Professional Medical Coder II (Remote Position, Must reside in South Carolina) $5,000 Sign-on Bonus
West Columbia, SC jobs
Coding Full Time Day Shift 8a-5p Sign-On Bonus: 5000 Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.
Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.
Job Summary
Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation.
Minimum Qualifications
Minimum Education: High School Diploma or Equivalent
Minimum Years of Experience: 3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties (Combination of Surgical, E/M, or other coding experience as approved by Director), which they Successfully Met Quality and Productivity Standards
Substitutable Education & Experience (Optional): None.
Required Certifications/Licensure: Active AAPC or AHIMA Coding Credential
Required Training: Experience working with CPT, ICD diagnosis coding;
Experience with CCI edits;
Experience with Medicare LCDs and NCDs;
Understanding of state and federal regulations as well as payor billing requirements;
Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook);
Experience with electronic health records software;
E/M Documentation Guideline (1995/1997/2021) experience.
Essential Functions
* Reviews and interprets medical documentation to accurately assign ICD and CPT codes for facility or professional reimbursement and statistical purposes.
* Abstracts information into computer for reimbursement and statistical purposes.
* Researches and stays current with trends in healthcare coding and compliance.
* Keeps department manager up to date with any coding or documentation issues.
* Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals.
Duties & Responsibilities
* Works as a team with physicians, coding staff and other hospital personnel to ensure proper and accurate code assignment and continuous quality improvement.
* Responsible for assisting with coding claim edits and reviewing claim denials for correction.
* Reports to work in a timely manner and adheres to attendance policies. Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times.
* Performs all Other duties as assigned.
We are committed to offering quality, cost-effective benefits choices for our employees and their families:
* Day ONE medical, dental and life insurance benefits
* Health care and dependent care flexible spending accounts (FSAs)
* Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
* Employer paid life insurance - equal to 1x salary
* Employee may elect supplemental life insurance with low cost premiums up to 3x salary
* Adoption assistance
* LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
* Tuition reimbursement
* Student loan forgiveness
Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.
Remote Care Team Manager
Portland, ME jobs
POSITION TITLE: Remote Care Team ManagerLOCATION: Maine, New Hampshire, VermontHOURS: Full Time (37.5 hours/wk), Salaried position The Remote Care Team Manager is responsible for overseeing the daily operations of PPNNE's virtual health center, ensuring high-quality care and seamless patient experience. This role provides leadership and support to administrative & clinical staff, fosters a positive work environment, and promotes accountability through clear expectations and adherence to organizational standards. The manager also monitors key performance metrics, identifies training needs, and engages in community outreach to strengthen partnerships and expand patient access to services. Candidates with Registered Nurse (RN) and/or Telehealth experience are encouraged to apply. YOUR DAY- TO-DAY RESPONSIBILITIES:
Manages the day-to-day operations of the health center, participates in creating visit volume goals, monitors daily schedules, adjusts schedule to meet or exceed goals, and develops ongoing mitigation strategies, when necessary.
Understands, supports and communicates all PPNNE services offered, including birth control, STI testing, Gender Affirming Care and abortion care, using accurate and inclusive language.
Makes sure staff follow all policies, procedures, and regulations set by PPNNE, PPFA, and state and federal guidelines.
Provides clear and consistent expectations and establishes a just culture of accountability balanced with trust, respect, and support.
Provides respectful mentoring and coaching, to include supportive and constructive feedback, for all health center staff members during routine (at least monthly) check-ins to promote adherence to PPNNE standards, support professional development, promote job satisfaction, and maximize staff retention.
JOB PERKS:
Work with a group of dedicated professionals
Collaborative Work Environment - PPNNE upholds high workplace values and patient service standards, fostering respect, engagement, and teamwork to create the best experience for employees and patients alike.
Gain experience with a trusted leader in affordable, high quality, health care
Experience using the Electronic Medical Records program EPIC
Make a Difference! - Make a direct impact in your community by providing patients with access to high quality & essential health care services
COMPENSATION:
Pay Range - for this position is based on years of relevant work experience. Candidates with 3-5 years of experience can expect to earn between
$65,000 - $70,000
per hour/year. As experience increases, so does the rate of pay, with candidates who have 7-8 or more years of direct experience earning up to $74,000 per hour/year.
BENEFITS:
Up to 3 weeks paid time off (increases with tenure) & up to 10 Paid Holidays
Paid Parental Leave
Medical, Dental & Vision Insurance
PPNNE Funded Health Reimbursement Account to cover portion of medical deductible costs
403b retirement account and 2% employer match eligibility
Employee Assistance Program (confidential counseling and resources)
Employee referral bonuses
Employer Paid Short Term Disability & Life Insurance
KNOWLEDGE, SKILLS AND ABILITIES:
Highschool diploma or equivalent required; bachelor's degree in health care, business administration, or health care science, Registered nurse and or Telehealth experience (preferred);
3-5 years of relevant healthcare practice and supervisory leadership experience (strongly preferred) and/or progressive leadership development with demonstrated leadership acumen;
Ability to work independently and exercises good judgement in escalating issues and concerns for timely evaluation/resolution of same;
Effective oral and written communication skills to include demonstrated ability to use de- escalation skills and techniques to diffuse complex situations;
Ability to travel within PPNNE affiliate for meetings and training or educational opportunities as requested.
Alignment with and ability to lead through the core values of PPNNE
WHY JOIN PPNNE? Planned Parenthood of Northern New England (PPNNE) was founded on the belief that everyone has the fundamental right to make decisions about their bodies and reproductive futures free from harassment or fear. Working for Planned Parenthood is more than just a job. Joining Planned Parenthood means becoming part of a mission-driven movement, where your work will help make sexual and reproductive health care more accessible to all. Interested applicants please submit a cover letter and resume by visiting our website at ****************************
Planned Parenthood of Northern New England welcomes diversity & is an Equal Opportunity Employer
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
Auto-ApplyHR Specialist - Los Angeles, CA
Los Angeles, CA jobs
Planned Parenthood Los Angeles is seeking an experienced HR Specialist to work in our Downtown Los Angeles Headquarters. Under the general supervision of the Vice President, Human Resources, the HR Specialist oversees and administers leave requests and accommodations requiring specialized attention, particularly those arising under the Family and Medical Leave Act (FMLA), CA Family Rights Act (CFRA), the Americans with Disabilities Act (ADA), state and local leave laws, and short-term disability plans. This position will also be responsible for managing worker's compensation, health & safety / ergonomics programs.
