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  • Medical Coder Specialist

    Duke Health 4.6company rating

    Remote or Durham, NC Job

    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. 's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas. Occ Summary The medical coder specialist will have frequent and daily interactions with internal and external clients, including but not limited to physicians and non-physician surgical providers. Responsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas and other major procedural areas, including the application of the applicable Physician Quality Reporting System (PQRS) and confirmation of all surgical cases performed at each hospital where applicable. The Medical Coder Specialist focuses their work on the detailed physician surgical chart abstraction as well as being an immediate liaison to documentation improvement and optimization of physician coding practices for compliance and revenue purposes for the providers in these areas. Statistical abstraction coding is defined as the identification of codes based solely on the source documentation for CPT and ICD-10-CM, respectively. Work Performed Primarily code from final surgical/procedural operative reports signed by the provider. Review the complex (problematic IC coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using IC D-10-CM and/or CPT coding conventions. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Correlate information from "approved" supporting clinical documentation not limited to pathology, radiology, and/or other physician consultations, after review by the attending physician, wherever appropriate. Provide education and training to physicians and other providers on coding and clinical documentation. Consult with and educate/train physicians on coding practices and conventions to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. Provide real-time feedback to surgical/procedural providers as it pertains to proper coding and clinical documentation of services performed. Engage in practitioner/department contact and education as the primary liaison to clarification of documentation and coding for defined surgical operative cases, including documentation deficiencies. Mentor and assist in the training of their coders within the department. Participate in the development of coding policies and procedures as identified. Coordinate/mentor the work of designated coding employees to ensure the quality and quantity of work performed through regular audits. Assist with research and development of presentation materials for continuing education programs for a physician in their areas of specialization. Interact with and provide a high-level analysis of trends to management, managers, and others about coding-related issues. Researches and identifies trends in unbilled accounts. Contacts appropriate personnel for clinical documentation inefficiencies. Coordinate the quality reporting measures with providers and revenue managers/managers (PQRS). Collaborate with appeal and edit coders to expedite the resolution of accounts. Use authorized electronic media/systems for physician and non-physician clinician documentation, coding abstraction for each surgical procedure, review of CCI edits, LCD, and NCD coverage. Perform other r elated duties incidental to the work described herein. Knowledge, Skills, and Abilities: Extensive knowledge of coding surgical procedures and applicable modifiers in multi-specialty settings. Understands and applies appropriate Center Medicare Services guidelines tocoding Advance d ICD-10-CM & CPT-4 coding conventions Anatomy and PhysiologyMedical Term inology Extensive DRG/APC reimbursement knowledge Coding software familiar effective written and verbal communication skills data entry/CRT. Level Characteristics Code and abstract from Surgical Operative Notes while providing primary communication with specialty surgical providers in the health system. Minimum Qualifications Education Bachelor's degree in medical record administration or associate degree in medical record technology or one-year coding diploma or courses in Medical Terminology, Anatomy & Physiology with extensive training in coding. ExperienceRequires four years of coding experience, with at least two of those years in surgical abstraction (physician or medical group in multi-specialty surgical practices, i.e., Cardiothoracic Surgery, Neurosurgery, General Surgery, Orthopedics, etc.). Degrees, licenses, and certifications Registered HealthInformation Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
    $55k-71k yearly est. 1d ago
  • Master Social Worker - MSW

    Fresenius Medical Care 3.2company rating

    Martinsville, VA Job

    PURPOSE AND SCOPE:Supports FMCNA's mission core values expected behaviors and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy and procedure requirements.Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team informs educates and supports staff in understanding the emotional psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the FMCNA commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Goals. Adheres to all requirements of the FMCNA Compliance Program and all FMS policy requirements. This is an entry level MSW role. PRINCIPAL DUTIES AND RESPONSIBILITIES: CUSTOMER SERVICES: Responsible for driving the FMS culture through values and customer services standards. Accountable for outstanding customer service to all external and internal customers. Develops and maintains effective relationships through effective and timely communication. Takes initiative and action to respond resolve and follow up regarding customer services issues with all customers in a timely manner. PRINICIPLE RESPONSIBILITIES AND DUTIES RELATED TO PATIENT CARE: Patient Assessment/Care Planning Counseling: As a member of the interdisciplinary team assesses patients' psychosocial status strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation treatment goals and improve quality of life. Utilizes FMS Ultra Care patient education programs established social work theory and methods and quality of life measurement instruments as part of assessment and care planning to resolve barriers and meet patient treatment goals. Provides established outcomes driven psycho-educational counseling methods aimed at improving areas of need treatment adherence vocational/educational rehabilitation and/or quality of life. Provides supportive and goal directed counseling to patients who are seeking transplant. Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes if necessary with the healthcare team and the patient's family/support persons. Will provide general information about Do Not Resuscitate Orders and Advanced Directives Provides information and assists the team and patient with referral to community resources (home health services vocational rehabilitation etc.) to facilitate optimal treatment outcomes. In collaboration with the physician and nurse participates in the discussion of patient DNR status in the facility to ensure patient understanding and informed decision making. Provides usual care and/or Social Work Intensive to address non-adherence and quality of life concerns for all patients Knowledgeable of and adheres to FMCNA Social Work Policy including documentation Patient Education: Assess patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient family and health care team to provide education tailored to the patient's learning style and needs. With other members of the interdisciplinary team provides appropriate information about all treatment modalities. Facilitates the transplant referral process and collaborates with interdisciplinary team if delegated by Clinical Manager. Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. Reviewed patient rights and responsibilities grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. Collaborates with the team on appropriate QAI activities. Patient Admission: Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment Insurance and Financial Assistance: Collaborates with facility management Financial Coordinators and Billing Group staff to address patient issues related to insurance. In collaboration with Financial Coordinators provides information and education to patients about payment to dialysis (federal state commercial insurance state renal programs AKF HIPP and entitlement programs) Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed become employed or receive education. (Reassess patient demographic and insurance information changes every quarter. Notifies all appropriate departments of changes. Understands FMCNA financial policies and procedures as they related to patient services. Collaborate with Financial Coordinators to educate patients about programs that may be available to assist with uncovered services how to resolve billing concerns and understand financial responsibilities. Staff Related: Assist with interview process and decision to hire new personnel if requested by CM or AM/DO. Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). Develops and provides training to staff pertaining to psychosocial topics as needed. Trains staff in Ultra Care Programs as needed. Other duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Travel Required (if multiple facilities) EDUCATION: Masters In Social Work Required EXPERIENCE AND REQUIRED SKILLS: 0 - 2 years' related experience. State Specific Licensure required Sign on Bonus Available EOE, disability/veterans
    $38k-61k yearly est. 10d ago
  • Cyber Security Specialist

