Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates queries and have follow up discussions with physicians for clarification of ambiguous or conflicting documentation.
Job Responsibility
1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record.
2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded.
3.Works with physicians on assigned patient care units to clarify clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay.
4.Requests clarification of clinical documentation from the physician(s) on a concurrent basis as needed to ensure documentation is complete and accurate prior to discharge.
5.Ensures the level of service rendered to patients, and the patient's severity of illness is accurately documented and recorded.
6.Follows up on CDI queries as needed to ensure appropriate documentation is recorded in the medical record.
7.Interacts with physicians as needed to discuss and advise on clinical documentation requirements and provides timely and accurate responses to clinical documentation and coding questions.
8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS-DRG and APR NY and APR National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures.
9.Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart.
10.Reconciles reviewed cases to update any changes in status, procedures/treatments, and confer with providers to finalize diagnoses.
11.Educates medical staff on clinical documentation opportunities that impacts the accuracy of the medical record.
12.Inputs outcome data in the CDI software to be able to track response to queries. Responsible for file maintenance including entry into database for tracking and trending audit results. Communicate findings of potential or missed diagnoses and the revenue impact that were discovered during the chart audit.
13.Regularly exercises independent judgment on matters of significance within defined procedures todetermine appropriateactions/approaches
14.Understands department,division, corporate strategy and operating objectives, including impacts
15.Normally receives general instructions on routinework, detailed instructions on new projects or assignments
16.Majority of contact is within own function, area, or department and may be customer service oriented
17.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here but considered related are not essential functions.
Job Qualification
+ Graduate from an accredited School of Nursing required. Must obtain a Bachelor of Science in Nursing degree within 5 years of employment date.
+ Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. (CCDS, CDIP, CCEDS or CCS).
+ 1-3 years of relevant CDI experience, required.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $78000-$130000/year
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates queries and have follow up discussions with physicians for clarification of ambiguous or conflicting documentation.
Job Responsibility
1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record.
2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded.
3.Works with physicians on assigned patient care units to clarify clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay.
4.Requests clarification of clinical documentation from the physician(s) on a concurrent basis as needed to ensure documentation is complete and accurate prior to discharge.
5.Ensures the level of service rendered to patients, and the patient's severity of illness is accurately documented and recorded.
6.Follows up on CDI queries as needed to ensure appropriate documentation is recorded in the medical record.
7.Interacts with physicians as needed to discuss and advise on clinical documentation requirements and provides timely and accurate responses to clinical documentation and coding questions.
8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS-DRG and APR NY and APR National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures.
9.Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart.
10.Reconciles reviewed cases to update any changes in status, procedures/treatments, and confer with providers to finalize diagnoses.
11.Educates medical staff on clinical documentation opportunities that impacts the accuracy of the medical record.
12.Inputs outcome data in the CDI software to be able to track response to queries. Responsible for file maintenance including entry into database for tracking and trending audit results. Communicate findings of potential or missed diagnoses and the revenue impact that were discovered during the chart audit.
13.Regularly exercises independent judgment on matters of significance within defined procedures todetermine appropriateactions/approaches
14.Understands department,division, corporate strategy and operating objectives, including impacts
15.Normally receives general instructions on routinework, detailed instructions on new projects or assignments
16.Majority of contact is within own function, area, or department and may be customer service oriented
17.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here but considered related are not essential functions.
Job Qualification
Graduate from an accredited School of Nursing required. Must obtain a Bachelor of Science in Nursing degree within 5 years of employment date.
Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. (CCDS, CDIP, CCEDS or CCS).
1-3 years of relevant CDI experience, required.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
$67k-111k yearly est. Auto-Apply 54d ago
Access Center Lead Agent- Call Center, Multispecialty, Nassau, Long Island, New York, HYBRID, Full Time, Days, Offsite
Mount Sinai Health System 4.4
Huntington Station, NY jobs
Access Center Lead Agent - Hicksville, Long Island- OFFS
Strength Through Diversity
Groundbreaking science. Advancing medicine. Healing made personal.
Job Title: Access Center Lead Agent
The Lead Agent for the Access Center is a senior level individual, responsible for scheduling appointments, consults and follow-up appointments for patients, and who takes a lead role among this group, mentoring and managing all training for new and less experienced staff. This individual assists the Supervisor in oversight of front desk and office activity, or functions as point of contact in the Supervisor's absence.
Roles & Responsibilities:
Schedules patient FPA appointments and updates practice management system.
Collects patient demographics and insurance information and enters into practice management system.
Verifies patient insurance coverage prior to appointment and advises patient of any insurance referrals or authorizations needed.
May schedule patients' appointments for tests or consults.
May initiate reminder calls for next day's appointments.
Manages training and mentors less experienced Scheduling Coordinator and administrative staff, and discusses issues of concern with Supervisor.
May perform duty as liaison between Scheduling Coordinator staff and Administrative Assistants in addressing patient concerns.
Participates in customer service initiatives, patient satisfaction surveys, ACD and appointment reporting.
May participate and offer input into the Performance Appraisal process with the Supervisor.
Point of contact in the Supervisor's absence.
Performs other related duties.
Requirements:
Education Requirements
High School diploma/GED
Experience Requirements
3+ years of secretarial/clerical experience, preferably with some directly related experience, in a medical practice environment
Computer Skills
MS Office Suite (please check one): 1 (basic) 0 (intermediate) 0 (advanced)
Other: Basic MS Word (Word, Excel), Outlook
Knowledge of IDX and Cerner systems helpful
General Skills and Competencies
Excellent written and oral communication skills
Excellent customer relations
Exceptional attention to detail and accuracy
Strength Through Diversity
The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we're as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education and advancement as we revolutionize medicine together.
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.
Explore more about this opportunity and how you can help us write a new chapter in our story!
Who We Are
Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke's, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.
EOE Minorities/Women/Disabled/Veterans
Responsibilities
Access Center Lead Agent - Hicksville, Long Island- OFFS
Strength Through Diversity
Groundbreaking science. Advancing medicine. Healing made personal.
Job Title: Access Center Lead Agent
The Lead Agent for the Access Center is a senior level individual, responsible for scheduling appointments, consults and follow-up appointments for patients, and who takes a lead role among this group, mentoring and managing all training for new and less experienced staff. This individual assists the Supervisor in oversight of front desk and office activity, or functions as point of contact in the Supervisor's absence.
Roles & Responsibilities:
Schedules patient FPA appointments and updates practice management system.
Collects patient demographics and insurance information and enters into practice management system.
Verifies patient insurance coverage prior to appointment and advises patient of any insurance referrals or authorizations needed.
May schedule patients' appointments for tests or consults.
May initiate reminder calls for next day's appointments.
Manages training and mentors less experienced Scheduling Coordinator and administrative staff, and discusses issues of concern with Supervisor.
May perform duty as liaison between Scheduling Coordinator staff and Administrative Assistants in addressing patient concerns.
Participates in customer service initiatives, patient satisfaction surveys, ACD and appointment reporting.
May participate and offer input into the Performance Appraisal process with the Supervisor.
Point of contact in the Supervisor's absence.
Performs other related duties.
Requirements:
Education Requirements
High School diploma/GED
Experience Requirements
3+ years of secretarial/clerical experience, preferably with some directly related experience, in a medical practice environment
Computer Skills
MS Office Suite (please check one): 1 (basic) 0 (intermediate) 0 (advanced)
Other: Basic MS Word (Word, Excel), Outlook
Knowledge of IDX and Cerner systems helpful
General Skills and Competencies
Excellent written and oral communication skills
Excellent customer relations
Exceptional attention to detail and accuracy
Strength Through Diversity
The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we're as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education and advancement as we revolutionize medicine together.
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.
Explore more about this opportunity and how you can help us write a new chapter in our story!
Who We Are
Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke's, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.
