop best practices to efficiently and effectively carry out work duties
Actively participate in regional meetings
Prescribe medications as appropriate
Remain knowledgeable on current therapies
Perform timely documentation in medical records in an electronic medical record computer system
Engage in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws. May also function as and perform all duties reasonably expected and assigned to an RN such medication administration.
Work as a partner with supervising physician. The NP is responsible for initiating collaboration, as it is needed.
The NP is responsible for knowing when a patient needs physician oversight and when the patient's medical condition may be beyond the scope of knowledge of the NP.
JOB QUALIFICATIONS
Master's degree in family health from accredited nursing program
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
Experience in chronic disease management and preventative care
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
Completion of Nurse Practitioner program at the master's level, with an active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners; American Nurses Credentialing Center
Current state-issued license to practice as a Family Nurse Practitioner
Current Basic Life Support for Healthcare Professional certification
Current unrestricted driver's license
PREFERRED EXPERIENCE:
3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home health, community health, or public health setting
Previous experience in home health as a licensed clinician, especially in management of chronic conditions
Experience with underserved populations facing socioeconomic barriers to health care
Fluency in a language in addition to English is plus
Immunization and phlebotomy skills
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $73,101.84 - $142,548.59 a year*
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.$73.1k-142.5k yearly1d ago
Manager, Provider Quality & Practice Transformation (Remote)
Responsible for continuous quality improvements and risk adjustment accuracy for all government lines of business. Supports robust provider engagement to achieve positive operational and financial outcomes. This position shall serve as the subject matter expert in Quality & HEDIS measures and evaluating the quality components of value-based reimbursement models.
KNOWLEDGE/SKILLS/ABILITIES
Establishes the strategy and operational direction for quality improvement via provider engagement and practice transformation under direction of the Quality Lead, in collaboration with the provider network and operations staff for larger value based contracted provider organizations.
In partnership with Provider Network & Contracting, interact with providers and facilitate the negotiation & implementation of quality measures in value-based care contracts.
Manage provider relationships across the network - address issues, develop and provide education and facilitate meeting established goals.
Provides strategic direction for provider quality and practice transformation specialists to help providers understand how to improve quality and progression toward meeting value-based purchasing goals and assesses provider readiness for higher levels on the value-based purchasing continuum.
Leads one or more teams from multiple disciplines (Quality, Provider Services, Clinical, Operations) to engage with key providers.
Lead and manage process of determining Quality measures performance and final settlement leading to payout.
Responsible for ensuring accurate and timely actionable reports are delivered to providers in collaboration with Quality team and Data analysts.
Participates in quality and risk adjustment strategy meetings, develops a quality workplan, and ensures integration of quality and risk adjustment into the overall business process.
Builds internal relationships to develop a team approach to provider centric Quality improvement initiatives and implementing strategies to achieve targets.
Builds and nurture positive relationships between strategic providers and Plan.
Reports on strategic provider results (e.g., changes in quality outcomes, financial results, etc.) on periodic basis to Senior Leadership Team.
JOB QUALIFICATIONS
Required Education:
Bachelor's Degree or equivalent combination of education and experience.
Required Experience:
Min 5 years' experience in managed healthcare administration, healthcare quality or performance improvement and Provider Services,
Good understanding and experience with Quality and HEDIS measures.
Progressive experience with business management, negotiation experience, managing projects.
Project management experience, in a managed healthcare setting
Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid, Marketplace and Medicare lines of business, including but not limited to fee-for service, capitation and various forms of risk, ASO, etc.
Preferred Education:
Master's Degree
Preferred Experience:
Experience with risk adjustment and quality metrics with government business lines of business.
Previous provider relationship and engagement preferred
Experience with Value Based Contract arrangements, and provider engagement
Provider contract network development & management experience
People and team management experience preferred.