Over one hundred years ago, Planned Parenthood was founded on the idea that everyone should have the information and care they need to live strong, healthy lives and fulfill their dreams. Founded 57+ years ago, Planned Parenthood Los Angeles is one of the largest providers of reproductive health care services in Los Angeles County. The Planned Parenthood Los Angeles (PPLA) team works together to provide high-quality, affordable reproductive health care to women, men, and young people across Los Angeles County. At PPLA, you will discover a culture of like-minded individuals who are eager to make positive contributions to their community and to the Planned Parenthood mission.Our Ideal Candidate will have the following qualifications:
Bachelor's Degree or equivalent work experience
A minimum of two (2) years' work experience in Human Resources required
Experience managing Worker's Compensation required
Knowledge of and familiarity with commonly-used Human Resources concepts, practices, and procedures according to applicable federal and state labor laws
Prior experience coordinating and monitoring leaves and accommodation requests under applicable federal, state, and local laws via a third-party administrator or otherwise
Proficiency in Microsoft Office Suite (Word, Excel, Outlook & PowerPoint), as well as ability to utilize internet resources
Ability to work flexible hours, including evenings & weekends, as required.
Ability and willingness to travel within Los Angeles County.
Reliable means of transportation for onsite and off-site work.
If using a personal vehicle to drive for work purposes, a valid CA driver license and current auto insurance in compliance with the minimum requirements of CA vehicle code are required.
About the Position:
Abortion patients are cared for at each of our health centers, and in part through the administrative, support, and other non-clinical services provided at all PPLA locations, and by all PPLA employees. Supporting these critical services is an essential job duty, and a fundamental responsibility of all employees and contractors.
PLEASE NOTE: 100% on-site presence in Los Angeles, CA required for the first 90-days of employment.
Provide first-line responses to common employee questions on PPLA HR processes and benefit offerings.
Ensure timely employee and supervisor communication regarding leaves and/or modified work schedules.
Inform employees of their responsibilities and of any documentation requirements and deadlines.
Serve as a point of contact for managers and employees on the interaction of leave laws with paid time off, workers compensation, and short-term disability benefits for duration of leave.
Provide and maintain accuracy of employee data for third-party administrators (e.g. Leaves of Absence) to ensure compliance with eligibility requirements.
Coordinate benefit repayment during duration of leaves.
Assist with input and maintenance of accurate and current employee data in electronic record-keeping and report system including updated employee health information (HRIS).
Maintain communication with employees on leave & supervisors as needed to facilitate smooth start and timely return to work.
Track utilization and trends of medical & religious accommodation requests and report out to Sr. HR leadership.
Engage employees through interactive process discussions and track to ensure compliance under state, federal and local requirements.
Manage other company time-off programs as assigned (e.g., bereavement, jury duty, etc.) in accordance with internal policy and applicable laws.
Lead leave of absence, accommodation and worker's compensation training sessions for the management team.
Preserve confidentiality of employee medical information and documentation.
Manage the Worker's Compensation program including but not limited to administration work related injuries / illnesses, mandated compliance and reporting.
Collaborate with claim adjusters to ensure timely care and closure of claims.
Oversee ergonomics program including but not limited to conducting ergo assessments and trend analysis.
Maintain and update OSHA compliance processes and documents including but not limited to the Injury and Illness Prevention Plan and OSHA logs / filings.
Lead job hazard analysis for all roles across agency.
Manage and maintain Workplace Violence Prevention Program in compliance with outlined regulations.
Serve as back-up for new employee onboarding process, including presentation facilitation, distribution and collection of new hire paperwork.
Partner with Security department on cross-departmental staff initiatives.
Maintain current working knowledge of all applicable leave and accommodation laws including FMLA, ADA, Cal-OSHA, OSHA, and state and local laws.
Ensure internal compliance with PPFA & AAAHC requirements.
Generous salary and benefits package includes:
Medical, dental, and vision coverage options for you and eligible dependents
Free basic life/AD&D policy with additional voluntary coverage options
Short Term Disability, Critical Illness and Accident policies
403(b) Retirement plan with up to 3% employer match
Medical and Dependent Flexible Spending Account plans
Public Transportation and Commuter Pre-Tax Reimbursements
Generous vacation, sick, and holiday benefits
Hiring range: $78,650 - $94,380 per year (Exempt)
Compensation Philosophy and Position Hiring Range:At Planned Parenthood Los Angeles we continuously work towards our value of "we respect and honor all people", which also relates to our compensation philosophy. PPLA recognizes that decisions about pay, and benefits have significant impact on staff, so we are committed to ensuring all positions are rooted in a description that identifies competencies, duties, responsibilities, and qualifications, and that they are compensated equitably which considers both internal organizational equity and market compensation data for similar roles.
Equal Employment Opportunity will be afforded to all applicants and other covered persons without regard to protected characteristics, including their perceived protected characteristic. Protected categories include: race (including traits historically associated with race, including but not limited to, hair texture and protective hair styles such as, braids, locs, and twists as examples but not exhaustive list), color, religion or religious creed (including religious belief, observation, practice, dress, and grooming practices), national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding/chestfeeding, or related medical conditions), reproductive health decision-making, gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status (including past, current or prospective service in the uniformed service), and any other characteristic protected under applicable federal, state or local law. PPLA will consider for employment qualified applicants with criminal histories in accordance with the requirements of Los Angeles Fair Chance Initiative for Hiring.
Auto-ApplyInside Account Manager- Remote
Addison, TX jobs
Concentra is recognized as the nation's leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees.
The Inside Account Manager will be responsible for building and maintaining strong relationships with a defined book of Concentra's national customers to ensure satisfaction, retention, and growth. This role serves as the primary point of contact for customer inquiries and account development opportunities. Inside Account Management responsibilities include virtually meeting with assigned customers to maintain correct and complete account data, ensuring satisfying customer experiences at Concentra medical centers nationwide, playing an active role in customer issue resolution, and increasing market share by expanding location utilization and additional services that Concentra provides. The Inside October 31, 2025 Account Manager partners closely with Sales, Operations, and Support teams to provide a seamless customer experience and deliver value through proactive communication and problem-solving.
Responsibilities
* Serve as the main point of contact for assigned customer accounts
* Virtually meet with assigned customers to conduct periodic account reviews, stewardship meetings, and addressing customer pain points
* Develop and maintain a deep understanding of customer needs, business goals, and challenges
* Proactively engage customers to ensure satisfaction and address potential issues before they escalate
* Review complex account data and practice critical thinking skills to uncover errors in account data that lead to service delivery problems and/or billing issues
* Identify opportunities for upselling or cross-selling additional products and services that align with customer needs
* Partner with Operations and Sales to maximize account growth potential
* Regularly update and maintain accurate customer records in CCM system
* Record interactions with customers in Microsoft Dynamics (CRM) and Salesloft
* Collaborate with internal teams to resolve customer concerns and ensure timely service delivery
* Provide exceptional service through responsiveness, transparency, and follow-through
* Advise customer on Concentra processes, including onboarding support when needed
Qualifications
* Education Level: Bachelor's Degree ; Major: Business Administration, Marketing or related field
* Degree must be from an accredited college or university. Education Details:
* Bachelor's degree from an accredited college or university or equivalent education and experience
* In lieu of higher education, the ratio is 1:1, meaning one year of college equals one year of work experience and vice-versa
* Serves as the primary internal point of contact for all colleague injury claims and Workers'
* Customarily has at least two years of experience in virtual account management, sales or customer service.