EOE Minorities/Women/Disabled/Veterans
Qualifications
" Education:
High School diploma/GED
Experience:
3+ years of secretarial/clerical experience, preferably with some directly related experience, in a medical practice environment
Non-Bargaining Unit, M82 - Hicksville Overhead OFFS - MSH, Mount Sinai Hospital
"
$65k-95k yearly est. Auto-Apply 60d+ ago
Social Worker - WTC Program (Monitoring)
Mount Sinai Health System 4.4
New York, NY jobs
**Job Title: Social Worker - WTC Program (Monitoring)** **_Social Work Services at the Mount Sinai Hospital_** The Mount Sinai Hospital is a 1,134-bed facility with an extensive outpatient and specialty care network and is the largest hospital in the Mount Sinai Health Care System. It offers comprehensive social work services and programming to meet the myriad needs of the diverse populations we serve. We believe that total patient care must emphasize the physical, emotional, and social needs of each patient and their care partners. Social Workers collaborate within interprofessional teams to serve patients and the larger community from both a micro and macro level including both direct care and prevention. Founded in 1907, the Department of Social Work Services at the Mount Sinai Hospital is one of the oldest hospital social work departments in the nation with over 450 licensed social workers employed across more than 65 different program/service areas. Employment in our department provides a pathway to LCSW licensure as well as access to a broad range of continuing education, professional development and extra-curricular opportunities.
This position is in the World Trade Center Health Program (WTCHP), which provides medical and mental health monitoring and treatment to rescue, recovery, and clean-up workers who responded to Ground Zero following 9/11. Many of these workers are diagnosed with World Trade Center (WTC)-related physical and mental health conditions. Monitoring Social Workers in the WTCHP are responsible for providing clinical services to responders seen at the WTCHP for monitoring.
**Qualifications**
+ NYS LMSW or LCSW.
+ Excellent engagement and assessment skills.
+ Excellent collaborative skills, with ability to work flexibly in a high-volume, fast-paced setting.
+ Knowledge of public benefits programs and interest in learning about issues specific to population, including e.g., occupational safety and health issues, unions, workers? compensation, employees? rights _preferred._
+ Experience conducting risk assessments, mental health assessments and/or mental health treatment experience, especially with PTSD, preferred.
+ Excellent documentation and organizational skills.
+ Experience with unions or worker organizations desirable.
+ Bilingual (English/Spanish or English/Polish) preferred.
Non-Bargaining Unit, 191 - SOCIAL WORK WTC - MSH, Mount Sinai Hospital
**Responsibilities**
The responsibilities of the social worker in this position include, but are not limited to:
+ Conducting mental health interviews with responders during their annual monitoring visits.
+ Identifying patient need for referrals for WTCHP mental health intake.
+ Providing crisis intervention to patients.
+ Identifying patient need for social services and referring to social work case management as needed.
+ Offering information and immediate case management referral for patients with urgent resource-related needs (e.g., food insecurity).
+ Providing information about WTC-related benefits, including registration deadlines and Victim's Compensation Fund.
+ Actively collaborating with interdisciplinary team members around patient care needs and issues.
+ Maintaining timely and clear documentation of patient contacts and visits in multiple systems.
+ Participating in general staff meetings.
.
**_This position will require the ability to work primarily onsite at the MSH campus and offers the option to work remotely one day a week with access to basic technological equipment (e.g., computer with webcam, high-speed internet, and reliable cellphone service in space established for work) and a private area in which confidential work can be done. The ability to work full time at the MSH campus and evening/weekend hours may be required._**
**About Us**
**Strength through Unity and Inclusion**
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
**About the Mount Sinai Health System:**
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
**Equal Opportunity Employer**
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
**Compensation Statement**
Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $85280 - $97760.36 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
$85.3k-97.8k yearly 52d ago
Hospital Coder
Albany Med 4.4
New Scotland, NY jobs
Department/Unit:
Health Information Services
Work Shift:
Day (United States of America)
Salary Range:
$55,895.80 - $83,843.71The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements.
Essential Duties and Responsibilities
Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.
Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines.
Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim.
Comply with comprehensive internal coding policies and procedures that are consistent with requirements.
Attends coding meetings and roundtable sessions.
Participates in daily huddles and LEAN problem-solving activities.
Focused with no distractions while working and participating in meetings.
Ensures camera on while attending Teams calls.
Assists with organizing the shared drive for the medical coding department.
Other duties as assigned by manager.
Qualifications
High School Diploma/G.E.D. - required
Prior experience in hospital medical coding - preferred
Prior experience with 3M 360 and EPIC system - preferred
Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency)
Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency)
Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency)
Excellent written and verbal communication skills. (High proficiency)
Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency)
Detail-oriented and efficient while maintaining productivity.
Coding certification / credential through AHIMA or AAPC and be in good standing. - required
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
Standing - Occasionally
Walking - Occasionally
Sitting - Constantly
Lifting - Rarely
Carrying - Rarely
Pushing - Rarely
Pulling - Rarely
Climbing - Rarely
Balancing - Rarely
Stooping - Rarely
Kneeling - Rarely
Crouching - Rarely
Crawling - Rarely
Reaching - Rarely
Handling - Occasionally
Grasping - Occasionally
Feeling - Rarely
Talking - Frequently
Hearing - Frequently
Repetitive Motions - Frequently
Eye/Hand/Foot Coordination - Frequently
Working Conditions
Extreme cold - Rarely
Extreme heat - Rarely
Humidity - Rarely
Wet - Rarely
Noise - Occasionally
Hazards - Rarely
Temperature Change - Rarely
Atmospheric Conditions - Rarely
Vibration - Rarely
Thank you for your interest in Albany Medical Center!
Albany Medical Center is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
$55.9k-83.8k yearly Auto-Apply 50d ago
Epic Cogito Report Analyst III-Digital and Technology Partners - Remote
Mount Sinai Health System 4.4
New York, NY jobs
The Report Analyst III is responsible for the development and modification of reports using Epic-recommended Essential Cogito Tools and custom operational reporting solutions. This individual requires the ability to work independently in completing reporting tasks and lead initiatives to improve the reporting capabilities of the system. A solid understanding of clinical workflows and systems, as well as extensive experience with Epic reporting and analytics, particularly within Epic Hyperspace Cogito tools. Success in this role demands strong problem-solving skills, a high level of accuracy and attention to detail, and the ability to manage multiple projects, prioritize tasks effectively, and meet deadlines consistently.
Education:
Bachelors Degree or equivalent combination of education and experience
Experience
5 years experience in Information Technology/Computer Science and/or clinical healthcare discipline, or demonstrated equivalent experience, including report writing and analysis. Proficiency with Cogito Tools and other Report Writer software. Experience in working on medium to large sized systems projects in a technology-driven environment
Create content to display Epic data:
o Front End:
• Radar Dashboards
• Reporting Workbench (RWB)
• Cogito SQL (RWB SQL)
• SlicerDicer
o Back End:
• Clarity - Oracle
• Caboodle - SQL
• Optime (preferred)
• SlicerDicer model implementation/administration (preferred)
Epic Cogito Certification and experience required
Epic Clinical Data Model Certification preferred
Strong communication and documentation skills.
Critical thinking and an analytical mind.
User-focused design and data visualization skills.
Proficiency with Oracle/SQL and relational database concepts.
Proficiency and demonstrated experience with analytics tools.
Extensive experience with Epic Reporting and Analytics, particularly with Epic Hyperspace Cogito tools.
Strong problem-solving skills to identify and address issues in data reporting and analytics
Experience in managing projects, including the ability to prioritize tasks and meet deadlines.
High level of accuracy and attention to detail in data analysis and reporting.
Compensation Statement
The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $99,200.00 - $148,800.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Non-Bargaining Unit, 223 - DTP Enterprise Data & Analytics - MSH, Mount Sinai Hospital
1. Identify, analyze, and implement the reporting process workflows, and ensuring that end-users obtain the reports they need.
2. Work with management and other clients to ascertain the types of data required how to obtain and present the data for meaningful analyses.
3. Develop report specifications based on user requirements.
4. Ensures quality and accurate development of reports based on knowledge of the system.
5. Troubleshoots problems or questions from users.
6. Establishes standards around report development to ensure consistency across implementations.
7. Prioritizes and implements changes requested for developed reports .
8. Thoroughly reviews and tests each new release and communicate changes before users are permitted to access the new release.
9. Demonstrates expert knowledge of the system and provide guidance to other staff in analyzing issues and the development of potential solutions.
