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Clinical Review Specialist, Remote
Massachusetts Eye and Ear Infirmary 4.4
Remote occupational medicine specialist job
Site: Mass General Brigham Incorporated
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
General Summary:
Under the general direction of the Director of Risk Capture, the Pre-Visit Clinical Review Specialist (CRS) facilitates the accurate and appropriate identification of patient medical conditions through comprehensive chart review combined with review of coding output data sources (internal and external claims) that results in improvement in the overall quality, completeness and accuracy of problem lists, visit documentation and disease registry assignments. The CRS utilizes both clinical and coding knowledge of Hierarchical Condition Categories (HCCs) to inform accurate and appropriate diagnosis considerations for suspect condition identification and recapture opportunities. This role serves to educate providers and the clinical care team on all aspects of risk capture and linkages with quality.
Qualifications
Principle Duties:
Drive Clinical Delivery
Performs accurate and timely pre-visit review of selected ambulatory encounters to identify opportunities to recapture medical conditions that meet criteria as HCC diagnoses and to capture new, suspected HCC conditions.
Accurately interprets clinical information in the medical record, evaluating clinical indicators to identify potential diagnoses
Presents clear HCC Consideration Communication to provider and educates providers to obtain greatest possible diagnostic specificity to accurately reflect the patient's condition(s)
Identify Education Opportunities
Identifies themes through chart review that might present education opportunities for individual or groups of providers
Gathers feedback from periodic post-visit chart reviews and incorporates these learnings into educational opportunities with providers
Identifies opportunities for Process Improvement and Quality Improvement, as needed
Foster collaborative relationships across the enterprise
Communicates appropriately and compliantly with physician or care team through Epic resources to improve medical record documentation
Participates in ambulatory unit/organizational programs and meetings as needed
Maintains professional competency by keeping abreast of new coding issues and guidelines. Attends classes and meetings as assigned. Reviews professional CDI and coding literature regularly
Maintains clinical licensure and/or medical coding credentials (e.g. RN, PA, NP, CRC, CDEO, CCS, CPC) and completes all required Organizational Competencies and trainings (if applicable)
Meets with providers on an as-needed basis to address concerns or areas of opportunity, and performs chart reviews as needed
Maintains good rapport and professional relationships, as outlined in MGB Code of Conduct -
Approaches conflict in a constructive manner, helps identify problems, offers solutions and participates in resolution
Responsible to perform any other assigned duties as requested
Qualifications:
Minimum three (3) - five (5) years' experience required in either, case management, outpatient coding, utilization review, CDI or other disciplines with either coding experience however, an equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements.
2 years' experience in Primary Care, medical coding, risk adjustment or CDI preferred
Current certification in Clinical Documentation Improvement (CDIP, CCDS, CCDS-O or CDEO) preferred
Certification in medical coding and or risk adjustment (i.e., CRC, CPC, CCS, CDEO, or CCS-P or other pertinent to outpatient) preferred (CRC Required training within 1 year of employment)
Medical licensure (RN, PA, NP) preferred
Bachelor's degree healthcare related preferred
Strong PC skills / Microsoft applications, including Outlook, Teams, Excel, PowerPoint
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$62,400.00 - $90,750.40/Annual
Grade
6
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$62.4k-90.8k yearly Auto-Apply 8d ago
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Eastern Pennsylvania or Southern New Jersey based Clinical Specialist - Remote, USA
Calyxo
Remote occupational medicine specialist job
Calyxo, Inc. is a medical device company headquartered in Pleasanton, California, USA. The company was founded in 2016 to address the profound need for improved kidney stone treatment. Kidney stone disease is a common, painful condition that consumes vast amounts of healthcare resources each year. Our team is led by executives and investors with a proven track record of commercializing paradigm-shifting devices to meet unmet needs within urology.
Are you ready to change the future of kidney stone treatment? We are seeking high achievers who want to be part of a dynamic team working in a fun, diverse atmosphere.
Summary:
The Clinical Specialist is a focused individual who has a passion for patient care and physician and staff education. This person will proctor cases to excellence and independently cover CVAC procedures, training the surgical team on the safe and effective uses of the device. The Clinical Specialist works closely with the surgical team members to provide clinical product assistance to the surgeon by being familiar with the surgical procedure, instruments, supplies, and equipment.
The Clinical Specialist will train the surgical team on instrument preparation prior to cases and during the surgical procedure. This role will manage inventory needs in the account and any accompanying administrative requirements.
This role is not considered for pathway to a Territory Sales Manager at Calyxo Inc, due to the tenure and experience required to execute the Territory Sales Manager role.
Ideal candidates will live in the targeted geographical area.
This position can cover any CVAC case in the territory, region, or at times, the nation, as assigned. The Clinical Specialist will also provide clinical support for physician training and sales training programs.
In This Role, You Will:
Provide clinical case coverage as assigned
Train the surgical team to assist in good patient outcomes and verbally support cases during training period
Acquire and maintain current knowledge of perioperative surgical technology practice and hospital policies and procedures
Develop technical acumen to a level to serve as an educational resource
Demonstrate appropriate interactions with all hospital service providers
Maintain and prepare equipment and kits for surgery, including Quality Control audits of equipment and kits
Troubleshoot equipment according to standard procedure
Provide intra-operative clinical product support
Ensure that 100% of received inventory and returned inventory matches shipping documents
Reconcile inventory/usage as well as missing inventory
Assist in the delivery of procedural training to physicians and medical staff
Be an effective member of the commercial team and play a key role in ensuring positive clinical outcomes
In partnership with TSM, perform account management: such as Account Set Up, Clinical Engagement, Case Support and Clinical Outcomes
In Partnership with TSM, support education of APPs, Office and Hospital Staff
In partnership with TSM, help facilitate and support Residency Education
Ensure compliance with all company policies, including the quality policy, on label promotion and interactions with health care professionals
In this role, you will collaborate with Clinical Specialist teams to review and discuss case presentations and peer to peer knowledge sharing
Other duties as assigned
Who You Will Report To:
Regional Clinical Manager (RCM)
Clinical Specialist I Requirements:
Clinical experience such as:
Scrub Tech
X-Ray Tech
RN or BSN
Laser Tech
Clinical Specialist II Requirements:
In addition to all of the above:
Industry experience (1-3 years)
Prior Employment as a Clinical Specialist with a medical device company or experience working with Mobile Litho Provider Companies
Comfortable with the pace required to be successful in a start-up
Ability to provide intraoperative procedural guidance
Willingness to travel outside of the designated territory
Sr. Clinical Specialist Requirements:
In addition to all of the above
Industry experience: 3+ years of full-time employment by a medical device company as a clinical specialist (or comparable position) focused on case coverage and patient outcomes (not equipment/service provider).
Clinical experience: Intraoperative Coaching Experience
OR experience: Fluent in Staff and Support Training
Track record of success. Urology experience preferred.
Understands the medical device industry
Comfortable with the pace required to be successful in a start-up
Ability to provide intraoperative procedural guidance
Understands sales processes and training
Willingness to travel outside of the designated territory
General Requirements:
Experience in surgical technique and sterile procedures in the operating room
Experience utilizing fluoroscopy is a plus
Customer relationship and procedural skill development are highly desired
Highly desirable candidates will have a degree or certification in a medical-related field (ex: LPN, RN, Surg Tech, Rad Tech, etc).
Able to travel by car up to 90%
Compliance with relevant county, state, and federal rules regarding vaccinations.
What We Offer:
At Calyxo, you will be part of a knowledgeable, high-achieving, experienced, and fun team. You will work in a diverse work environment with experienced, proven leaders and have an opportunity to shape our company culture. You will experience constant learning and dynamic challenges to help you grow and be the best version of yourself.
We also offer a compensation plan as follows:
Competitive salary
Total Compensation: $100,000 - $140,000 annually
Base Salary: $80,000, $100,000, or $120,000 per year (DOE)
Annual Variable Bonus: $20,000
Plus, generous allowances such as:
Auto Allowance: $9,600
Cell Phone/Internet Allowance: $1,800
Stock options: ownership and a stake in growing a mission-driven company
Employee benefits package that includes 401(k), healthcare insurance and paid vacation
Calyxo is deeply committed to fostering an environment where diversity and inclusion are not only valued but also prioritized. We believe a diverse and inclusive community empowers us to act courageously, care deeply, and dream boldly to impact people in big ways. Diverse viewpoints bring diverse capabilities, which strengthen our focus and fuel our growth.
Calyxo is proud to be an equal opportunity employer, seeking to create a welcoming and diverse environment. All applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status or any other applicable legally protected characteristics
Legal authorization to work in the United States is required. In compliance with federal law, all persons hired will be required to verify their identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.
Disclaimer:
At Calyxo, we prioritize a transparent and structured interview process to ensure the best fit for both our candidates and our team. Please be aware of the following:
Structured Interview Process: Our hiring process includes multiple stages of interviews where you will have the opportunity to communicate directly with Calyxo employees. This ensures that you gain a comprehensive understanding of the role and our company culture.
Verification of Identity: We do not extend job offers without first meeting candidates, either virtually or in person. This step is crucial to maintain the integrity of our hiring process and to ensure mutual alignment.