* Healthcare industry, occupational health care or workers' compensation industry is preferred
* Experience with sales, marketing and communications is preferred
Job Related Skills / Competencies
* Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
* Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
* Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
* The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
* Must be able to analyze complex customer data to make corrections and identify root issues
* Must be able to maintain composure and professionalism when handling customer complaints and working with internal colleagues toward a resolution
* Strong strategic thinking skills to include critical thinking when identifying customer concerns, revenue maximization opportunities, and customer solutions
* Excellent oral and written communication skills, especially with virtual communication
* Strong attention to detail
* Strong drive to exceed client expectations
* Enterprise awareness and being a self-starter to understand how to prioritize a large volume of work
* Flexibility in moving between diverse job tasks
* Ability to work in a fast-paced environment with aggressive performance expectations
* Excellent systems skills including CRM (Microsoft Dynamics), SalesLoft and customer information databases
* Solid work ethic and integrity with a desire to work with a high level of energy and be a Concentra brand advocate
Additional Data
Employee Benefits
* 401(k) Retirement Plan with Employer Match
* Medical, Vision, Prescription, Telehealth, & Dental Plans
* Life & Disability Insurance
* Paid Time Off
* Colleague Referral Bonus Program
* Tuition Reimbursement
* Commuter Benefits
* Dependent Care Spending Account
* Employee Discounts
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation, if required.
* This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management*
Concentra is an Equal Opportunity Employer, including disability/veterans
Auto-ApplyRemote Epic Application Coordinator (Beaker)
Spartanburg, SC jobs
Job Requirements This position is 100% remote. We will only consider remote applicants residing in the following US states - AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, and WI. Epic Beaker Analyst certification and/or previous Epic EMR build experience in another module will be weighted heavily.
Position Summary
Are you an experienced Epic professional ready to take on a key role in transforming healthcare IT systems? As a Remote Epic Application Coordinator (Beaker) at Spartanburg Regional Healthcare System, you will have the unique opportunity to design, build, test, and support EPIC applications, ensuring they meet the needs of our dynamic healthcare environment. They will be responsible for obtaining and maintaining in-depth knowledge of the software functionality and acquiring / utilizing knowledge of the operational workflows to be implemented with the EPIC system. The Epic Application Coordinator (Beaker) will gain in-depth knowledge of the software by attending application support training and completing application certification projects and tests.
Key abilities for this role include:
* Understanding of the organization and the user community in the Application Coordinator's assigned area (Beaker)
* Ability to lead meetings, prioritize, resolve conflicts, managing issues, and oversight and implementation of project plan activities
* Strong communication and follow-up skills
* Ability to probe for information about the underlying needs of the organization and user community, which directly influences how the system will be built
The Remote Epic Application Coordinator (Beaker) should understand the organization's current laboratory workflows and how it impacts other areas of the organization. This individual should excel in change management and communication to help end users accept and become accustomed to the application. Knowledge of Data Innovations Instrument Manager is helpful but not required.
Minimum Requirements
Education
* Requires an Associate Degree or higher education, or related applicable experience.
Experience
* 5+ years of Healthcare IT experience
License/Registration/Certifications
* Must complete required training for product implementation, and pass certification within 45 days of completion of training
Preferred Requirements
Preferred Education
* Bachelor's Degree in Computer Science or related field
Preferred Experience
* 7+ years of Healthcare IT experience.
Core Job Responsibilities
* Maintain regular communication with vendor implementation representatives. Work with implementation representatives and the organization's business community and end users to ensure the system meets the organization's business needs.
* Assume application expertise by obtaining and maintaining EPIC certification (Beaker) for the assigned application(s) within the required timeframe.
* Achieve an in-depth knowledge of assigned application(s) and its relationship to other applications.
* Participate in project plan development and monitoring project milestones
* Participate in design and validation sessions and ensure appropriate documentation, follow-up and issue escalation occurs.
* Perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software. Provide application expertise to facilitate discussions and decisions.
* Work with department representatives to analyze needs and translate these into system design.
* Participate in development, execution and sign off of system testing.
* Develop and maintain detailed documentation on system configurations and technical components.
* Troubleshoot problems identified by team members and end users.
* Escalate issues and risks to project leadership.
* Collaborate with the training team(s) in the design and development of training programs.
* Provide application expertise to the project team and advisory groups.
* Participate in the planning and execution of application go-live and post-live activities.
* Follow established guidelines for system change control.
* Identify potential system enhancement needs.
* Introduce best practice options for future-state workflows and processes.
* Collect information regarding potential system enhancement needs
* Analyze new functionality in releases to determine how and if it should be used.
* Coordinate ongoing software updates and changes.
* Review and test new software releases.
Make an Impact in Healthcare IT!
At Spartanburg Regional, you will be part of a forward-thinking team committed to improving healthcare systems through innovative technology. If you are a certified Epic expert with a passion for enhancing operational efficiency and user satisfaction, apply now to join our mission-driven team. Help shape the future of healthcare, one epic application at a time.
Musculoskeletal Radiologist
Remote
Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center
The Department of Radiology at Beth Israel Deaconess Medical Center, a major teaching hospital of Harvard Medical School, is seeking an enthusiastic, highly motivated, radiologist to join the Division of Musculoskeletal (MSK) Imaging and Intervention. The successful candidate will be appointed to an academic rank at Harvard Medical School (Instructor/Assistant Professor/Associate Professor) commensurate with experience, training and achievements.
The candidate must be ABR-certified (or eligible) in diagnostic radiology and eligible to practice in the state of Massachusetts. Fellowship training in musculoskeletal imaging is highly desirable. Our MSK division is responsible for all aspects of musculoskeletal radiology, including radiography, CT, MRI, ultrasound, bone densitometry and musculoskeletal interventions. The MSK section is responsible for over 70,000 studies each year, performed at a network of academic and community sites linked via a PACS network. Currently, the Department has 11 MR scanners (including 1.5T and 3.0T GE research scanners) and 7 state-of-the-art CT scanners. The candidate is expected to have expertise in performing image-guided procedures (bone and soft tissue biopsies, pain injections, and arthrocentesis) using CT, fluoroscopy, and ultrasound.
In addition, the department will be engaged in the newly announced and exciting clinical collaboration between Dana-Farber Cancer Institute (DFCI), BIDMC, and Harvard Medical Faculty Physicians (HMFP) to establish New England's only free-standing adult inpatient cancer hospital. The collaboration will bring together world-class clinicians to deliver transformational, precision medicine in an environment solely dedicated to defying cancer.