10. Acts as a point of escalation for complex multi system issues.
11. Ensure that appropriate documentation is in place for all reports.
12. Demonstrate ability to understand not only tasks assigned but to anticipate ongoing work and take ownership of entire process
13. Able to organize and lead work for other team members to achieve success.
14. Performs other related duties.
$99.2k-148.8k yearly Auto-Apply 1d ago
PROGRAM MANAGER-SON
Uab 4.2
Remote
PROGRAM MANAGER-SON - (T232844) Description The University of Alabama at Birmingham (UAB) seeks a PROGRAM MANAGER-SON to work under general supervision, the Program Manager (PM) supports the Project Director and orchestrates day-to-day operations for the UAB Rural Maternity and Obstetrics Management Strategies (R-MOMS) program.
The PM coordinates multi-partner activities across the Alabama Department of Public Health (ADPH) districts; manages governance processes and meeting cadences; advances partner onboarding and agreements (MOUs/DSAs); supports deployment of maternal health services and leads data and reporting workflows.
Responsibilities include logistics, budgeting support and reconciliation, procurement, materials development, communications, and compliance (HIPAA/IRB).
Monitors and reports grant activities in accordance with the RMDC work plan and deadlines.
The PM maintains audit-ready documentation and prepares routine sponsor (e.
g.
, HRSA) reports.
This is not a remote position.
After 6 months, there is an option for 1 day/week remote work.
RESPONSIBILITIES:1) Program Operations & Logistics• Stand up and maintain weekly internal huddles; develop agendas, minutes, decisions, and action logs.
• Manage calendars, meeting logistics, and documentation for RMOMS meetings.
• Coordinate travel and reimbursements; handle procurements and requisitions in alignment with sponsor and university policy.
• Maintain a central repository (e.
g.
, Teams/SharePoint) with version control for all program artifacts.
2) Partnerships, Governance & Agreements• Manage partner onboarding, contact lists, and the MOU/DSA pipeline; coordinate with community partners to secure timely signatures.
• Support drafting, review, and implementation of R-MOMS governance artifacts (MOUs, DUAs, and SOPs), including meeting cadence, voting, and quorum processes.
• Plan and execute orientation sessions for consortium and clinical partners; maintain attendance and training records.
3) Data, Evaluation & Reporting• In coordination with the evaluation personnel, design of the minimum dataset (services, referrals, outcomes) and the data flow across UAB/ADPH/partners; support repository build and pilot testing.
• Schedule and document data quality checks (completeness, accuracy, timeliness); maintain data dictionaries and update schedules.
• Assist the Project Director with preparing monthly/quarterly dashboards and narrative summaries; compile sponsor reports (e.
g.
, HRSA quarterly/annual), ensuring timely submission and PD review/approval.
• Support IRB submissions as needed and shepherd data-sharing agreements through legal/IT review.
4) Service Integration & Referral Workflows• Coordinate cross-organization workflows among NFP of Greater Alabama, Mobile Health Services, and community partners; maintain quick-reference guides and named points-of-contact.
• Track adoption, throughput, and feedback; facilitate rapid-cycle improvements in referral and follow-up processes.
• Organize outreach calendars and community engagement events in collaboration with partners.
5) Fiscal Stewardship & Compliance• Assist with budget tracking and reconciliation; monitor allowability, spending forecasts, and variance explanations; maintain audit-ready files.
• Prepare and route purchase orders, contracts, and vendor payments per policy; coordinate travel authorizations and reimbursements.
• Ensure adherence to University and sponsor policies; uphold HIPAA/FERPA requirements and maintain participant confidentiality and data security.
• Maintain a risk/issue log; escalate barriers promptly and document resolutions.
6) Communications & Materials• Draft project briefs, partner updates, orientation materials, and slide decks; maintain a shared style and file-naming convention.
• Support abstracts, presentations, and publications developed by the project team.
• Serve as a professional, responsive point-of-contact for partners, stakeholders, and vendors.
7) Other Duties• Perform other related duties as directed to support the missions of the School of Nursing and the R-MOMS program.
(Annual Salary: $45,395 - $73,770) Qualifications Bachelor's degree in a related field public health, nursing, health administration, social work, or a closely related field and three (3) years of related experience required.
Work experience may NOT substitute for education requirement.
Master's degree preferred and at least three (3) years of progressively responsible program or project coordination experience in health, public health, or community-based initiatives, ideally on HRSA or state-funded projects.
Should demonstrate the ability to facilitate multi-stakeholder meetings, develop SOPs, and manage MOUs and other agreements.
Proficiency with Microsoft 365 (Excel, PowerPoint, Word, Outlook, Teams/SharePoint) is required, along with comfort using project tools such as Smartsheet or Asana and data tools such as REDCap or Qualtrics.
Strong analytic skills, including pivot tables and charts, and experience producing concise dashboards; SPSS or other analytic software experience is not required but beneficial to role.
Excellent written and verbal communication, interpersonal effectiveness, organization, time management, attention to detail, and initiative are expected.
Candidates must understand HIPAA and human-subjects protections and be able to complete CITI training within (30) days of hire.
They must have a valid driver's license and be able to travel across rural Alabama (up to approximately 35%).
Preferred applicants will have experience in maternal-child health and/or rural health systems; familiarity with ADPH operations, Medicaid referral and reimbursement pathways, mobile health services, and nurse home-visiting programs (e.
g.
, NFP); and a track record of preparing federal or state grant reports and maintaining audit-ready documentation.
Success in this role requires equity- and community-centered practice with cultural humility; strong stakeholder engagement and relationship management; systems thinking and continuous quality improvement; data-informed decision-making and problem solving; and consistent professionalism, accountability, and ethical conduct.
Ethical conduct is a fundamental expectation for every UAB community member.
All employees must abide by the standards of behavior outlined in the UAB Enterprise Code of Conduct and complete required training upon hire.
Behaviors inconsistent with the Code may result in appropriate consequences.
All duties will be conducted in compliance with University and sponsor policies and applicable laws and regulations, including HIPAA/FERPA and human-subjects protections.
UAB is an Equal Employment/Equal Educational Opportunity Institution dedicated to providing equal opportunities and equal access to all individuals regardless of race, color, religion, ethnic or national origin, sex (including pregnancy), genetic information, age, disability, and veteran's status.
As required by Title IX, UAB prohibits sex discrimination in any education program or activity that it operates.
Individuals may report concerns or questions to UAB's Assistant Vice President and Senior Title IX Coordinator.
The Title IX notice of nondiscrimination is located at uab.
edu/titleix.
Primary Location: UniversityJob Category: Clerical & AdministrativeOrganization: 343007000 Nursing Acute, Chronic & Continuing CareEmployee Status: RegularShift: Day/1st ShiftWork Arrangement (final schedule to be determined by the department/hiring manager): Onsite
Coordinates the daily activities of staff and information systems activities of organization departments. Assesses and monitors staff productivity through standards and metrics to optimize performance and increase efficiency. Collaborates with Information Services and Finance departments to ensure optimal system-wide best practices. Plans, manages and organizes service delivery initiatives involving networking, integration, systems, security, data center, and related vendors in support of various organization daily operations, projects and initiatives; manages various related information systems and facilitates synchronization with other systems in the organization.
Job Responsibility
Provides strategic advice and guidance to the Revenue Cycle Quality and Performance Management function. Identifies, and reports statistics, trends, and analysis to management; analyses data, prepares and presents project reports for management, clients or others.
Performs ad-hoc analyses on an as need basis; identifies, recommends, and implements approved process improvements.
Defines and develops business plan and determines time-frame, funding limitations, procedures, staffing requirements and allotment of resources to various phases of the business; manages activities of business staff to ensure project progress is on schedule and within budget.
Establishes work plan and staffing for each business phase and arranges for recruitment or assignment of business staff; reviews status reports and modifies schedules and/or plans as required.
Confers with staff to outline work plan and assign duties, responsibilities and scope of authority; provides business staff with technical advice and problem resolution; implements solutions in response to issues, customer complaints, regulatory changes, and insurance related updates in order to promote timely and efficient revenue cycle operations.
Ensures the integrity of various related information systems and facilitates synchronization with the other systems throughout the organization; works with Information Services, vendor and customers to develop business proposal outlining deliverables, requirements, risks, assumptions, key stakeholders, roles and responsibilities and budget.
Manages business activities with organizations or agencies outside the organization; monitors vendor performance on deliverables and takes corrective action as necessary.