Beware of Scams: Calyxo will never request sensitive personal information, such as your full name, address, phone number, or identification documents, via email or online forms before an official interview. Calyxo representatives will always contact you using an email format of ********************************. If you receive a request for information from any other domain, please contact us directly at ****************** to verify the legitimacy of the communication.
We appreciate your interest in joining Calyxo and look forward to getting to know you through our official channels.
Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.
The Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally. Products include AEDs, trauma kits, ventilators, temperature management solutions, and more. Our dedicated employees take pride in their commitment to improving patient outcomes while delivering world-class customer service.
At ZOLL, you won't just have a job. You'll have a career-and a purpose.
Join our team. It's a great time to be a part of ZOLL!
Territory to cover: WY, MT, CO, NM, and AZ.
Job Summary
Drive Ventilation sales by enhancing customer satisfaction and retention in the clinical education and implementation process.
Essential Functions
Customer Support: Interface with large competitive conversions and selective North American Ventilation customers to ensure continual product support throughout both pre- and post-sale stages, as directed by management.
* Deployment - Support new competitive conversions
* Pre-sale awareness of ZOLL products & depth
* Equipment set-up
* Post-sale training and development - (Classroom & field ride-alongs)
* Post-sale troubleshooting
* Post-sale follow-up
* On-site deployment & training timelines
* Post-deployment satisfaction survey
Required/Preferred Education and Experience
Minimum 5 years clinical experience as a respiratory therapist required. NICU experience highly preferred.
Licensed Respiratory Therapist or at least one NBRC Credential
Knowledge, Skills, and Abilities:
* Ability to meet requirements in vendor credentialing services, e.g., Reptrax, Vendormate, etc.
* Ability to develop strong relationships with key opinion leaders.
* Strong leadership, team building, negotiation, and execution skills in a selling environment.
* Strong presence, presentation, and communication skills.
* Ability to think strategically and position company and products for success.
* Must be highly organized and able to execute tactics in a timely manner.
* Professional verbal and written communication skills.
* Proficiency in using Outlook, WebEx, Zoom, Teams, PowerPoint, Excel, SFDC, etc.
* Valid driver's license
Credentialing:
* Employee shall secure and maintain the credentials required by ZOLL Medical and its customers. Securing those credentials may require mandatory vaccinations and other tests. (If employee is unwilling or unable to comply with any credentialing requirement because of religious or health/medical/disability related restrictions, employee must immediately notify ZOLL Medical's Human Resources Department to discuss possible reasonable accommodations regarding those restrictions.)
Travel Requirements:
* Up to 80%
Physical Demands:
* Must be able to lift a minimum of 35 lbs. without limitations or constraints.
ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.
#LI-REMOTE
#LI-RF1
The annual salary for this position is:
$95,000.00 to $125,000.00
Factors which may affect starting salary include geography, skills, education, experience, and other qualifications of the successful candidate. Details of ZOLL's comprehensive benefits plans can be found at *********************
Applications will be accepted on an ongoing basis until this position is filled. For fully remote positions, compensation will comply with all applicable federal, state, and local wage laws, including minimum wage requirements, based on the employee's primary work location.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or status as a protected veteran.
ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.
Acute Care Technology
At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.
The Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally. Products include AEDs, trauma kits, ventilators, temperature management solutions, and more. Our dedicated employees take pride in their commitment to improving patient outcomes while delivering world-class customer service.
At ZOLL, you won't just have a job. You'll have a career-and a purpose.
Join our team. It's a great time to be a part of ZOLL!
Territory to cover: WY, MT, CO, NM, and AZ.
Job Summary
Drive Ventilation sales by enhancing customer satisfaction and retention in the clinical education and implementation process.
Essential Functions
Customer Support: Interface with large competitive conversions and selective North American Ventilation customers to ensure continual product support throughout both pre- and post-sale stages, as directed by management.
• Deployment - Support new competitive conversions
• Pre-sale awareness of ZOLL products & depth
• Equipment set-up
• Post-sale training and development - (Classroom & field ride-alongs)
• Post-sale troubleshooting
• Post-sale follow-up
• On-site deployment & training timelines
• Post-deployment satisfaction survey
Required/Preferred Education and Experience
Minimum 5 years clinical experience as a respiratory therapist required. NICU experience highly preferred.
Licensed Respiratory Therapist or at least one NBRC Credential
Knowledge, Skills, and Abilities:
• Ability to meet requirements in vendor credentialing services, e.g., Reptrax, Vendormate, etc.
• Ability to develop strong relationships with key opinion leaders.
• Strong leadership, team building, negotiation, and execution skills in a selling environment.
• Strong presence, presentation, and communication skills.
• Ability to think strategically and position company and products for success.
• Must be highly organized and able to execute tactics in a timely manner.
• Professional verbal and written communication skills.
• Proficiency in using Outlook, WebEx, Zoom, Teams, PowerPoint, Excel, SFDC, etc.
• Valid driver's license
Credentialing:
• Employee shall secure and maintain the credentials required by ZOLL Medical and its customers. Securing those credentials may require mandatory vaccinations and other tests. (If employee is unwilling or unable to comply with any credentialing requirement because of religious or health/medical/disability related restrictions, employee must immediately notify ZOLL Medical's Human Resources Department to discuss possible reasonable accommodations regarding those restrictions.)
Travel Requirements:
• Up to 80%
Physical Demands:
• Must be able to lift a minimum of 35 lbs. without limitations or constraints.
ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.
#LI-REMOTE
#LI-RF1
The annual salary for this position is:
$95,000.00 to $125,000.00
Factors which may affect starting salary include geography, skills, education, experience, and other qualifications of the successful candidate. Details of ZOLL's comprehensive benefits plans can be found at *********************
Applications will be accepted on an ongoing basis until this position is filled. For fully remote positions, compensation will comply with all applicable federal, state, and local wage laws, including minimum wage requirements, based on the employee's primary work location.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or status as a protected veteran.
ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.
$95k-125k yearly Auto-Apply 10d ago
Clinical Innovation Specialist
Jukebox Health
Remote occupational medicine specialist job
At Jukebox Health, our mission is to empower everyone to live safer, healthier, more independent lives at home. We partner with health plans to make homes safer and more accessible for older adults and high-needs populations. We achieve this by combining technology with networks of clinicians, suppliers, and installers to deliver personalized home modifications and environmental supports nationwide. Founded by experienced entrepreneurs, Jukebox Health is a fast growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot.
We are seeking a Clinical Innovation Specialist to serve as a strategic clinical partner for enterprise health plan clients, providing specialized expertise in home-based interventions, risk stratification, and program optimization. This role leverages Jukebox Health's institutional knowledge in environmental modifications and LTSS populations to enhance our partners' wellness program outcomes and claims management effectiveness. The Clinical Innovation Specialist will maintain dedicated engagement with assigned client accounts through structured touchpoints and on-demand consultation, translating clinical expertise into measurable value for health plan partners.
Key Responsibilities Clinical Program Design
Apply specialized knowledge of home safety, functional assessment, and environmental risk factors to identify members who would benefit from Jukebox programs
Conduct data reviews to identify clinical patterns suggesting environmental modification needs and DME recommendations that could prevent claim progression
Serve as clinical subject matter expert for program development, refinement, and evaluation
Develop and iterate on evidence-based protocols, eligibility criteria, and outcomes frameworks informed by Jukebox's cross-client experience
Data-Driven Decision Making
Partner with client and internal data teams to operationalize HIE data access
Develop and maintain risk stratification models and clinical surveillance systems for proactive member identification
Produce quarterly risk stratification model updates incorporating latest HIE data feeds, rolling average risk scores, predictive analytics, and model performance validation
Participate in Joint Operating Committee meetings with prepared analysis including member health trends, risk trajectory reporting, program performance metrics, and optimization opportunities
Clinical Consultation
Act as clinical voice in partner-facing conversations
Bridge clinical, claims, and program management functions, translating clinical complexity into operational decisions
Provide on-demand clinical expertise for time-sensitive decisions, protocol development, staff training, and vendor evaluations
Deliver QBRs with clinical effectiveness evaluation, evidence-based protocol modifications, and ROI projections
Qualifications
Required
Clinical degree or licensure (OT, PT, or related healthcare credential)
5+ years of clinical experience with demonstrated expertise in home-based care, LTSS populations, or environmental modifications
Experience with health plan operations, care management, or utilization management
Strong analytical skills with ability to interpret claims data and clinical information
Excellent communication skills with ability to translate clinical concepts for diverse stakeholders
Experience developing clinical protocols, eligibility criteria, or program frameworks
Experience in a startup or high-growth healthcare environment
Preferred
Experience working with Medicaid managed care organizations or MLTSS programs
Background in risk stratification, predictive modeling, or population health analytics
Knowledge of home modification interventions, DME, or accessibility solutions
Experience with Health Information Exchange (HIE) systems and/or claims data and data integration
Familiarity with value-based care models and outcomes measurement
How We Invest In You
Generous company-funding of our health, vision, and dental plans
HSA plan with company seeding
FSA plan
Short and Long-Term Disability
Life and Personal Accident Insurance
Hospital Insurance
401k immediately upon hire
Generous candidate referral program
Yearly wellness stipend
Time Away
Unlimited PTO + 10 paid holidays
Remote First Team
$1000 stipend towards work from home costs
Frequent team off-sites and get-togethers around the country
Collaborative team environment
Monthly Townhalls
High trust environment
A laptop and company swag upon hire
Compensation Range: $100,000 - $110,000/year + company equity
$100k-110k yearly Auto-Apply 43d ago
Field Clinical Specialist - Shockwave -Dallas, TX - Remote
8427-Janssen Cilag Manufacturing Legal Entity
Remote occupational medicine specialist job
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at *******************
Job Function:
MedTech Sales
Job Sub Function:
Clinical Sales - Hospital/Hospital Systems (Commission)
Job Category:
Professional
All Job Posting Locations:
Dallas, Texas, United States
:
Job Description
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow and profoundly impact health for humanity. Learn more at *******************/.