It is expected that the candidate will participate fully in the clinical, teaching, and research responsibilities of the division. The teaching program includes two MSK fellows each year and a residency program of forty residents. Moreover, one-third of the Harvard medical students rotate on the MSK service. There is a large and comprehensive Orthopedics Department which includes an active orthopedic oncology, sports medicine, and orthopedic biomechanics groups that collaborate in joint research programs. We have additional research collaborations with other departments (internal medicine, neurology, podiatry) and institutions. The department will support remote work options.
Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) is one of the largest physician organizations in New England, dedicated to excellence and innovation in patient care, education, and research. As a physician-led organization, HMFP partners with more than 2,400 providers to support the delivery of exceptional care, promote professional development and foster balance at work and home. HMFP physicians have faculty affiliations with Harvard Medical School (HMS) and provide care throughout the Beth Israel Lahey Health (BILH) system and additional hospitals across Massachusetts.
For more information, please contact Ms. Andrea Baxter, Executive Assistant to the Chair, Department of Radiology; *************************, ************. For information about our medical center and department, please visit: ********************************************************
Auto-ApplySenior Philanthropy Officer
Manchester, NH jobs
Senior Philanthropy Officer HOURS: Full Time 37.5 hrs/wk, Salaried As we expand our highly successful Development team, we seek a Senior Philanthropy Officer to help drive meaningful support for Planned Parenthood of Northern New England in New Hampshire. In this role, you'll connect with passionate donors and secure major gifts that fuel our mission and programs. Managing a portfolio of 75 to 100 current and potential major donors, you'll build strong relationships and create opportunities for giving that make a real impact. You'll also collaborate across the organization-working with board members, staff, and volunteer leaders-to grow our fundraising efforts and strengthen our community of supporters. If you're a relationship-builder with a passion for philanthropy, we'd love to have you on our team!YOUR DAY- TO-DAY RESPONSIBILITIES:
Secure Major Gifts & Build Donor Relationships - Participate in all aspects of the gift cycle including, cultivating, soliciting, and stewarding major philanthropic investments (5, 6, and 7 figures) from individuals to support PPNNE's mission. Manage a portfolio of current and prospective donors, identifying new opportunities for engagement.
Collaborate on Fundraising Strategy - Partner with the executive office, leadership volunteers, and development staff to develop and execute strategies for donor cultivation, solicitation, and stewardship. Provide strategic counsel to leadership on donor engagement.
Data Management & Reporting - With support of Philanthropy Associate, maintain accurate donor records, ensuring key interactions and relationships are documented in accordance with database policies.
Support Pipeline Development - Work with Annual Fund staff to identify and transition potential major donors, strengthening the organization's donor pipeline.
Eventually Supervise work of other development fundraising or support staff.
JOB PERKS:
Collaborative Work Environment - PPNNE upholds high workplace values and patient service standards, fostering respect, engagement, and teamwork to create the best experience for employees and patients alike.
Gain experience with an experienced & successful fundraising team
COMPENSATION:
Pay Range - the budget for this position is between $95,000 - $115,000/year. Where a candidate places within the budget scale is dependent upon years of direct relevant experience
BENEFITS:
5 weeks paid time off to start, including 10 paid holidays and 3 weeks flexible / combined time off (increases with tenure)
Paid Parental Leave
Medical, Dental & Vision Insurance - Single person, 2 person & Family Plans available
PPNNE Funded Health Reimbursement Account to cover portion of medical deductible costs
403b retirement account and 2% employer match eligibility
Employee assistance program (confidential counseling and resources)
Employee referral bonuses
Employer Paid Short Term Disability & Life Insurance
KNOWLEDGE, SKILLS AND ABILITIES:
Bachelor's Degree with 6 to 8 years of successful experience in major or planned gift fundraising, or a combination of education & experience in which an equivalent level of knowledge and skills can be acquired
Must be highly energetic professional with a track record of building donor relationships and closing gifts in the six-figure range
Demonstrated leadership and supervisory experience with the ability to successfully manage multi-functional or diverse areas
Successful experience in making cold calls as well as developing cultivation and solicitation strategies
Experience in remote work preferred; and willingness to work on-site as needed
Must have excellent interpersonal skills and a demonstrated record of completing assignments
Proficiency with Microsoft Office Suite and fundraising software programs is ideal
Must be willing to travel within the state of New Hampshire and work occasional evenings and weekends as needed
WHY JOIN PPNNE? Planned Parenthood of Northern New England (PPNNE) was founded 60 years ago on the belief that everyone has the fundamental right to make decisions about their bodies and reproductive futures free from harassment or fear. Working for Planned Parenthood is more than just a job. Joining Planned Parenthood means becoming part of a strong & enduring mission-driven movement, where your work will help make sexual and reproductive health care more accessible to all. Interested applicants please submit a cover letter and resume by visiting our website at ****************************
Planned Parenthood of Northern New England welcomes diversity & is an Equal Opportunity Employer
Auto-ApplyCall Center Supervisor - Los Angeles, CA
Los Angeles, CA jobs
Planned Parenthood Los Angeles is seeking an experienced Call Center Supervisor. The Call Center Supervisor is a supervisory role responsible for assistance with day-to-day Call Center operations, ensure efficient daily operations, quality outcomes and internal and external customer satisfaction.
Over one hundred years ago, Planned Parenthood was founded on the idea that everyone should have the information and care they need to live strong, healthy lives and fulfill their dreams. Founded 57+ years ago, Planned Parenthood Los Angeles is one of the largest providers of reproductive health care services in Los Angeles County. The Planned Parenthood Los Angeles (PPLA) team works together to provide high-quality, affordable reproductive health care to women, men, and young people across Los Angeles County. At PPLA, you will discover a culture of like-minded individuals who are eager to make positive contributions to their community and to the Planned Parenthood mission.Our Ideal Candidate will have the following qualifications:
High School Diploma or equivalent required.
Bachelor's degree preferred.
Three (3) to Five (5) years Call center experience required.
Bilingual English/Spanish preferred.
Must be willing to work weekends and/or evening hours. The Call Center is open 6 days a week requiring management to work open and/or closing shifts daily including Saturdays.
Ability and willingness to travel within Los Angeles County.
Reliable means of transportation for onsite and off-site work.
If using a personal vehicle to drive for work purposes, a valid CA driver license and current auto insurance in compliance with the minimum requirements of CA vehicle code are required.
About the Position:
Abortion patients are cared for at each of our health centers, and in part through the administrative, support, and other non-clinical services provided at all PPLA locations, and by all PPLA employees. Supporting these critical services is an essential job duty, and a fundamental responsibility of all employees and contractors.
Responsible for supervising a team of Call Center Specialists in a dynamic fast paced team environment.