    Leidos 4.7company rating

    Hampton, VA Job

    Are you ready to join Leidos all-star team? Through training, teamwork, and exposure to challenging technical work, let Leidos show how to accelerate your career path. Leidos is seeking a IT professional for our Cyber Security Specialist position at Langley AFB Virginia . The Cyber Security Analyst will ensure implementation of security features for the detection of malicious code, viruses, and adversaries. Produces risk assessment reports and remediation recommendations. The contractor will also ensure the unit’s information systems follow USAF and DoD guidance. The Cyber Security may also support the supplier risk management lifecycle throughout all phases, and insider threat/risk programs. Roles and Responsibilities Works independently to achieve day-to-day objectives with significant impact on operational results or project deliverables. Communicates with internal and client project team members. Works to implement solution designs and/or processes. Represent the organization on various technical review and inspection teams Coordinate with personnel on system security compliance and Information System Authority to Operate. Conducts periodic reviews to ensure compliance with established policies and procedures. Notify organization when changes occur that might affect IS authorization Assessing system security threats/risks. Validating system security requirements definitions and analysis. Support assessment and authorization process as needed. Tracks security incidents and may be required to investigate, document, report, and provide future protective and corrective measures in response to such incidents. Assist USAF, DoD, PMOs, and vendors with the development and execution of assessment and authorization (A&A) Required Education/Experience: Bachelor’s degree (computer science, engineering, preferred) and 7+ years of experience or a Masters and 5+ years of experience is required. Additional years of experience and advanced certifications may be considered in lieu of a degree. Demonstrated experience in information security. Current Top Secret SCI security clearance. DoD 8570 IAT Level II Compliant. Knowledge of RMF process, eMass, and XACTA workflow tools. Experience using relevant AF systems and databases. Knowledge of military policies and procedures relating to information technology. Experience working with cloud computing and infrastructure (AWS, Azure, etc) Maintains currency of required ADLS and/or INSCOM trainings. Experience supporting Air Force ISR operations Preferred Education/Experience: AWS Security Engineering Course ISC2 Certified Information Systems Security Professional Course ISC2 Certified Cloud Security Professional Course Certified Information Security Manager Experience working with Jira and Confluence Experience with Air Force ISR units EIO2025 Original Posting:April 2, 2025 For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. Pay Range:Pay Range $85,150.00 - $153,925.00 The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.
    $85.2k-153.9k yearly 22d ago
  • Acute Inpatient Registered Nurse - RN

    Fresenius Medical Care 3.2company rating

    Arlington, VA Job

    *PRN Peritoneal Dialysis RN* PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated. Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse. Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Administers medications as prescribed and documents appropriate medical justification and effectiveness. Initiates and assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually. May be assigned to assist in an Outpatient facility on an as needed basis. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position requires travel to training/meeting sites and between assigned facilities. Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and modality specific training requirements for new employees. Must have a minimum of 9 months experience as a RN. 6 months experience in acute dialysis as a RN. EDUCATION and LICENSURE: Current appropriate state licensure. Current or successful completion of CPR BLS Certification Must meet the practice requirements in all states employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as an RN Minimum 9 months experience as a Registered Nurse, 12 months (preferred). 6 months acute dialysis experience (preferred) Hemodialysis and/or ICU experience (preferred). EOE, disability/veterans
    $51k-109k yearly est. 6d ago
  • RN First Assistant - Operating Room (OR), Full Time, Day

    Mary Washington Healthcare 4.8company rating

    Stafford Courthouse, VA Job

    Start the day excited to make a difference...end the day knowing you did. Come join our team. The RN First Assistant (RNFA) functions as the surgical first assistant under the direction and supervision of the surgeon during the intra-operative phase of surgery. The RNFA will also serve in the role of a Registered Nurse, according to the needs of the department. The incumbent in this position will support the mission, vision, values and strategic initiatives of Mary Washington Healthcare and must demonstrate a commitment to quality service to patients, physicians, the public and co-workers. $10,000 Sign On Bonus to external applicants Essential Functions and Responsibilities: Assists with procedural set up and patient preparedness for specific procedures in positioning, prepping and draping. Assists the surgeon in skin closure, subcutaneous closure and ties, facia closure and ties, closure and ties of peritoneum, tying deep vessels, incising tissue, and performs hemostatic techniques. Establishes and maintains a safe peri-operative environment. Observes aseptic techniques in preparing for and assisting with procedures. Participates in patient transport and room turnover as indicated by unit activity to facilitate utilization of services in a cost-effective manner. Functions in the role of a Registered Nurse and circulates cases, as needed. Serves as educator, mentor and resource to patients and colleagues. Performs other duties assigned. Qualifications: Graduation from a surgical first assistant program required. Valid RN License from Virginia or reciprocal compact state required. Certified Perioperative Nurse (CNOR) certification required. AHA BLS Provider CPR required at hire BSN is preferred; all Registered Nurses with an Associate's Degree in Nursing will be required to obtain their BSN within five years of hire (Effective March 2014). Certified Registered Nurse First Assistant (CRNFA) certification preferred. As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
    $20k-37k yearly est. 8d ago
  • Lead Charge Nurse - RN - Clinical Coordinator

    Fresenius Medical Care 3.2company rating

    Alexandria, VA Job

    PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills - verbal and written. EOE, disability/veterans
    $42k-86k yearly est. 6d ago
  • Call Center Pharmacy Technician