Fueled by innovation at the intersection of biology and technology, we're developing the next generation of smarter, less invasive, more personalized treatments. Ready to join a team that's pioneering the development and commercialization of Intravascular Lithotripsy (IVL) to treat complex calcified cardiovascular disease. Our Shockwave Medical portfolio aims to establish a new standard of care for medical device treatment of atherosclerotic cardiovascular disease through its differentiated and proprietary local delivery of sonic pressure waves for the treatment of calcified plaque.
Position Overview
The Field Clinical Specialist is a visible position that will provide case support to physicians within certain territories. Case support will be done on peripheral and coronary interventional procedures in the pre-market and post-market phases of product development with the Shockwave Medical Intravascular Lithotripsy (IVL) technology. The Field Clinical Specialist will also play a critical role in clinical studies including device training, case support and ensuring timely data collection for clinical programs. Case support may be required to support other territories at certain times. You must be located in the Dallas area.
Essential Job Functions
Physician and hospital staff training, and procedural case coverage to ensure the safe and effective use of medical devices.
Effectively meet the needs of internal and external customers with a sense of urgency and drive.
Present clinical study training materials based on investigational plans to support the safe and effective use of medical devices, inclining study protocol, instructions for use, core lab manuals and case report forms.
Manage key study investigators; foster and maintain strong relationships through direct interactions with medical advisors and clinical leaders.
Partner with other clinical research colleagues to meet business needs in the field including site re-training, data collection for timely database locks and resolution of critical issues.
Administrative activities including training to procedures, manage territory travel and budgets.
Other duties as assigned.
Qualifications
Minimum Bachelor's Degree in business, science, nursing or related fields, or equivalent experience.
Minimum 2 years' experience directly supporting interventional or surgical procedures within a hospital setting OR, 1 year of industry, hospital-based life sciences, sales support experience. Cardiovascular industry experience preferred but not required.
Working knowledge of clinical research, Good Clinical Practice (GCP) and regulatory compliance guidelines for clinical trials.
A history of effective collaboration with regulatory agencies through clinical studies and market releases.
Product knowledge including product vigilance and medical device reporting.
High attention to detail and accuracy.
Computer skills (MS Office products, word processing, spreadsheets, etc.).
Finance and budgeting knowledge.
Good prioritization and organizational skills.
Excellent critical thinking skills.
Excellent influencing and negotiation skills.
High energy and results-oriented individual who is mature and successful in a business environment and is skilled in motivating and inspiring people.
Entrepreneurial “hands-on” experience. Pro-active and “can do” attitude.
Ability to consider and accept feedback and suggestions for continuous improvement.
Works effectively on cross-functional teams. Demonstrated willingness to make decisions and to take responsibility for such.
Effective written, verbal and presentation skills with all levels of customers and management.
Ability to work in a fast-paced environment while managing multiple priorities
Operate as a team and/or independently while demonstrating flexibility to changing requirements.
There may be continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day)
Significant travel >50% of time requiring the employee to be effective in a remote manner.
Employee may be required to lift objects up to 40lbs or more. Employees will be required to work in an air conditioned office space and possibly perform some tasks in our non-temperature controlled warehouse space.
Pay Transparency:
Additional Information:
The base pay range for this position is $100,000 - plus a strong variable component.
The Company maintains a highly competitive sales incentive compensation program. Under current guidelines, this position is eligible for participation in this program in accordance with the terms of the applicable plan.
This position is eligible for a car allowance through the Company's Fleet program
Employees and/or eligible dependents may be eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance.
Employees may be eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)).
Employees are eligible for the following time off benefits:
Vacation - up to 120 hours per calendar year
Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington - up to 56 hours per calendar year
Holiday pay, including Floating Holidays - up to 13 days per calendar year
Work, Personal and Family Time - up to 40 hours per calendar year
Additional information can be found through the link below. *********************************************
The compensation and benefits information set forth in this posting applies to candidates hired in the United States. Candidates hired outside the United States will be eligible for compensation and benefits in accordance with their local market.
Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
Johnson and Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, please email the Employee Health Support Center (
********************************
) or contact AskGS to be directed to your accommodation resource.
Required Skills:
Preferred Skills:
Business Behavior, Communication, Consulting, Cross-Selling, Customer Centricity, Customer Effort Score, Customer Retentions, Execution Focus, Goal Attainment, Hospital Operations, Innovation, Market Research, Medicines and Device Development and Regulation, Sales, Solutions Selling, Sustainable Procurement, Vendor Selection
$100k yearly Auto-Apply 9d ago
Respiratory OverRead Clinical Specialist
Clario 4.8
Remote occupational medicine specialist job
Join Clario and help transform lives by unlocking better evidence. As a Respiratory OverRead Clinical Specialist, you will play a critical role in ensuring the accuracy and quality of pulmonary function data for clinical trials, supporting our mission to bring life-changing therapies to patients faster.
What We Offer
Competitive compensation
Private health insurance
Engaging employee programs
Flexible work schedules
Attractive PTO plan
Flex workspace
What You'll Be Doing
Perform analysis on pulmonary function data
Resolve questions from sponsors, investigator sites, monitors, and project managers regarding data quality
Ensure all Respiratory OverRead clinical trials meet contracted turnaround times
Provide periodic status reports to the Director of Respiratory OverRead
Complete other related duties as assigned
What We Look For
Bachelor's degree in respiratory therapy, physiology, life sciences, or equivalent practical experience
Minimum 2 years of experience in pulmonary function testing or related field
Preferred certifications: NBRC (CPFT, RPFT, CRT, RRT) or NIOSH Respiratory Surveillance Training Program
Strong analytical skills with ability to develop solutions for complex problems
Excellent written and verbal communication skills
Proficiency in Microsoft Office (Word, Excel, PowerPoint) and G Suite applications
Ability to work independently in a dynamic environment
At Clario, our purpose is to transform lives by unlocking better evidence. It's a cause that unites and inspires us. It's why we come to work-and how we empower our people to make a positive impact every day. Whether you're advancing clinical science, building innovative technology, or supporting our global teams, your work helps bring life-changing therapies to patients faster.
Clario is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
$70k-101k yearly est. Auto-Apply 17d ago
Specialist Clinical Coding II
Seh Saint Elizabeth Medical Center
Remote occupational medicine specialist job
Engage with us for your next career opportunity. Right Here.
Job Type:
Regular
Scheduled Hours:
40
💙 Why You'll Love Working with St. Elizabeth Healthcare
At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We're guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do.
🌟 Benefits That Support You
We invest in you - personally and professionally.
Enjoy:
- Competitive pay and comprehensive health coverage within the first 30 days.
- Generous paid time off and flexible work schedules
- Retirement savings with employer match
- Tuition reimbursement and professional development opportunities
- Wellness, mental health, and recognition programs
- Career advancement through mentorship and internal mobility
Job Summary:
Processes medical records by coding, abstracting data, and producing information for third party billing and to provide a complete statistical data base.
Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.
Job Description:
Identifies and codes principal and secondary diagnoses in appropriate sequence according to Official Coding Guidelines to provide information for billing purposes. Primarily responsible for coding Ancillary accounts. Meets department coding standards for quality and productivity of 96%. New staff are expected to meet these standards upon completion of the training. Assigns all codes based on documentation. Participates in corporate compliance program. Upholds the highest ethical standards.
Abstracts demographic and medical information into computer system following departmental guidelines to provide an accurate data base for statistical reference.
Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, coding questions, physician queries, rebills, etc.
Completes various reports such as productivity reports, statistical reports, and log sheets in order to maintain an accurate source of reference material and other documentation. Performs daily or weekly follow-up of all dates assigned and submits update according.
Attends educational program and applies knowledge to enhance job performance. Uses resources available for accurate coding (i.e., Coding Clinic and CPT Assistant).
Performs other duties as assigned.
Education, Credentials, Licenses:
High school diploma or GED; previous coding classes required.
CCS/COC/CIC is preferred.
Specialized Knowledge:
Medical Terminology, Anatomy and Physiology, Use of personal computer
Kind and Length of Experience:
2 to 4 years hospital coding experience needed
FLSA Status:
Non-Exempt
Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.