Tracks actual performance against planned business performance, analyze variances and participates in problem solving to ensure all customer needs are met while maintaining control of the project.
Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
Bachelor's Degree required, or equivalent combination of education and related experience.
10+ years of relevant experience and 2+ years of leadership / management experience, required.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
$61k-109k yearly est. Auto-Apply 5d ago
Patient Access Services Representative (remote)
Northwell Health 4.5
New Hyde Park, NY jobs
Performs a complete verification check on all health insurance coverage. Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals. Demonstrates and promotes service excellence at all times.
Job Responsibility
* Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals.
* Verifies all required insurance information, including primary payor data.
* Notifies Nurses of any change in insurance information, as needed.
* Provides information on all insurance coverage and any patient financial responsibility to discharge planner.
* Completes all required elements of the insurance verification form.
* Enters verified insurance information into computer.
* Acts as a liaison between verifications and reimbursement.
* Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
* High School Diploma or equivalent required.
* 1-3 years of relevant experience, required.
This position will be remote, Monday-Friday 10am-6pm.
* Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
$33k-38k yearly est. 6d ago
Cloud Data Operations Engineer (Technology Specialist I) - Digital and Technology Partners - Enterprise Data & Analytics - Hybrid or Remote
Mount Sinai Health System 4.4
New York, NY jobs
is Hybrid or Remote.
Requires ability to come onsite to New York 42nd Street location as needed for hybrid or at least one time a year for 100% remote.
Mount Sinai's Enterprise Data Cloud team is seeking a Cloud Data Operations Engineer with both problem-solving and Cloud engineering skills to assist in various Cloud Services and Data Management projects. The focus of this role is to support Director of Data Cloud Engineering in planning, design, implementation and support deployments. To ensure Data Cloud implementation is aligned with the Digital Technology Partner (DTP) strategy and Enterprise architecture. The Cloud Engineering Lead will be responsible for providing technical support for Data Cloud deployment, primarily on Microsoft Azure and/or support in the creation and delivery of technology solutions designed to meet Mount Sinai business needs. Candidate should be a self-driven individual who can work with internal and external stakeholders and also mentor other junior resources on Cloud adoption within the current or extended DTP team.
Bachelor degree in Computer Science or a related discipline, or an equivalent combination of education and work experience. Masters degree preferred.
Eight years of diverse work experience in IT with a minimum of six years experience in systems analysis and application program development, or an equivalent combination of education and work experience.
General Skills and Competencies
Expert knowledge in following technology areas:
Cloud infrastructure, virtualization and systems (Windows, Linux, Storage, Networking)
Azure Cloud solutions (Public, Private, Hybrid, Azure networking)
Data Services (Azure Data Factories, Azure Databricks, Azure Syanpse, Azure Data Lake storage)
Cloud computing (Virtual Machines, SQL Server, Cosmos DB, AKS, etc.,)
Network and security (Load balancers, Vnet, Subnets, FWs, VPN Gateways)
Mobility and WAN
Identity management (ADFS, AAD)
Good understanding of Data services, working with Data engineers in supporting the infrastructure needs.
Capable of building enterprise Knowledge base systems.
Excellent technical documentation and reporting skills
Detail-oriented self-starter, with the initiative to articulate goals, plan and implement efforts to achieve those goals, identify issues and impacts, and meet deadlines.
Able to work independently and within a team environment.
Excellent interpersonal and organizational skills required to work alongside a diverse team of multidisciplinary professionals.
Non-Bargaining Unit, 223 - DTP Enterprise Data & Analytics - MSH, Mount Sinai Hospital
Clear understanding of Azure cloud stack including Serverless, Managed and custom deployments.
Experience in PowerShell, Shell script or any other scripting language to implement IAC methodology where applicable which translates into consistent delivery efficiency
Technology and business enablement advocate advising the best practice methods in how to utilize cloud services to drive competitive advantage.
Provide support to DTP Enterprise Data cloud team to develop complex solution designs, detailed project plans and work breakdown structures.
Provide support to DTP Enterprise Data cloud team to develop Architecture Specification deliverables that map business requirements to solution / technologies.
Provide support to DTP Enterprise Data cloud team to create a migration roadmap to move services from Enterprise Data Cloud subscription to Enterprise tenant including all Azure resources + PaaS services like ADF, ADB, AKS, Azure Synapse Analytics instances.
Provide support to DTP Enterprise Data cloud team to help create and implement a solution roadmap and select the right infrastructure and technology platform or product based on in-depth knowledge of one and broad knowledge of other technologies and/or alliance product landscape.
Able to independently complete solution implementation or application design deliverables.
Able to learn quickly and keep pace with the rapid changes in the IT industry particularly in cloud and mobility.
Mentor others and assist them with their professional development.
$71k-97k yearly est. Auto-Apply 60d+ ago
Medication Refill Specialist - FULL TIME
DMC Primary Care 4.7
Derry, NH jobs
Join a Great Team!
DMC Primary Care, a physician-owned, independent practice, with offices throughout southern New Hampshire, has been providing comprehensive care for entire families since 1964. We help each patient achieve the best possible health through every stage of life. We do this by providing an accessible, innovative healthcare experience that is built around our patient's needs.
We are seeking a personable, motivated, and professional Refill Specialist to join our multi-disciplinary healthcare team. This is a full- time position in Derry, NH, Monday through Friday. PLEASE NOTE THAT THIS IS NOT A REMOTE POSITION.
The hours are:
10:00 am - 7:00 pm Monday - Thursday
8:00 am - 5:00 pm Friday
An occasional Saturday rotation
Key Responsibilities Include: Provide support to the clinical staff by reviewing all refill requests and ensuring that the medication protocol/guidelines have been met
Manage refill requests that are submitted from multiple sources: refill telephone line, E-prescribe, refill mailbox, refill Hushmail account, patient portal accounts and via fax machine
Possess critical thinking skills as well as the clinical knowledge required to process refill requests per protocol/guidelines
Calculate when refills are due prior to sending to provider for authorization
Authorize drug refill as directed by provider per guidelines with the authorization to telephone /fax prescription to a pharmacy
Update patient care information in EMR related to medication refills
Manage refills in a timely fashion making adjustments to complete refills in the designated timeframe
Qualifications:
Certification as Pharmacy Technician or Medical Assistant/LNA is preferred but willing to train the right individual
High School diploma or GED required
Prior experience in a physician's office, pharmacy, or customer service setting; minimum of 2 years' previous experience preferred
Excellent interpersonal and communication skills with emphasis on customer service
Ability to follow oral and written instructions
Detailed oriented, ability to multi-task with constant interruption required
Above average organizational skills
The ability to manage time effectively and independently in a fast paced, team-orientated environment
Must be able demonstrate initiative, and use good judgement, and empathy when working with team and patients
Demonstration of ethical and professional conduct, including the ability to maintain confidentiality (HIPAA)
Full time positions (32+ hours) at DMC offer comprehensive medical benefits, paid time off and 401K.
DMC has offices in Bedford, Concord, Derry, Dover, Goffstown, Londonderry, Raymond, and Windham, New Hampshire. For more information, please visit ***********************
We are an equal opportunity employer embracing the strength that diversity brings to the workplace. We provide a welcoming and supportive environment for employees of all ethnic backgrounds, cultures, ages, lifestyles and physical abilities.
$35k-57k yearly est. Auto-Apply 7d ago
Business Process Consultant - Revenue Assurance (Remote)
Duke University 4.6
Durham, NC jobs
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. About Duke Health'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.
Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Business Process Consultant who will embrace our mission of Advancing Health Together.
The Business Process Consultant (BPC) serves as the primary analytical resource supporting all revenue cycle processes, systems and workflow. The BPC is a subject matter expert in Epic (Maestro Care), data analytics, payer reimbursement and demonstrates a broad spectrum of operational expertise across many areas of the Revenue Cycle. The BPC supports the Revenue Cycle departments and operational leaders within the Patient Revenue Management Organization (PRMO) by identifying opportunities to improve operational efficiency and performance. The BPC has a system focus through monitoring of dashboards and key metrics to pro-actively identify, analyze, and trend issues. The BPC strategically supports operations by identifying opportunities to improve workflow and effectiveness through projects and innovative solutions to enhance automation, quality and efficiency through enhancement requests, report writing, analysis and business case development and data validation.
