Nurse Residency Professional Development & Retention Specialist - Augusta, GA
Augusta, GA jobs
remote type OnsitelocationsWellstar MCG Healthtime type Full timeposted on Posted 5 Days Agojob requisition id JR-56893
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Work Shift
Day (United States of America)
Job Summary:
The Nurse Residency Program (NRP) Nurse Residency Professional Development & Retention Specialist uses personal expertise, additional subject matter experts from within the system and, when appropriate and feasible, external presenters to meet the educational needs of team members across Wellstar Health Systems. The specialist serves as a resource person and role model for New Grad Nurses and creates a direct connection between individual facility and system educational efforts. He/she promotes evidenced based practice in the integration of Patient-Centered Care practices and guiding principles, and promotes the vision, values and philosophy of Wellstar Health Systems. This individual seeks to influence the professional role, competence, and growth of nurses in a variety of settings, and supports lifelong learning of nurses by fostering an appropriate climate for the adult learning process. He/she assumes a leadership role, provides guidance and knowledge to facilitate professional growth in others, and advances the nursing profession and Nurse Residency Program (NRP).
The person in this role will develop and implement programs and services to support nurses and patient care and evaluate strategies to assure attainment of operational and strategic goals in collaboration with nursing leadership and key stakeholders. They will collect and assemble required data for residency related projects and maintain all records necessary to verify successful completion of residency program. He/she will establish relationships with student nurses, new grad nurses, preceptors, unit leadership, and academic partners to gather and analyze system needs and assess available resources and enact optimal solutions upon consultation and collaboration with key stakeholders. The person in this role will provide additional support to unit-based leadership, nurse externs, preceptors, new grad RN residents, and department committees as assigned.
The Nurse Residency Professional Development & Retention Specialist naturally acts as a transition to practice manager formally or informally by providing an essential stabilizing presence and beneficial interventions for the pre and post licensure nurse to help bridge the expectation-reality gap. Within scope, he/she demonstrates the qualities inherent to nurse residency leadership, such as, educator, administrator, scholar, and evaluator during engagements with nurse externs and nurse residents. The learning environment may be the physical classroom, bedside, and simulation laboratory settings as well as the independent self-directed learning and virtual environments.
The ideal candidate has knowledge and understanding of the ANCC scope and standards of the New Graduate Residency Program and the professional development educator/specialist including knowledge of laws, rules and regulations, standards and guidelines of certifying and accrediting bodies, hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment, team dynamics/building and strong interpersonal, written and communication skills.
Core Responsibilities and Essential Functions:
Knowledge, Skills and Abilities Required:
Concise knowledge and understanding of clinical protocol, procedures, and standards within area of nursing practice and individual scope.
Highly developed verbal and written communication skills and the ability to present effectively to small and large groups.
Strong interpersonal skills and ability to work effectively at all levels in a collaborative team environment.
Ability to plan, implement, and evaluate individual patient care programs.
Mirroring the nursing process to assess educational needs, identifies issues and trends among the organization and learners, and then, works with all stakeholders to ascertain desired outcomes.
Knowledge of related accreditation processes and certification requirements in area of specialty.
Engagement in the NRP Accreditation process through the maintenance of program structure, goals, and accreditation standards. Identification of accreditation standard exemplars and supports the accreditation renewal process.
Acts as a natural change agent within the organization with the potential to influence the community. Keen awareness of current healthcare issues, educational trends, and organizational factors which prompt the need for change within the program and enables him/her to devise solutions to program challenges.
Consideration of safety, effectiveness, cost, and impact for learning activities and outcomes; human, financial, and materials resource allocation.
Engages in ongoing quality improvement of nursing practice through utilization of the nursing process, current research, creativity, and skills.
Encourages and supports nurse residents in the engagement of evidence-based practice process and utilization.
Directly influences research utilization and attitudes toward research among nurse residents.