$50k-88k yearly est. Auto-Apply 16d ago
Clinical Denials Specialist
Wvumedicine
Remote occupational medicine specialist job
Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. This position is responsible for managing accounts receivable related to denied claims to ensure the financial viability of the WVU Medicine hospitals. This includes but is not limited to, denial investigation, follow-up with insurance companies, billing, auditors and clinics/hospital departments, non-clinical appeal writing, accurate and timely account adjustments all while ensuring compliance with all federal, state, third-party billing regulations and contract agreements. Employs excellent customer service, oral and written communication skills. Works with leadership and other team members to achieve best in class revenue cycle processes.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High School diploma or equivalent.
EXPERIENCE:
1. One (1) year of training in medical billing, coding, insurance processing, or other related experience.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Associate degree in related field
2. Knowledge and experience with EPIC medical billing
3. Experience with Microsoft Excel/Word
EXPERIENCE:
1. Experience with hospital billing.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Accurately triage and route claims to work queues by maintaining a working knowledge of system hospital/clinic departments, procedures and payer appeal processes and deadlines
2. Follow up with third party payers to clarify payment remit issues, ensure timely appeal receipt/process/resolution; adheres to appropriate procedures and timelines and escalate payer behavior issues to management
3. Utilizes payer portals and payer websites to verify appeal status and conduct account follow-up, contacting payers by telephone when needed
4. Composes administrative, non-clinical appeals as directed by leadership. Organizes and manages appeal letter submissions via mail or other portals.
5. Develops and maintains working knowledge of all federal, state, and local regulations pertaining to hospital billing compliance regulations.
6. Maintains work queue volumes and productivity within established standards. Adhere to timely filing guidelines for work queue prioritization.
7. Post adjustments as directed or by following department SOP, ensuring accurate and timely processing, and validating based on contract pricing/payer models.
8. Manages and distributes incoming mail in an accurate and timely manner; includes Epic documentation, logging incoming correspondence, uploading to document warehouse and routing mis-directed mail; processes outgoing certified mail.
9. Communicates problems hindering workflow to management in a timely manner; provide suggestions to increase workflow efficiency.
10. Participates in educational programs to meet mandatory requirements and identified needs regarding job and personal growth.
11. Attends department meetings, teleconferences, and webinars as necessary or directed.
12. Provides excellent customer service to patients, employees, vendors, and auditors.
13. Utilizes Microsoft Office or other applications as needed to complete job functions, specific reporting, or project management.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Manual dexterity used in operating standard office equipment.
2. Prolonged periods of sitting.
3. May be required to walk to various areas throughout the department or medical complex. This may require the use of stairs and/or elevators.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Business Environment.
SKILLS AND ABILITIES:
1. Basic computer knowledge and ability to operate standard office software.
2. Knowledge of medical terminology preferred.
3. Prior experience with Microsoft Office Suite software applications, including, but not limited to, Word, Excel, Access, Power Point and Outlook is preferred.
4. Good verbal and writing skills.
5. Basic mathematical skills
6. Excellent telephone skills.
7. Ability to type at least 35 WPM preferred.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Day (United States of America)
Exempt/Non-Exempt:
United States of America (Non-Exempt)
Company:
SYSTEM West Virginia University Health System
Cost Center:
661 SYSTEM Clinical Denial Management
$50k-88k yearly est. Auto-Apply 3d ago
Clinical Denials Specialist
UASI
Remote occupational medicine specialist job
United Audit Systems, Inc. (UASI), a rapidly growing healthcare consulting firm seeks to expand its professional team of employees by adding experienced Clinical Appeals Review Nurse to our team. The Clinical Appeals Review Nurse is responsible for completing clinical denial reviews to determine appropriate appeal of patient accounts. The ideal candidate will have a combination of clinical experience in a hospital acute care setting and experience providing reviews of the hospital billing and charging policies.
Primary Responsibilities:
Completes clinical review of pre- and post-claim denials
DRG Denials
Perform a variety of audit services including charge audit, compliance audit, medical necessity, denials and other requests as needed. Audits may be performed on a concurrent or retrospective basis
Review and analyze the client inpatient and/or outpatient itemized billing statement and the patient medical record and related documentation to identify items that were not billed correctly.
Document findings on appropriate form and submit findings to client management staff daily so new billing forms can be generated in hospitals billing systems.
Adhere to the National Health Care Billing Audit Guidelines, UASI Code of Conduct and Compliance Program, and the client third party audit policy while performing all duties.
Attend meetings with members of client-hospital finance, medical records, and ancillary departments.
Educate Client-Hospital personnel on validation and documentation of charges if requested by client contract relationship.
Navigate hospitals medical record system and understand where to locate the financial information in relation to the patient payor billing information
Requirements:
RN Certification
CCDS or CDIS Certification preferred
Experience with DRG Denials
Epic experience preferred
InterQual and Medical Necessity experience
Ability to read and comprehend itemized billing statement, patient medical record and other laboratory reports
Ability to analyze medical information and determine appropriate billing procedures
Ability to effectively communicate with others
Analytical thinking process
UASI is the employer of choice due to our outstanding reputation for excellence within the industry and for our comprehensive benefit package which includes:
Medical, dental, vision and life insurance, short/long-term disability, 401(K) and referral bonuses
Training opportunities and reimbursement for professional certifications
UASI's unique approach to employee appreciation which include: birthday recognition, holiday gift selections, performance awards, and years of service awards
$50k-88k yearly est. Auto-Apply 3d ago
General Interest - Clinical Roles
Familywell
Remote occupational medicine specialist job
Don't see the role you're looking for?
At FamilyWell Health, we're always excited to connect with passionate clinicians who share our commitment to supporting women's mental health. If you're a licensed mental health provider, PMHNP, social worker, or psychiatric provider who believes in compassionate, evidence-based care, we'd love to hear from you. Submit a general interest application to let us know about your experience and interests-we'll reach out as new opportunities arise that may be a great fit.
Background:
Are you passionate about making a meaningful impact in women's mental health care? Here's your chance to be a vital part of FamilyWell's mission to enhance access to high-quality, equitable, and affordable mental health services for pregnant, postpartum, and menopausal individuals across the U.S. FamilyWell Health is an AI-enabled mental health start-up dedicated to solving the women's mental health crisis by seamlessly embedding high quality, equitable, & affordable mental health care into OB/Gyn practices. FamilyWell provides comprehensive virtual mental health services designed specifically for integration into OB/Gyn and Family Medicine practices utilizing the psychiatric collaborative care model. FamilyWell's virtual care team model delivers evidence-based coaching, therapy, care coordination, and psychiatric services with specialized expertise in perinatal mental health and perimenopause/menopause. For more information: familywellhealth.com.
Please be aware of recruitment scams. FamilyWell will never ask candidates to pay money, request sensitive personal information early in the process, or conduct interviews over unsecured platforms. All official communication will come from an @
familywellhealth.com
email address.
$50k-88k yearly est. Auto-Apply 49d ago
Clinical Theranostic Specialist - West (Molecular Imaging)
Telix Pharmaceuticals
Remote occupational medicine specialist job
Telix Pharmaceuticals is a dynamic, fast-growing radiopharmaceutical company with offices in Australia (HQ), Belgium, Japan, Switzerland, and the United States. Our mission is to deliver on the promise of precision medicine through targeted radiation. At our core, we exist to create products that seek to improve the quality of life for people living with cancer and rare diseases. You will be supporting the international roll-out of our approved prostate cancer imaging agent and helping us to advance our portfolio of late clinical-stage products that address significant unmet need in oncology and rare diseases.
Job Summary
The Clinical Technical Specialist (CTS) will serve as a key leader in site onboarding, medical education, and radiopharmaceutical optimization, ensuring the successful adoption and utilization of Telix products in both commercial and clinical trial settings. This role will oversee multiple, complex site activation initiatives, drive cross-functional collaboration, and strategically contribute to Medical Affairs objectives by shaping research priorities, optimizing imaging protocols, and advancing disease state education.
Key Accountabilities
Lead and oversee the strategic onboarding of new imaging sites, ensuring seamless integration of Telix radiopharmaceuticals into both commercial and clinical trial workflows.
Develop and implement best practices for imaging site optimization, including protocol standardization, scanner settings, and workflow efficiency improvements, ensuring high-quality imaging outcomes.
Oversee and execute key field activities in alignment with Medical Affairs strategy, ensuring optimal support for product launches, clinical research, and physician education.
Directly contribute to shaping research priorities by identifying critical data gaps, real-world evidence opportunities, and medical insights, ensuring alignment with Telix's scientific and commercial objectives.
Lead site engagement strategies, working closely with imaging centers, nuclear medicinespecialists, and key stakeholders to ensure optimal patient access and product utilization.
Establish and manage a structured approach for scientific education, developing training materials, presenting medical and product information, and ensuring consistent knowledge dissemination to internal and external stakeholders.
Represent Telix Medical Affairs at high-profile medical/scientific meetings, capturing and synthesizing insights that shape company strategy and future product development.
Stay informed on imaging best practices and emerging technologies.
Act as a key liaison between Medical Affairs and cross-functional teams, ensuring alignment with Commercial, Marketing, Clinical Operations, and Regulatory teams.
Manage key projects and initiatives within the Medical Affairs function, ensuring efficient execution and measurable impact on Telix's strategic goals.
Ensure compliance with pharmaceutical regulations, corporate policies, and ethical guidelines, proactively addressing any gaps in training or adherence.
