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Multi-Specialty HealthCare jobs - 55,405 jobs

  • Senior Counsel - Healthcare IT and AI Technology Contracts

    Akron Children's Hospital 4.8company rating

    Remote or Akron, OH job

    Full-Time, 40 hours/week Monday - Friday 8 am - 5 pm Onsite The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer. Responsibilities: Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools. Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions. Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers. Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices. Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs. Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed. Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape. Identify and assess legal, operational, and compliance risks in IT contract. Other duties as assigned. Other information: Technical Expertise Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation. Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators. Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments. Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation. Education and Experience Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date. Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required. Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT). Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking. Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams. Full Time FTE: 1.000000 Status: Onsite
    $97k-148k yearly est. 8d ago
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  • Registered Dietitian - Multiple Positions

    Lee Health 3.1company rating

    Remote or Miami, FL job

    Work Type:Full and Part time Available Minimum to Midpoint Pay Rate:$27.57 - $35.84 / hour Hiring Incentives:$5,000 Sign-on bonus; plus $7,500 Relocation Incentive (if relocating from greater than 50 miles away). One-half for Part-time roles. Make a Lasting Impact on Lives - Join Lee Health as a Registered Dietitian in the greater Fort Myers, Florida area! Are you passionate about helping the community thrive through nutrition? AtLee Health, we're looking for compassionate Registered Dietitiansto join our collaborative interdisciplinary care teams. In these rewarding roles, you'll provide specialized nutrition interventions tailored to the unique needs of our patients. Whether you're drawn to the challenge of clinical nutrition in specialized populations or the joy of coordinating nutrition care plans with patients and their families, this is your opportunity to make a real difference. Current opportunities may include: Pediatrics:Full and Part-time inpatient; outpatient areas in GI and Endocrinology Adult:Full-time Inpatient; Full-time Outpatient (Cape Coral and Fort Myers); Part-time Community Outreach (Cape Coral) Cancer Support(RDOncology experience preferred):Full-time Outpatient;Partially remote(2 days remote; 3 days onsite in Bonita and Fort Myers) What We Offer You: Competitive pay Up to $12,500 in hiring incentives Room for growth & career development A team of supportive, collaborative professionals Top-tier health coverage, including no-cost services at Employee Health Clinics Education reimbursement (after 90 days) Up to 5% retirement match Supplemental benefits including Pet Insurance, Legal Insurance, and more! "I chose Lee Health because of its strong commitment to its employees and its clear set of values. I believe a fulfilling career is built on continuous growth, and Lee Health supports this through opportunities for ongoing education and professional development. This focus on learning, combined with the organization's core values, creates a workplace I'm excited to be a part of."- Maria A., RD @ Lee Health Educational Requirements Degree/Diploma Obtained Program of Study Required/ Preferred and/or Bachelor's Dietetics / Human Nutrition and Foods Required Experience Requirements Minimum Years Required Area of Experience Required/ Preferred and/or 1 Year Clinical Nutrition Preferred State of Florida Licensure Requirements Licenses Required/ Preferred and/or Dietitian License Preferred Certifications/Registration Requirements Certificates/Registrations Required/ Preferred and/or RD (Registered Dietitian) Required Additional Requirements Florida Licensure (LD) through the Florida Department of Profession Regulations (DPR) Optional US:FL:Cape Coral
    $27.6-35.8 hourly 1d ago
  • Presentation Engineer

    Northern Canal Medical Center 4.2company rating

    Remote or Storden, MN job

    Title*: Presentation Engineer Our Mission Prezent is on a mission to transform how enterprises communicate. Founded in 2021, we have rapidly grown into a 200+ person, fully remote team that's backed by $40+ million in venture funding. Our AI-powered productivity platform, ASTRID, is the first solution purpose-built for enterprise communication needs-delivering up to 90% time savings and 60% cost reduction in presentation development. Our Vision We believe that effective communication accelerates business impact. By automating design best practices and tailoring content to audience dynamics, Prezent empowers teams to craft clear, engaging, and on-brand presentations at scale. Our focus is on enabling Fortune 2000 companies-particularly in industries like healthcare, biopharma, high-tech, banking, and insurance-to achieve better alignment, faster decision-making, and stronger business outcomes. The Role As a *Presentation Engineer*, you'll join a dynamic team of technologists, designers, and strategists who bring business communication to life. Your mission is to bridge the gap between data, story, and design-transforming complex ideas into compelling presentations that drive real-world impact. You'll be the go-to partner and sounding board for our clients, helping them sharpen their storytelling, amplify impact, and build presentation excellence across their organizations. You'll help teams plan and execute presentation calendars, bring the best of Prezent.AI to life, and guide users in effectively leveraging ASTRID, our AI-powered communication engine. No two days will be the same-you'll flex between understanding audience needs, engineering presentation workflows, and enabling leaders at every level to communicate with clarity, confidence, and impact. What You'll Do * Partner with enterprise clients to understand their most critical communication challenges, presentation workflows, and opportunities for improvement. * Become an embedded team member for the client, providing integral insights. * Help teams craft and structure powerful narratives that drive influence and decision-making, from executive ready communication to messaging to the masses * Design and build scalable, reusable presentation templates and storytelling frameworks within *Prezent* * Be a trusted advisor-helping users learn and adopt AI-driven storytelling tools to elevate their work * Deliver customized presentation solutions and lead pilots, trainings, and office hours to drive adoption, enable power users, and establish best practices * Provide structured feedback loops from client experiences to our *product and design teams*, shaping the future of the platform by improving the ‘presentation brain' for each account. * Identify and nurture *warm leads* within existing accounts for software adoption and overnight presentation services * Collaborate cross-functionally with *product*, *design*, and *engineering* teams to continuously refine user experience and product-market fit What We're Looking For * A *storyteller* with strong business communication skills and a passion for helping others make their ideas land with impact * Experience in *consulting, customer success, or business operations/strategy* * A *scientific* or *technology focused foundation*-degree in life sciences, computer science, engineering or related field * *1-3 years* of experience as a consultant in a client-facing, fast-paced environment. * Strong project management skills, and able to execute on multiple projects at a time * Strong analytical and problem-solving skills with a *structured approach* to ambiguity * Agile, adaptable, and energized by working across disciplines * A self-starter who thrives in dynamic settings and is passionate about creating an *AI-first business communications platform* * A blend of *creativity and technical fluency*-comfortable both discussing technical aspects in either biopharma or the tech industry and about scaling workflows Benefits * *ESOPs*: You'll be eligible for Employee Stock options. * *Comprehensive Benefits*: Flexible, top-tier benefits package in line with US market standards. * *Professional Growth*: Thrive in a fast-paced environment that encourages innovation, continuous learning, and career progression. Job Type: Full-time Pay: $55.00 - $65.00 per hour Expected hours: 40 per week Benefits: * 401(k) * Dental insurance * Flexible schedule * Health insurance * Paid time off * Vision insurance Experience: * strategic storytelling: 4 years (Required) Work Location: In person
    $55-65 hourly 60d+ ago
  • Social Worker SW