Uses current evaluation methods involving patient narratives to determine learner-centered program. Involve learners and stakeholders using valid evaluation methods to measure attainment of outcomes.
Collaboration with nursing leadership and Talent Acquisition teams in recruiting efforts of pre-licensure nursing students practicing within Wellstar Health System and through engagement outside Wellstar Health System.
Partner with nursing leaders to identify and recruit experienced RNs capable of supporting the NRP as small group facilitators, mentors, and subject matter experts.
Engage current and new nursing leaders in the NRP through ongoing updates, outcomes data, orientation to the program, and solicitation of feedback.
Partner with system NRP leaders to communicate nurse resident and site-specific needs, updates, changes, outcomes, and initiatives.
Observes and validates staff adherence to best practice: standard work, clinical care skills, polices, procedures and orders sets.
Ability to assess educational needs of the NG and to design and develop appropriate learning tools to facilitate adult learning by integrating a variety of teaching methods.
Assesses and implements interactive education techniques that provide opportunities for critical thinking, best practice utilization and competency validation.
Review individuals competencies and jointly determine progression plan.
Provides constructive feedback and coaching as needed to promote learning to achieve expected outcomes.
Support the internationally educated RN in their transition to practice within a new cultural environment.
Engage in leadership rounds with all nurse residents to support their transition to practice, well-being, and professional development, escalating concerns to appropriate leadership when necessary.
Whether in class or during clinical rounds, assessing learning needs and validating clinical competence and program outcomes, while fostering a positive learning climate.
Evaluate care team interaction and performance through precepted clinical and simulated experiences identify opportunities to improve and address real-time.
Facilitates goal planning, evaluation, and weekly debriefing or as needed.
Assist unit leaders with new grad (NG) RN orientation to new equipment and technology systems as appropriate and acts as a performance coach and mentor of the NG.
Working knowledge of the use of established clinical and preceptorship models in the development of clinical education programs.
Provides clinical preceptorship development by teaching critical reasoning strategies for nurse resident interactions.
Administrative:
Updates department leadership on employee progress & competencies.
Partners with system Nurse Residency Program leaders to communicate nurse resident and site-specific needs, updates, changes, outcomes, and initiatives.
Collaborates with key stakeholders to formulate effective orientation and onboarding programs.
Assesses the competencies of new graduate RN staff, using clearly defined guidelines.
Participate in facility hand-off and communicate ongoing needs to additional support staff.
Professional Development
Maintains proficient level with core clinical competencies including EMR documentation processes
Compliant with all applicable WellStar Health System policies, procedures and job requirements
Participates in training and development for Faculty role, formal and informal
Identifies personal learning needs and acquires knowledge to ensure competency
Evaluation of own practice via personal reflection and solicited feedback from learners, peers, and supervisors; establishes goals based on feedback
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.
Required Minimum Education:
Bachelors Nursing
Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.
RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact
BLS - Basic Life Support or BLS-I - Basic Life Support - Instructor
Required Minimum Experience:
Minimum 2 years clinical nursing required and coordination/facilitation of multiple and varied activities
Ability to work with diverse groups and multidisciplinary health professionals at all levels. Literate in various computer application skills
Required Minimum Skills:
Ability to proficiently read, write and speak the English language.
Ability to provide professional written and verbal communication, group facilitation, educational planning and presentation.
Ability to provide and receive constructive feedback that promotes learning.
Must be self-motivated and self-directed with strong customer service, problem solving, interpersonal communication and conflict resolution skills.
Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
Critical Care APP Supervisor
Santa Clara, CA jobs
About the Company
The Critical Care Advanced Practice Provider (CC APP) team at UCSF provides expert care in the adult intensive care units at UCSF Health. The CC APPs are an element of the interdisciplinary critical care team that includes attending physicians, physicians in training, pharmacists, registered nurses, rehabilitation therapists, and UCSF students. The CC APPs provide care in all of the adult intensive care units including Cardiac, Neurologic, Medical, and Surgical intensive care units. These units provide care for patients undergoing cardiac surgery, organ transplantation, thoracic surgery, orthopedic surgery, neurosurgical surgery, general surgery, or patients requiring complex medical management. The CC APP team collaborates with the UCSF School of Nursing and supports the UCSF Surgical and Critical Care Advanced Practice Provider Fellowship. The CC APP group is active in various quality improvement, cost reduction, and professional development projects.