Education and Experience
BS or MS degree in scientific discipline (preferred Radiology or similar) or equivalent experience required
Certification by Nuclear Medicine Technology Certification Board (NMTCB) or the American Registry of Radiologic Technologist (ARRT) required
5 years of experience with advanced oncology PET scanning and optimization required
Experience in radiopharmaceuticals required, prostate cancer preferred
Thorough understanding of relevant policies guiding the Pharmaceutical Industry
Experience/expertise in interpretation of scientific data, market research, and competitive intelligence tools
Proficient in Microsoft Office Suite
Proven track record of delivering results that meet or exceed targeted objectives.
Excellent verbal and written communication skills
Strong multi-tasking, time-management, organization and interpersonal skills, business acumen, and high level of emotional intelligence
Detailed knowledge of regulations and practices related to industry interactions with healthcare professionals.
Ability to take initiative and work both independently and in a team environment
Ability to quickly understand complex disease areas, treatments, and clinical development plans, healthcare landscape, hospitals, healthcare professionals, and patient journey
Valid driver's license.
Local, regional, and national travel up to 75%
Must live within close proximity to major airport
Key Capabilities:
Inclusive mindset: Demonstrate an understanding and appreciation for diversity, and actively work to create an inclusive environment where everyone feels valued and respected
Creativity and innovation: Possess a willingness to think outside the box and come up with unique and creative solutions to challenges
Commitment to excellence: Take pride in your work and consistently strive for excellence in everything you do
Results-oriented: Driven to achieve goals and objectives, with a strong focus on delivering measurable results
Ethical behavior: Act with integrity and demonstrate a commitment to ethical behavior in all interactions with colleagues and stakeholders
Adaptability: Comfortable working in a dynamic environment, able to adjust to changing priorities, and willing to take on new challenges
Strong communication skills: Able to communicate effectively with colleagues and stakeholders at all levels, using clear and concise language
Collaboration: Work effectively as part of a team, actively sharing knowledge and expertise to achieve common goals
Resilience: Demonstrate the ability to bounce back from setbacks and persevere in the face of challenges
Continuous learning: Show a commitment to ongoing learning and professional development, continually seeking out opportunities to expand your knowledge and skills
At Telix, we believe everyone counts, we strive to be extraordinary, and we pursue our goals with determination and integrity. You will be part of an engaged and supportive group of colleagues who all have a shared purpose: to help people with cancer and rare diseases live longer, better quality lives. Being a Telix employee means being a part of a unique, global, interdisciplinary team working to deliver what's next in precision medicine. We have hybrid and remote employees located all around the world. We offer competitive salaries, annual performance-based bonuses, an equity-based incentive program, generous vacation, paid wellness days and support for learning and development.
Telix Pharmaceuticals is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
VIEW OUR PRIVACY POLICY HERE
$50k-88k yearly est. Auto-Apply 3d ago
Clinical Specialist
U.S. Renal Care, Inc. 4.7
Remote occupational medicine specialist job
The Clinical Specialist (CS) is responsible for positively impacting regulatory standards and clinical outcomes of clinics in an assigned geographic region. The CS is also responsible for the training of new employees and current clinical staff. The CS will also be responsible for conducting in-services and review classes, ensuring that the clinics have properly trained staff that meet regulatory standards and provide quality patient care. The CS reports directly to the next level of clinical management which may be the Director of Clinical Operations or Vice President of Clinical Operations/Services, depending on the region/demographics or responsibilities.
Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
GROWTH
· Responsible for overseeing overall clinical operation of assigned clinics from regulatory and growth perspective in accordance with Company goals.
· Assist in clinical operational development and transition of new or acquired clinic(s) as needed or requested.
· Assess and integrate clinical policy and regulatory requirements in acquired clinic(s).
· Demonstrate effective use of company resources, i.e. supplies, safety and risk reduction, and best support methodologies.
· Work with Administrators and regional management toward the achievement of monthly, quarterly and annual projections based on clinical outcomes and management objectives.
· Perform duties as assigned to meet the patient care or operational needs of assigned clinics.
OUTCOMES
· Assist with developing, implementing and monitoring of quality of care processes for program regulatory compliance in accordance with Company goals.
· Ensure clinical processes in assigned USRC facilities are maintained in accordance to company policy and federal, state and local regulations.
· Assist with developing, implementing, and improving quality and productivity goals and measures.
· Work with Administrators and regional management to ensure optimal patient care and regulatory compliance.
· Remain current with dialysis industry and technology.
· Assist with program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned clinics.
OPERATIONAL
READINESS
OPERATIONAL
READINESS
(cont.)
· Knowledge of and remain current with federal, state, local laws and regulations.
· Assure that assigned clinics are in compliance with all applicable federal, state, and local laws and regulations and receive continuing certification from all statutory and regulatory agencies by conducting internal clinical reviews.
· Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.
· Assist Administrators and regional management with necessary Corrective Action Plan development, implementation and follow through as required for internal and external surveys.
· Provide follow up on any/all deficiencies for all audits done internally (corporate) or externally (CMS & state specific).
· Assure compliance with required Governing Body meetings, monthly CQI meetings and care plan conferences and assures documentation of such through recorded minutes.
· Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational performance standards.
· Assist with developing, implementing and monitoring of clinical, education and QAPI policies.
· May assist with policy/procedure revisions and dissemination of new and revised policies.
· Know and understand the function and safe operation of water treatment equipment and related mechanical and electrical systems.
· Be familiar with all emergency equipment and emergency operational procedures.
· Use appropriate safety measures including personal protective equipment as necessary.
· Be familiar with OSHA regulations.
PARTNERSHIPS
· Understand, lead and promote the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives.
· Communicate with clinical operations management and regional management on a consistent basis regarding the status of each clinic in the region.
· Communicate completion status of Plans of Correction for internal and external surveys to Administrators, regional management and clinical operations management.
· Maintain collaborative working relationship with Administrator(s) and regional management. Partner with Administrator(s) and regional management to ensure clinic needs are met.
· Maintain a positive/collaborative relationship with physicians, state agencies and the community.
· Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.
· Respond effectively to inquiries or concerns.
STAFF DEVELOPMENT/ RETENTION
· Ensure all clinical staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations.
· Orient and mentor Administrators in the QAPI process, outcomes, education programs and operational readiness in accordance with USRC practices.
· Review IntraLearn assignments and compliance reports; communicate results to facility management as needed.
· Coordinate and conduct PCT certification review programs, CPR certification training (if required), and ongoing mandatory continuing education.
· Perform clinical education of new hires as needed or requested.
· Provide clinic based in-service programs as needed or requested.
· Coordinate and conduct charge nurse training and preceptor training programs as directed.
· Uphold management goals of corporation by leading staff in team concepts and promoting a team effort.
· Effectively communicates expectations; accepts accountability and holds others accountable for performance.
$47k-86k yearly est. 7h ago
Remote Clinical Specialist
Murj 3.7
Remote occupational medicine specialist job
At Murj, we do what we love and love what we do!
Murj was founded in 2014 to solve a problem witnessed first-hand. Founder and CEO, Todd, worked with cardiology practices as an implantable cardiac device sales representative for Medtronic. He watched clinicians struggle to manage these sophisticated devices using outdated and inadequate tools. Having previously worked in product management at Apple, Todd knew that brilliant design can profoundly impact the user experience -- so why not design a better way to care for patients with implantable devices?
In Murj, Todd created an enterprise SaaS cardiac device management software solutions company that reimagines and transforms patient care through thoughtful design and a passion for quality and a commitment to customer satisfaction. Today, Murj continues this transformative innovation with intuitive, elegant, and imaginative technology solutions that improve the lives of cardiac care professionals and their patients.
What Murj offers.
Murj is for people seeking a fast-paced, ever-changing environment surrounded by a supportive team that works hard and strives for innovation and professionalism, with a steady diet of humility and camaraderie.
Every employee is treated like family, with love, respect, and responsibility. The individual and collective success of every employee is at the forefront of what we do and believe.
And in joining Murj, you are joining a community that believes in evolution and promotion from within; there is a high degree of opportunity for progression, creativity, and ownership.
From your first day at Murj, you are eligible for full medical, dental, and vision insurance along with an open vacation policy, more than 10 annual company holidays, and competitive compensation and equity participation, and a 401(k) after 3 months of service.
How We Work at Murj
Murj is the right place for people who excel in fast-paced, dynamic environments. Murj embodies a high-performance culture where every team member is expected to exceed expectations and take ownership beyond their role to drive our collective success.
Employees should be comfortable working independently and taking initiative to identify and address needs. This proactive approach is essential to thriving at Murj.
We believe in working hard together, with a shared sense of purpose and drive. We're not afraid to ask tough questions, and we support each other in reaching for bold new ideas.
Let us leave you with this.
If this role sounds intriguing - we encourage you to apply. And we encourage applicants to embrace new challenges, as the right fit at Murj is often more about the person and the challenges they seek, not just what they have accomplished in the past.
About The Role.
Remote Clinical Specialists are essential to Murj's Remote Clinical Services model and directly support high-quality, scalable cardiac device management for our healthcare partners. This role sits at the intersection of clinical expertise, technology, and operational excellence-leveraging advanced knowledge of cardiac electrophysiology, arrhythmia interpretation, and device diagnostics to support patient care through remote monitoring.