    Oak Street Health MSO 4.3company rating

    Remote or Downers Grove, IL Job

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Company: Oak Street Health Title: Pharmacy Technician I Location: Downers Grove or Charlotte Contact Center; Remote Role Description: The Pharmacy Technician I acts as a liaison between the patient, provider, and pharmacist. The Pharmacy Technician provides exceptional customer service and excellent phone etiquette while exercising empathy with Oak Street Health patients. Core Responsibilities: Field inbound calls for refill requests, investigate the status of refills, and fulfill medication renewal requests as indicated Contacts patients and assists/reminds them in obtaining refills on their medications from their respective pharmacy, whether it be retail, independent or mail-order pharmacy. Make outbound calls to pharmacies on behalf of the patient when needed Responsible for 40-50 calls per day volume inbound and/or 60-80 calls outbound Coordinate with center care teams to overcome identified barriers that prevent patients from receiving refills Utilize electronic medical record platform to send requests and updates to field care teams Document clear and precise information into applicable electronic platforms Capture and document all patient requests prior to ending the call Monitor the CareReq queue to ensure the completion of any open requisitions Arrange transportation for center visits Schedule off-cadence or requested patient appointments Utilize triage nurse line, using warm transfers, when needed for acute healthcare concerns Execute prescription requests according to up-to-date process standards and policies Engage with patients in an environment free from background distractions that supports a private home office that ensures patient information is protected Meet and exceed departmental metrics; stay informed of changes and updates to department metrics Responsible for maintaining licensure and certification Complete all Continuing Education expectations Other duties as assigned Remote Work Requirements: Proficient PC skills, computer literacy, basic Google Suite skills, and ability to navigate systems Prior remote work experience Ability to obtain high-speed internet and hardwire equipment to router/modem Distraction-free and private remote work environment required as well as reliable dependent care during working hours Ability to provide own transportation for instances where on-site support is required for employees located within 50 miles of a physical OSH location/center ***************************************** Call center/home office locations: Downers Grove, IL; Chicago, IL; Charlotte, NC Ability to participate in classroom-style remote training sessions An understanding of the high level of conscientiousness, professionalism, and reliability that is required in a remote work environment Career Development Opportunities: The career path from Pharmacy Technician I to Pharmacy Technician II includes: A minimum tenure of 6 months in the Pharmacy Technician I role Consistently demonstrates strong problem-solving abilities, effective communication, and a thorough understanding of customer needs Demonstration of a strong desire to learn and grow in their role Meet “Exceptional” performance metrics for a minimum of 3 consecutive months (targets are subject to change with 30-day advance notice) for all job skills: Average Calls per Hour Average Handle Time Average Unavailable Time Quality Metrics Demonstrate proven reliability and satisfactory attendance The progression path from Level I, Level II, and Level III positions within the Pharmacy Technician Contact Center team is a structured path that encourages advocates to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Each role level builds upon the skills learned in the previous one, with the ultimate goal of enabling technicians to provide superior support and contribute to the overall success of the contact center. What are we looking for? Minimum 1 year of retail pharmacy experience required Active Pharmacy Technician License in the state of residence Certified Pharmacy Technician (CPhT) certification required High school diploma or equivalent required Bilingual Spanish preferred, medical Spanish a plus Strong working knowledge of MS Office and Google Suite preferred Ability to execute daily responsibilities with minimal supervision Demonstrated ability to deliver high-quality customer service Deliver confident and professional service to Oak Street Health patients and internal partners US work authorization Someone who embodies being “Oaky” What does being “Oaky” look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Why Oak Street Health? Oak Street Health is on a mission to “Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient's communities, and focused on the quality of care over volume of services. We're an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody “Oaky” values and passion for our mission. Oak Street Health Benefits: Mission-focused career impacting change and measurably improving health outcomes for medicare patients Paid vacation, sick time, and investment/retirement 401K match options Health insurance, vision, and dental benefits Opportunities for leadership development and continuing education stipends New centers and flexible work environments Opportunities for high levels of responsibility and rapid advancement Company-provided work-from-home equipment, including a laptop, computer monitor, docking station, keyboard, mouse, and USB ethernet adapter Oak Street Health is an equal-opportunity employer. We embrace diversity and encourage all interested readers to apply. Learn more at *************************************************************************** Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $31.30 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 10/04/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $17-31.3 hourly 11d ago
  • Medical Scribe - Float (Hybrid/remote AZ Residents Only)

    Oak Street Health MSO 4.3company rating

    Remote or Tucson, AZ Job

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Role Description The purpose of a Medical Scribe at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to assist with next steps. Beyond the typical Scribe role, these important care team members serve as clinical documentation assistants to their paired provider. Internally, we call them CISs (Clinic Informatics Specialists) in recognition of their important role in supporting accurate, specific, and timely clinical documentation. In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding. Scribes use this expertise to help providers identify and help close care gaps. Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. Because our patients and providers rely on our Scribes, the ideal candidate should commit at least 1-2 years to this role. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields. Check out this pamphlet for a sneak peek into the life of an Oak Street Medical Scribe! Responsibilities: Documenting Patient Encounters ~ 80% Joining the provider in the exam room to observe patient visits Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam Assigning appropriate CPT and ICD-10 codes Preparing After Visit Summaries Consulting with provider to ensure accurate and specific documentation Clinical Documentation Improvement ~ 10% Requesting and reviewing medical records Leveraging Oak Street’s population health tools to support clinical documentation improvement Preparing for and supporting Daily Huddles and Clinical Documentation Reviews Consulting with provider on clinical documentation opportunities Administrative support for your provider and care team ~ 10% Placing orders orders and referrals Addressing tasks Supporting the care team with additional responsibilities related to clinical documentation Other duties as assigned What we're looking for Knowledge Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required] Prior clinical experience, including shadowing and/or volunteering [strongly preferred] Prior scribe or transcription experience [preferred but not required] Skills Advanced listening and communication skills [required] Strong computer literacy and ability to learn new technical workflows [required] Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve [required where indicated] Abilities Ability to adapt to new workflows and to quickly learn new concepts and skills [required] Ability to type 70+ words per minute [strongly preferred] Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider’s working style [required] Ability to be a self-starter within your role scope Excellent job attendance including ability to work in-person in our clinics (Our providers count on you.) [required] Ability to commit to at least 1 year in role (2+ is ideal) [required] Ability to work approximately 40-45 hours per week during clinic hours (full time position) with predictable hours and break times [required] Compliance with hospital and Oak Street Health policies, including HIPAA [required] US work authorization [required] Behaviors We strive for team members who represent our service standards and are: Competent Dependable Inclusive Seamless Someone who embodies being “Oaky” What does being “Oaky” look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Why Oak Street Health? Oak Street Health is on a mission to “Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient’s communities, and focused on the quality of care over volume of services. We’re an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody “Oaky” values and passion for our mission. Oak Street Health Benefits: Mission-focused career impacting change and measurably improving health outcomes for medicare patients Paid vacation, sick time, and investment/retirement 401K match options Health insurance, vision, and dental benefits Opportunities for leadership development and continuing education stipends New centers and flexible work environments Opportunities for high levels of responsibility and rapid advancement Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. Learn more at *************************************************************************** Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $25.65 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 07/14/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $17-25.7 hourly 11d ago
  • Behavioral Health Specialist