About the Role
The adult Critical Care Advanced Practice Provider Supervisor supervises, coordinates, and administers the practice of advanced practice professionals (APP), including nurse practitioners and physician assistants. Ensures quality of care and serves as a role model, expert clinician, and mentor. Assists with the administration and management of personnel, fiscal, and material resources. The adult Critical Care Advanced Practice Provider Supervisor provides leadership to advanced practice providers in adult critical care and supports the adult Critical Care Advanced Practice Provider Manager. The primary managerial responsibility of the supervisor is to provide professional support in the Critical Care APP department. The primary clinical responsibility is to provide expert level critical care clinical services to patients and families in the adult intensive care units at UCSF Health.
Responsibilities
Administrative
Staff Development
Education
Leadership
The primary responsibility of the adult Critical Care Advanced Practice Provider Supervisor is the direct application of expertise in the adult intensive care units at UCSF Health within the divisions of Critical Care Medicine. The individual will assume full responsibility for adult Critical Care APP clinical services in the absence of the manager. Receives predetermined work assignments that are subject to a moderate level of control and review.
Qualifications
Min 1 year experience in a supervisor, or leadership role.
4-6 years of recent experience as a nurse practitioner or physician assistant in adult critical care.
Responsible for understanding and communicating an advanced knowledge of national, state, and local educational and legislative issues affecting advanced practice providers.
Demonstrated knowledge of state and national regulatory requirements.
Ability to gather clinical information, develop differential diagnoses, and create problem lists independently.
Competent to direct patient management and lead care team.
Demonstrated ability to effectively supervise a team and to manage the complex workflow and competing priorities involved with providing quality care as an Advanced Practitioner.
Solid knowledge of the clinical and operational issues for nurse practitioners performing advanced-practice nursing within departments and specialty areas, including evaluation, testing, diagnosis, and treatment, as well as patient-care concepts, policies, outcomes measurement, quality standards, ethics issues, quality improvement, and continuing staff education and professional development.
Strong knowledge of human resources management policies, with the ability to train, monitor, evaluate, and document staff issues and performance, and to participate in decision-making on human resources matters.
Strong analytical and critical thinking skills, with the ability to quickly analyze problems, determine appropriate level of intervention, and develop and apply effective solutions.
Advanced interpersonal skills for effective collaborations with all levels of clinical staff and management, consultants, researchers, and outside agencies.
Strong written and verbal communication skills with the ability to train and mentor subordinates, convey complex clinical and technical information in a clear and concise manner, and to prepare and present a variety of reports, documentation, analyses, and project proposals.
Required Skills
Related healthcare management or Nurse Practitioner III or Senior Physician Assistant experience in a highly matrixed healthcare organization.
Knowledge of clinical and administrative software and specialized applications and data management systems used by advanced practice providers in providing advanced-practice care, research, documentation, and employee supervision.
Preferred Skills
For PA candidates: Completion of a recognized graduate master's degree program as a physician assistant.
Doctorate Degree.
Pay range and compensation package
The salary range for this position is $138,400 - $335,800 (Annual Rate). The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: *****************************************************************************
Equal Opportunity Statement
UCSF Health requires all Advanced Health Practitioners (APP) to be credentialed through OMAG to practice and be privileged through CIDP to function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings at all UCSF Health sites and affiliates. Credentialing, health plan enrollment, and approval of privileges must be completed prior to the first working day. Inability to comply with the requirements of OMAG/CIDP AT ALL TIMES will result in either, a LOA or suspension of privileges designation.