    Health Systems Management 4.7company rating

    Remote or Lexington, NC job

    Social Worker - Masters Degree (required) Health Systems Management, Inc. (HSM) is a full-service healthcare management organization providing a full range of development, management, and administrative services for dialysis facilities over the past 35 years in Georgia, South Carolina, and North Carolina. HSM has an outstanding reputation in the renal community for providing high quality patient care and encouraging physician input while maintaining efficient business operations. We are currently seeking compassionate, dedicated, and highly motivated Social Workers to join our dialysis team. Social Worker Responsibilities and Physical Demands: Provides direct and indirect interventions to pre-dialysis and chronic dialysis patients. Provides clinical services in collaboration with the multidisciplinary health care team in order to assist patients in reaching their fullest rehabilitative potential. Communicates with patients and their support system to establish plan of care. Completes comprehensive psychosocial assessment. Assesses family dynamics and need for further interventions. Utilizes appropriate community resources in order to meet patient/family concrete needs. Social Worker Education Requirements and Position Qualifications: Master's degree in Social Work required. Ability to solve practical problems and deal with a number of concrete variables in situations. Must be able to work independently and plan/organize priorities autonomously. Willingness to work a flexible schedule and to fill in when needed. Excellent bedside manner and communication skills. Social Worker Benefits: Extensive Benefits Package to Include:Medical and Prescription Coverage OptionsDentalVisionFlexible Spending AccountShort and Long-Term Disability 401K with Company MatchPaid Time Off - start accruing time on your first day with the company Sign on and referral bonuses for qualified positions Employee Assistance Program for: Family Resources, Counseling, Financial, and Legal GuidancePaid on the job training. The training is a combination of classroom setting and direct patient care. Option to work remotely 1 day per week once training is completed. And more... HSM, INC maintains a drug-free workplace in accordance with state and federal laws. Health Systems Management, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, marital status, pregnancy, genetic information, or other legally protected status. Compensation details: 29-42 Hourly Wage PI7e1c37de0e08-37***********0
    $45k-55k yearly est. 1d ago
  • Staff Nurse: PICU

    Akron Children's Hospital 4.8company rating

    Akron, OH job

    Full Time Nights 36 hours/week 7pm-7:30am The Staff Nurse provides nursing care requiring specialized knowledge judgment and skill derived from the principles of biological, physical, behavioral, social and nursing sciences. Responsibilities: 1. Assesses, plans, implements, evaluates and directs nursing care with a focus on family centered care for individuals or groups of patients within the assigned scope of practice. 2. Demonstrates the knowledge and skills necessary to provide care for the physical, psychosocial, educational, and safety needs of the patients served regardless of age and developmental status is required. 3. Performs leadership and professional duties. 4. Performs patient-centered care duties. 5. Performs quality improvement and safety duties. 6. Participates in the development education for staff members for clinically related issues. May be responsible for precepting new employees and act as a mentor to the clinical staff. 7. Performs evidence-based practice duties. 8. Supports the provider staff and actively promotes collaboration for efficient operation and quality care, and legendary customer service for pediatric patients using a team approach. 9. Performs systems-based practice duties. 10. Performs informatics and technology duties. 11. Staff may be temporarily assigned to an area throughout the Akron Children's Hospital enterprise, based on patient needs requiring similar knowledge and skill. 12. Other duties as required. Other information: Technical Expertise 1. Demonstrated ability to provide leadership, guidance and motivation to other staff members with emphasis on working as a collaborative team to provide quality service to patients and their families. 2. Strong communication skills, both verbal and written are required. 3. Excellent customer service and interpersonal communication skills are required. 4. Strong organizational skills are required. 5. Ability to work well under pressure to prioritize and complete required tasks and responsibilities in a timely and accurate manner. 6. Experience working with various levels within an organization is required. 7. Experience in healthcare is preferred. 8. Experience working in Microsoft Office (Outlook, Excel, Word) or similar software is required. 9. Experience working an electronic medical record system (i.e. EPIC) or similar software is preferred. Education and Experience 1. Education: Bachelor of Science in Nursing (BSN) is required or must be obtained within 5 years from date of hire. 2. Current certification in Basic Life Support training from the American Heart Association is required. Additional certifications may be required based on the assigned department or unit. 3. Licensed as a Registered Nurse (RN) in the state of Ohio is required. 4. Years of relevant experience: Minimum of one (1) year of experience is preferred. 5. Years of experience supervising: None Full Time FTE: 0.900000 Status: Onsite
    $24k-42k yearly est. 8d ago
  • Travel Radiology X-Ray Technologist - $1,999 per week