Preferred License, Certification, Association:
Certified Professional in Health Quality (CPHQ)
RN license
#PJQA
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $66,456.22 - $129,589.63 a year*
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.$34k-52k yearly est.46d ago
Business Intelligence Developer
is the multi-specialty physician organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with the top-ranked hospitals in the area. BJC Medical Group physicians are trained and certified in over 25 medical specialties and serve patients in more than 125 locations in the greater St. Louis, mid-Missouri and southern Illinois areas. BJC is hiring for a Business Intelligence Developer.$82k-99k yearly est.3d ago
Service Delivery Manager - Compute/Cloud
BJC is hiring for a Service Delivery Manager. By ''Caring for Systems that Care for People'', BJC HealthCare Information Services (IS) is a key enabler of the mission, strategy and operating excellence that is associated with BJC HealthCare. BJC s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country. is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions.$78k-101k yearly est.22d ago
Lead Business Analyst
BJC s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country. BJC is hiring for a Lead Business Analyst. is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions.$82k-99k yearly est.12d ago
Epic Application III Analyst - Grand Central/Prelude
BJC s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country. BJC is looking for an Epic Application Analyst III. is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions.$84k-119k yearly est.12d ago
Associate LICSW Case Manager - Bellevue
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. 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.$10k monthly2d ago
Associate LICSW Case Manager - Bellevue
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. 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.$10k monthly2d ago
RN - Nurse Case Manager - Liaison Nurse Per Diem - Remote Opportunity Must live in WA State
The Care Manager will work in 2 settings on a periodic rotating schedule, planning the discharges and follow up care for Kaiser Foundation Health Plan of Washington patients hospitalized at a nearby network facility and carrying a case load of patients in one of the Kaiser Foundation Health Plan of Washington medical centers.$43.9-61.9 hourly2d ago
RN - Nurse Case Manager - Liaison Nurse Per Diem - Remote Opportunity Must live in WA State
The Care Manager will work in 2 settings on a periodic rotating schedule, planning the discharges and follow up care for Kaiser Foundation Health Plan of Washington patients hospitalized at a nearby network facility and carrying a case load of patients in one of the Kaiser Foundation Health Plan of Washington medical centers.$43.9-61.9 hourly2d ago
Patient Access Representative (REMOTE IN WASHINGTON)
REMOTE/VIRTUAL WORK ENVIRONMENT FOR WA RESIDENTS (Must be willing to drive to Renton or Spokane, WA call center for equipment pick up and any IT issues) On site work environment also available if interested. May act as the patients' first point of contact with Kaiser Permanente + Patient Access and Registration: Answer phones; Perform appointment making processes; Complete accurate patient registration, such as, verification of patient demographics and payor coverage; Perform check-in, check-out, admit and discharge tasks; Build and maintain appointing templates; Perform MyGH set up verification; Communicate with patients via multiple channels; Process internal and external referrals. Perform general patient access and registration duties in EPIC Practice Management, such as, answer telephones, make appointments, process referrals, maintain provider templates and appointment schedules, verify patient demographics and insurance coverage. Work directly with patients on billing related matters and provide fee estimates to patients for Kaiser Permanente services.$34k-39k yearly est.28d ago
Patient Access Representative (REMOTE IN WASHINGTON)
REMOTE/VIRTUAL WORK ENVIRONMENT FOR WA RESIDENTS (Must be willing to drive to Renton or Spokane, WA call center for equipment pick up and any IT issues) On site work environment also available if interested. May act as the patients' first point of contact with Kaiser Permanente + Patient Access and Registration: Answer phones; Perform appointment making processes; Complete accurate patient registration, such as, verification of patient demographics and payor coverage; Perform check-in, check-out, admit and discharge tasks; Build and maintain appointing templates; Perform MyGH set up verification; Communicate with patients via multiple channels; Process internal and external referrals. Perform general patient access and registration duties in EPIC Practice Management, such as, answer telephones, make appointments, process referrals, maintain provider templates and appointment schedules, verify patient demographics and insurance coverage. Work directly with patients on billing related matters and provide fee estimates to patients for Kaiser Permanente services.$34k-39k yearly est.28d ago
RN - Liaison Nurse - Case Manager Per Diem Remote - Must live in Washington State
The Care Manager will work in 2 settings on a periodic rotating schedule, planning the discharges and follow up care for Kaiser Foundation Health Plan of Washington patients hospitalized at a nearby network facility and carrying a case load of patients in one of the Kaiser Foundation Health Plan of Washington medical centers.$79k-106k yearly est.30d ago
RN - Liaison Nurse - Case Manager Per Diem Remote - Must live in Washington State
The Care Manager will work in 2 settings on a periodic rotating schedule, planning the discharges and follow up care for Kaiser Foundation Health Plan of Washington patients hospitalized at a nearby network facility and carrying a case load of patients in one of the Kaiser Foundation Health Plan of Washington medical centers.$79k-106k yearly est.30d ago
Masters Level Therapist
$5k monthly8d ago
Administrative Specialist C (TPT)
$20.1-23.6 hourly2d ago
Administrative Specialist B
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. 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.$21.1-27.3 hourly2d ago
Administrative Specialist B
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. 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.$21.1-27.3 hourly2d ago
Sterile Processing Technician I (Central Service Technician I)