Critical Care APP Supervisor
Alameda, CA jobs
About the Company
The Critical Care Advanced Practice Provider (CC APP) team at UCSF provides expert care in the adult intensive care units at UCSF Health. The CC APPs are an element of the interdisciplinary critical care team that includes attending physicians, physicians in training, pharmacists, registered nurses, rehabilitation therapists, and UCSF students. The CC APPs provide care in all of the adult intensive care units including Cardiac, Neurologic, Medical, and Surgical intensive care units. These units provide care for patients undergoing cardiac surgery, organ transplantation, thoracic surgery, orthopedic surgery, neurosurgical surgery, general surgery, or patients requiring complex medical management. The CC APP team collaborates with the UCSF School of Nursing and supports the UCSF Surgical and Critical Care Advanced Practice Provider Fellowship. The CC APP group is active in various quality improvement, cost reduction, and professional development projects.
About the Role
The adult Critical Care Advanced Practice Provider Supervisor supervises, coordinates, and administers the practice of advanced practice professionals (APP), including nurse practitioners and physician assistants. Ensures quality of care and serves as a role model, expert clinician, and mentor. Assists with the administration and management of personnel, fiscal, and material resources. The adult Critical Care Advanced Practice Provider Supervisor provides leadership to advanced practice providers in adult critical care and supports the adult Critical Care Advanced Practice Provider Manager. The primary managerial responsibility of the supervisor is to provide professional support in the Critical Care APP department. The primary clinical responsibility is to provide expert level critical care clinical services to patients and families in the adult intensive care units at UCSF Health.
Responsibilities
Administrative
Staff Development
Education
Leadership
The primary responsibility of the adult Critical Care Advanced Practice Provider Supervisor is the direct application of expertise in the adult intensive care units at UCSF Health within the divisions of Critical Care Medicine. The individual will assume full responsibility for adult Critical Care APP clinical services in the absence of the manager. Receives predetermined work assignments that are subject to a moderate level of control and review.
Qualifications
Min 1 year experience in a supervisor, or leadership role.
4-6 years of recent experience as a nurse practitioner or physician assistant in adult critical care.
Responsible for understanding and communicating an advanced knowledge of national, state, and local educational and legislative issues affecting advanced practice providers.
Demonstrated knowledge of state and national regulatory requirements.
Ability to gather clinical information, develop differential diagnoses, and create problem lists independently.
Competent to direct patient management and lead care team.
Demonstrated ability to effectively supervise a team and to manage the complex workflow and competing priorities involved with providing quality care as an Advanced Practitioner.
Solid knowledge of the clinical and operational issues for nurse practitioners performing advanced-practice nursing within departments and specialty areas, including evaluation, testing, diagnosis, and treatment, as well as patient-care concepts, policies, outcomes measurement, quality standards, ethics issues, quality improvement, and continuing staff education and professional development.
Strong knowledge of human resources management policies, with the ability to train, monitor, evaluate, and document staff issues and performance, and to participate in decision-making on human resources matters.
Strong analytical and critical thinking skills, with the ability to quickly analyze problems, determine appropriate level of intervention, and develop and apply effective solutions.
Advanced interpersonal skills for effective collaborations with all levels of clinical staff and management, consultants, researchers, and outside agencies.
Strong written and verbal communication skills with the ability to train and mentor subordinates, convey complex clinical and technical information in a clear and concise manner, and to prepare and present a variety of reports, documentation, analyses, and project proposals.
Required Skills
Related healthcare management or Nurse Practitioner III or Senior Physician Assistant experience in a highly matrixed healthcare organization.
Knowledge of clinical and administrative software and specialized applications and data management systems used by advanced practice providers in providing advanced-practice care, research, documentation, and employee supervision.
Preferred Skills
For PA candidates: Completion of a recognized graduate master's degree program as a physician assistant.
Doctorate Degree.