Responsible for aspects of staff supervision including: a.) Identify and assess employee skill and make recommendations to improve performance; b.) Assist with implementing additional services and training of staff as required; c.) Communicate clearly and effectively with Call Center staff; and d.) Create and maintain strong teams.
Assisting with staff scheduling to ensure Call Center service level standards as needed.
Effectively accept and resolve client concerns and ensure service recovery.
Submit reports as needed.
Motivate the Call Center team to meet weekly and monthly Call Center performance goals.
Assist in auditing calls to coach Call Center staff for increased appointment making efficiency, appointment accuracy and customer service.
Assist with managing clinic appointment schedules in the EMR system as needed.
Act as a Call Center flow facilitator on a daily basis to ensure that Call Center is operating at its maximum potential.
Adhere to affiliate goals and policies on professionalism, wait time in clinics and on the system for addressing client complaints.
Participate in Health Center efforts to achieve established goals for productivity.
Participate in Health Center/affiliate efforts to achieve established revenue cycle goals.
Generous salary and benefits package includes:
Medical, dental, and vision coverage options for you and eligible dependents
Free basic life/AD&D policy with additional voluntary coverage options
Short Term Disability, Critical Illness and Accident policies
403(b) Retirement plan with up to 3% employer match
Medical and Dependent Flexible Spending Account plans
Public Transportation and Commuter Pre-Tax Reimbursements
Generous vacation, sick, and holiday benefits
Hiring range $68,640 - $78,000 per year (Exempt)
Compensation Philosophy and Position Hiring Range:At Planned Parenthood Los Angeles we continuously work towards our value of "we respect and honor all people", which also relates to our compensation philosophy. PPLA recognizes that decisions about pay, and benefits have significant impact on staff, so we are committed to ensuring all positions are rooted in a description that identifies competencies, duties, responsibilities, and qualifications, and that they are compensated equitably which considers both internal organizational equity and market compensation data for similar roles.
Equal Employment Opportunity will be afforded to all applicants and other covered persons without regard to protected characteristics, including their perceived protected characteristic. Protected categories include: race (including traits historically associated with race, including but not limited to, hair texture and protective hair styles such as, braids, locs, and twists as examples but not exhaustive list), color, religion or religious creed (including religious belief, observation, practice, dress, and grooming practices), national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding/chestfeeding, or related medical conditions), reproductive health decision-making, gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status (including past, current or prospective service in the uniformed service), and any other characteristic protected under applicable federal, state or local law. PPLA will consider for employment qualified applicants with criminal histories in accordance with the requirements of Los Angeles Fair Chance Initiative for Hiring.
Auto-ApplyRegistered Dietitian - Cancer Coordination (onsite or remote)
Florence, SC jobs
Job responsibilities include those listed in competency document.
Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
Provide clinical nutritional services in the form of nutrition assessments, education and medical nutrition therapy for patients at MRMC Outpatient Oncology Services. May conduct nutrition therapy/nutritional assessments to patients at various McLeod campuses-outpatient oncology.
Provides on-going nutrition therapy by collaborating with other disciplines on the health care team to coordinate medical nutrition therapy needs.
Participate in multidisciplinary conference.
Documents accurate and timely information in patient records
For the outpatient oncology population, participates in development of policies/procedures as directed by director
Occasional travel may be necessary as deemed appropriate to support other outpatient oncology needs within the oncology division.
May be required to take on a preceptor and/or other supervisory role within a student's learning pending healthcare facility needs and intern availability.
Work may be completed in a remote capacity.
Job Type: Full time; 72 hours biweekly hour biweekly position. Option to work onsite or remote
Experience: Must have a minimum of 1 year in clinical nutrition.
Qualifications/Training:
At least 1 year of oncology experience preferred.
Licenses/Certifications/Registrations/Education:
Registered Dietitian with Bachelor's Degree if registered before January 1, 2024. Bachelor's Degree must be in nutrition or related field.
Master's Degree in nutrition if registered after January 1, 2024. Master's Degree must be in nutrition or related field.
Completion of a dietetic internship program from an ADA/ACEND- approved Dietetic Education Program.
Licensure with the South Carolina Panel for Dietetics required.
Oncology specialty certification preferred within 3 years of hire (as appropriate).
Auto-ApplyDirector, Onsite Sales- Remote
Phoenix, AZ jobs
Concentra is recognized as the nation's leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees.
The Director of Sales for Onsites- West Coast Region is responsible for Identifying new business opportunities, securing, managing and maintaining business relationships with Onsite health and wellness center client accounts, brokers and consultants leading to expanded market share. The director meets sales growth objectives in accordance with Concentra onsite sales policies, practices, procedures and applicable regulations. In addition, the director will achieve objectives related to sales and growth of Concentra's complete service offering.
Responsibilities
* Develop and execute strategy to expand market share through new customer prospects and/or existing accounts with significant growth opportunity
* Weekly Business Unit General Capabilities presentation delivery in person, via webex and/or phone conference
* Grow and maintain select existing customer relationships as identified collaboratively with VP Onsite Sales and National Onsite Leadership Team
* Maintain a Sales Funnel with expected values within each sales stage
* Meet minimum quarterly/annual revenue goals established by Senior Management
* Identify and pursue new customer opportunity and is articulate Concentra's full onsite scope of service with a focus on securing and growing new account revenue
* Lead Onsite Customer Strategy and Pursuit approval calls. Go/No Go Calls.
* Close/Finalize the sale, develops an implementation strategy across multiple disciplines as needed (Operations, Clinical, Sales), with established inception dates
* Communicate and solicit appropriate approvals on Pricing/Margin targets across multiple disciplines
* Coordinate "set-up" of Concentra service offering/protocol and customer on-boarding to ensure smooth business transition and implementation
* Establish "open channel" communication with Concentra Management and service providers to create free flowing customer/market information
* Coordinate sales/support activity with market/local leadership across multiple territories as needed
* Submit weekly activity reports to designated management personnel via CRM system access
* Submit Monthly Productivity reports to designated management personnel via CRM system access
* Interpret and deliver various customer related outcome data
* Identify, interpret and develop customer proposal requirements and communicate accordingly with management and corporate proposal development team
* Maintain current knowledge of industry partners, brokers, consultants, competitors, industry organizations and resources
* Pursue and maintain key industry thought leaders (consultancies, brokerage houses) relationships and endorsements
* Attends Industry Trade shows and related events
* Present at highest levels of client organizational management (Senior, C suite)
* Role is based in the West Coast Region.
* Travel required National
Qualifications
* Bachelor's degree in in public health, healthcare administration or business from an accredited college or university or equivalent education and experience
* Experience in lieu of required education is acceptable
* In lieu of undergraduate degree, the ratio is 1:1 meaning one year of college equals one year of work experience and vice versa
* Advanced degree in public health, healthcare administration or business preferred
* Concentra leadership and customer service training.