This role provides clinical cardiac device services to assigned Murj customers in accordance with defined transmission protocols. This work includes alert triage, patient outreach, care interval management, and report preparation.
As a Remote Clinical Specialist, you will independently review and interpret cardiac device transmissions within the Murj platform, applying sound clinical judgment to assess findings, determine appropriate next steps, and support timely clinical decision-making. Your work directly impacts patient safety, clinic efficiency, and the overall quality of care delivered through Murj's services.
This position requires strong critical-thinking skills, a high level of clinical accountability, and the ability to work autonomously while collaborating closely with internal teams and clinic partners
What You'll Do.
Provide remote clinical cardiac device services for assigned Murj customers in accordance with defined transmission protocols and clinical workflows
Independently review, interpret, and analyze cardiac device transmissions, including ILRs, pacemakers, ICDs, and CRT devices
Assess the clinical significance of device findings and determine appropriate actions, including: Immediate clinician escalation, Routine reporting, and No action required
Exercise independent clinical judgment when evaluating arrhythmias and device diagnostics, including: Atrial fibrillation burden, Ventricular tachycardia / ventricular fibrillation, Pauses and heart block, and Lead integrity and device performance alerts
Triage alerts efficiently and manage workflow priorities
Prepare clear, accurate impression reports and recommend plans for clinic review
Perform clinic outreach when clinically indicated
Support care interval management and lost-to-follow-up workflows
Maintain a high level of attention to detail and clinical accuracy while documenting findings and collaborating with Murj customers
Work independently and proactively identify and address work that may not be explicitly assigned but is necessary to support patient care and operational success, including: Quality Assurance, New hire mentorship, Education, and mPower program support and mentorship of clinic enrollees
What Makes You a Great Fit.
Commitment to high-quality, patient-centered care
Self-motivated and effective in a remote, work-from-home setting
Professional, customer-focused approach with a growth mindset
Comfortable in a fast-paced, evolving environment
Motivated to grow, take on new challenges, and expand responsibilities
Creative problem-solver with practical solutions
Strong time-management and organizational skills
What You Bring.
Education: Minimum of 2 years of postsecondary education required (Bachelor's degree preferred).
Experience: Minimum of 2 years of cardiac device, rhythm monitoring, or closely related clinical experience.
Licensure & Baseline Certification (required at time of hire - one of the following):
Active RN or LVN license, or
Certified Rhythm Analysis Technician (CRAT) certification, or equivalent RT(R), CVT, RCIS, RCES, or
IBHRE certification (CCDS or CDRMS).
Advanced Certification Requirement (required):
All hires who do not currently hold an active IBHRE certification (CCDS or CDRMS) must obtain and maintain IBHRE certification within 12-18 months of hire.
Technical Expertise:
Experience analyzing and interpreting cardiac device diagnostics across Abbott, Biotronik, Boston Scientific, and Medtronic platforms.
Nice to Haves.
Experience using the Murj application
Experience using other software applications is a plus (i.e., PaceArt)
Additional certifications, including Certified Cardiographic Technician (CCT), Registered Nurse (RN).
Remote monitoring third-party vendor experience with proven success working from home.
What Success Looks Like (First 90 Days).
High-Level Objectives
Priority triage of transmission alerts
Interpret transmissions and create reports based on findings with accuracy
Process all inbound transmissions
When appropriate, create draft impression reports
Manage transmission schedules
Collaborate with customers to manage lost-to-follow-up patients
Cross-reference device websites with Murj to ensure 100% transmission conversion rate
Contact clinics as needed
Attend any required meetings regarding logistics or account specifics.
Collaborate with the clinic to maintain patient data and interval trackers
Other duties as assigned (e.g., QA, new hire mentorship, education, mPower support)
$45k-79k yearly est. Auto-Apply 1d ago
Clinical Abstraction Specialist
Health Catalyst 4.7
Remote occupational medicine specialist job
Join one of the nation's leading and most impactful health care performance improvement companies. Over the years, Health Catalyst has achieved and documented clinical, operational, and financial improvements for many of the nation's leading healthcare organizations. We are also increasingly serving international markets. Our mission is to be the catalyst for massive, measurable, data-informed healthcare improvement through:
Data: integrate data in a flexible, open & scalable platform to power healthcare's digital transformation
Analytics: deliver analytic applications & services that generate insight on how to measurably improve
Expertise: provide clinical, financial & operational experts who enable & accelerate improvement
Engagement: attract, develop and retain world-class team members by being a best place to work
Job Title: Clinical Abstraction Specialist
Team: TEMS (Tech-Enabled Managed Services)
Location: US Remote
Travel: 0%
**This position is currently not eligible for visa sponsorship**
Job Summary
The Clinical Abstraction Specialist is a skilled professional abstractor responsible for collecting, screening and analyzing data that profiles the appropriateness, utilization management, quality and outcome of patient care provided by the healthcare team.
This individual must maintain professional confidentiality and is responsible for the understanding and knowledge of specific regulatory data requirements for the National Surgical Quality Improvement Program (NSQIP). Data abstraction and process improvement will occur concurrently and retrospectively to evaluate the quality of patient care.
This individual will be responsible for utilizing clinical expertise to analyze and evaluate medical records and collaborate with physicians and coding staff as appropriate. This individual will possess excellent clinical judgment in the area of related care and outcomes management.
What you'll own in this role:
The following functions describe the essential duties of this role including but not limited to:
Aligns all work and resource management with Health Catalyst's mission, cultural attributes, and operating principles.
Obtain certification and maintain American College of Surgeons Certification. Works directly with customers to understand and help achieve goals and expectations.
Interacts with the medical staff and other key stakeholders to: educate, obtain and/or provide pertinent information specific to what is required to meet metrics and to provide excellent patient care.
May act as a subject matter expert (SME) to assist with escalations and educate external and internal stakeholders.
Review, abstract, and evaluate clinical data on a case by case basis in a timely manner.
Reviews, validate, and communicate data specific to outliers, failures, opportunities for improvement, and refers cases to appropriate parties for additional review if needed.
Maintains knowledge of current regulatory guidelines, definitions of data variables and compliance with data outcomes.
May monitor and appropriately query physicians or members of the multi-disciplinary team for documentation to support accuracy or clarity in the medical record.
Able to review and abstract medical records within predefined standards as measured by internal and external audits.
Provide back up support to other registries as business need arises.
Additional duties as required.
What you bring to this role:
Exceptional organizational skills with attention to detail and ability to prioritize.
Must work well independently and remotely.
Must work well under constantly changing and stressful situations.
Ability to understand and operationalize quality improvement philosophy, principles, and technology.
Demonstrated ability in communication, creativity, flexibility, and problem-solving aligned with Health Catalyst operating principles and cultural attributes.
Ability to establish partnerships with customers to accomplish the goals of the work.
Knowledge of or ability to learn Microsoft Office products including but not limited to Outlook, Excel, Word, etc.
Knowledge of or ability to learn how to navigate various databases including but not limited to Epic and ACS NSQIP/IQVIA platforms.
Education, Certification/Licenses, & Relevant Experience:
Clinical Data Abstraction experience for the National Surgical Quality Improvement Program (NSQIP) Registry is required.
Current NSQIP SCR Certification.
Current Registered Nurse (RN) license
Minimum of three (3) to five (5) years' experience in a clinical setting to include deep clinical knowledge.
Information Security and Compliance Responsibilities
Maintain compliance with training directives required by the organization pertaining to Information Security, Acceptable Use Policy and HIPAA Privacy and Security.
Adhere to and comply with the organizations Acceptable Use Policy.
Safeguard information system assets by identifying and reporting potential and actual security events to the organizations Security and Compliance Officers.
The above statements describe the general nature and level of work being performed in this job function. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned by Health Catalyst.
Studies show that candidates from underrepresented groups are less likely to apply for roles if they don't have 100% of the qualifications shown in the job posting. While each of our roles have core requirements, please thoughtfully consider your skills and experience and decide if you are interested in the position. If you feel you may be a good fit for the role, even if you don't meet all of the qualifications, we hope you will apply. If you feel you are lacking the core requirements for this position, we encourage you to continue exploring our careers page for other roles for which you may be a better fit.
At Health Catalyst, we appreciate the opportunity to benefit from the diverse backgrounds and experiences of others. Because of our deep commitment to respect every individual, Health Catalyst is an equal opportunity employer.
$47k-78k yearly est. Auto-Apply 30d ago
Cancer Clinical Care Specialist, Flex Limited-Term
Carrum Health
Remote occupational medicine specialist job
At Carrum, we are transforming how we pay for, deliver and experience healthcare. If you are passionate about changing healthcare and want to finally get rid of surprise bills, poor quality, and high prices, while thriving in an entrepreneurial, cutting-edge environment, we would love to connect with you.
In 2014 Carrum reinvented the Centers of Excellence (COE) category in digital health. Today, 95% of the US population lives within 50 miles of a Carrum COE and our providers rank in the top 10% nationally. Our team's execution has been recognized by the venture community and we've raised more than $96M in aggregate from investors like OMERS, Tiger Global Management and Wildcat Ventures. Our impact has been externally proven in a 2021 RAND Corporation study and featured as a Harvard Business School (HBS) case study.