Pay range and compensation package
The salary range for this position is $138,400 - $335,800 (Annual Rate). The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: *****************************************************************************
Equal Opportunity Statement
UCSF Health requires all Advanced Health Practitioners (APP) to be credentialed through OMAG to practice and be privileged through CIDP to function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings at all UCSF Health sites and affiliates. Credentialing, health plan enrollment, and approval of privileges must be completed prior to the first working day. Inability to comply with the requirements of OMAG/CIDP AT ALL TIMES will result in either, a LOA or suspension of privileges designation.
Care Coordinator
Seguin, TX jobs
/RESPONSIBILITIES Make sure to read the full description below, and please apply immediately if you are confident you meet all the requirements. At the front door of University Health, this role serves to screen patients needing placement in acute or observation beds for the purposes of correct status determinations, and the coordination of appropriate diversions to home or other level of care more appropriate for the services needed to be rendered. This position requires assertive clinical acumen and communication skills for serving in the liaison roles with medical staff, nursing, and patients and families.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. National certification (e.g. CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related field is preferred. Three years recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. Must complete a Clinical Documentation Improvement Course within specified time of hire date.
LICENSURE/CERTIFICATION
Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. xevrcyc Case Manager Certification (CCM or ANCC) is highly desirable.
Care Coordinator PRN
Seguin, TX jobs
/RESPONSIBILITIES Apply fast, check the full description by scrolling below to find out the full requirements for this role. Perform expert leadership skills in the management of staff and coordination of patient care activities. Work collaboratively with all healthcare providers and non-health care providers. Serves as a mentor and role model for all staff. Reports to a Nursing Director or Executive Director.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with current RN licensure in the State of Texas. BSN is required. National certification (e.g., CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related fields is required. Three (3) years of recent, full-time hospital or clinic experience are required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. External applicants must have at least two (2) years in an equivalent management capacity.
LICENSURE/CERTIFICATION
A current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. xevrcyc Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
Member Enrollment Representative
Circleville, OH jobs
At Christian Healthcare Ministries (CHM), we exist to glorify God, show Christian love, and serve members of the Body of Christ by sharing each other's medical bills.
The Member Enrollment Representative (MER) plays a vital role in this mission by increasing membership through various communication channels while delivering exceptional member experience. The MER is responsible for converting sales leads into new memberships, guiding prospective members through the enrollment process, and ensuring that every interaction reflects CHM's core values and commitment to service excellence.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Meet sales targets, goals, and performance expectations.
Engage in inbound and outbound phone sales (no cold calling) to assist and guide prospective members through the enrollment process.
Establish referrals, build relationships, and develop contacts with potential prospects.
Respond promptly and professionally to prospective member calls and inquiries.
Ensure delivery of high-quality, Christ-centered service.
Address member questions, concerns, and provide thoughtful recommendations.
Assist in retaining memberships when appropriate.
Respond to emails, calls, and voicemail promptly.
Clearly explain CHM guidelines, programs, and options to members.
Offer suggestions for improvement to the Member Enrollment Supervisor and Team Leader.
Maintain professionalism, empathy, and a positive attitude.
Demonstrate strong communication skills in both phone and written correspondence.
Uphold CHM's Core Values and Mission Statement in all interactions.
Collaborate with other departments, including Member Services, Marketing, and Communications, to ensure seamless member experience.
Gain a deep understanding of the Member Enrollment Team's structure and objectives.
Input, track, and manage prospects using HubSpot and internal CHM systems.
Develop ongoing relationships with prospects through consistent and intentional follow-up.
OTHER FUNCTIONS
Demonstrate Christian values and adhere to ethical and legal business practices.
Support CHM initiatives and departmental goals as assigned.
EDUCATION, EXPERIENCE & SKILLS REQUIRED
Prior experience in online or phone-based sales (preferred).
College education or equivalent work experience (preferred).
Strong verbal and written communication skills, including professional phone and email etiquette.
Proficiency in CHM guidelines, programs, and policies (training provided).