* Customarily has at least five or more years of directly applicable experience in Onsite Health and Wellness Center sales and/or Operations
* Existing onsite medical center client, broker and consultant relationships within the space a plus
* Demonstrated general knowledge of Onsite Health Care delivery, billing, case management, network applications and state regulation standards within the Onsite Health and Wellness industry
Job Related Skills/Competencies
* Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
* Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
* Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
* The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
* Basic financial analysis and ROI trend review skills
* Demonstrated excellent written and verbal communication skills
* Demonstrated deadline orientation
* Demonstrated organizational and project management skills
* Demonstrated time management
* Demonstrated sense of urgency and prioritization skills
* Demonstrated ability to form strong internal and external relationships
* Demonstrated attention to detail
* Demonstrated ability to follow-through and follow-up
* Demonstrated research and data application skills
* Competitive analysis and counter response skills
Additional Data
Employee Benefits
* 401(k) Retirement Plan with Employer Match
* Medical, Vision, Prescription, Telehealth, & Dental Plans
* Life & Disability Insurance
* Paid Time Off
* Colleague Referral Bonus Program
* Tuition Reimbursement
* Commuter Benefits
* Dependent Care Spending Account
* Employee Discounts
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation, if required.
This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management*
Concentra is an Equal Opportunity Employer, including disability/veterans
Auto-ApplyHealth Infomation Specialist
Milwaukee, WI jobs
Job DescriptionAt GI Associates we believe in striving for the best outcomes for our patients, employees, and community. Imagine your next career as a digestive health expert! GI Associates is looking for motivated people to join our growing independent gastroenterology practice. Our nationally recognized physicians and dedicated team are patient-focused and provide compassionate, collaborative care to patients across southeast Wisconsin. GI Associates provides an excellent work-life balance and amazing benefits package including:
No weekends
No Holidays
PTO & paid anniversary day
7% GI Associates retirement contribution & 401(k) plan
Medical, dental & vision insurance
Flexible spending plan
Short- & long-term disability
Basic & supplemental life insurance
Job summary The Health Information Technician is responsible for scanning and accurately filing all incoming paperwork into the patient's Electronic Medical Chart. The Health Information Technician is responsible for pulling patient charts if necessary, refilling those charts along with any other pertinent documents in those charts. This remote position is approximately 20 hours per week with the flexibility to increase hours when coverage is needed.Summary of essential job functions
Essential Duties & Responsibilities
Sorts, alphabetizes and scans patient documents accurately in patient EMR chart
Electronically indexes and files documents into patient electronic charts accurately
Empties buckets from other office locations including sorting charts, papers and distributing interoffice mail
Answers and handles in-coming calls
Responds promptly to urgent chart requests
Creates and prepares charts in EMR
Processes requests for release of information
Maintains a high level of patient confidentiality ensuring compliance with HIPAA
Maintains a clean and organized workstation
Performs general clerical duties: scanning
,
data entry, photocopying, filing, faxing
Ability to pay close attention to detail to detect missing and/or incorrect information in the medical record
Critical thinking skills, decisive judgment and ability to work with minimal supervision
Facilitates a harmonious work environment, whereby treating all patients and coworkers with respect and dignity
Ability to multi-task effectively
Flexible in meeting the needs of the department
All other duties as assigned
Minimum requirements
High School diploma or equivalent
One year of customer service experience in a healthcare setting
1-3 years of previous medical records and filing experience
Previous experience with electronic health records
Strong word processing abilities
Familiar with medical terminology
Communicates effectively and professionally
Detail oriented and ability to multi-task in a fast-paced environment
Ability to multitask and manage time effectively.
Able to work under minimal supervision; responds to changing priorities and role needs.
Physical and Mental Demands
Must be able to sit for extended periods of time
Able to work through interruptions, managing multiple priorities in a fast-paced, dynamic environment
Frequently uses a computer for typing and EMR documentation; requires accurate and efficient data entry abilities
Frequently uses the telephone for communications
E04JI80004vh408917w
Registered Nurse (RN) - Remote Care Team
Manchester, NH jobs
Registered Nurse (RN) - Remote Care Team HOURS: Full time, 37.5hrs/week, hourly (Non-Exempt) position UNION MEMBERSHIP: This position is represented by AFT union in NH/VT & MSEA union in ME
PPNNE's Remote Care Team (RCT) provides both Telehealth clinical care to patients, as well as Centralized Clinical Support to both patients and health center staff at our 16 health centers regarding lab work follow up, patient communications, referral care coordination, and health information management Affiliate-wide. The Registered Nurse for Remote Care Team Nurse may serve as the first point of contact for patients via remote support services, ensuring outstanding customer service and patient satisfaction by collaborating with the team to provide high-quality patient centered care, while also attending to daily administrative centralized support duties Affiliate-wide.
YOUR DAY- TO-DAY RESPONSIBILITIES:
Schedule patients for appointments based on medication, symptom or follow up needs
Provide excellent, patient-centered care in collaboration with PPNNE colleagues including licensed and non-licensed staff
Counsel/educate patients regarding all services offered by PPNNE including general reproductive health care; all FDA-approved methods of birth control, including emergency contraception; pregnancy options; and other services related to physical and emotional health and wellbeing
Assist the Remote Care Team managers with assigned responsibilities, primarily related to follow up of lab results, incoming patient medical questions, and care coordination in collaboration with members of the Remote Care Team
Notify patients of results, follow up care plans, and send reminders for care, while completing communications within appropriate timeframes per Medical Standards and Guidelines (MS&G)
Triage and respond to incoming patient communications, via telephone and electronic communications
Fulfilling prescription treatments based on lab result findings
Assist with regular Clinical Quality Assurance initiatives and associated required audits
Provide health care that is culturally and linguistically appropriate to PPNNE patient populations
Demonstrate approach to sexual and reproductive health care consistent with Planned Parenthood's philosophy, service standards and fundamental concepts of reproductive justice.
JOB PERKS:
Work with a group of dedicated professionals
Collaborative Work Environment - PPNNE upholds high workplace values and patient service standards, fostering respect, engagement, and teamwork to create the best experience for employees and patients alike.
Cost Coverage for State RN licensure renewal
Gain experience with a trusted leader in affordable, high quality, health care
Gain experience using the Electronic Medical Records program EPIC
Make a Difference! - Make a direct impact in your community by providing patients with access to high quality & essential health care services
COMPENSATION:
Pay Range - for this position is based on years of relevant work experience. Candidates with 0-6 years of experience can expect to earn between
$36.27 - $40.85
per hour. As experience increases, so does the rate of pay, with candidates who have 19 or more years of direct experience earning up to $52.86 per hour.