    Triage Staffing 3.8company rating

    Columbus, OH job

    Triage Staffing is seeking a travel Radiology Technician for a travel job in Columbus, Ohio. Job Description & Requirements Specialty: Radiology Technician Discipline: Allied Health Professional Duration: 13 weeks 40 hours per week Shift: 10 hours, nights Employment Type: Travel Travel Radiology: X-Ray Tech Columbus, OH Location: Columbus, OH Start Date: 2/23/2026 Shift Details: 10H Nights (8:30 PM-7:00 AM) 40 hours per week Length: 13 WEEKS Apply for specific facility details.X-Ray Tech Triage Staffing Job ID #3NRV3GMY. Posted job title: Radiology: X-Ray Tech About Triage Staffing At Triage, we prefer to be real. Real about expectations-both ours and yours. Real about how a decision you make today could affect your tomorrows. Real about how compensation actually works. Real about how great-or grating-your next supervisor may be. Being real allows everyone at Triage to be ready. Ready to serve you with real honesty. So if that gig near the ocean is really no day at the beach, or that third shift comes with a second-class rate, we tell you. So you can be ready, too. We staff all five major divisions of acute care-nursing, lab, radiology, cardiopulmonary and rehab therapy, offering: - Competitive, custom pay packages - One point of contact for both travelers and facilities (per division) - A reliable recruiter who's got your back throughout your entire assignment - In-house compliance and accounting specialists - A clinical liaison team available 24/7 to offer medical and professional support and career development - A mentoring program that is run and managed by actual clinicians-yeah, you read that right - And more (because of course there's more) Are we the biggest? No. Are we the best? That's rather subjective, but we're trying to be. Will we work like hell to get you as close to your idea of heaven as possible? Yes. Yes, we will. Benefits: Day One comprehensive, nationwide insurance plans for health, vision and dental and life-including a HSA option Day One 401(k) program with employer-matching contributions once eligible Facility cancelling protection-your time is money on and off-the-clock Guaranteed hours Weekly paychecks via direct deposit Earned vacation bonuses for time worked Paid holidays Employee assistance program (EAP)-your mental health is important, too Continuing education, certification and licensing reimbursement Workers comp-because accidents happen Top-rated professional liability insurance Company provided housing options Referral bonus-$750 in your pocket after they've completed a 13-week assignment
    $39k-68k yearly est. 3d ago
  • Sr Manager Clinical UM Operations - Hybrid NY

    Healthfirst 4.7company rating

    Remote or New York job

    **Duties/Responsibilities:** + Provide strategic oversight and operational management for all utilization management functions, including prior authorization, concurrent review, and service requests + Lead, coach, and develop UM managers overseeing interdisciplinary teams of registered nurses, social workers, clinicians, and coordinators + Ensure UM operations meet regulatory requirements set forth by CMS, New York State Department of Health (DOH), and other oversight entities + Establish, monitor, and report on key performance indicators (KPIs), productivity, and quality metrics to ensure compliance and optimal performance + Partner with Clinical Operations, Quality, Compliance, and Provider Relations to ensure alignment and effective communication across departments + Utilize data analytics and reporting tools to identify trends, drive process improvements, and optimize resource allocation + Lead readiness efforts for audits, performance improvement plans, and corrective actions related to utilization management + Foster a culture of accountability, professional development, and continuous improvement across all levels of the team + Serve as a subject matter expert and escalation point for complex or high-impact cases requiring clinical and operational judgment + Support system implementations and technology enhancements to improve automation, reporting, and member/provider experience + Ensure the department maintains timely and accurate completion of service authorizations and reviews in alignment with turnaround time standards + Additional duties as assigned **Minimum Qualifications:** + Bachelors degree in Nursing, Healthcare Administration, or a related field from an accredited institution or equivalent work experience + NYS RN + Demonstrated understanding of UM regulatory requirements, clinical review process, and managed care operations + Leadership experience in managing, coaching and developing multidisciplinary clinical team + Strong analytical, organizational, and problem-solving skills + Work experience demonstrating written and verbal communication skills with the ability to influence and collaborate across functions + Demonstrated success driving high performance and quality outcomes in a fast-paced, regulated environment **Preferred Qualifications:** + Prior experience leading a team of people leaders + Work experience using Milliman Care Guidelines (MCG) criteria and other state-specific authorization requirements. + Ability to interpret and operationalize regulatory updates and guidance from DOH and CMS + Experience working and//or managing in a virtual environment + Understanding of health plans such as Medicare, Medicaid and//or Managed Long-Term Care Plan (MLTCP) + Experience working as a case manager for a long-term care programs such as PACE, MAP or MLTC + Strong understanding of value-based care principles and their application to MLTC populations + Experience accessing and maintaining patient health information (PHI) electronically in a shared network + Strong computer skills, including, but not limited to word processing, spreadsheets, and databases WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
    $114k-150k yearly est. 52d ago
  • Outside Medical Sales Representative