Competence with Microsoft Office Suite and CRM tools such as HubSpot.
Excellent organizational and time management skills with the ability to handle multiple priorities.
Self-motivated, collaborative, and committed to teamwork.
Strong problem-solving and conflict resolution skills.
Willingness to ask questions, seek guidance, and support team initiatives.
TRAINING & DEVELOPMENT
New representatives will complete a structured training program designed to build a strong understanding of CHM's membership process, communication tools, and ministry values. Ongoing professional development and mentorship opportunities are also provided.
WORKING CONDITIONS
Must adhere to organizational policies and procedures as outlined in the employee handbook.
Occasional travel may be required for ministry or business purposes.
Flexibility to work hours between 8:00 a.m. and 6:00 p.m., based on department needs.
Requires extended periods of sitting, working on a computer, and communicating by phone or email.
Strong reasoning and problem-solving abilities to overcome objections and assist prospective members effectively.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Ambulatory Service Representative - Ambulatory Surgery Center
San Antonio, TX jobs
Skills, Experience, Qualifications, If you have the right match for this opportunity, then make sure to apply today.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment xevrcyc are obtained prior to patient visits
Reviews and audits billing discrepancy reports and researches errors for resolution
Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required
Requirements:
High School Diploma
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Care Coordinator
Boerne, TX jobs
/RESPONSIBILITIES Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. Care Coordinator will be instrumental in assisting the department and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred.
LICENSURE/CERTIFICATION
Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable. xevrcyc Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
Member Support Representative
Barberton, OH jobs
The Member Support Representative is considered the “front line” of the ministry in assisting members with general inquiries by phone and email. This entry-level role is ideal for candidates who enjoy engaging with people, are servant-minded, and can provide compassionate and professional support. In addition to answering questions and resolving issues, the position also provides opportunities to minister to members through prayer and spiritual encouragement.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Respond to member inquiries via phone and email promptly, with time sensitivity and professionalism.
Verify and update member information accurately in CHM's systems.
Log and track all interactions in the member management system (Gift Manager or CRM).
Follow standard operating procedures (SOPs) when handling common inquiries.
Provide accurate information about CHM guidelines, membership, billing, and processes.
Attract prospects by answering questions, giving suggestions, and making recommendations to obtain membership when appropriate.
Review and assess member concerns, escalating to management when necessary.
Handle escalated or emotional calls with empathy, offering prayer or spiritual encouragement when appropriate.
Meet established performance standards (e.g., call volume, response time, member satisfaction).
Participate in team meetings, training sessions, and development opportunities to stay current with CHM policies and systems.
Protect member confidentiality and comply with HIPAA and organizational privacy standards.
Thrive in a collaborative team environment and contribute positively to overall team goals.
Uphold the mission, vision, values, and service standards of CHM in every interaction.
Maintain a professional demeanor at all times.
Perform other job duties as assigned by management.
QUALIFICATIONS & EXPERIENCE REQUIREMENTS
Required: High School Diploma or equivalent.
Preferred: Some college coursework in business, communications, or related field; or 1-2 years of customer service experience.
Proficiency in Microsoft Office programs (Word, Excel, Outlook).
Ability to operate a PC and navigate information systems/applications (Gift Manager or similar CRM software).
Experience using routine office equipment (fax, copier, printers, multi-line telephones, etc.).
Strong verbal and written communication skills, with active listening ability.
Strong organizational, analytical, and problem-solving skills.
Ability to manage workload, multi-task, and adapt to changing priorities.
Patience, empathy, and conflict-resolution skills for handling sensitive or difficult calls.
CORE COMPETENCIES
Interpersonal Communication
Servant Leadership Mindset
Teamwork & Collaboration
Conflict Resolution
Detail Orientation & Accuracy
Adaptability & Flexibility
PERFORMANCE EXPECTATIONS
Maintain accuracy and efficiency in all member records updates.
Meet or exceed department standards for call and email response times.