BENEFITS:
Up to 3 weeks paid time off (increases with tenure) & up to 10 Paid Holidays
Paid Parental Leave
Medical, Dental & Vision Insurance
PPNNE Funded Health Reimbursement Account to cover portion of medical deductible costs
403b retirement account and 2% employer match eligibility
Employee Assistance Program (confidential counseling and resources)
Employee referral bonuses
Employer Paid Short Term Disability & Life Insurance
KNOWLEDGE, SKILLS AND ABILITIES:
RN, with associate degree in nursing (bachelor's degree preferred), plus 1-3 years of relevant clinical experience, or an equivalent combination of education and experience from which comparable knowledge and skills are acquired
Compact RN license in Vermont, New Hampshire and Maine
Ability to work completely remotely and collaborate effectively with remote team members across 3 states
Excellent customer service skills and ability to discuss sensitive topics using trauma informed approach to care
Experience with telephone and EHR portal triage
Ability to navigate multiple digital applications at once including EHR, Microsoft 365 (Excel, Word, Teams, SharePoint), Outlook, RingCentral phones/faxing, and other technologies as needed, or willingness to learn
Ability to sit or stand for up to 6-7.5 hours per day
WHY JOIN PPNNE? Planned Parenthood of Northern New England (PPNNE) was founded on the belief that everyone has the fundamental right to make decisions about their bodies and reproductive futures free from harassment or fear. Working for Planned Parenthood is more than just a job. Joining Planned Parenthood means becoming part of a mission-driven movement, where your work will help make sexual and reproductive health care more accessible to all. Interested applicants please submit a cover letter and resume by visiting our website at ****************************
Planned Parenthood of Northern New England welcomes diversity & is an Equal Opportunity Employer
Auto-ApplyOphthalmologist Telecommute Medical Review Stream Physician
New Orleans, LA jobs
Are you an accomplished Board Certified Ophthalmologist? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor.
Candidates must have a Louisiana license.
JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations
Responsibilities
MAJOR DUTIES AND RESPONSIBILITIES:
* Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner
Qualifications
EDUCATION/CREDENTIALS:
* Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences
This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.
Concentra is an Equal Opportunity Employer M/F/Disability/Veteran
Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.
Additional Data
Concentra is an Equal Opportunity Employer, including disability/veterans
Auto-ApplyEmergency Medicine Telecommute Medical Review Stream Physician
Dallas, TX jobs
Are you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a TX license. * General Surgery * Neurologist * Orthopedic Surgery with hand or spine specialty * Physical Medicine & Rehabilitation
* Plastic Surgery
* Podiatrist
Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor.
JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities
MAJOR DUTIES AND RESPONSIBILITIES:
* Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner
Qualifications
EDUCATION/CREDENTIALS:
* Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences
This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.
Concentra is an Equal Opportunity Employer M/F/Disability/Veteran
Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.
Additional Data
This position is an independent contractor role for Concentra.
Concentra is an Equal Opportunity Employer, including disability/veterans
Auto-ApplyVolunteer Application - Patient Greeter
Remote
What's cool about being a Patient Greeter?Patient Greeters are the first point of contact for patients to create a calm and welcoming presence while supporting access to PPSAT health centers. Patient Greeters will be stationed outside the health center with 1-5 other volunteers to greet patients and help ensure they reach the front doors without harassment from protestors.Who You Are
Passionate about patient access to inclusive and nonjudgmental care, including abortion services
Available to volunteer on weekday mornings
Welcoming and friendly to all
Able to maintain a clear and level head in stressful situations
Willing and able to be outside (rain or shine) health centers throughout shift duration
What You'll Do
Accompany patients who request support between their vehicles and the health center, and provide a necessary buffer between them and protestors
Maintain a peaceful environment for patients entering health centers
Assist with putting up and taking down signs, distributing and collecting greeter vests, and managing general volunteer supplies
Attend annual trainings with PPSAT to maintain volunteer compliance
Follow PPSAT volunteer policies and procedures
Patient Greeting Program Locations
Asheville
Chapel Hill
Charleston
Charlotte
Columbia
Charlottesville
Roanoke
To submit a volunteer application, please click "Apply For This Job." Please note that the need for Patient Greeters varies by location and depends on current volunteer participation. We welcome volunteer applications at any time and will reach out if assistance is needed in your selection location.
Thank you for your interest and willingness to help our communities access their healthcare in a safe, no-judgment environment!
If you are interested in volunteering with us in other advocacy capacities, please sign up HERE and your local Community Organizer will be in touch with you as soon as possible with other volunteer opportunities!
Due to our current capacity, we have temporarily paused applications for volunteer opportunities in our other departments. We appreciate your patience and encourage you to check back for when this changes!
Planned Parenthood South Atlantic is an equal opportunity employer. No phone calls please.
Auto-ApplyDirector, Onsite Sales- Remote
San Francisco, CA jobs
Concentra is recognized as the nation's leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees.
The Director of Sales for Onsites- West Coast Region is responsible for Identifying new business opportunities, securing, managing and maintaining business relationships with Onsite health and wellness center client accounts, brokers and consultants leading to expanded market share. The director meets sales growth objectives in accordance with Concentra onsite sales policies, practices, procedures and applicable regulations. In addition, the director will achieve objectives related to sales and growth of Concentra's complete service offering.
Responsibilities
* Develop and execute strategy to expand market share through new customer prospects and/or existing accounts with significant growth opportunity
* Weekly Business Unit General Capabilities presentation delivery in person, via webex and/or phone conference
* Grow and maintain select existing customer relationships as identified collaboratively with VP Onsite Sales and National Onsite Leadership Team
* Maintain a Sales Funnel with expected values within each sales stage
* Meet minimum quarterly/annual revenue goals established by Senior Management
* Identify and pursue new customer opportunity and is articulate Concentra's full onsite scope of service with a focus on securing and growing new account revenue
* Lead Onsite Customer Strategy and Pursuit approval calls. Go/No Go Calls.
* Close/Finalize the sale, develops an implementation strategy across multiple disciplines as needed (Operations, Clinical, Sales), with established inception dates
* Communicate and solicit appropriate approvals on Pricing/Margin targets across multiple disciplines
* Coordinate "set-up" of Concentra service offering/protocol and customer on-boarding to ensure smooth business transition and implementation
* Establish "open channel" communication with Concentra Management and service providers to create free flowing customer/market information
* Coordinate sales/support activity with market/local leadership across multiple territories as needed
* Submit weekly activity reports to designated management personnel via CRM system access
* Submit Monthly Productivity reports to designated management personnel via CRM system access
* Interpret and deliver various customer related outcome data
* Identify, interpret and develop customer proposal requirements and communicate accordingly with management and corporate proposal development team
* Maintain current knowledge of industry partners, brokers, consultants, competitors, industry organizations and resources
* Pursue and maintain key industry thought leaders (consultancies, brokerage houses) relationships and endorsements
* Attends Industry Trade shows and related events
* Present at highest levels of client organizational management (Senior, C suite)
* Role is based in the West Coast Region.