Work Performed
Identification and Analysis of Financial Opportunities:
* Identify existing and future revenue cycle-based improvement opportunities
* Lead PRMO discussions, evaluations, selections and prioritization of improvement opportunities, including the development of an ROI analysis to better understand and determine potential impact on overall PRMO performance
* Work closely with PRMO leadership to understand operational goals and challenges to identify opportunities for enhancements
* Perform and prepare regular root cause analysis of performance of the revenue cycle function to identify areas of opportunity utilizing various data systems including Slicer Dicer and Tableau
* Responsible for various standard, recurring reporting functions to support revenue cycle operational business needs
* Assists revenue cycle senior leaders in working closely with organizational stakeholders to improve financial performance based on analytic findings
* Monitor key performance indicators for internal and external parties
* Cultivates internal relationships to assist in understanding department workflows
* Provides analytics for and supports special projects as needed (e.g. new payer policy financial impact)
* Support investigation into claims/denials patterns, payer policy changes, collection rate shifts, avoidable write-off's, and payer mix evaluation to optimize payer performance.
* Develop analytical models that are well-documented containing advanced formulas and functions that are used to evaluate historical trends, forecast future expectations, or draw conclusions
* Point person for month-end Revenue Cycle Net Revenue Review
Revenue Cycle Strategic Initiatives and Project Management:
* Create, design, lead, and implement strategies that will reduce AR, improve aging AR, improve net collection rate, eliminate waste through automation or optimization of workflows, reduce denials, and reduce avoidable write -offs, for all areas of the Revenue Cycle
* Develop, maintain, and enhance knowledge of Revenue Cycle systems and third-party vendors to support recommendations for optimal workflows.
* Leverage technology and best practices to recommend process improvements
Collaboration:
* Effectively communicate trends to influence all levels of leadership for process improvements
* Partner with leaders and teams to review and establish improvement opportunities
* Perform project management duties to align multi-disciplinary groups across the revenue cycle and clinical departments, corporate finance, DHTS, and hospital service line leadership
* Communicate and track progress of identified issues and action items
* Partner with Operations Improvement on outstanding optimization and automation projects
Other:
* Promote PRMO strategic vision, mission, and purpose while emphasizing teamwork and results.
* Create and foster a department culture that provides a satisfying and enriching environment in which staff can be developed and retained.
* Interact with and provide timely verbal/written responses to all stakeholders (patients, providers, payors, and departmental personnel).
* Acknowledge management requests and emails in a professional, timely manner.
* Attend meetings and participate in Work Culture initiatives, committees or workgroups, as assigned.
* Accomplish all tasks as assigned.
Minimum Qualifications
Education
Bachelor's degree required. Master's degree preferred.
Experience
Minimum of 7 years work experience. Extensive knowledge of Revenue Cycle analytical tools, business intelligence tools and statistical packages. Proven experience with Revenue Cycle workflows to include but not limited to overall claims processing spanning the life cycle of the revenue cycle, denials management, insurance follow up, and net collection rate impacts and calculations.
Experience can be supplemented with Master's degree with a Masters being equivalent to two years of experience
Degrees, Licensures, Certifications
None
Knowledge, Skills and Abilities
Knowledge of:
* Epic System (Revenue Cycle Applications)
* Revenue Cycle operations
Ability to:
* Understand revenue cycle operational performance goals/metrics
* Strong analytical skills
* Perform root cause analysis with accuracy
* Identify and implement optimization opportunities within Epic
* Investigate and analyze information and provide recommend solutions for identified issues
* Develop, implement and oversee project teams comprised of IT and operational resources
* Communicate effectively, both orally and in writing
* Demonstrate strong interpersonal and communication skills
* Work effectively with a wide range of constituencies in a diverse community
* Foster a positive work environment
* Multi-task
Systems
* Epic
* MS Office Applications (Word, Excel, Visio, PowerPoint)
* Kodiak RCA
.
Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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 essential job 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.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
$87k-124k yearly est. 44d ago
Health Educator I-Libertas Center for Human Rights
Mount Sinai Health System 4.4
New York jobs
The Libertas Center for Human Rights at Elmhurst Hospital in Queens, NY is seeking a Health Educator to deliver culturally responsive, trauma-informed services to a caseload of patients at a novel treatment center for immigrant survivors of torture and other human rights violations. The Health Educator will provide clients with direct services including integrated case management, care coordination and supportive counseling, and will also contribute to program development. The Health Educator reports to the Libertas Center Clinical Director.
The Libertas Center is a grant-funded program under the Department of Emergency Medicine at Elmhurst Hospital, a 501(c)(3) nonprofit organization and a teaching hospital for the Icahn School of Medicine at Mount Sinai. The Libertas Center's mission is to provide integrated services to help immigrant survivors of torture and human rights violations heal, regain independence, and restore hope and humanity in their lives. We use a strengths-based, client-centered and trauma-informed case management approach to provide services directly on-site and through coordination with our partners within and outside the hospital. In addition to direct services, the Libertas Center builds capacity through education and training of medical and mental health providers, conducts research on best practices in caring for torture survivors, and advocates for policies to address survivors' needs. With over 15 years of experience in providing holistic services to immigrant torture survivors, our team uses its multidisciplinary expertise and an evidence-based approach to improve the well-being and quality of life for this vulnerable yet highly resilient population.
The Libertas Center is seeking a Health Educator to support the implementation of a new grant, focused on specialized eligible immigrant populations including refugees and asylees. The overarching project goal is to sustainably expand access to comprehensive, culturally responsive health and wellness services, through the delivery of health education, case management, and wellness groups that promote physical, mental, and social well-being. The position is funded through September 30, 2026, with the possibility of extension.
**Qualifications**
+ LMSW (or MSW intending to obtain license within the next 6 months)
+ 1-2 years of experience providing trauma-informed counseling and case management services to vulnerable populations preferred.
+ 1-2 years of nonprofit sector experience in a field related to human rights, global health, and/or immigration preferred.
+ Fluency in Spanish strongly preferred. Bangla, French, and other languages a plus.
+ Demonstrated cultural competency with immigrant communities and/or other vulnerable populations, ability to maintain patient confidentiality and the highest ethical standards, and a willingness to examine topics of power and structural oppression.
+ Demonstrated interest in learning about strengths-based case management and trauma-informed health care.
+ Highly detail-oriented, organized and reliably able to conduct tasks without the need for significant oversight.
+ Strong problem-solving skills; ability to address challenges of a wide variety with creativity, initiative, and resourcefulness.
+ Maturity, ability to respectfully navigate challenging situations and successfully meet responsibilities with professionalism.
+ Proven ability to work as a team player and be responsive to guidance and feedback while maintaining a positive work environment.
+ Ability to thrive on a fast-paced collaborative team where effective communication is essential.
+ Ability to work remotely with sessions with clients via video/phone, and familiarity in working with interpreters.
**Schedule**
Full-time, 9am-5pm Monday-Friday; in-person with the potential for 1 remote day/week (subject to change)
**Level of Language Proficiency**
Fluency in a second language preferred: Spanish strongly preferred; French, Bangla, Russian, Arabic or another language represented by our clients desirable.
**Location**
Elmhurst Hospital, 79-01 Broadway, Annex G, 5th Floor, Queens, NY 11373.
Non-Bargaining Unit, 870 - Emergency Medicine - ISM, Icahn School of Medicine
**Responsibilities**
The responsibilities of the Health Educator will include, but are not limited to, the following:
+ Provide Case Management and Care Coordination to an individual caseload of Libertas Center clients to ensure that their medical, mental health, social, and legal needs are met in a comprehensive and efficient manner.
+ Manage and coordinate client referrals, including tracking referral data, screening for eligibility and scheduling intakes.
+ Conduct intake assessments weekly and administer standardized questionnaires at intake and follow-up with clients.
+ Write intake narratives, eligibility forms, and specialized treatment plans for each client.
+ Develop trauma-informed treatment interventions appropriate for clients' needs with the support of clinical supervision.
+ Provide strengths-based supportive counseling to a caseload of clients.
+ Organize and facilitate individual and group health education; alternative (yoga, art, photography, etc.); and group therapy, to promote wellness.
+ Conduct crisis intervention with clients in need of immediate help.
+ Develop and maintain relationships with service providers within Elmhurst Hospital and with partner organizations.
