Cleveland Clinic will assist you by offering tuition reimbursement and cross-training for professional development. 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. Certifications: Current state licensure as Registered Nurse (RN). Job DescriptionJoin the Cleveland Clinic team at our Hillcrest Hospital, where you will work alongside passionate caregivers and provide patient-first healthcare. +1 216-307-2685,,258874042# United States, Cleveland A Registered Nurse is responsible for understanding complicated medical histories, advanced surgical procedures, pain modalities and thorough nutritional support. 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. Cleveland Clinic is recognized as the No.$50k-93k yearly est.14d 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.17d 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.17d 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.34d ago
Supervisor, Member Services (Remote - Candidate must reside in the State of Iowa)
Provides customer support and stellar service to meet the needs of our Molina members and providers.
Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions.
Provides product and service information and identifies opportunities to improve our member and provider experiences.
KNOWLEDGE/SKILLS/ABILITIES
Supervises a team of employees. Trains, coaches, monitors, and manages the team's performance to meet or exceed company and department performance expectations.
Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure.
Ensures compliance with Contractual and Regulatory requirements.
Addresses more complex member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care.
Provides exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public.
Achieves individual performance goals as it relates to call center objectives.
Demonstrates personal responsibility and accountability and leads by example through individual performance.
Support projects and special initiatives as appropriate.
JOB QUALIFICATIONS
Required Education
Associate degree or equivalent combination of education and experience
Required Experience
3-5 years' experience in a call center environment
1-2 years supervisory experience
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
5-7 years
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: $41,264 - $80,465 a year*
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
#LI-BEMORE
#PJCC$41.3k-80.5k yearly5h ago
KNOWLEDGE/SKILLS/ABILITIES The Specialist, Quality Interventions/ QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions and Quality Improvement Compliance.$30k-36k yearly est.5h ago
Sr Specialist, Member Engagement - IA ONLY - REMOTE
Participates in the Statewide Advocacy Program for Managed Care including working with the State External Advocate, Enrollment Specialist and Ombudsmen on issues of access to medical care, quality of care, enrollment and disenrollment.$35.5k-73.2k yearly5h ago
Staff Nurse - Emergency Department/Urgent Care
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.$44-50.3 hourly2d ago
CDI Supervisor - RN
Supervises the Clinical Documentation Integrity (CDI) program, identifying areas of focus for improvement opportunity through report analysis interpretation of process and operational reports, financial and compliance reports, and quality rating reports. Assists with various associated operational matters including appropriate scheduling and coverage of reviews, query development and auditing, educating physicians, monitoring the program, and refining the process as needed to clarify documentation in records. Coordinates follow-up on unanswered queries during the patient stay, as needed to obtain prompt response to open queries. Works collaboratively with the CDI team to facilitate documentation with physician, case manager, utilization reviewer, nurse or other healthcare professionals, utilizing appropriate querying tools to capture needed documentation.
Essential Responsibilities:
* Supervises individual(s) including but not limited to: hires, trains, assigns work, manages and evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
* Works region-wide to implement and monitor departmental policies and procedures that support organizational goals, business objectives and Clinical Documentation accuracy and data quality.
* Performs periodic queries in a production context to provide feedback and expertise on areas of opportunity as it relates to the department workflow.
* Represents the department at all required Clinical Documentation meetings with external stakeholders as needed.
* Oversight of day to day operations of assigned CDISC team members to include, but not limited to timekeeping, performance reviews, CDI workflow enhancements based on quality audits, root cause analysis on performance variability to establish best practices, and Physician champion outreach.
* Maintains limited daily assignment for clinical reviews.
* Develops recommendations as required to documentation templates; scorecards, physician queries based on coding and documentation changes, regulatory modifications and quality review findings.
* Responds to documentation inquiries from other Maui Health departments including but not limited to Quality and Core metrics, and Patient Safety.. Reviews and reports on monthly scorecards.
* Facilitates compliance with regulatory documentation / coding requirements and improves the quality of health information data.
* Provides clinical content expertise to HIM coders as required.
* Establishes effective working relationships with HIM directors, providers, physician reviewers and HIM data quality managers.
* Conducts data analysis and clinical research as required.
* NOTE: Travel may be required.
Basic Qualifications:
Experience
* Minimum three (3) years of work experience in clinical nursing, Healthcare Consulting, Operations or Project management, in a health care setting.
* Minimum two (2) years of experience in health information management or clinical documentation.
* Minimum one (1) year of management, supervisory or leadership* experience.
Education
* Bachelors degree in nursing, business administration, health care, public health, finance, business health information management) OR four (4) years of experience in a directly related field.
* High School Diploma or General Education Development (GED) required.
License, Certification, Registration
* Registered Nurse License (Hawaii) required at hire
* Documentation Improvement Practitioner Certificate
Additional Requirements:
* *Leadership experience will be permissible for Kaiser Permanente internal applicants only and is defined by the following criteria: Demonstrated clinical nursing leadership as a Charge/Senior RN, participation on professional committees inclusive of UBTs, National Certification in Specialty, and/or demonstrated experiential exposure to Nursing Leadership.
* Demonstrate ability to understand, utilize and apply the methods, principles, practices and techniques related to coding of health information data.
* Working knowledge of MS-DRGS and HCCs including, but not limited to, International Classification of Diseases Clinical Modification (ICD-CM)
* Demonstrate ability to interact with diverse groups at all levels of the organization and must have excellent communication & presentation skills (written and verbal).
* Demonstrate ability to work in a team environment, build effective teams &motivated self-starter.
* Demonstrate ability to respond to detailed clinical documentation questions from Hospital HIM coders, nurses or physicians; reviews analytical data and monitor clinical documentation scorecards and communicates training needs to external stakeholders as required.
* Demonstrate experience with results-oriented approach.
* Must excel in a collaborative and consensus building environment.
Preferred Qualifications:
* Management and clinical experience.
* Previous nursing management experience in an acute care setting and/or management consulting experience preferred.
* Previous EPIC or electronic health record (EHR) experience preferred.
* Masters degree preferred.
* Successful completion of a professional American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) sponsored/recognized coding course
* Certified Professional Coder (CPC), Certified Professional Coder-Physician (CPC-P), or Certified Professional Coder-Hospital (CPC-H) by the American Academy of Professional Coders (AAPC)
Primary Location: Hawaii,Wailuku,Maui Memorial - Cottage Buildings Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 07:30 AM Working Hours End: 04:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: NUE-MHS-01|NUE|Non Union Employee Job Level: Team Leader/Supervisor Department: MAUI MEMORIAL MEDICAL CENTER - HealthInforMgmt Administratn - 3601 Travel: Yes, 15 % of the Time At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. 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.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
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