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.9d ago
Home Care STNA Portage County Virtual Open House 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.12d 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.12d 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
\t
Performs, training and quality monitoring of new, established employees and students.
\t
Responsible for providing timely feedback on the application of coding guidelines, practices, and proper documentation techniques and data quality improvements.
\t
Performs random coding quality review on monthly basis and provides timely feedback, additional training and education as needed.
\t
Identifies and trends areas of opportunity for performance improvement for all coders and provides appropriate feedback to management.
\t
Demonstrates comprehensive understanding of CCs/MCCs, impact on quality reporting, UHDDS guidelines, HACs and PSIs.
\t
Assists with the analysis of case mix reports and other statistical reports.
\t
Demonstrates comprehensive understanding of APG, EAPG and LCD\NCD and CCI regulatory edits.
\t
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.
\t
Assists with the facilitation of scheduled external audits.
\t
Responsible for designing, implementing, and managing ongoing Departmental monitoring activities and educational programs to ensure proper coding and compliance with all regulatory statutes.
\t
Performs targeted second level reviews.
\t
Maintains up to date credentials.
\t
Maintains updated knowledge of regulatory guidelines and regulations affecting the coding field.
\t
Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department.
\t
Participates in educational and informational activities as required.
\t
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.29d 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.17d ago
Knowledge/Skills/Abilities
+ Research and analyze Provider Network State File.
+ Oversees development, organization, and ongoing maintenance of data representing a wide range of Provider information.
+ Develops and directs a process to clean and integrate complex healthcare datasets in order to create the data foundation for further analytics and the development of key insights.
+ Supervises completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Oversees, establishes, and maintains timelines for reports and projects.
+ Ensures quality of output by submitting work product for quality checks and reviews and performing similar functions for other staff.
Job Qualifications
Required Education
Associate Degree or equivalent combination of education and experience
Required Experience
3-5 years systems analysis experience.
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
5-7 years systems analysis experience.
Experience writing SQL queries.
Knowledge / experience of Florida State Provider Network Verification File (PNV).
QNXT knowledge.
Expertise with Excel and Power BI.
Medicaid experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $49,929.54 - $97,362.61 a year*
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
#PJHPO
#LI-BEMORE$49.9k-97.4k yearly44d 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 yearly13d ago
Account Management Undergraduate Intern
While remote, finalists MUST reside in one of the following states to be eligible for employment with Kaiser Permanente: CA or HI. TITLE: Account Management Undergraduate Intern The team manages all client inquiries, and is their advocate within Kaiser Permanente. The Multi-State Account Management team manages over 900 accounts in Kaiser Permanente Hawaii's fastest growing line of business. At Kaiser Permanente, youll forge lasting relationships with colleagues across the organization while enjoying the opportunity to grow your experience and hone your expertise on assignments that have real impact. + Support Multi-State clients in the Kaiser Permanente Hawaii region$30k-35k yearly est.4d ago
Account Management Undergraduate Intern
While remote, finalists MUST reside in one of the following states to be eligible for employment with Kaiser Permanente: CA or HI. TITLE: Account Management Undergraduate Intern The team manages all client inquiries, and is their advocate within Kaiser Permanente. The Multi-State Account Management team manages over 900 accounts in Kaiser Permanente Hawaii's fastest growing line of business. At Kaiser Permanente, youll forge lasting relationships with colleagues across the organization while enjoying the opportunity to grow your experience and hone your expertise on assignments that have real impact. + Support Multi-State clients in the Kaiser Permanente Hawaii region$30k-35k yearly est.4d ago
Home Health Nurse-Oahu On Call
Determines if home environment is safe and appropriate for provision of home health services. Communicates with other Home Health personnel, other departments and with community resources to coordinate care and services for Home Health Services patients. Submits documentation in timelines specified by Home Health Standards, Federal and State regulation(s). * Provides comprehensive nursing care as prescribed by patients physician and in compliance with Home Health Services established standards, policies, and procedures. * Documents all care provided to patients and plans pertaining to care according to Home Health Services standards, federal and state regulation(s). * Plans for and participates in professional development activities to keep current of trends in home health nursing and/or clinical nursing skills. * Develops area of clinical expertise within Home Health Nursing, and provides instruction/supervision in area to others in agency, as requested. Reports findings appropriately to physician, Home Health Manager and/or other individuals involved in care of patient. Provides home health care to Kaiser Permanentes Home Health patients in coordination with physician orders and nursing interventions.$65.4-65.4 hourly1d ago
Medical Assistant III
$23.4-24.7 hourly1d ago
Charge Nurse - Emergency Department (36 Hr, Nights)
* Incorporates the KP Vision, Model and Values through out their Nursing Practice.$69.9-69.9 hourly1d ago
Medical Assistant III
$35k-39k yearly est.1d ago
Medical Assistant III
$35k-39k yearly est.1d ago
Customer Relations Representative
$37k-43k yearly est.2d ago
Assistant Manager Emergency Services Department Registered Nurse
+ Incorporates the KP Nursing Vision, Model and Values throughout their Nursing Practice.$116k-136k yearly est.2d ago
Medical Assistant III
$35k-39k yearly est.3d ago
Medical Assistant III
$35k-39k yearly est.3d ago
Charge Nurse - Transitional Care
* Incorporates the KP Vision, Model and Values through out their Nursing Practice.$67k-79k yearly est.3d ago