+ Maintain patient charts and files, including entering specified data points into database.
+ Accompany clients to appointments within Elmhurst Hospital.
+ Participate in Libertas Center data reporting, services tracking, and organizational and program development.
**About Us**
**Strength through Unity and Inclusion**
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
**About the Mount Sinai Health System:**
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
**Equal Opportunity Employer**
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
**Compensation Statement**
Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $30.685 - $31.0399 Hourly. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
$30.7-31 hourly 20d ago
Director Foundation Direct Response
Connecticut Children's Medical Center 4.7
Remote
The Director of Direct Response at Connecticut Children's Foundation oversees the Foundation's Direct Response Program, driving revenue growth and increasing awareness of its mission and impact for Connecticut Children's.
Education and/or Experience Required:
Education: High School Diploma or Equivalent
Experience:
At least three years of a successful track record in fundraising, including experience in direct response campaigns.
Experience using Salesforce or similar CRM. Experience in copywriting and editing.
Education and/or Experience Preferred:
Education: Bachelor's Degree
Experience: Experience in fundraising for a children's hospital or academic medical center preferred.
License and/or Certification Required:
N/A
Knowledge, Skills and Abilities:
Knowledge:
Skills:
Excellent communication skills, strong writing and copyediting skills, project management, ability to integrate strong institutional branding into all materials.
Abilities:
Lead all areas of direct response program, including management of distribution list, content creation and donor outreach, to contribute to reaching and exceeding annual revenue goals. This includes oversight of budget and monitoring spending.
Create and execute strategic direct mail plan that aligns with broader Foundation and institution goals.
Lead partnership with direct response vendors, coordinating relationships and collaborating on strategy development and execution of year-round direct response campaigns.
Ownership of mid-level donor pipeline, including identification, cultivation and stewardship of donors. Partner with Development team to identify and plan for donors within portfolio capable of elevating their giving
Cross collaborate with Stewardship and Donor Relations team on content creation and Operations team on data collection and management through Salesforce to maintain branding and data integrity
Utilize systems to segment audiences, personalize mail pieces and enhance response rates
Creating and overseeing giving opportunities within Connecticut Children's, including engagement of team members and driving revenue to support our mission.
Perform additional activities related to development efforts as required.
$133k-238k yearly est. Auto-Apply 8d ago
Radiology - Abdominal / Body Imaging - Physician - Mount Sinai South Nassau - Oceanside, NY
Mount Sinai Health System 4.4
New York, NY jobs
Mount Sinai South Nassau is looking for a Body Imager with Strong General Skills.
The Department of Radiology at Mount Sinai South Nassau, an extremely high-quality 16-person radiology group in the New York metro region, is expanding. Increasing volumes, both at existing sites and at a new imaging center, have created a need for us to recruit an additional full-time radiologist with subspecialized training in Body Imaging.
The ideal candidate will be up to date in all areas of advanced body imaging techniques while still maintaining their interest and skill set in general radiology. Our practice encompasses all sub-specialties, with all radiologists providing general diagnostic coverage on call.
Our hospital boasts an accredited cancer center, an accredited trauma center, and an accredited stroke center. We are a 450+ bed academically oriented community hospital with state-of-the-art equipment that also provides radiology services at nearby standalone imaging centers. We are affiliated with a major academic center and have free-standing residency programs in many specialties, although not in Radiology. Our department offers teaching rotations, gives multiple monthly conferences, and staffs weekly tumor boards to further the hospital's teaching mission.
We are an extremely collegial group of physicians and our teamwork, along with our support staff and clinical services, is exceptional. We are a fully digital department with flexible work hours and schedules. Many shifts work from home. We provide competitive compensation with an excellent benefit package.
Position will remain open until filled. Recent graduates and fellows in training are acceptable.
Medical Degree from an Accredited University
New York Medical License
Board Eligible or Board Certified in Radiology
A clinical background in General Radiology and/or a fellowship training in Body Imaging
Interventional Radiology is not required
Breast Imaging is not required
Committed to Mount Sinai and the communities we serve
Excellent communication and organizational skills
A strong work ethic and desire to participate in a team-oriented, performance-driven Health System
Compensation range from 275K to 575K (not including bonuses / incentive compensation or benefits)
Salary Disclosure Information:
Mount Sinai Health System provides a salary range to comply with the New York City law on Salary Transparency in Job Advertisements. Actual salaries depend on a variety of factors, including experience, specialties, historical productivity, historical collections, and hospital/community need. As such, an actual salary may fall closer to one or the other end of the range, and in certain circumstances, may wind up being outside of the listed salary range. The salary range listed is for full-time employment and does not include bonuses / incentive compensation or benefits.
Please specify Job Title of interest and send CV with Cover Letter to:
Physician Recruitment Department
Mount Sinai Health System
************************************
Collaborate with colleagues as an integral part of a health system
Significant opportunities for career development
Dedicated support staff
$108k-244k yearly est. Auto-Apply 60d+ ago
Program Associate
University of Arkansas System 4.1
Stuttgart, AR jobs
Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for "Find Jobs for Students".
All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated).
If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through "My Draft Applications" located on your Candidate Home page.
Closing Date:
Type of Position:
Research
Workstudy Position:
No
Job Type:
Regular
Work Shift:
Sponsorship Available:
No
Institution Name:
Division of Agriculture of the University of Arkansas
The University of Arkansas System Division of Agriculture is a state wide campus, with faculty based on University campuses, at Research and Extension Centers and in every Arkansas county. It consists of the Arkansas Agricultural Experiment Station (AES) and the Arkansas Cooperative Extension Service (CES), and is home to more than 1400 employees. The Division was established in 1959 and is headed by the Vice-President for Agriculture. The Division headquarters is located in Little Rock with the rest of the University of Arkansas System Administration. As an employer, the University of Arkansas System Division of Agriculture offers a vibrant work environment and a workplace culture that promotes a healthy work-life balance.
Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.
If you have a disability and need assistance with the hiring process and require reasonable accommodations, please contact the Division's Office of Program & Employment Compliance at *******************.
For general application assistance or if you have questions about a job posting, please contact Human Resources at ************ or ************.
Department:
RIRE | Irrigation
Department's Website:
Summary of Job Duties:
Summary Of Job Duties
The primary responsibility of this individual will be to implement the University of Arkansas Division of Agriculture Arkansas Irrigation Water Management Program. The main focus will be to facilitate technology transfer of new irrigation concepts and ideas, including the pitless tailwater system, irrigation controls and efficiency improvements. They will work with growers helping to improve irrigation on their farms. The individual will be responsible for supporting the Irrigation Yield contest, Irrigation school programs, and county irrigation demonstration programs. Duties include some laboratory but mostly field activities in irrigation water management. Includes but not limited to repairing and installing irrigation equipment, planting crops, harvesting crops, spraying crops, retrieving information from data logging equipment, manual data collection, data summarization and statistical analysis for field experiments. The employee must be able to perform physical work such as lifting a minimum weight of 50 pounds and operate ATV. The job also requires driving long distances and walking and working on cooperating producer farms. The individual will be assisting with the implementation of new and innovative irrigation water management practices on cooperator farms. IWM practices include multiple inlet rice irrigation, computerized hole selection, surge irrigation, soil moisture monitoring, tail water recovery, and ET based scheduling. The individual will also be expected to be able to test irrigation pumps, use an ultrasonic meter, down hole well camera, liquid measurement devices and torque cells to measure pumping plant efficiency. The individual also will assist the water management engineer in development of materials for extension programs and research presentations. The individual will be expected to be able to develop personal relationships with clientele and assist them in learning how to implement IWM practices and tools effectively on their operations. Experience with or being able to learn and help with USDA Natural Resource Conservation Service programs is a plus. This is a remote work position.
Qualifications:
Bachelor's in Mechanized Systems Management, Agriculture Technology Management, Agriculture, Environmental Science, Engineering, agronomy, soil science, crop science or related technical agricultural or environmental field plus three years of related professional experience OR a Master's in Mechanized Systems Management, Agriculture Technology Management, Agriculture, Environmental Science, Engineering, agronomy, soil science, crop science or related technical agricultural or environmental field.
Preferred Qualifications
Preferred Qualifications: Experience and /or knowledge of farming and familiarity with irrigation, engines, pumps, farm machinery, and electronics is desirable.