    Oak Street Health Physician Group PC 4.3company rating

    Remote or Chicago, IL Job

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Company: Oak Street Health Title: Behavioral Health Specialist LCSW, LCPC, LMHC, LMFT Required - Bilingual Spanish Preferred Sign On Bonus: $5000 Role Description: The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management services and to provide evidence-based short-term psychotherapy to our patients with behavioral health needs. The Behavioral Health Specialist is a key resource for Care Teams across a region of Oak Street Health primary clinics. They are responsible for coordinating and supporting behavioral healthcare for our patients, in collaboration with Care Teams and a psychiatric consultant. The Behavioral Health Specialist will assess the needs of patients, make referrals to appropriate behavioral health resources and specialists, and provide short-term counseling and evidence-based treatments as indicated. This role has the potential option for remote work days based upon achievement and maintenance of program metrics. Check out this pamphlet for a sneak peek into the life of an Oak Street Behavioral Health Specialist! Core Responsibilities: Collaborate with the primary care teams to identify appropriate patients to refer to the Oak Street Behavioral Health Program Screen and assess patients for common mental health and substance use disorders Develop care plans and provide or facilitate referrals to Oak Street’s psychiatric consultant and/or external resources Provide short-term counseling and evidence-based treatments Coordinate care with Oak Street’s psychiatric consultant, including warm handoffs for telehealth visits and collaboration on care plans Develop relationships with primary care teams and consistently communicate changes in behavioral health care plans Accurate and timely documentation of patient encounters and counseling sessions in Oak Street’s electronic medical record Participate in regional and organizational efforts to advance Oak Street’s Behavioral Health Program through workshops, feedback sessions, and surveys Possibly covering multiple clinics, depending on the maturity and panel sizes of those clinics Other duties, as assigned What are we looking for? Required: Master’s Degree in the field of mental health counseling/healing arts required from an accredited school (Social Work, Counseling, Marriage and Family Therapy, etc.) Highest clinical level of license (or local equivalent) Experience with screening for common mental health and/or substance use disorders Experience with assessment and treatment planning for common mental health and/or substance use disorders Familiarity with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation, Problem Solving, Cognitive Behavioral, etc.) US work authorization Someone who embodies being Oaky Strongly Preferred: Proficiency in providing brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation, Cognitive Behavioral) Working knowledge of differential diagnoses of common mental health and/or substance use disorders Preferred: Proficient PC skills What does being Oaky look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Why Oak Street Health? Oak Street Health is on a mission to Rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient’s communities and focused on the quality of care over the volume of services. We’re an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission. Oak Street Health Benefits: Mission-focused career impacting change and measurably improving health outcomes for Medicare patients Paid vacation, sick time, and investment/retirement 401K match options Health insurance, vision, and dental benefits Opportunities for leadership development and continuing education stipends New centers and flexible work environments Opportunities for high levels of responsibility and rapid advancement " The minimum base annual wage for this position is $55,400.00and the maximum base annual wage for this position is $89,840.00 This base pay does not include additional forms of compensation including bonuses, overtime, etc." Oak Street Health is an equal-opportunity employer. We embrace diversity and encourage all interested readers to apply. Learn more at *************************************************************************** Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 03/16/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $33k-47k yearly est. 27d ago
  • Registered Nurse (RN) Clinical Care Coordinator (ED SHC) PRN

    Mary Washington Healthcare 4.8company rating

    Stafford Courthouse, VA Job

    Start the day excited to make a difference...end the day knowing you did. Come join our team. The Unit Clinical Care Coordinator - Emergency Department (Unit C3-ED) is responsible for the management of emergency department admission flow, patient progression, care coordination, and discharge planning to achieve system efficiency. This position is a spoke of the MWHC Hub serving as the primary liaison between the Emergency and the Hub, clinical and ancillary teams, and service departments to ensure patient care needs are met and treatment plans are executed timely. The Unit C3-ED leads and collaborates with members of the healthcare team to improve patient throughput, resulting in effective patient-focused outcomes and length of stay performance of the organization. Essential Functions & Responsibilities: Assesses ED patients' clinical presentation to identify admission appropriateness, working DRG and target length of stay; proactively communicates bed need to the Hub to facilitate admission flow. Communicates and coordinates patient admission and care activities with the Hub to facilitate system-wide planning; ensures timely patient placement, patient progression, and patient flow. Proactively identifies patients with repeated ED visits, 30-day readmissions, or unmet social/community needs; partners with physician and ancillary services (i.e., Social Work, Rehab) to determine admission appropriateness; assists in developing an alternative level of care for patients not requiring acute hospital level of care. Leads clinical care team (RN, physician, ancillary staff, and social worker) in SNAP huddles (for ED holds) to identify patient progression and discharge barriers; assigns barriers to appropriate team member for resolution; identifies and escalates unresolved barriers to senior leadership; aligns care team toward discharge goals. Assesses patient's discharge needs; develops and arranges for a comprehensive discharge plan that addresses patient needs, barriers, and readmission risk factors. Communicates plan of care and discharge plan to patient and/or their family in coordination with the patient's care team (RN, physician). Manages all aspects of admission/patient progression/discharge in hospital's bed management / discharge planning system (i.e., bed requests, patient attributes/alerts, DRG/TLOS, barriers, escalations, etc.); communicates timely updates of patient clinical status and level of care needs to the Hub to facilitate unit and bed assignment for admitted patients. Oversees and ensures timely compliance with preprocedural requirements for service department diagnostics and procedures; ensures communication of service event issues with care team. Proactively identifies and resolves barriers that may impede department or system-wide patient flow; escalates barriers to senior leadership when unable to resolve. Coordinates with Utilization Review (UR) Nurse to align payor and status requirements with patient's clinical progression; verifies appropriate regulatory letters are delivered to patient and family when indicated. Serves as a resource and educates medical and nursing staff on admission appropriateness, patient progression, utilization of resources, and care coordination. Performs other duties as assigned Qualifications: Required: Minimum of three (3) years recent acute care nursing experience Able to work independently, managing time, multiple priorities, and resources to achieve goals. Able to maintain a calm demeanor and command during times of crisis management. Able to assimilate information quickly to produce sound decisions and recognize situations that require immediate intervention. Able to articulate information and ideas clearly through both written and verbal communication. Preferred: Bachelor of Science in Nursing is preferred Emergency Department acute care nursing or case management is preferred One (1) year supervisory experience strongly preferred License and/or Certification Required: Valid RN License from Virginia or reciprocal compact state required. Preferred: Certification in nursing or case management As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
    $24k-44k yearly est. 2d ago
  • Hybrid-Remote Medical Scribe - Float - AZ Residents Only!