    Healthsource Chiropractic of Edina Crosstown 3.9company rating

    Remote or Minneapolis, MN job

    Job DescriptionBenefits: Bonus based on performance Employee discounts Flexible schedule Bhakti Brain Health Clinic is looking for an Outside Sales professional to join our dynamic team! Were seeking a reliable, self-motivated team-player who is dedicated to generating new business opportunities, building strong relationships with clients, professional growth and service to others. The ideal candidate will have at least 2 years of outside sales experience. In this role you will be responsible for generating new business, outreach at trade shows, and promoting our products and services in the market. The successful candidate will have a passion for sales, a proved track record in outside sales, outstanding communication skills, and someone who is motivated to streamline processes for every aspect of the job. If this is you, then we should talk! Responsibilities Self-generated leads through cold calling, handing out fliers/brochures, door hangers and developing relationships. Ability to develop and maintain a steady stream of new prospects, sale projections & analysis. Tabling at industry-specific conferences and gatherings. Conduct product demonstrations to showcase our offerings to potential clients (Lunch and Learns, in clinic, and when doing outreach to new businesses). Provide exceptional customer service by addressing client inquiries and resolving issues promptly. Stay informed about industry trends and competitor activities to effectively position our products in the market. Provide excellent communication to the customers and potential customers to ensure they understand the products, process and services needed. Demonstrate a comprehensive understanding of insurance, waivers and fee for service requirements, our product offerings, and the related processes. Work with current customers to gain new referrals. Identify and build relationships with potential new referral partners. Train referral partners ie: health coaches, etc., on our products, services, and website as needed. Plan and make visits to referral partners and prospects on weekly basis Submit weekly call reports on visits that include opportunities, complaints, and new product requests Submit weekly expense reports with appropriate documentation Address customer queries and concerns promptly Maintain up-to-date knowledge about BBHC products and services Business to Business sales: develop strategic relationships with local builders and commercial leads. Develop Sales and market strategies to exceed the companys Sales objectives through the development and expansion of new markets and revenue streams Foster a positive culture through clear leadership and open communication Utilize internal tools and systems, to optimize processes and enhance productivity. Qualifications Proven experience in outside sales or retail sales, with a strong understanding of sales techniques. Familiarity with Salesforce, High Level, or similar CRM software is preferred. Excellent communication and interpersonal skills to build rapport with clients. Strong business development skills with the ability to identify market opportunities. Ability to conduct effective product demos that engage potential customers. A proactive approach to cold calling and lead generation. Strong organizational skills with the ability to manage multiple accounts simultaneously. Join us as an Outside Sales Representative where you can leverage your skills in a rewarding environment that values growth, innovation, and customer satisfaction! About Bhakti Brain Health Clinic Our everyday work and interactions are rooted in our Core Values: Cooperation Our clinic is built on a belief that we all do better when we all do better (Paul Wellstone). This value embodies the deeper meaning of the word cooperation, the manifestation of an ongoing commitment to relationship and mutual support. At the core of this value is the vow to adhere to the idea that sometimes I give and sometimes I receive. The embodiment of this idea moves us all forward together. As John F. Kennedy stated, A rising tide lifts all boats. Holistic We hold a holistic perspective of the workplace - a culture embedded in a mesh work of interconnectedness and interdependence; there are aspects we are responsible for and ones we are responsible to . Our clinic culture recognizes each individual is a whole on-to themselves and at the same time a part of a larger whole, their department, their company, their community. We encourage, expect and support each individual to act with a sense of responsibility, empowerment, and both agency and connectedness in all they do. Growth We value personal and professional growth. Maya Angelou once stated, When we know better, we do better. We support each other to exemplify a growth mindset. As a clinic we demonstrate commitment to our, and our employees, growth. In doing so, each of us gives the best of who we are while we continue to learn and cultivate our own capacities and grow toward a personally and professionally rewarding career. Openness & Being of Service Our general response to clinic and colleague needs, issues, and concerns is, first and foremost, how can I help? We deeply value the act of being of service. This isnt an ideological value, it is a lived one each and every day. This act of service carries through to our clients and professional collaborations. We value openness, characterized by the word, yes, and the intention to consider all possibilities without preconceived notions Job Types: Part-time, Contract Pay: From $20.00 per hour plus bonus structure Expected hours: 20 30 per week Flexible work from home options available.
    $20 hourly 5d ago
  • QA Auditor, Quality Assurance - Remote

    Healthfirst 4.7company rating

    Remote job

    **Scope of Responsibilities** **:** + Conduct quality audits of A&G items including grievances, pre-service appeals, and post service appeals utilizing appropriate sources of information; including eligibility, claims, authorizations, service forms, faxes, and any additional information required to complete the request. Analyze errors and determine root causes for appropriate classification, trending, and remediation. + Record/track quality assessment scores and provide feedback to reduce errors and improve processes and performance to ensure quality. + Review and investigate appeals and grievances requests to ensure all requests are identified, classified, and fully resolved in a compliant manner. + Present results of investigations to senior staff and prepare written reports concerning investigation activities. + Subsequent auditing and handling of specific appeal and grievance requests including processing where applicable, tracking, documenting, reporting and dispersal of findings and recommendations. + Identify defects and improve departmental performance by supporting quality, operational efficiency and production goals. + Assist in the development of departmental policies and procedures; reviews the efficiency of existing training. + Meet established time frames and rates of performance for the quality and quantity of work for the position. + Participate in regulatory and mock audit activities including universe review, universe scrubbing, risk analysis, timeliness assessment, and case walkthrough activities + Additional duties as assigned **Minimum Qualifications** **:** + Experience with the investigation, resolution, and reporting of appeal and grievance processes. + Experience in Microsoft Office suite of applications including Excel (formatting formulas, managing data, and filtering results), Word (creating and editing documents), PowerPoint (creating and editing presentations). + High School Diploma or GED from an accredited institution. **Preferred Qualifications** **:** + Associate degree from an accredited institution. + ICD10 certification. + Experience in an Auditing capacity conducting root cause analysis. + Knowledge of at least two or more lines of business such as Medicare NY/NJ, Medicaid, Family Health Plus, Child Health Plus, NH Family. + Experience handling confidential information. + Compliance & Regulatory Responsibilities: Knowledge of state and federal appeal and grievance regulatory requirements. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
    $58k-90k yearly est. 2d ago
  • Respiratory Therapist, RT