We are looking for a Cancer Clinical Care Specialist, Flex Limited-term to help support our Patient Care Team and partner with our Cancer Centers of Excellence. This position will play a critical cross-functional role in the success of our company.
Reporting to the Oncology Care Manager, you will be a critical member of the clinical service line at Carrum Health, supporting the Care Team as the clinical expert in oncology. Working together with our core cancer and patient care team, you will serve as the patient's biggest advocate and create a welcoming and comforting end-to-end experience. Your expertise in this space will be utilized throughout the company in support of program development, sales, marketing, improving the patient experience, and new provider implementations.
Your years of clinical nursing experience has prepared you for this moment. Join us in changing the landscape of how quality healthcare is delivered one patient at a time.
This is a limited-term remote position eligible for full benefits, overtime and a completion bonus. Typically this will be a 6 month term working between 25-40 hours/week with opt-in overtime. There is potential for this to convert to a full-time role.
You're excited about this opportunity because you will…
Develop a trusted relationship with cancer patients in various stages (e.g., newly diagnosed, in active treatment, in remission) by providing them contextual education and support
clear, accessible education about the cancer care journey, such as treatment expectations, typical side effects, appointment preparation, and how to navigate conversations with their treating providers.
Create shared understanding of guidance received from members' oncology care teams, helping them feel confident and supported without replacing their clinicians' expertise.Match patient need to the various Carrum Cancer Care Offerings (e.g., referral to a center of excellence, second opinion service)
Ensure timely access to care and care coordination across multispecialty provider teams
Help build operational workflows, resources, and patient-facing materials that will optimize the cancer patient experience
Provide timely support for clinical-adjacent questions from both patients and the Navigation Team-within scope-and escalate appropriately when necessary.
Collaborate with cross-functional teams for patient care navigation support, including what to expect for treatment care plans, logistics, and symptom expectations.
Work alongside Provider Relations, Patient Care team and Growth team to ensure smooth communication and coordination between Carrum and our Centers of Excellence.
Contribute clinical context to program development, ensuring our non-clinical team is supported with appropriate training and resources
We're excited about you because…
You have the clinical expertise to impact change and bring quality accessible healthcare to patients looking for a medical solution to improve their quality of life. We also hope to see from you:
4+ years of clinical experience in direct oncology care with a Bachelor of Science in Nursing,
Preferred Degrees
: BSN,
Preferred Experience:
Cancer Center, Outpatient / Inpatient Oncology, OCN certification
Digital health experience preferred
Proficient with spreadsheet software (Google Sheets, MS Excel)
Have a strong working knowledge of cancer treatment (including surgery, radiation, and chemotherapy)
Competency in appropriately handling confidential information and adhering to HIPAA requirements
Excellent verbal and written communication skills and an ability to communicate with a variety of stakeholders, including internal colleagues and oncologists
An aptitude for quality assurance and data-driven outcomes
Experience handling aggressive deadlines, managing multiple cross functional projects, and prioritizing work in a fast-paced, dynamic environment
Entrepreneurial and resourceful as an early member of a startup, we need people who can find creative ways to make a big impact quickly and without much direction
A natural self-starter who is inspired to think outside the box
Why you'll love working with us...
We're a hard-working, humble, and compassionate group motivated to solve the hard problems in healthcare today. You'll work with talented, experienced co-workers from companies like Booz & Company, Livongo, 98point6, Google, and Optum. We believe in using data to inform decisions, technology to make our jobs easier, and creative thinking to pave the future.
We are working with some of the most recognized and esteemed names in the country. Top hospitals like Johns Hopkins, Mayo Clinic, Stanford Health Care, Scripps Health, and Rush Health have joined our platform. Employers who use our benefit include US Foods, United Airlines, and large public sector organizations like the self-insured schools of California, and the State of Maine.
We empower team members to be autonomous and provide a collaborative environment where you get support and healthy feedback. You can bring your authentic self to work every day and are encouraged to help others do the same.
We carve out time to let go of work to celebrate our successes and have fun. We're a remote-first company with employees all over the United States and two office locations in San Francisco and Chicago. We support our employees during the work day and beyond with flexible working hours, generous time off, paid parental leave, and opportunities to connect with coworkers both virtually and in-person.
We embrace our team's diversity of thought, experience, and interests and know that doing so makes us stronger as a company. Carrum has an active employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee and several employee resource groups (ERGs). Our ERGS help employees build stronger connections through social, educational, and community activities.
You'll feel proud that the work you do each day directly impacts people's lives in big and meaningful ways.
Other benefits:
Stock option plan
Flexible schedules and remote work
Chicago and San Francisco offices available
Self-managed vacation days, within reason
Paid parental leave
Health, vision, and dental insurance
401K retirement plan
About Carrum
We're a health tech company that brings value-based care to the masses. We help employers deliver a memorable patient experience, immediately lower healthcare costs, and drive better outcomes and achieve this through the power of technology and human-centered design. Since launching in 2014, we've partnered with Fortune 500 employers and top hospitals across the nation. We've been recognized by Harvard Business School and featured in TechCrunch, The Los Angeles Times, Washington Post, and Modern Healthcare. We believe we're only scratching the surface of our opportunity and we're looking for incredible people like you to help us realize our full impact.
Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience.
$39k-71k yearly est. Auto-Apply 60d+ ago
Clinical Policy Specialist
Caresource 4.9
Remote occupational medicine specialist job
The Clinical Policy Specialist I provides clinical policy support to both new and established lines of business (LOB) through managing state submissions, submitting Communication Request Forms, tracking processes, and ensuring clinical policy compliance.
Essential Functions:
Assist Clinical Policy Project Specialist to execute, monitor and support new lines of business throughout the entire clinical policy project lifecycle.
Audit, monitor and prepare clinical policies for NQCA, state, and internal audits
Develop, implement, configure, and maintain decision trees, workflows, documentation and monitoring protocols to operationalize clinical policies and criteria in a timely manner
Participate in department initiatives and projects including implementation of new document management systems
Support the development and maintenance of enterprise Clinical Policy programs (i.e., policy assessments, department newsletter, network notification communications)
Collaborate with interdisciplinary team members to achieve team goals
Participate in risk assessment and continuous improvement activities, as needed
Follow Workfront procedures to coordinate and implement changes ensuring regulatory, compliance, and business goals are met
Ensure timely submission, accurate documentation, and tracking of all Communication Request Forms and network notifications for clinical policies to be published on external websites
Monitor the CareSource public website to ensure policies are accurately published and accessible
Document and track state submissions and approvals, keeping consistent communication with Clinical Policy team, leadership, and regulatory as necessary.
Track and trend clinical policy metrics (i.e., CRF, archives, revisions) reported monthly, quarterly, end of year, and as needed
Assist with Policy Tech functions to streamline policies through the entire end-to-end process
Support the operational processes of the Clinical Policy Governance Committee (CPGC)
Create agendas, document, and store minutes and pertinent records for all assigned team meetings as necessary
Maintain and update job related internal policies and procedures applicable to Clinical Policy process and workflows
Provide coverage for both Policy Coordinator and Policy Project Specialist when needed
Perform any other job duties as requested
Education and Experience:
Bachelor's degree or equivalent years of relevant work experience is required
Health plan experience is preferred
SharePoint management experience preferred
Minimum of two (2) years of healthcare policy experience is preferred
Documentation Management system experience is preferred
Competencies, Knowledge and Skills:
Computer skills/proficiency level with Microsoft Word, Excel, search engines, and bibliographic software
Detail-oriented and critical thinker
Proficient in documentation management systems
Proficient in SharePoint
Proficient in creating and delivering effective PowerPoint presentations
Knowledge of medical terminology, pharmacy claims processing, and healthcare administration
Ability to interpret clinical information
Excellent verbal and written communications skills
Presentation and decision-making skills
Excellent organization and tracking skills
Strong problem-solving skills
Ability to communicate effectively with employees at all levels of the organization.
Ability to work autonomously and in a team environment
Ability to handle multiple priorities/projects simultaneously
Licensure and Certification:
Basic Six Sigma or Lean certification preferred
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Occasional travel may be required to fulfill job duties
Compensation Range:
$54,500.00 - $87,300.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-JM1
$54.5k-87.3k yearly Auto-Apply 6d ago
Clinical Review Specialist, Remote
Brigham and Women's Hospital 4.6
Remote occupational medicine specialist job
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
General Summary:
Under the general direction of the Director of Risk Capture, the Pre-Visit Clinical Review Specialist (CRS) facilitates the accurate and appropriate identification of patient medical conditions through comprehensive chart review combined with review of coding output data sources (internal and external claims) that results in improvement in the overall quality, completeness and accuracy of problem lists, visit documentation and disease registry assignments. The CRS utilizes both clinical and coding knowledge of Hierarchical Condition Categories (HCCs) to inform accurate and appropriate diagnosis considerations for suspect condition identification and recapture opportunities. This role serves to educate providers and the clinical care team on all aspects of risk capture and linkages with quality.
Qualifications
Principle Duties:
Drive Clinical Delivery
* Performs accurate and timely pre-visit review of selected ambulatory encounters to identify opportunities to recapture medical conditions that meet criteria as HCC diagnoses and to capture new, suspected HCC conditions.