    Oak Street Health MSO 4.3company rating

    Remote or Mesa, AZ Job

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Job Description Company: Oak Street Health Title: Clinical Informatics Specialist Location: Various Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients' communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be. For more information, visit ************************ Role Description: The goal of the Clinical Informatics Specialist (CIS) is to be the personal data assistant to the provider. The role is responsible for handling informatics responsibilities for providers during patient visits in our centers. CISs are trained to be experts in structured clinical assessments, accurate and specific documentation, population health workflows, and team based care. Another major goal will be to facilitate efficient and effective medical care for our patients. Core Responsibilities: Observing and recording patient encounters/examinations Documenting patient information, history, and diagnoses Assisting in medical management Documenting medical decision making Consulting with the care team and other providers on patient needs Other duties as assigned What are we looking for? Applicants committed to ongoing learning that are interested in a full time short-term (1 year) or longer term opportunity looking to gain practical, paid experience in a patient care setting. Advanced communication skills. Ability to type 70+ words per minute. Basic level of medical knowledge and/or a willingness to learn quickly. Ability and willingness to take direction and be a member of a team providing patient care. Excellent reliability. Compliance with hospital and Oak Street Health policies, including HIPAA. Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve, where necessary. US work authorization. Someone who embodies being "Oaky". What does being "Oaky" look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being scrappy Why Oak Street? Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as: Collaborative and energetic culture Fast-paced and innovative environment Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $28.46 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 07/31/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $17-28.5 hourly 27d ago
  • Medical Records Coder II

    Duke Health 4.6company rating

    Remote or Durham, NC Job

    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. 's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas. *Now offering a ***$10,000.00 Commitment Bonus (4 equal installments over 24 months- 6-month increments) The Medical Records Coder II is a certified Coder. Coordinate or review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to ensure specific diagnoses, procedures, and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures. Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary and secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions. Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits. Assist with research, development, and presentation of continuing education programs in areas of specialization. Review medical record documentation and accurately code the primary and secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure the DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate and optimal reimbursement for hospital and/or professional charges. Consult with and educate physicians on coding practices and conventions to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Maintain a thorough understanding of medical record practices, standards, and regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care and Finance Administration (HCFA), the Medical Review of North Carolina (MRNC), etc. Assist with special projects as required. Perform other related duties incidental to the work described herein. Minimum QualificationsEducation High school diploma required. Experience RHIA certification: no experience required RHIT certification: no experience required CCS certification: one year of coding experience required CPC or HCS-D certification: two years of coding experience required Degrees, licenses, and certifications Must hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding Registered Health Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
    $65k-83k yearly est. 1d ago
  • Master Social Worker - MSW

    Fresenius Medical Care 3.2company rating

    New Market, VA Job

    PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. This is an entry level MSW role. PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Assessment / Care Planning / Counseling As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals. Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life. Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license. Provides educational and goal directed counseling to patients who are seeking transplant. Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation. Documents based on MSW interaction and interventions provided to patient and/or family. Quality Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level. Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery. Patient Education Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. With other members of the interdisciplinary team, provides appropriate information about all treatment modalities. Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. Collaborates with the team on appropriate QAI activities. Patient Admission and Continuity of Care Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns. Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment. The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership. Insurance and Financial Assistance Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance. In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs). Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel. Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills Staff Related Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager. Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). Provides training to staff pertaining to psychosocial topics as needed. Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff. Adheres to work defined caseload guidelines based on state regulatory requirements. Performs other related duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Travel required (if multiple facilities or home visits, if applicable) SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Masters in Social Work Must have state required license Meets the applicable scope of practice board and licensure requirements in effect in the State in which they are employed EXPERIENCE AND SKILLS: 0 - 2 years' related experience EOE, disability/veterans
    $39k-61k yearly est. 6d ago
  • Population Health Clinical Pharmacist, West (AZ, CO, NM)

    Oak Street Health MSO 4.3company rating

    Remote or Chicago, IL Job

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Company: Oak Street Health Title: Population Health Clinical Pharmacist Company Description Oak Street Health is a rapidly growing company of primary care centers for adults on Medicare in medically-underserved communities where there is little to no quality healthcare. Oak Street's care is based on an entirely new model that is based on value for its patients, not on volume of services. The company is accountable for its patients' health, spending more than twice as long with its patients and taking on the risks and costs of their care. For more information, visit ******************************* Role Description: This position on the population health team will act as a liaison between patient, provider, and pharmacy to promote medication adherence and improve pharmacy quality measures, specifically the CMS STARS measures proportion of days covered (PDC) and Medication Reconciliation Post Discharge (MRP). The pharmacist will complete patient outreach to identify and address medication adherence barriers and serve as a medication adherence subject matter expert for the organization. This position will spend approximately 70% of the time on direct patient care and 30% on strategic work around optimizing pharmacy quality measures. This is a remote work position and candidates must be comfortable with telephonic patient interaction. Core Responsibilities: Direct Patient Care Activities Complete telephonic outreach to patients to identify adherence barriers and recommend personalized strategies for patients to improve their adherence and manage their medications Address clinical questions/issues escalated from pharmacy technicians Complete comprehensive medication reviews (CMRs) with patients and make evidence-based recommendations to providers to optimize medication therapy such as recommending guideline based treatment, addressing adverse drug reactions, simplifying medication regimens, and resolving cost barriers Telephonically counsel new start patients to promote adherence and persistence of maintenance medications Reconcile current medication list with discharge medication list to ensure patients are taking correct medications following a hospital or skilled nursing visit Non-Direct Patient Care Activities Lead training sessions on MRP best practices for transitional care RNs Audit RN MRP for completeness/accuracy and provide coaching and feedback to RNs Create drug monographs to be presented to Pharmacy & Therapeutics Committee Investigate and respond to provider drug information questions Create content for provider in-services (e.g., medication adherence best practices, clinical practice guidelines updates, etc.) Participate in meetings with Population Health Directors and regional medical leadership to develop strategies to achieve quality measure goals Other duties as assigned What are we looking for? This is a remote position and the candidate can be located anywhere but must be licensed as a pharmacist in good standing in the state they reside Ability to obtain pharmacist license in additional states as needed Minimum of 2 or more years of experience in medication therapy management, Medicare STARS or HEDIS quality measures, managed care pharmacy, or population health Familiarity with CMS STARS and medication adherence strategy Excellent customer service skills and phone etiquette Strong working knowledge of MS Office and Google documents/spreadsheets Ability to synthesize and analyze large amounts of data to make sound business decisions Board certification (BCPS, BCACP, BCGP, etc.) a plus, but not required US work authorization Someone who embodies being “Oaky” What does being “Oaky” look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being scrappy Why Oak Street? Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as: Collaborative and energetic culture Fast-paced and innovative environment Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $95,738.00 - $206,206.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 05/01/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $30k-42k yearly est. 11d ago
  • Registered Nurse (RN) - ICU, Full Time, Night, Sign-On Bonus and Relocation Assistance Available For External Candidates