Consistently achieve high member satisfaction scores.
Demonstrate reliability, accountability, and professionalism in all duties.
WORK ENVIRONMENT & PHYSICAL REQUIREMENTS
Standard schedule: Monday-Friday, 9:00 AM-5:00 PM (with flexibility for ministry needs).
Office-based environment with regular phone and computer use.
Ability to sit at a desk and use a computer/phone for extended periods.
Manual dexterity for typing and handling office equipment.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Care Coordinator
Hondo, TX jobs
/ RESPONSIBILITIES Apply fast, check the full description by scrolling below to find out the full requirements for this role. The Care Coordinator is responsible for coordinating and streamlining the care of patients referred to the Interventional Cardiology Clinic. In this role, you will work closely with multidisciplinary teams, triage referred patients, facilitate timely and appropriate provider scheduling, and ensure continuity of care across outpatient and inpatient settings. The coordinator also serves as a liaison between referring providers, the interventional team, and patients, while supporting program growth through outreach and data management.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full-time hospital experience preferred. Work experience in cardiovascular or interventional cardiology nursing preferred. Strong knowledge of cardiac procedures, terminology, and clinical workflow. Familiarity with catheterization lab operations, cardiovascular imaging, and post-procedure. Prior experience with patient navigation or care coordination in a cardiology setting preferred. Proficiency in Epic or other major EHR systems preferred.
LICENSURE/CERTIFICATION
Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. xevrcyc Case Manager Certification (CCM or ANCC) is highly desirable.
Care Coordinator PRN
Pleasanton, CA jobs
/RESPONSIBILITIES
Perform expert leadership skills in the management of staff and coordination of patient care activities. Work collaboratively with all healthcare providers and non-health care providers. Serves as a mentor and role model for all staff. Reports to a Nursing Director or Executive Director.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with current RN licensure in the State of Texas. BSN is required. National certification (e.g., CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related fields is required. Three (3) years of recent, full-time hospital or clinic experience are required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. External applicants must have at least two (2) years in an equivalent management capacity.
LICENSURE/CERTIFICATION
A current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
Wound Care Coordinator (RN), Benefits Starting Day One
Goldsmith, TX jobs
Wound Care Coordinator Career Opportunity
Recognized for your expertise in coordinating wound care
Are you a compassionate healthcare professional with a passion for wound care, eager to align your expertise with your personal values? Join us as a Wound Care Coordinator, where your role transcends treating wounds to become a pathway to healing and making a difference in patients' lives. This opportunity is more than a job; it's a chance to build a fulfilling career close to home and close to your heart. As a key player in our wound care program, you'll ensure the highest standards of patient care, collaborating with interdisciplinary teams to execute treatment plans, educate patients and families, and lead hospital-wide wound care education initiatives.
A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Being associated with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:
· Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.· Generous paid time off that accrues over time.· Opportunities for tuition reimbursement and continuous education.· Company-matching 401(k) and employee stock purchase plans.· Flexible spending and health savings accounts.· A vibrant community of individuals passionate about the work they do!
Become the Wound Care Coordinator you always wanted to be
· Oversee and develop wound care services in adherence to regulatory standards and physician orders.· Collaborate with clinical teams to provide guidance on wound care treatments.· Lead educational efforts for hospital staff on wound care topics, as well as educating patient and family members on wounds and wound care.· Maintain continuous education and stay updated on the latest wound care techniques and advancements.
Qualifications
License/Certification: RN, Physical Therapist, or Occupational Therapist required for acute rehab hospitals; RN required for long-term acute care hospitals.
CPR certification is mandatory.
Education & Experience:
Minimum one year of wound care experience is required.
Continuous education in wound care through seminars/professional organizations is required.
Skills: Effective communication, decision-making, and the ability to work autonomously.
The Encompass Health Way
We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.