* Accurately interprets clinical information in the medical record, evaluating clinical indicators to identify potential diagnoses
* Presents clear HCC Consideration Communication to provider and educates providers to obtain greatest possible diagnostic specificity to accurately reflect the patient's condition(s)
Identify Education Opportunities
* Identifies themes through chart review that might present education opportunities for individual or groups of providers
* Gathers feedback from periodic post-visit chart reviews and incorporates these learnings into educational opportunities with providers
* Identifies opportunities for Process Improvement and Quality Improvement, as needed
Foster collaborative relationships across the enterprise
* Communicates appropriately and compliantly with physician or care team through Epic resources to improve medical record documentation
* Participates in ambulatory unit/organizational programs and meetings as needed
* Maintains professional competency by keeping abreast of new coding issues and guidelines. Attends classes and meetings as assigned. Reviews professional CDI and coding literature regularly
* Maintains clinical licensure and/or medical coding credentials (e.g. RN, PA, NP, CRC, CDEO, CCS, CPC) and completes all required Organizational Competencies and trainings (if applicable)
* Meets with providers on an as-needed basis to address concerns or areas of opportunity, and performs chart reviews as needed
* Maintains good rapport and professional relationships, as outlined in MGB Code of Conduct -
* Approaches conflict in a constructive manner, helps identify problems, offers solutions and participates in resolution
* Responsible to perform any other assigned duties as requested
Qualifications:
* Minimum three (3) - five (5) years' experience required in either, case management, outpatient coding, utilization review, CDI or other disciplines with either coding experience however, an equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements.
* 2 years' experience in Primary Care, medical coding, risk adjustment or CDI preferred
* Current certification in Clinical Documentation Improvement (CDIP, CCDS, CCDS-O or CDEO) preferred
* Certification in medical coding and or risk adjustment (i.e., CRC, CPC, CCS, CDEO, or CCS-P or other pertinent to outpatient) preferred (CRC Required training within 1 year of employment)
* Medical licensure (RN, PA, NP) preferred
* Bachelor's degree healthcare related preferred
* Strong PC skills / Microsoft applications, including Outlook, Teams, Excel, PowerPoint
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$62,400.00 - $90,750.40/Annual
Grade
6
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$62.4k-90.8k yearly Auto-Apply 6d ago
Clinical Specialist
Easterseals Port 4.4
Remote occupational medicine specialist job
**Voted Raleigh's Best Nonprofit Organization and Raleigh's Best Mental Health Services two years in a row!**
Are you a clinician with a passion for making a real difference in the lives of youth living with mental health challenges and intellectual / developmental disabilities? At Easterseals PORT Health (ESPH), our mission is rooted in empowering individuals and strengthening communities. We're seeking a compassionate and creative full-time Clinical Specialist to join our VA REACH team working onsite at our Youth Crisis Therapeutic Home in Culpeper, VA.
$7,500 Sign-on & Retention Bonus
Your Role in Our Mission
The Clinical Specialist provides clinical and administrative support to the REACH Youth Crisis Therapeutic Home (YCTH) and assists the mobile team as needed. In this role you will conduct assessments and reassessments, deliver crisis prevention and intervention services, and support Behavior Technicians on the floor while maintaining a safe, therapeutic environment for up to six youth. The Clinical Specialist assists the YCTH Supervisor in developing and maintaining clinical and therapeutic integrity to the daily programming such as modifying therapeutic groups and developing therapeutic activities. This is a great opportunity to utilize your creativity! The Clinical Specialist also provides support to leadership through virtual oversight of assessments as needed, provides QMHP-T supervision to Behavior Techs, and participates in the residential on-call rotation.
Why Join Us?
As a part of our mission, we help our team members embrace their potential, build resilience, and thrive! You will benefit from ongoing professional growth and development as you work alongside leaders of clinical excellence in mental health and substance use services that care about your success.
Consistent Monday-Friday schedule with your choice of 7:00am-3:00pm, 8:00am-4:00pm, or 9:00am-5:00pm. After training, this role offers the option to work remotely one day per week. Some on-call flexibility is required, with additional stipends provided for on-call coverage.
We also offer a full benefits package for benefits-eligible positions.
Compensation & Benefits
Competitive salary: $60,000 - $70,000 for this full-time, exempt position
Generous paid time off and paid holidays
Full benefits package including Medical, Dental, and Vision benefits
Life and Disability Insurance(company paid)
403(b) Retirement Plan
Employee Assistance Program and legal services support
Public Service Loan Forgiveness (PSLF) qualifying employer
Supervision for licensure
Sign-on & Retention Bonus is paid out at successful completion of 90 days, 6 months, and 1 year for full-time, new hire staff
What We're Looking For
Education: Master's in health, psychology or social work from USDOE or CHEA accredited institution
Licensed or License-eligible as a LPC, LCSW, LMFT
3 years of experience with developmental disabilities and mental health populations
preferred
Experience with crisis prevention and intervention services a plus
Valid driver's license, good driving record and current auto insurance
Proficiency with EHR systems and Microsoft Suite
Ready to Apply?
Join a team where work isn't just something you do - it's a purpose. Bring your expertise to a mission that matters. Apply now at *************** PORT.com or send your resume to recruiter@easterseals PORT.com.
About Easterseals PORT Health
Easterseals PORT Health is a trustworthy and compassionate partner, providing exceptional services in disability, mental health, and substance use to help our neighbors live their best lives. Purpose, dedication, and empathy drive our in-person and telehealth service delivery. Our diverse and inclusive 2,600-member team provides more than 10.2 million hours of meaningful support to 40,200 kids, adults, and families in 11,000 home, facility, and community locations across North Carolina and Virginia.
Easterseals PORT Health is an Inclusive Culture, Diverse Voices, Embracing Potential, Authentic Self, and Learning and Growing (IDEAL) organization.
Applicants of all abilities are encouraged to apply!
$60k-70k yearly 60d+ ago
Clinical Specialist - New England
Noah Homes 4.1
Remote occupational medicine specialist job
Who We Are
Noah Medical is building the future of medical robotics. Our next generation robotic platform targets early diagnosis and treatment of patients across multiple indications. We are looking for exceptional engineers and key team members. Our incredibly talented team of engineers, innovators, and industry leaders bring years of experience from the top healthcare companies in the world, including: Intuitive, Auris, Stryker, Johnson & Johnson, Boston Scientific, Verb Surgical, Mako, Think Surgical, Medrobotics, and Hansen. We are looking for talented, motivated and ambitious team members to revolutionize robotic surgery.
About The Team
Our Clinical Sales Team is a dynamic and collaborative group committed to revolutionizing the field of robotic surgery by introducing groundbreaking solutions that contribute to improved patient outcomes, enhanced procedural efficiency. From seasoned industry experts to enthusiastic entry-level professionals, we foster an environment where knowledge is shared, and every team member has the opportunity to contribute to our collective success.
We collaborate seamlessly with other departments, including engineering, marketing, and product management to ensure that our solutions not only meet the highest clinical standards but also resonate with the market, driving success in the competitive landscape.
A Day In The Life Of Our Clinical Specialist:
Support live clinical cases across multiple accounts - exercise independent judgment based on your comprehensive understanding of Noah technology, to advise HCPs how to best use the devices while in surgery.
Assist with procedural setup and staff education
Ensure KPI collection and clinical documentation
Partner with Sales and Marketing for account success
Contribute to training and onboarding in the field
Note: the work will be predominantly intellectual and not standardized on a daily basis. You'll be expected to apply advanced knowledge in learning acquired from a prolonged course of specialized intellectual instruction/study, including training at Noah Medical.
About You
1-2 years in a clinical, healthcare, or procedural support role
Bachelor's Degree required; advanced degree preferred
Comfortable exercising discretion and independent judgment
Strong attention to detail and team collaboration
Passion for supporting excellent patient care
Eager to grow clinical and commercial skills
#LI-Remote
Benefits & Perks (For Full Time Employees):
Competitive Salary
Comprehensive health insurance including Medical, Dental and Vision + HSA and FSA options
Equity & Bonus Program
Life Insurance (company paid & supplemental) and Disability insurance
Mental health support through medical insurance programs
Legal and Pet Insurance
12+ paid holidays, 15-20 days of PTO + sick time
Paid parental leave
In-office snacks and beverages
In-office lunch stipend
Learning & Development Opportunities: On-demand online training and book reimbursement
Team building and company organized social and celebration events
Noah Medical may offer remote, hybrid, or onsite work arrangements within the state of California depending on the specific team and/or role where applicable.
Noah Medical is an Equal Opportunity Employer. We celebrate diversity and are committed to ensuring an inclusive environment for our employees. Applicants are considered for all positions without regard to race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, ancestry, age, genetic information, physical or mental disability, marital or protected military or veteran status, or any other consideration made unlawful by federal, state or local laws.
Please visit our Careers Page to view our latest openings.
NO AGENCIES PLEASE -
Please do not outreach to any managers or submit any resumes without a signed agreement from Talent Acquisition. Resumes shared with anyone at Noah Medical without a signed agreement will be considered your gift to us and
no fee will be paid.
$31k-40k yearly est. Auto-Apply 50d ago
Learn more about occupational medicine specialist jobs