Knowledge, Skills & Abilities
Excellent written & verbal communication skills. Proficiency in Microsoft Office applications, data management, & email programs. A high level of technical competence in irrigation. Ability to develop & deliver presentations. Ability to exercise initiative, make sound judgments, & work independently. Ability to relate & respond to the needs of supervisors, subordinates, & clientele.
Additional Information:
Salary Information:
Commensurate with education and experience
Required Documents to Apply:
Cover Letter/Letter of Application, List of three Professional References (name, email, business title), Resume
Optional Documents:
Special Instructions to Applicants:
Recruitment Contact Information:
Chris Henry
Professor
****************
All application materials must be uploaded to the University of Arkansas System Career Site *****************************************
Please do not send to listed recruitment contact.
Pre-employment Screening Requirements:
Motor Vehicle Reports Check
The University of Arkansas System Division of Agriculture may conduct pre-employment background checks on certain positions for applicants being considered for employment. The background checks may include a criminal background check and a sex offender registry check. Required checks are identified in the position listing. A criminal background check or arrest pending adjudication information alone shall not disqualify an applicant in the absences of a relationship to the requirements of the position. Background check information will be used in a consistent, non-discriminatory manner consistent with the state and federal law.
The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.
Persons must have proof of legal authority to work in the United States on the first day of employment.
All application information is subject to public disclosure under the Arkansas Freedom of Information Act.
Constant Physical Activity:
Feeling
Frequent Physical Activity:
Lifting, Repetitive Motion, Sharps
Occasional Physical Activity:
Driving, Talking, Walking
Benefits Eligible:
Yes
Training hours Monday-Friday 9:00am-5:00pm 8-10 weeks - After training it's two days in office 10:00am-6:00pm (Tuesday and Wednesday). Monday Thursday Friday Remote. If call out any of scheduled in-office days will be expected to make up the in-office day on a Thursday or Monday.
The Associate Financial Services Representative will be an exceptionally customer focused individual that will provide information, fulfill customer needs, and tailor our services to create an easy and seamless servicing experience.
Responsibilities:
Assists in the verification of insurance benefits for services prior to admission
Obtains timely pre-authorization for all outpatient and inpatient services
Create flawless experiences for our customers by addressing customer inquiries and resolving service issues that include but are not limited to: researching and analyzing accounts receivable and outstanding balances, negotiating and advising on the collection of overdue bills and payment plans, collecting overdue payments, understanding financial assistance offerings, managing and resolving customer disputes
Helps in coordinating inpatient billing
Provides support for all finance issues and ensures that activities occur in compliance with appropriate regulations and contractual obligations
Assists in patient billing and maintaining pertinent records as required for maintenance of certification
Helps in coordinating with nursing staff in planning and organizing program activities
Majority of contact is internal and/or customer service oriented
Work and tasks are most often routine, structured and transactional in nature; work requires minimal variance from guidelines and procedures
Makes routine decisions regarding assigned task within defined parameters, often limited and confined to on-going matters
Elevates questions, problems and significant challenges to more senior team members for direction or subject matter expertise
Prioritizes basic tasks; priorities typically guided by standard practices or by others
Ensures timely and accurate performance of responsibilities for a single area or group of closely related tasks
Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Qualifications:
High School Diploma or equivalent required
Associate's Degree or equivalent combination of education and related experience preferred
0-1 years relevant experience preferred.
*Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
$55k-84k yearly est. Auto-Apply 11d ago
UM Regulatory Nurse Specialist, Health New England R40652
Baystate Health 4.7
Springfield, MA jobs
Full Time / Part Time: Full-Time Shift: First Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.
Minimum - Midpoint - Maximum
$96,137.00 - $110,510.00 - $130,728.00
UM Regulatory Nurse Specialist - Baystate Health, Health New England
This is a full-time remote opportunity. Current States Eligible MA and CT
The UM Regulatory Nurse Specialist is responsible for delivering medical or behavioral health utilization management (UM) and coordination of care services to members in compliance with current accreditation requirements and quality standards, and within the scope of the members' benefit package. Supports the HNE mission by developing partnerships with and providing personal and accountable service to members and providers. Impacts positive health outcomes for members and positive financial outcomes. Keeps abreast of professional standards, new technologies and proactively seeks out new learning.
Compliance and Coding: The Nurse Specialist will assist the Utilization Management Department with developing, implementing, and maintaining the compliance program and compliance risk management efforts for Health New England (HNE) as they pertain the Utilization Management and Case/Disease Management. This position will also manage all requirements around coding review for the department. This position works to ensure that HNE operates within the policies, procedures, and regulations set forth by HNE and by state and federal laws, including HIPAA, Medicare, and Medicaid. A comprehensive knowledge of policies and procedures related to state and federal regulations is required. This position will work closely with the HNE Compliance Department who providers guidance, conducts reviews or monitor potential issues noted in the annual risk assessment and/or annual work plan. This position will operate as a HS liaison with various departmental stakeholders, including Legal, Government Programs, Complaints & Appeals and Quality.
Essential Functions:
* Pre-authorization review utilizing criteria to determine appropriateness of requested services
* Admission review utilizing criteria to determine appropriateness of inpatient admission
* Concurrent review utilizing criteria to determine appropriateness of continued stay and appropriate level of care
* Retrospective review utilizing criteria to determine appropriateness of requested service/level of care
* Proactive discharge planning to ensure members' needs are met throughout the continuum of care
* Performs research to obtain necessary clinical information for decision making
* Ensures appropriate timeliness, guidelines, and proper notification standards are met
Coordination of Care functions
* Assists members and providers with transition of care, referral management, care coordination, and benefit management
* Makes appropriate referrals within CSI team as well as to external resources, such as a members PCP to maximize positive member outcomes as per HNE policies and processes
* Contributes to enhancement of services -existing and new- by participating on workgroups, clinical initiatives, service initiatives, quality initiatives, and others as assigned
* Assists with creation and revision of departmental Policy & Procedures
* Processes Member and Provider appeals
* Effectively utilizes HNE UM/CM/DM policies and processes, and electronic systems
* Participates with off-site visits to in-plan facilities and providers
Compliance Education, Training, and Communication
* Develops and coordinates general compliance educational activities as directed by the Compliance Department as they relate to Health Services. This includes preparing educational materials for annual compliance training requirements and for smaller informal sessions as directed
* Monitors and updates SupportPoint as needed
Compliance Regulatory Filings and Audits
* Coordinates compliance and regulatory responses with the HNE Compliance Department when addressing filings for MCO as required by Commonwealth of MA, Division of Insurance, Federal Healthcare Administration, and MassHealth, including but not limited to renewal applications for HMO Accreditation, License, and Mental Health Parity certification for Commercial and MassHealth. In addition, the Health Services Compliance Specialist will be responsible for HS participation in the ODAG annual audit as well as the CMS Mock Audit, coordinating reporting and gathering all pertinent documentation and oversight of any necessary re-training for the HS team
Required Education/Experience:
* Massachusetts RN license required
* 3-5 years' experience as a UM Clinical Review Nurse for a Health Plan
* Understanding of the use of medical coding
* Strong critical thinking skills
* Innovative thinker
* Strong analytical and research skills
Preferred Experience
* Certified Professional Coder Certification coding
* Direct experience in Staff Education
* Innovative thinker
* Strong analytical and research skills
THE ADVANTAGES OF WORKING WITH BAYSTATE!
* Excellent Compensation High-quality, low-cost medical, dental and vision insurance
* Generous PTO
* Continuing education support and reimbursement
* Wellbeing programs that include but are not limited to mental, physical, and financial health
* Pet, home, auto and personal insurance
* Life insurance
* Reimbursement for a variety of wellbeing activities, included but limited to gym membership and equipment, personal trainer, massage and so much more!
About Health New England
Based in Springfield, Massachusetts, part of Baystate Health, Health New England is a regional not-for-profit health plan serving over 160,000 members in central and western Massachusetts and parts of Connecticut. Health New England has been meeting the health care needs of its members for nearly 40 years. Health New England is committed to improving the health and lives of people of our community, both in our workplace and for our members. We are committed to creating opportunities for individuals of all backgrounds to grow and thrive.