    Mount Carmel Health System 4.6company rating

    Columbus, OH job

    *Employment Type:* Part time *Shift:* Day Shift *Description:* **Why Mount Carmel?** With five [hospitals]( over [60 free-standing outpatient clinics]( a [college of nursing]( a [Medicare Advantage plan]( and extensive outreach and community wellness programs, [Mount Carmel Health System]( serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years. As a proud member of [Trinity Health]( one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide. We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing. **What we offer:** * Competitive compensation and benefits packages including medical, dental, and vision coverage * Retirement savings account with employer match starting on day one * Generous paid time off programs * Relocation assistance for eligible new colleagues * Employee recognition incentive program * Tuition/professional development reimbursement * Discounted tuition and enrollment opportunities' at the Mount Carmel College of Nursing **Why Columbus? ** The nation's 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest - ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you'll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at [**************************** **About the job:** The **Registered Respiratory Therapist (RRT or CRT)**, within the Ohio Scope of Practice, provides therapeutic procedures and diagnostic testing to chronically and acutely ill patients requiring respiratory procedures. **What we are looking for:** * **Education:** Successful completion of a 2 or 4 year Respiratory Care Program, or completion of additional educational requirements allowing eligibility to obtain registry credentials. * **Licensure / Certification:** Ohio Respiratory Care Professional License to practice in the State of Ohio and National Board of Respiratory Care credential indicating RRT or CRT * **Experience:** Clinical experience in adult and neonatal respiratory therapy procedures such as aerosolized delivery of medication, mechanical ventilation, assisting with intubations and extubations, pulmonary function studies, emergency care, and obtaining and interpreting arterial blood gases. * Maintain current BLS certification. **What you will do:** * Provide Respiratory Care, ensure an environment of patient safety, promote evidence-based practice and quality initiatives and exhibit professionalism in the care of patients and their families. * Perform duties or responsibilities outside the normal routine care of the patient. * Initiate and administer therapeutic procedures, diagnostic tests and education in accordance with departmental policy and procedures. * Record information/patient assessment on the patient's medical record and maintain departmental records. * Precept new employees as requested and participate in students clinical rotations. * Demonstrate knowledge of and ability to maintain respiratory therapy equipment. * Communicate pertinent clinical information and collaborate with physicians, house staff and other health care disciplines regarding patient care, treatment and/or plan of care. -- Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law. *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $21k-47k yearly est. 1d ago
  • Senior Counsel - Healthcare IT and AI Technology Contracts

    Akron Children's Hospital 4.8company rating

    Remote or Hudson, OH job

    Full-Time, 40 hours/week Monday - Friday 8 am - 5 pm Onsite The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer. Responsibilities: Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools. Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions. Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers. Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices. Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs. Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed. Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape. Identify and assess legal, operational, and compliance risks in IT contract. Other duties as assigned. Other information: Technical Expertise Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation. Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators. Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments. Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation. Education and Experience Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date. Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required. Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT). Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking. Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams. Full Time FTE: 1.000000 Status: Onsite
    $97k-148k yearly est. 8d ago
  • Bilingual English//Spanish Care Manager - Hybrid Bronx

    Healthfirst 4.7company rating

    Remote or New York, NY job

    **Duties//Responsibilities:** + **Provides onsite and telephonic care management to support the members care needs to promote positive health outcomes** + **Applies care management principles by advocating, informing, and educating beneficiaries on services, self-management techniques, and health benefits related to the continuum of care** + **Reviews discharge planning, assessments, medical records, and screening for members recently discharged from inpatient facilities to ensure a safe and successful transition** + **Assesses need for home care, out of home placement, and//or community-based services** + **Develops care plans that align with the providers treatment plans and recommends interventions that align with proposed goals** + **Completes assessments to identify barriers and opportunities for intervention** + **Generates referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement and maintenance of successful health outcomes** + **Liaise between service providers such as doctors, social workers, discharge planners, and community-based providers to ensure care is coordinated and care needs are adequately addressed** + **Coordinates and facilitates with the multi-disciplinary health care team as necessary in order to ensure care needs are addressed within members care plans and treatment is person-centered** + **Discuss opportunities for developing and executing discharge plans with hospital and HF leadership** + **Evaluates treatment to ensure alignment and execution of the members care and physician treatment plan** + **Assists in identifying opportunities for alternative care options based on member needs, treatment history and member preferences** + **Contributes to corporate goals through ongoing execution of member care plans and member goal achievement and successful coordination with local supports** + **Documents all encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed; and updates care plans based on member needs, as** **appropriate** + **Occasional overtime as necessary** + **Additional duties as assigned** **Minimum Qualifications:** + **NYS RN, LMSW, or LCSW** + **Ability to travel around downstate New York which includes; the 5 boroughs, Long Island, and Westchester** + **Must be fluent in Spanish** **Preferred Qualifications:** + **Strong interpersonal and assessment skills, especially the ability to relate well with seniors, their families, and community care providers, along with demonstrated ability to handle rapidly changing crisis situations** + **Experience in hospital//facility discharge planning** + **Knowledge and experience with the current community health practices for the frail adult population and cognitive impaired seniors** + **Experience managing member information in a shared network environment using paperless database modules and archival systems** + **Experience and knowledge of the relevant product line** + **Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment** + **Proficient with simultaneously navigating the Internet and multi-tasking with multiple electronic documentation systems** + **Experience using Microsoft Excel with the ability to edit, search, sort//filter and analyze data** WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
    $63k-99k yearly est. 5d ago
  • Patient Care Advisor