We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
Ambulatory Service Representative - Neurosurgery
San Antonio, TX jobs
Ensure all your application information is up to date and in order before applying for this opportunity.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Summary:
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Ambulatory Service Representative - Pedi Neurology
San Antonio, TX jobs
Scroll down for a complete overview of what this job will require Are you the right candidate for this opportunity
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multitask and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Client Services Associate
Blairsville, PA jobs
*BAYADA Home Health Care* has an immediate opening for a *Client Services **Associate** *in our *Blairsville, PA Assistive Care State Programs* home care office. If you are looking for an exciting career opportunity in a growing industry, an *Associate* could be the position for you!
Are you looking for an exciting opportunity in a fast-growing industry? Do you want to make a difference in people's lives while you grow your career and learn the business? We're BAYADA Home Health Care and we believe that our clients and their families deserve home health care delivered with compassion, excellence, and reliability. We want you to apply your energy and skills to this dynamic and entrepreneurial environment and become an integral part of a caring, professional team that is instrumental in providing the highest quality care to our clients.
Through hands-on experience, *Client Services Associates *at BAYADA learn all aspects of managing and growing a caseload and recruiting staff in order to become a Client Services Manager.
*Responsibilities*:
* Focused on assisting the manager in delivering and coordinating client services
* You'll help lead field staff in providing quality home care while increasing your office's caseload through long-term relationship building with clients, referral sources, payors and community organizations.
* Sharing responsibility for your team, you'll develop communicative relationships with them while managing scheduling and maintain effective fiscal management by monitoring metrics (gross margin, overtime, unfilled hours, etc.).
*Qualifications:*
* Prior health care, home care and recruiting experience a plus)
* A demonstrated record of strong interpersonal skills and goal achievement
* Ambition to grow and advance beyond current position
* Strong PC and communication skills (including solid phone marketing & data entry ability)
*Why you'll love BAYADA:*
* BAYADA Home Health Care offers the stability and structure of a national company with the values and culture of a family-owned business.
* *Award-winning workplace*: proud to be recognized as a Best Place To Work by Newsweek, Forbes, and Glassdoor.
* *Weekly pay*
* *Work life balance: **Monday-Friday 8:30-5pm hours*
* *AMAZING culture:* we are a mission driven nonprofit organization, focused around three core values of compassion, reliability, and excellence.
* *Strong employee values and recognition*: we utilize a BAYADA Celebrates page for daily recognition, along with Hero spotlights, Key Action of the Week meetings to connect back to our mission and celebrate staff, discounts/perks and partnerships, an Awards Weekend trip, and more.
* *Diversity, equity, inclusion, and belonging: *Join groups like our Women in Limitless Leadership Employee Resource Council, Lean In circles, Racial and Ethnic Diversity (RED) Council, Pride LGBTQIA+ Council, Military Community Network, Solutions and Accessibility for Equality (SAFE) Council, Fostering Acceptance Inspiring Trust and Harmony (F.A.I.T.H), and more.
* *Growth opportunities*: advancement opportunities, continued education opportunities, Udemy courses, webinars, and more
* *Check out our blog*: [
* *Benefits*: BAYADA Home Health Care offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program. To learn more about BAYADA Home Health Care benefits, [
*As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.*
BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in [here](
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
Ambulatory Service Representative - Cardiovascular Surgery
Lake Jackson, TX jobs
Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Ambulatory Service Representative - Cardiovascular Surgery
New Braunfels, TX jobs
Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Ambulatory Service Representative - Multi Specialty
San Marcos, TX jobs
The experience expected from applicants, as well as additional skills and qualifications needed for this job are listed below.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Ambulatory Service Representative - Specialty Neurosurgery
Randolph Air Force Base, TX jobs
Applying for this role is straight forward Scroll down and click on Apply to be considered for this position.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and research errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
Education/Skills
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
Experience
1+ year of customer service experience required
Experience with medical office terminology preferred
Licenses, Registrations, or Certifications
None
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Ambulatory Service Representative - Multi Specialty
San Marcos, TX jobs
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits.
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time