Education:
Bachelors Degree
Certifications:
Registered Nurse - State of Massachusetts
Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
Apply Now
$96.1k-110.5k yearly 11d ago
Product Manager II - Data - Revenue Cycle Liaison - Digital and Technology Partners - Hybrid
Mount Sinai Health System 4.4
New York, NY jobs
The Product Manager is a key leadership role responsible for defining the direction, delivery, and optimization of data products and services across the enterprise. This role ensures data initiatives meet organizational goals, support key decision-making, and deliver measurable value to a variety of stakeholders including clinical, operational, executive, and academic teams. This role acts as a bridge between Revenue Cycle departments and DTP departments, using data-driven insights to resolve issues, optimize workflows, and ensure compliance with regulations and payer rules as well as alignment with the MSHS strategic plan.
Successful Data Product Managers will:
+ Define and drive data-related opportunities in partnership with key stakeholders
+ Translate business and clinical needs into actionable data product strategies
+ Lead delivery of high-quality data pipelines, models, dashboards, and analytics products
+ Act as the connective tissue between data engineering, analytics, and business units
+ Advocate for best practices in data governance, accessibility, transparency, and literacy
**Qualifications**
**Education Requirements**
+ Bachelor?s Degree very strongly preferred or combination of education and equivalent experience; Master?s preferred
**Experience Requirements**
? Six or more years of progressively responsible experience in healthcare analytics or revenue cycle operations. Essential skills include strong analytical, leadership, and communication abilities, as well as proficiency in data analysis, financial management, healthcare coding, and understanding of regulatory requirements.
? Experience with the Epic Clarity and Caboodle Data Models
? Thorough knowledge of project improvement management processes and project management.
? Ability to communicate effectively in both oral and written form. This position requires the ability to interact positively, constructively and effectively with employees, professional staff, community representatives and carriers.
? Ability to work independently with follow-through and handle multiple tasks simultaneously.
? Ability to work collaboratively and promote team building with a culturally diverse staff and patient/family population.
? Must be a motivated individual with a positive and exceptional work ethic.
? Knowledge of modern data tools and methodologies (e.g., SQL, data warehouses, data visualization tools) - Preferred
**Computer Skills**
+ MS Office Suite: Intermediate
+ Experience with SQL, Tableau, and Productivity tools
**General Skills and Competencies**
+ Strong verbal and written communication skills, including the ability to synthesize data insights into compelling narratives
+ Strong stakeholder management across clinical, technical, and business units
+ Excellent problem-solving and analytical skills
+ Knowledge of data governance and healthcare compliance considerations
, 223 - DTP Enterprise Data & Analytics - MSH, Mount Sinai Hospital
**Responsibilities**
1. Lead multi-disciplinary stakeholder teams in the definition, understanding, and aid with the prioritization of data needs that impact decision-making, operations, and outcomes.
2. Informs the utilization of information system resources and plans, designs, and implements organization wide information systems and technologies as they relate to revenue cycle workflows and strategic goals.
3. In collaboration with Revenue Cycle, develops and refines revenue cycle metrics to identify trends, revenue leaks, and opportunities for improvement.
4. Investigate and resolve complex issues related to billing, claims processing, and data discrepancies.
5. Evaluates data to identify trends and gaps across Revenue Cycle processes. Uses analysis to make recommendations for improvements and optimization. Participates in improvement/optimization initiatives.
6. Define and maintain data product roadmaps, aligning with organizational strategy, regulatory requirements, and user feedback.
7. Translate complex healthcare challenges into clear data product requirements and problem statements.
8. Partner with data engineers, analysts, and governance teams to deliver secure, scalable, and high-impact data products.
9. Conduct data discovery sessions and user research to inform product features and improvements.
10. Develop business cases that articulate the value of data portfolios and strategies including improved outcomes, cost efficiencies, or risk mitigation.
11. Manage backlog and project planning to ensure continuous delivery of data solutions.
12. Track KPIs and success criteria to measure impact, adoption, and ROI of data products.
13. Champion data quality, governance, and ethical use of data across the organization.
14. Present to leadership on data products, goals, and strategies.
15. Performs related duties as assigned or requested.
**About Us**
**Strength through Unity and Inclusion**
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
**About the Mount Sinai Health System:**
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
**Equal Opportunity Employer**
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
**Compensation Statement**
Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $132000 - $198065 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
$132k-198.1k yearly 9d ago
Emergency Dept. Technician- 24hr
Connecticut Children's Medical Center 4.7
Remote
Under the direct supervision of a Registered Nurse, as part of an inpatient/hospital unit, performs a variety of routine direct patient care as well as environmental and administrative support activities to promote the health, safety and comfort of patients and families. All patient care and support activities are completed in accordance with CCMC and unit policies and procedures.
Education and/or Experience Required:
Required: High School Diploma, GED equivalent, or a higher level of education that would require the completion of high school.
Education and/or Experience Preferred:
Preferred: EMT Basic, EMT-Intermediate, or EMT-Paramedic certification preferred.
Successful completion of PCA or nurse's aide training program or enrollment in program preferred.
Preferred: Minimum of one-year pediatric experience preferred.
License and/or Certification Required:
Certified Nurse Aide (CNA) certification/EMT by State of Connecticut preferred.
Current Basic Life Support (BLS) / CPR in adult, child & infant is required upon hire and maintained.
Nonviolent Crisis Intervention training certification required within 3 months of hire and maintained thereafter.
Knowledge, Skills and Abilities:
Knowledge Of:
Basic medical terminology, math and measurements
CT Children's organization's environment of care and infection control policies and procedures
Skills:
Good interpersonal and communication skills.
Effectively communicate both orally and in writing in English demonstrating a command of basic grammar and spelling is required.
Ability To:
Communicate Bilingually (Spanish/English) is preferred. Understand and follow specific written and verbal instructions and procedures.
Learn and demonstrate competency in standard clinical procedures within specialty area, according to
established protocols.
Maintain quality, safety, and/or infection control standards.
Learn and follow established protocols in order to initiate appropriate action in emergency/crisis situations.
Learn and demonstrate competency in basic data entry/data retrieval in electronic patient records and/or patient supply systems utilized on unit.
Direct Patient Care - Provides direct patient care (as defined by unit) that addresses the population-
specific needs of the patients on the unit. Activities may include any of the following:
Assist patient with feedings and personal care (e.g. hygiene, ambulating and activities of daily living, etc.).
Obtain vital signs, temperature, weight, height, head circumference or other patient data as required.
Obtain and test specimens (e.g. blood glucose, urine, pharyngeal swabs, etc.; 1 and 2 step point of care tests).
Apply splints and other orthopedic devices (slings, immobilizers); perform crutch walking instruction.
Perform EKGs.
Apply cardiac monitors, pulse oximetry, and non-invasive blood pressure cuffs.
Transport patients; assist with patient admissions and discharges.
Discontinues indwelling saline locks/IV.
Performs basic wound care including wound cleansing, irrigation, and preparation for provider; applies and documents basic wound dressings.
Provide all levels of observations for behavioral health/psychiatric patients as delegated/ordered by LIP or RN.
Demonstrates an awareness of safety needs and a basic knowledge of medical terminology, infection control, risk management and environment of care policies in all interactions with patients/families.
Responds with tact and discretion to the needs of patients and families, and reports needs beyond the Emergency Department Technician skill level to the RN.
Documentation - Accurately documents patient information on appropriate forms. Demonstrates basic data entry and data retrieval competency in electronic patient records and/or patient supply systems utilized on unit.
Unit Support Activities - Maintains appropriate inventories of unit supplies in patient rooms/bedside stands, and in treatment, utility, medication and linen rooms.
Cleans, maintains and inventories unit equipment.
Performs quality control checks on equipment or supplies as directed by the RN.
Utilizes all equipment appropriately and notifies appropriate team members of equipment or facility breakdown or damage. Assist with miscellaneous tasks, and transportation of medication (including controlled substances) blood, equipment and supplies, as directed by the RN.
Assist with routine clerical tasks.
Demonstrates knowledge of the population-specific differences and needs of patients in appropriate, specific populations from neonate through adolescence and applies them to practice. Demonstrates cultural sensitivity in all interactions with patients/families and co-workers.
Demonstrates support for the mission, values and goals of the organization through behaviors that are consistent with the Connecticut Children's Medical Center Standards.