    Sun River Health 4.8company rating

    Remote job

    Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who see it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Health is a Federally Qualified, Non-Profit Health Center serving communities in Suffolk, Rockland, Orange, Dutchess, Ulster, Sullivan, Columbia and Westchester County. Sun River Health is currently seeking a full time remote Call Center Patient Care Advisor. The Call Center Agent will assist in presenting the “Face/Voice” of Company's services to our current and potential patient populations. He/she will coordinate scheduling medical, Mental Health and COVID related appointments for all Primary Care sites. ESSENTIAL FUNCTIONS: Answer all incoming external and internal calls. Responsible for scheduling appointments for all clinic sites through the electronic health record. Update patient demographics on the electronic health record as needed. Perform outreach calls to patients who have missed their appointments and other outbound calls as needed for the health center. Assist in some clerical aspects and support duties, which may include, but not be limited to, taking messages, and word processing Assist with peer training for the development and support of new Call Center personnel to ensure their knowledge of the Company's appointment availability, lines of business, services provided and other significant information delivered to patients. Conduct calls according established to policy and procedure governing quality benchmarks; assist in CQI activities as needed Act as a successful team member by being receptive to feedback and coaching Follow all standard operating procedures and display reliability and have willingness to develop and consistently improve. Provide coverage for other departments, i.e., front desk, as directed by manager Performed other duties as needed. Must be able to work the following schedules Monday-Saturday 8AM - 4PM, 9:30AM - 5:30PM, 10AM-6PM and flexible to work Saturdays The above is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of the job. It is not to be construed as an exhaustive statement of all the job functions. EDUCATION/EXPERIENCE: A minimum of two (2) years experience in a service-related function. Previous call center and /or healthcare customer service type position, previous team leader or supervisory experiences are a plus. High School diploma or equivalency required. Associate Degree preferred Excellent communication and interpersonal skills; including but not limited to over-the-phone speaking voice and clarity. Ability to utilize various computer systems, including but not limited to Microsoft Word, Excel and PowerPoint and company scheduling and intra-net systems; able to pass company minimum keyboarding tests. Demonstrated organizational skills, timeliness is managing tasks and ability to analyze and forecast team needs based on volume trends identified. Demonstrated ability to establish and maintain excellent customer and employee relations. Demonstrated ability to motivate others and be a team player/leader. Bi-lingual communication (verbal / written), required. Sun River Health is a network of over 40 Federally Qualified Health Centers (FQHCs) providing primary, dental, pediatric, OB-GYN, and behavioral health care to over 245,000 patients annually. With a dedicated staff of 2,000 doctors, nurses, and health care professionals, we pride ourselves on delivering high-quality, affordable care to those who need it most. Sun River Health started in 1975 when four African American mothers spearheaded efforts to open our first health center in Peekskill, New York to deliver accessible, high-quality, affordable services to patients in need no matter their race, religion, income, or insurance status. Today, after 45 years of service, Sun River Health is still delivering on that promise to communities across the Hudson Valley, New York City, and Long Island. Job Type: Full time Salary: $16.75 - $19.25 per hour Relation to Mission The mission of Sun River Health is to increase access to comprehensive primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable. Equal Employment Opportunity Sun River Health provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function. Americans with Disabilities Act Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law. Job Responsibilities The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of the position. Sun River Health may change the specific job duties with or without prior notice based on the needs of the organization.
    $16.8-19.3 hourly Auto-Apply 32d ago
  • Insurance Advisor - Full Time

    Wilmington Health Pllc 4.4company rating

    Remote or Wilmington, NC job

    About Wilmington Health Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve. Purpose: Ensures prompt collection of the appropriate amount due Essential Duties/Responsibilities: Follow-up with carrier regarding outstanding claims as noted on the outstanding invoice report File claims that require additional documentation Verify benefits as requested by physician Change insurance information as appropriate Correspond to carrier for such things as appeals and or inquiries Communicate all insurance regulation changes to supervisor Contact patient and or carrier to follow-up on denials and termination of coverage Respond to telephone calls; review and respond to correspondence Process computer refunds due patients and insurance companies Establish payment plans Other Duties: As assigned by manager QUALIFICATIONS Required: High school diploma or general education degree (GED) 3-5 years' experience in a medical office environment or equivalent combination of education and experience 2-3 years of experience in medical billing, specifically with claims denials, appeals, corrected claims. May have a remote option at a certain point. Preferred: Experience in Medical Office Administration Knowledge of the OSHA and DOT regulations Wilmington Health is an Equal Opportunity Employer committed to providing equal opportunities to all applicants and employees. We are committed to treating everyone equally and with respect regardless of race, age, sex, religion, national origin, citizenship, marital status, veteran's status, sexual preference, disability, genetic information, or any other class protected under state or federal law. ADA Physical Demands: Rarely (Less than .5 hrs/day) Occasionally (0.6 - 2.5 hrs/day) Frequently (2.6 - 5.5 hrs/day) Continuously (5.6 - 8.0 hrs/day) Physical Demand Required? Frequency Standing Occasionally Sitting Continuously Walking Occasionally Kneeling/Crouching Rarely Lifting Rarely Insurance Advisor Competencies General Customer Service Professionalism/Integrity/Responsibility Teamwork/Process Focus Dependability/Punctuality Interpersonal Relationships/Communication Judgment/Decision Making/Problem Solving Quality/Quantity Initiative Safety/Housekeeping Organizational Skills/Time Management Department Specific: Decision-making skills regarding ‘next step' when working appeals Resourceful in finding appropriate information to assist in resolving the issue at hand Up-to-date with carrier changes as well as specialty-specific changes Effectively communicate changes to departments and co-workers Use all available tools and resources to accomplish job duties in an efficient and timely manner Strong computer skills, i.e., Windows environment, word processing, spreadsheets, etc. Effective use of software and web-based carrier sites for submission of claim and requested documentation Reliable source of information in regards to assigned carrier rules and requirements
    $58k-92k yearly est. Auto-Apply 60d+ ago
  • Registered Dietitian - Multiple Positions

    Lee Health 3.1company rating

    Remote or Tampa, FL job

    Work Type:Full and Part time Available Minimum to Midpoint Pay Rate:$27.57 - $35.84 / hour Hiring Incentives:$5,000 Sign-on bonus; plus $7,500 Relocation Incentive (if relocating from greater than 50 miles away). One-half for Part-time roles. Make a Lasting Impact on Lives - Join Lee Health as a Registered Dietitian in the greater Fort Myers, Florida area! Are you passionate about helping the community thrive through nutrition? AtLee Health, we're looking for compassionate Registered Dietitiansto join our collaborative interdisciplinary care teams. In these rewarding roles, you'll provide specialized nutrition interventions tailored to the unique needs of our patients. Whether you're drawn to the challenge of clinical nutrition in specialized populations or the joy of coordinating nutrition care plans with patients and their families, this is your opportunity to make a real difference. Current opportunities may include: Pediatrics:Full and Part-time inpatient; outpatient areas in GI and Endocrinology Adult:Full-time Inpatient; Full-time Outpatient (Cape Coral and Fort Myers); Part-time Community Outreach (Cape Coral) Cancer Support(RDOncology experience preferred):Full-time Outpatient;Partially remote(2 days remote; 3 days onsite in Bonita and Fort Myers) What We Offer You: Competitive pay Up to $12,500 in hiring incentives Room for growth & career development A team of supportive, collaborative professionals Top-tier health coverage, including no-cost services at Employee Health Clinics Education reimbursement (after 90 days) Up to 5% retirement match Supplemental benefits including Pet Insurance, Legal Insurance, and more! "I chose Lee Health because of its strong commitment to its employees and its clear set of values. I believe a fulfilling career is built on continuous growth, and Lee Health supports this through opportunities for ongoing education and professional development. This focus on learning, combined with the organization's core values, creates a workplace I'm excited to be a part of."- Maria A., RD @ Lee Health Educational Requirements Degree/Diploma Obtained Program of Study Required/ Preferred and/or Bachelor's Dietetics / Human Nutrition and Foods Required Experience Requirements Minimum Years Required Area of Experience Required/ Preferred and/or 1 Year Clinical Nutrition Preferred State of Florida Licensure Requirements Licenses Required/ Preferred and/or Dietitian License Preferred Certifications/Registration Requirements Certificates/Registrations Required/ Preferred and/or RD (Registered Dietitian) Required Additional Requirements Florida Licensure (LD) through the Florida Department of Profession Regulations (DPR) Optional US:FL:Cape Coral
    $27.6-35.8 hourly 1d ago
  • Outpatient Coder III - HF Coding and Documentation