    Mary Washington Healthcare 4.8company rating

    Fredericksburg, VA Job

    Start the day excited to make a difference...end the day knowing you did. Come join our team. The Level II Competent Registered Nurse is clinically able to care for patients. The Level II MWHC nurse demonstrates the ability to collaborate with the healthcare team to improve the quality of care in the designated clinical area by incorporating research and implementing evidenced-based knowledge into practice. The Level II Competent Registered Nurse assumes the accountability and responsibility as a professional nurse for providing total, comprehensive, continuous, and patient-centered care for an assigned group of patients. The RN is responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Interested in continuing your nursing practice in our Cardiac Care Unit at Mary Washington Hospital? Apply Here! Intensive Care Unit (Medical & Surgical) Mary Washington Hospital's ICU is 38 beds, consisting of a Medical ICU (MICU) and a Surgical ICU (SICU). The MICU's typical patient population can include diagnoses such as respiratory failure, DKA, renal failure, and more. The SICU's population is more specialized, with trauma patients, CV surgery patients (such as TAVRs and CABGs directly from the OR), neurosurgery patients, and other complicated surgical patients. Specialized equipment seen in our ICUs includes (but is not limited to) ventilators, CRRT, intra-aortic balloon pumps, Impella, EKOS, and therapeutic temperature management. We are a fast-paced, hardworking, interdisciplinary ICU team with the benefit of 24/7 in-house intensivist coverage and eICU services. Practice Standards for a Level II Registered Nurse: In the MWHC Practice Standards, a Level II Registered Nurse is outlined in the following areas of: Exemplary Professional Practice Standards Structural Empowerment Practice Standards Transformational Leadership Practice Standards New Knowledge, Innovations, and Improvement Practice Standards Essential Functions & Responsibilities: Direct and coordinate nursing care, including oversight of licensed and unlicensed personnel in any assigned or delegated tasks using the nursing process and interdisciplinary teamwork to achieve desired patient outcomes. Coordinate involvement of the patient, family and health team members in patient care, including patient/family teaching and discharge planning. Communicate and coordinate the plan of care and other pertinent information to/from other health care team members. Assist Leadership to define standards of excellence for patient care; participate in improvement of patient care services. Participate in, contribute to and integrate performance improvement into care delivery and participate in quality improvement activities. Participate in orientation of new permanent and temporary staff members. Act as point of contact on hospital and departmental policies and procedures to nurses and other health team members. Participate in daily operational activities necessary for safe patient/staff environment. Provide input to the Nurse Manager regarding unit needs. Participate in unit, departmental and hospital committees for formulation of nursing and hospital policies and procedures. Perform other duties as assigned. Qualifications: Graduate of an accredited nursing program and has experience as a Registered Nurse. Valid RN License from Virginia or reciprocal compact state required. AHA BLS Provider CPR required at hire AHA ACLS Provider required within 90 days NIHSS (Bluecloud) required within 90 days As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
    $20k-37k yearly est. 8d ago
  • New Grad RN Residency - MWH Emergency Department

    Mary Washington Healthcare 4.8company rating

    Fredericksburg, VA Job

    Start the day excited to make a difference...end the day knowing you did. Come join our team. The Level I Novice Registered Nurse is an entry-level nurse who has graduated from an accredited nursing program and does not have clinical experience as a Registered Nurse. The Level I MWHC nurse is responsible for mastering the knowledge and skills necessary for competent Level II nursing practice within one year of beginning employment at Mary Washington Healthcare. Practice Standards for a Level I Registered Nurse: In the MWHC Practice Standards, a Level I Registered Nurse is outlined in the following areas of: Exemplary Professional Practice Standards Structural Empowerment Practice Standards Transformational Leadership Practice Standards New Knowledge, Innovations, and Improvement Practice Standards Essential Functions & Responsibilities: Direct and coordinate nursing care, including oversight of licensed and unlicensed personnel in any assigned or delegated tasks using the nursing process and interdisciplinary teamwork to achieve desired patient outcomes. Coordinate involvement of the patient, family and health team members in patient care, including patient/family teaching and discharge planning. Communicate and coordinate the plan of care and other pertinent information to/from other health care team members. Assist Leadership to define standards of excellence for patient care; participate in improvement of patient care services. Participate in, contribute to and integrate performance improvement into care delivery and participate in quality improvement activities. Participate in daily operational activities necessary for safe patient/staff environment. Provide input to the Nurse Manager regarding unit needs. Participate in unit, departmental and hospital committees for formulation of nursing and hospital policies and procedures. Perform other duties as assigned Qualifications: Graduate of an accredited nursing program and has no experience as a Registered Nurse. Minimum of one-year nursing experience, preferred. Valid RN License from Virginia or reciprocal compact state. BSN is preferred. AHA BLS Provider CPR required at hire. AHA ACLS Provider required within 90 days. AHA PALS Provider required within 90 days. NIHSS (Bluecloud) required within 90 days. ENA ENPC & TNCC required within 1 year of hire As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
    $18k-70k yearly est. 2d ago
  • Medical Scribe (Hybrid/remote AZ Residents Only)