* Travel required National
Qualifications
* Bachelor's degree in in public health, healthcare administration or business from an accredited college or university or equivalent education and experience
* Experience in lieu of required education is acceptable
* In lieu of undergraduate degree, the ratio is 1:1 meaning one year of college equals one year of work experience and vice versa
* Advanced degree in public health, healthcare administration or business preferred
* Concentra leadership and customer service training.
* Customarily has at least five or more years of directly applicable experience in Onsite Health and Wellness Center sales and/or Operations
* Existing onsite medical center client, broker and consultant relationships within the space a plus
* Demonstrated general knowledge of Onsite Health Care delivery, billing, case management, network applications and state regulation standards within the Onsite Health and Wellness industry
Job Related Skills/Competencies
* Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
* Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
* Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
* The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
* Basic financial analysis and ROI trend review skills
* Demonstrated excellent written and verbal communication skills
* Demonstrated deadline orientation
* Demonstrated organizational and project management skills
* Demonstrated time management
* Demonstrated sense of urgency and prioritization skills
* Demonstrated ability to form strong internal and external relationships
* Demonstrated attention to detail
* Demonstrated ability to follow-through and follow-up
* Demonstrated research and data application skills
* Competitive analysis and counter response skills
Additional Data
Employee Benefits
* 401(k) Retirement Plan with Employer Match
* Medical, Vision, Prescription, Telehealth, & Dental Plans
* Life & Disability Insurance
* Paid Time Off
* Colleague Referral Bonus Program
* Tuition Reimbursement
* Commuter Benefits
* Dependent Care Spending Account
* Employee Discounts
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation, if required.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including but not limited to the Los Angeles County Fair Chance Ordinance, San Francisco Fair Chance Ordinance, and the San Diego County Fair Chance Ordinance.
This position is eligible to earn a base compensation rate in the range of $90,000 to $110,000 annually plus eligible for bonus depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority.
This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management*
Concentra is an Equal Opportunity Employer, including disability/veterans
Auto-ApplySpine Telecommute Medical Review Stream Physician
Austin, TX jobs
Are you an accomplished Board Certified Surgeon? Preferred candidates will have a TX license. Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor.
JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities
MAJOR DUTIES AND RESPONSIBILITIES:
* Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner
Qualifications
EDUCATION/CREDENTIALS:
* Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences
This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.
Concentra is an Equal Opportunity Employer M/F/Disability/Veteran
Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.
Additional Data
This position is an independent contractor role for Concentra.
Concentra is an Equal Opportunity Employer, including disability/veterans
Auto-ApplyOrthopedic Surgeon Telecommute Medical Review Stream Physician
Albuquerque, NM jobs
Are you an accomplished Board Certified Orthopedic Surgeon physician? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a NM license.
JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations
Responsibilities
MAJOR DUTIES AND RESPONSIBILITIES:
* Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner
Qualifications
EDUCATION/CREDENTIALS:
* Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences
This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.
Concentra is an Equal Opportunity Employer M/F/Disability/Veteran
Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.
Additional Data
Concentra is an Equal Opportunity Employer, including disability/veterans
Auto-ApplyRegistered Dietitian -Full Time - Clinical Nutrition Services (Remote)
Florence, SC jobs
Registered Dietitian - Full Time - Clinical Nutrition Services (Remote)
Responsibilities:
Provide clinical nutritional services in the form of nutrition assessments, education and medical nutrition therapy for all ages for patients at McLeod Health. May conduct nutrition therapy/nutritional assessments to patients at various McLeod campuses. Provide on-going nutrition therapy by collaborating with other disciplines on the health care team to coordinate medical nutrition therapy needs, participate in multidisciplinary rounds and contribute to hospital quality improvement initiatives. This is a primarily inpatient position; however clinical dietitians may provide medical nutrition therapy and/or nutrition education via outpatient nutrition services and/or community nutrition events as needed. Occasional travel may be necessary as deemed appropriate. Will contribute to dietetic intern precepting.
Must have a clean, neat appearance and friendly attitude. Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
This position will require weekend & holiday rotation for full-time employees.
Other duties as assigned.
Work Schedule: 80 Hours Biweekly. Full Time.
This is a remote dietitian position.
Qualifications/Requirements:
1 year experience required.
Registration with the Commission on Dietetics Registration required.
Registered Dietitian with Bachelor's degree and completion of a dietetic internship program from an ADA/ACEND- approved Dietetic Education Program if registered before January 1, 2024.
Master's degree in nutrition or related area and completion of a dietetic internship program from an ADA/ACEND- approved Dietetic Education Program if registered after January 1, 2024.
Licensure with the South Carolina Panel for Dietetics required.
Auto-ApplyProfessional Medical Coder I (Remote Position, Must reside in South Carolina) $5,000 Sign-on Bonus
West Columbia, SC jobs
Coding Full Time AM Shift 8a-5p, Mon-Fri Sign-On Bonus: 5,000.00 Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.
Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.
Job Summary
Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation.
Minimum Qualifications
Minimum Education: High School Degree or Equivalent
Minimum Years of Experience: 1 Year of Experience in Professional Coding or Related Field
Substitutable Education & Experience (Optional): In lieu of 1 Year of Experience, will consider successful completion of the coding fellowship.
Required Certifications/Licensure: Licensure, Registry, or Certification Required (AAPC or AHIMA coding credential required and/or specialty certification, as approved by Director);
* A CCA or CPC-A will only be eligible for those who have successfully completed the coding fellowship.
Required Training: Experience working with CPT, ICD diagnosis coding, E/M Documentation Guidelines (1995/1997/2021);
Experience with CCI edits;
Experience with Medicare LCDs and NCDs;
Understanding of state and federal regulations as well as payor billing requirements.
Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook);
Experience with electronic health records software.
Essential Functions
* Reviews and interprets hospital based professional services and outpatient medical documentation to accurately assign ICD and CPT codes for reimbursement and statistical purposes.
* Abstracts information into computer for reimbursement and statistical purposes.
* Researches and stays current with trends in healthcare coding and compliance.
* Keeps department manager up to date with any coding or documentation issues.
* Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals.
Duties & Responsibilities
* Works as a team with physicians, coding staff and other personnel to ensure proper and accurate code assignment and continuous quality improvement.
* Responsible for assisting with coding claim edits and reviewing claim denials for correction.
* Reports to work in a timely manner and adheres to attendance policies. Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times.
* Performs all other duties as assigned.
We are committed to offering quality, cost-effective benefits choices for our employees and their families:
* Day ONE medical, dental and life insurance benefits
* Health care and dependent care flexible spending accounts (FSAs)
* Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
* Employer paid life insurance - equal to 1x salary
* Employee may elect supplemental life insurance with low cost premiums up to 3x salary
* Adoption assistance
* LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
* Tuition reimbursement
* Student loan forgiveness
Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.