    Health First 4.7company rating

    Remote or Melbourne, FL job

    Job Requirements Candidate to be considered must reside in the state of Florida. This is a work from home opportunity with majority being remote work To be fully engaged in providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement. PRIMARY ACCOUNTABILITES 1. Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and other outpatient records as per coding guidelines demonstrating behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. 2. Validate accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding rules/guidelines, and revising the codes assigned based upon expert subject matter knowledge and provider documentation. 3. Literacy and proficiency in computer technology specifically related to health information and coding applications utilized for daily job performance. 4. Interpret clinical documentation to ensure codes reported are clearly and consistently supported by the health record. 5. Request clarification from provider when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element. 6. Abstract pertinent information accurately and completely into the computer assisted coding application. 7. Maintain coding quality and productivity as per departmental standards. 8. Competent in analyzing medical necessity of codes assigned utilizing and applying local and national coverage determination regulations and guidelines. 9. Responds timely to pre-bill edits received ensuring a prompt turn-around-time to assist in facilitating an efficient revenue cycle. 10. Communicates professionally identified discrepancies, documentation issues, denial management issues and coding concerns in the medical record to the appropriate department and/or leader. 11. Stays up to date with regulatory changes by completing all mandatory educational accountabilities in a timely manner. 12. Attends department meetings and other outpatient meetings as scheduled. 13. Accurate and ethical time and attendance recording ensuring non-productivity logs are completed and submitted by deadline set. 14. Provide departmental coding coverage by cooperating with occasional schedule revisions and overtime requests when staffing needs arise assisting with maintenance of discharge not final coded (DNFC) departmental goals. 15. Maintain and observe patient confidentiality as outlined in the National Patient Safety Goals and HIPAA guidelines always protecting the confidentiality of the health record and refusing to access protected health information not required for coding-related activities Work Experience MINIMUM QUALIFICATIONS * Education: High School Diploma or equivalent. * Work Experience: Three (3) years outpatient coding experience. * Licensure: None * Certification: None * Skills/Knowledge/Abilities: o Competent in understanding medical terminology. o Basic understanding of anatomy and physiology. o Excellent communication, problem solving and critical thinking skills. o Utilize critical thinking skills and formulate logical decisions to apply clinical coding guidelines to health record documentation. o Strong written and oral communication skills for professional interaction. o Excellent computer and telephone skills. o Ability to read and comprehend instructions, correspondence, memos, and electronic mail. o Must be detail and accuracy oriented. o Ability to coordinate and use logical reasoning to facilitate daily workflow assignments. o Ability to multi-task. o Ability to work independently maintaining focus on scope of work assigned. PREFFERED QUALIFICATIONS * Work Experience: Five (5) years outpatient coding experience. * Certification: Any one of the following: o American Health Information Management Association (AHIMA) OR o American Academy of Professional Coders (AAPC). PHYSICAL REQUIREMENTS * Majority of time involves sitting or standing; occasional walking, bending, and stooping. * Long periods of computer time or at workstation. * Light work that may include lifting or moving objects up to 20 pounds with or without assistance. * May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise. * Communicating with others to exchange information. * Visual acuity and hand-eye coordination to perform tasks. * Workspace may vary from open to confined, onsite, or remote. * May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle. Benefits ABOUT HEALTH FIRST At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve Schedule : Full-Time Shift Times : variable Paygrade : 32
    $46k-65k yearly est. 18d ago
  • QA Auditor, Quality Assurance - Remote

    Healthfirst 4.7company rating

    Remote job

    **Scope of Responsibilities** **:** + Conduct quality audits of A&G items including grievances, pre-service appeals, and post service appeals utilizing appropriate sources of information; including eligibility, claims, authorizations, service forms, faxes, and any additional information required to complete the request. Analyze errors and determine root causes for appropriate classification, trending, and remediation. + Record/track quality assessment scores and provide feedback to reduce errors and improve processes and performance to ensure quality. + Review and investigate appeals and grievances requests to ensure all requests are identified, classified, and fully resolved in a compliant manner. + Present results of investigations to senior staff and prepare written reports concerning investigation activities. + Subsequent auditing and handling of specific appeal and grievance requests including processing where applicable, tracking, documenting, reporting and dispersal of findings and recommendations. + Identify defects and improve departmental performance by supporting quality, operational efficiency and production goals. + Assist in the development of departmental policies and procedures; reviews the efficiency of existing training. + Meet established time frames and rates of performance for the quality and quantity of work for the position. + Participate in regulatory and mock audit activities including universe review, universe scrubbing, risk analysis, timeliness assessment, and case walkthrough activities + Additional duties as assigned **Minimum Qualifications** **:** + Experience with the investigation, resolution, and reporting of appeal and grievance processes. + Experience in Microsoft Office suite of applications including Excel (formatting formulas, managing data, and filtering results), Word (creating and editing documents), PowerPoint (creating and editing presentations). + High School Diploma or GED from an accredited institution. **Preferred Qualifications** **:** + Associate degree from an accredited institution. + ICD10 certification. + Experience in an Auditing capacity conducting root cause analysis. + Knowledge of at least two or more lines of business such as Medicare NY/NJ, Medicaid, Family Health Plus, Child Health Plus, NH Family. + Experience handling confidential information. + Compliance & Regulatory Responsibilities: Knowledge of state and federal appeal and grievance regulatory requirements. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
    $58k-90k yearly est. 2d ago
  • Senior Counsel - Healthcare IT and AI Technology Contracts