    Oak Street Health Physicians Group of Arizona 4.3company rating

    Remote or Phoenix, AZ Job

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Company: Oak Street Health Title: Medical Scribe (Full-time in Primary Care Setting) Location: 3833 E Thomas Rd a2 Phoenix, AZ 85018 HYBRID-REMOTE ROLE: MUST LIVE IN AZ. HYBRID OPTION OPEN AFTER 90 DAY PROBATION/TRAINING PERIOD. OPTION IS 2 DAYS A WEEK FROM HOME, 3 DAYS ONSITE (DAYS TO BE COORDINATED WITH DIRECT MANAGEMENT) The minimum and maximum base hourly wage for this position is $18.88. This base pay does not include additional forms of compensation including bonuses, overtime, etc. Role Description The purpose of a Medical Scribe at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to assist with next steps. Beyond the typical Scribe role, these important care team members serve as clinical documentation assistants to their paired provider. Internally, we call them CISs (Clinic Informatics Specialists) in recognition of their important role in supporting accurate, specific, and timely clinical documentation. In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding. Scribes use this expertise to help providers identify and help close care gaps. Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. Because our patients and providers rely on our Scribes, the ideal candidate should commit at least 1-2 years to this role. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields. Check out this pamphlet for a sneak peek into the life of an Oak Street Medical Scribe! Responsibilities: Documenting Patient Encounters ~ 80% Joining the provider in the exam room to observe patient visits Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam Assigning appropriate CPT and ICD-10 codes Preparing After Visit Summaries Consulting with provider to ensure accurate and specific documentation Clinical Documentation Improvement ~ 10% Requesting and reviewing medical records Leveraging Oak Street's population health tools to support clinical documentation improvement Preparing for and supporting Daily Huddles and Clinical Documentation Reviews Consulting with provider on clinical documentation opportunities Administrative support for your provider and care team ~ 10% Placing orders orders and referrals Addressing tasks Supporting the care team with additional responsibilities related to clinical documentation Other duties as assigned What we're looking for Knowledge Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience Prior clinical experience, including shadowing and/or volunteering Prior scribe or transcription experience Skills Advanced listening and communication skills Strong computer literacy and ability to learn new technical workflows Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve Abilities Ability to adapt to new workflows and to quickly learn new concepts and skills Ability to type 70+ words per minute Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider's working style Ability to be a self-starter within your role scope Excellent job attendance including ability to work in-person in our clinics (Our providers count on you.) Ability to commit to at least 1 year in role (2+ is ideal) Ability to work approximately 40-45 hours per week during clinic hours (full time position) with predictable hours and break times Compliance with hospital and Oak Street Health policies, including HIPAA US work authorization Behaviors We strive for team members who represent our service standards and are: Competent Dependable Inclusive Seamless Someone who embodies being 'Oaky' What does being 'Oaky' look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Why Oak Street Health? Oak Street Health is on a mission to 'Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient's communities, and focused on the quality of care over volume of services. We're an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody 'Oaky' values and passion for our mission. Oak Street Health Benefits: Mission-focused career impacting change and measurably improving health outcomes for medicare patients Paid vacation, sick time, and investment/retirement 401K match options Health insurance, vision, and dental benefits Opportunities for leadership development and continuing education stipends New centers and flexible work environments Opportunities for high levels of responsibility and rapid advancement Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. Learn more at *************************************************************************** Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $28.46 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 06/28/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $17-28.5 hourly 27d ago
  • Behavioral Health Specialist

    Oak Street Health Physicians Group of Arkansas 4.3company rating

    Remote or Arkansas Job

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Company: Oak Street Health Title: Behavioral Health Specialist - LCSW, LPC or LMFT Required Role Description: The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management services and to provide evidence-based short-term psychotherapy to our patients with behavioral health needs. The Behavioral Health Specialist is a key resource for Care Teams across a region of Oak Street Health primary clinics. They are responsible for coordinating and supporting behavioral healthcare for our patients, in collaboration with Care Teams and a psychiatric consultant. The Behavioral Health Specialist will assess the needs of patients, make referrals to appropriate behavioral health resources and specialists, and provide short-term counseling and evidence-based treatments as indicated. This role has the potential option for remote work days based upon achievement and maintenance of program metrics. Check out this pamphlet for a sneak peek into the life of an Oak Street Behavioral Health Specialist! Core Responsibilities: Collaborate with the primary care teams to identify appropriate patients to refer to the Oak Street Behavioral Health program Screen and assess patients for common mental health and substance use disorders Develop care plans and provide or facilitate referrals to Oak Street's psychiatric consultant and/or external resources Provide short-term counseling and evidence-based treatments Coordinate care with Oak Street's psychiatric consultant, including warm handoffs for telehealth visits and collaboration on care plans Develop relationships with primary care teams and consistently communicate changes in behavioral health care plans Accurate and timely documentation of patient encounters and counseling sessions in Oak Street's electronic medical record Participate in regional and organizational efforts to advance Oak Street's Behavioral Health program through workshops, feedback sessions, and surveys Possibly covering multiple clinics, depending on the maturity and panel sizes of those clinics Other duties, as assigned What are we looking for? Required: Master of Social Work degree required from a school of social work accredited by the Council on Social Work Education (CSWE) Clinical Social Worker License (or local equivalent) Experience with screening for common mental health and/or substance use disorders Experience with assessment and treatment planning for common mental health and/or substance use disorders Familiarity with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation) US work authorization Someone who embodies being 'Oaky' Strongly Preferred: Proficiency in providing brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation, Cognitive Behavioral) Working knowledge of differential diagnoses of common mental health and/or substance use disorders Preferred: Proficient PC skills What does being 'Oaky' look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Why Oak Street Health? Oak Street Health is on a mission to 'Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient's communities and focused on the quality of care over the volume of services. We're an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody 'Oaky' values and passion for our mission. Oak Street Health Benefits: Mission-focused career impacting change and measurably improving health outcomes for Medicare patients Paid vacation, sick time, and investment/retirement 401K match options Health insurance, vision, and dental benefits Opportunities for leadership development and continuing education stipends New centers and flexible work environments Opportunities for high levels of responsibility and rapid advancement Oak Street Health is an equal-opportunity employer. We embrace diversity and encourage all interested readers to apply. Learn more at *************************************************************************** Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,095.00 - $116,760.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 03/16/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $19k-27k yearly est. 27d ago
  • Sr. Analyst - Performance Improvement - Registered Nurse (RN)