    Akron Children's Hospital 4.8company rating

    Remote or Medina, OH job

    Full-Time, 40 hours/week Monday - Friday 8 am - 5 pm Onsite The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer. Responsibilities: Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools. Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions. Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers. Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices. Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs. Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed. Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape. Identify and assess legal, operational, and compliance risks in IT contract. Other duties as assigned. Other information: Technical Expertise Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation. Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators. Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments. Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation. Education and Experience Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date. Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required. Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT). Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking. Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams. Full Time FTE: 1.000000 Status: Onsite
    $97k-147k yearly est. 8d ago
  • Staff Nurse: Burn Center

    Akron Children's Hospital 4.8company rating

    Akron, OH job

    Burn Center Full Time 36 Hours/week Days 7a-730p Every other Weekend and Holiday Onsite The Staff Nurse provides nursing care requiring specialized knowledge judgment and skill derived from the principles of biological, physical, behavioral, social and nursing sciences. Responsibilities: Assesses, plans, implements, evaluates and directs nursing care with a focus on family centered care for individuals or groups of patients within the assigned scope of practice. Demonstrates the knowledge and skills necessary to provide care for the physical, psychosocial, educational, and safety needs of the patients served regardless of age and developmental status is required. Performs leadership and professional duties. Performs patient-centered care duties. Performs quality improvement and safety duties. Participates in the development education for staff members for clinically related issues. May be responsible for precepting new employees and act as a mentor to the clinical staff. Performs evidence-based practice duties. Supports the provider staff and actively promotes collaboration for efficient operation and quality care, and legendary customer service for pediatric patients using a team approach. Performs systems-based practice duties. Performs informatics and technology duties. Staff may be temporarily assigned to an area throughout the Akron Children's Hospital enterprise, based on patient needs requiring similar knowledge and skill. Other duties as required. Other information: Technical Expertise Demonstrated ability to provide leadership, guidance and motivation to other staff members with emphasis on working as a collaborative team to provide quality service to patients and their families. Strong communication skills, both verbal and written are required. Excellent customer service and interpersonal communication skills are required. Strong organizational skills are required. Ability to work well under pressure to prioritize and complete required tasks and responsibilities in a timely and accurate manner. Experience working with various levels within an organization is required. Experience in healthcare is preferred. Experience working in Microsoft Office (Outlook, Excel, Word) or similar software is required. Experience working an electronic medical record system (i.e. EPIC) or similar software is preferred. Education and Experience Education: Bachelor of Science in Nursing (BSN) is required or must be obtained within 5 years from date of hire. Current certification in Basic Life Support training from the American Heart Association is required. Additional certifications may be required based on the assigned department or unit. A valid, active license to practice as a Registered Nurse (RN) in the state of Ohio is required. Years of relevant experience: Minimum of one (1) year of experience is preferred. Years of experience supervising: None Full Time FTE: 0.900000 Status: Onsite
    $24k-42k yearly est. 8d ago
  • Insurance Advisor - FT

    Wilmington Health Pllc 4.4company rating

    Remote or Wilmington, NC job

    About Wilmington Health Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve. Purpose: Ensures prompt collection of the appropriate amount due Essential Duties/Responsibilities: Follow-up with carrier regarding outstanding claims as noted on the outstanding invoice report File claims that require additional documentation Verify benefits as requested by physician Change insurance information as appropriate Correspond to carrier for such things as appeals and or inquiries Communicate all insurance regulation changes to supervisor Contact patient and or carrier to follow-up on denials and termination of coverage Respond to telephone calls; review and respond to correspondence Process computer refunds due patients and insurance companies Establish payment plans Defines relationship issues and acts as advocate for referring providers and office staffs to cross-functionally resolve outstanding issues with WH and ensures that resolutions are satisfactory and referral process is satisfactory. Works collaboratively with occupational health and corporate wellness to establish integrated strategic business plans to achieve corporate objectives for products and services. Other Duties: As assigned by manager QUALIFICATIONS Required: High school diploma or general education degree (GED) 3-5 years' experience in a medical office environment or equivalent combination of education and experience Preferred: Experience in Medical Office Administration Knowledge of the OSHA and DOT regulations Experience with urine drug screen collection and breath alcohol tests processes BLS/CPR Certified Wilmington Health is an Equal Opportunity Employer committed to providing equal opportunities to all applicants and employees. We are committed to treating everyone equally and with respect regardless of race, age, sex, religion, national origin, citizenship, marital status, veteran's status, sexual preference, disability, genetic information, or any other class protected under state or federal law. ADA Physical Demands: Rarely (Less than .5 hrs/day) Occasionally (0.6 - 2.5 hrs/day) Frequently (2.6 - 5.5 hrs/day) Continuously (5.6 - 8.0 hrs/day) Physical Demand Required? Frequency Standing Occasionally Sitting Continuously Walking Occasionally Kneeling/Crouching Rarely Lifting Rarely Required: 2-3 years of experience in medical billing, specifically with claims denials, appeals, corrected claims. May have a remote option at a certain point.
    $58k-92k yearly est. Auto-Apply 60d+ ago

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Multi-Specialty HealthCare may also be known as or be related to Multi Specialty Healthcare Group, Llc, Multi-Specialty HealthCare and Multi-specialty Healthcare.