    Mary Washington Healthcare 4.8company rating

    Fredericksburg, VA Job

    Start the day excited to make a difference...end the day knowing you did. Come join our team. The Senior Performance Improvement (PI) Analyst is responsible for developing, implementing, and maintaining performance improvement processes related to medical staff peer reviews, credentialing, and regulatory compliance. This role collaborates with physicians, hospital leadership, and quality teams to enhance patient safety, improve clinical outcomes, and ensure adherence to accreditation and regulatory standards. The Senior Analyst will utilize data analytics, process improvement methodologies, and stakeholder engagement to drive performance excellence and accountability within the medical staff. Essential Functions and Responsibilities: Medical Staff Performance & Peer Review Process Management Develops, implements, and oversees the Professional Practice Evaluation Program ensuring alignment with medical staff bylaws, The Joint Commission (TJC), CMS, and other regulatory requirements. Collaborates with Process Improvement Nurse (PIN) to ensure Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) processes are enforced, thus ensuring compliance with accreditation requirements. Collaborates with physician leaders and credentialing staff to integrate performance data into appointment, privileging, and reappointment processes. Establishes criteria for practitioner-specific performance measures, ensuring timely and objective peer reviews that foster constructive feedback and improvement. Supports the Physician Quality Management Committee with policy development, report preparation, and coordination of peer review activities. Data Analytics & Performance Reporting Designs and implements an information management system for practitioner-specific performance data, including trend analysis and peer review conclusions, in collaboration with the Information Services Department. Analyzes physician performance data, clinical outcomes, and peer review findings to identify trends, patterns, and areas for improvement. Develops dashboards, scorecards, and detailed performance reports to track progress and compliance with peer review processes. Maintains databases and records related to physician performance and quality improvement. Regulatory Compliance & Accreditation Readiness Ensures peer review processes comply with all accreditations, licensure, and regulatory standards, including TJC, CMS, and state health department regulations. Serves as a subject matter expert during audits, surveys, and compliance reviews related to physician performance and peer review activities. Collaborates with risk management, medical staff services, and quality teams to ensure ongoing accreditation readiness and process improvements. Education, Training & Stakeholder Engagement Conducts training sessions, workshops, and individualized coaching for physicians and medical staff on FPPR processes, objectives, and best practices. Develops educational materials such as guidelines, toolkits, and FAQs to support peer review engagement and continuous learning. Provides expert guidance to medical staff and leadership on performance improvement methodologies and patient safety principles. Process Improvement & Stakeholder Collaboration Leads interdisciplinary committees and workgroups focused on performance improvement initiatives. Process improvement methodologies to enhance efficiency and effectiveness of peer review workflows. Collaborates with IT, medical staff leadership, and quality teams to optimize peer review processes and technology integration. Facilitates discussions with physicians, hospital leadership, and administrative teams to ensure ongoing feedback and engagement in performance improvement efforts. Attends the Medical Staff Department and/or division meetings. Administrative & Leadership Support Assists department leadership with budget preparation and projects related to performance improvement initiatives. Supports strategic planning efforts related to quality, performance review, and medical staff improvement. Leads the team and provides guidance and mentorship to colleagues. Performs other duties as assigned. Qualifications: Registered Nurse (RN) with an active, unencumbered license required. Bachelor's degree in healthcare administration, Nursing, Public Health, or a related field required; Master's degree in healthcare administration, Quality Improvement, or related discipline preferred. A minimum of five years of clinical nurse experience required; with at least two years in quality, performance improvement, or risk management in a healthcare setting, and/or quality management or performance improvement experience preferred. Proficiency in data analysis tools (Excel, Tableau, Power BI) and medical staff credentialing systems (Credentialing Stream, MD-Staff, Cactus, or similar), and work experience involving clinical data abstraction, data presentation, and statistics required. In-depth knowledge of The Joint Commission (TJC), CMS, and medical staff performance review standards required. Experience in hospital operations, accreditation readiness, or physician performance review and medical staff quality, healthcare quality, performance improvement, risk management, and utilization/case management preferred. Proficiency with MIDAS, Quality Management, Credential Streams (Verity) Software, EPIC, Electric Medical Record (EMR) and Verge Safe Report System preferred. Certified Professional Healthcare Quality (CPHQ) preferred. Occasional travel to different hospital sites or clinics may be required. As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
    $96k-149k yearly est. 5d ago
  • Hybrid-Remote Medical Scribe - AZ Residents Only!

    Oak Street Health MSO 4.3company rating

    Remote or Mesa, AZ Job

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Role Description The purpose of a Medical Scribe at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to assist with next steps. Beyond the typical Scribe role, these important care team members serve as clinical documentation assistants to their paired provider. Internally, we call them CISs (Clinic Informatics Specialists) in recognition of their important role in supporting accurate, specific, and timely clinical documentation. In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding. Scribes use this expertise to help providers identify and help close care gaps. Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. Because our patients and providers rely on our Scribes, the ideal candidate should commit at least 1-2 years to this role. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields. Check out this pamphlet for a sneak peek into the life of an Oak Street Medical Scribe! Responsibilities: Documenting Patient Encounters ~ 80% Joining the provider in the exam room to observe patient visits Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam Assigning appropriate CPT and ICD-10 codes Preparing After Visit Summaries Consulting with provider to ensure accurate and specific documentation Clinical Documentation Improvement ~ 10% Requesting and reviewing medical records Leveraging Oak Street's population health tools to support clinical documentation improvement Preparing for and supporting Daily Huddles and Clinical Documentation Reviews Consulting with provider on clinical documentation opportunities Administrative support for your provider and care team ~ 10% Placing orders orders and referrals Addressing tasks Supporting the care team with additional responsibilities related to clinical documentation Other duties as assigned What we're looking for Knowledge Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required] Prior clinical experience, including shadowing and/or volunteering [strongly preferred] Prior scribe or transcription experience [preferred but not required] Skills Advanced listening and communication skills [required] Strong computer literacy and ability to learn new technical workflows [required] Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve [required where indicated] Abilities Ability to adapt to new workflows and to quickly learn new concepts and skills [required] Ability to type 70+ words per minute [strongly preferred] Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider's working style [required] Ability to be a self-starter within your role scope Excellent job attendance including ability to work in-person in our clinics (Our providers count on you.) [required] Ability to commit to at least 1 year in role (2+ is ideal) [required] Ability to work approximately 40-45 hours per week during clinic hours (full time position) with predictable hours and break times [required] Compliance with hospital and Oak Street Health policies, including HIPAA [required] US work authorization [required] Behaviors We strive for team members who represent our service standards and are: Competent Dependable Inclusive Seamless Someone who embodies being "Oaky" What does being "Oaky" look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Why Oak Street Health? Oak Street Health is on a mission to "Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient's communities, and focused on the quality of care over volume of services. We're an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody "Oaky" values and passion for our mission. Oak Street Health Benefits: Mission-focused career impacting change and measurably improving health outcomes for medicare patients Paid vacation, sick time, and investment/retirement 401K match options Health insurance, vision, and dental benefits Opportunities for leadership development and continuing education stipends New centers and flexible work environments Opportunities for high levels of responsibility and rapid advancement Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. Learn more at *************************************************************************** Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $28.46 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 07/31/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $17-28.5 hourly 27d ago

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Donate Life Mississippi may also be known as or be related to Donate Life Mississippi, MISSISSIPPI ORGAN RECOVERY AGENCY, Mississippi Organ Recovery, Mississippi Organ Recovery Agency (mora), Incorporated and Mississippi Organ Recovery Agency Mora Inc.