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  • Registered Dietitian I FT | Remote I Weekdays I Weight Management Clinic

    Methodist Le Bonheur Healthcare 4.2company rating

    Hernando, MS jobs

    If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. Formulates and implements optimal nutrition therapy and evaluates outcomes for assigned patients. Coordinates nutritional care with other disciplines. Provides nutritional care and education to medical and surgical patients with obesity and diabetes. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Formulates and implements optimal nutrition therapy and evaluates outcomes for assigned patients. Coordinates nutritional care with other disciplines. Provides nutritional care and education to medical and surgical patients with obesity and diabetes. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Provides the Nutrition Care Process. Implements plan of care and works collaboratively. Counsels, educates, and communicates with patients and caregivers appropriately. Demonstrates professional development and leadership. Demonstrates performance measurement and quality improvement. Education/Formal Training Requirements Required - Bachelor's Degree Dietetics Preferred - Master's Degree Dietetics Work Experience Requirements Required - Registered dietitian 1-3 years Licenses and Certifications Requirements Required - Dietitian-Nutritionist Tennessee - Tennessee Board of Dietitians/Nutritionist Examiners Required - Registered Dietitian-Nutritionist - Commission on Dietetic Registration Preferred - Dietitian-Nutritionist Mississippi - Mississippi State Department of Health Knowledge, Skills and Abilities Knowledge of the Nutrition Care Process and ability to apply all steps of the process. Comprehensive knowledge and application of nutrition services and medical nutrition therapy. Critical thinking to integrate facts, informed opinions, active listening, and observations. Decision making, problem solving, and collaboration skills. Ability to communicate effectively in both written and verbal form to patients, public, hospital and medical staff, and physicians Ability to function independently on assigned patient care units. Ability to counsel and educate others. General knowledge of nutrient analysis, word processing, and spreadsheet software. Supervision Provided by this Position There are no supervisory responsibilities assigned to this position. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
    $42k-51k yearly est. Auto-Apply 1d ago
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  • Senior Marketing Strategy Lead (Hybrid)

    Health Care Service Corporation 4.1company rating

    Chicago, IL jobs

    A leading health services organization in Chicago is seeking a Principal Marketing Strategy Consultant to drive strategic alignment and execution within the marketing team. The role involves working closely with various marketing stakeholders to ensure that initiatives are well-defined and aligned. Candidates should have extensive experience in strategy development and project management, alongside strong analytical and communication skills. This position offers competitive compensation and opportunities for professional growth in a fast-paced environment. #J-18808-Ljbffr
    $95k-129k yearly est. 1d ago
  • Referral Response/Family Care Coordinator (Hybrid)

    DCI Donor Services 3.6company rating

    Farmington, NM jobs

    New Mexico Donor Services (NMDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at NMDS is to save lives through organ donation, and we want professionals on our team that will embrace this important work!! We are specifically wanting people to join our team as a Referral Response/Family Care Coordinator with expertise as an responding to critical situations (such as working in an emergency room setting) and/or responding to grief and crisis intervention. This role will serve as a liaison between monitoring active organ recovery activity, supporting grieving families, and hospital partners. COMPANY OVERVIEW AND MISSION New Mexico Donor Services is a designated organ procurement organization (OPO) within the state of New Mexico - and is a member of the DCI Donor Services family. For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities. DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank. Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking. Key responsibilities this position will perform include: Facilitates the donation process through coordination and communication of organ donor referral information and logistics. Partners with hospital personnel and internal triage team. Maintains accurate documentation of the medical screening process via data entry and follows established referral intake procedures. Evaluates medical suitability of potential organ and tissue donors by utilizing information from medical records, personal histories, physical examination, and current health status. Transcribes health information into electronic medical records. Responds on site independently and/or in conjunction with assigned staff to all appropriate hospital referrals within designated time outlined per policy and procedure. Collaborates with hospital personnel and clinical teams to develop an action plan that supports the option of donation is maintained and activation of the appropriate DCIDS team members. Determines family dynamics and assesses the family's understanding of the patient's prognosis when appropriate to initiate the donation discussion. Initiates the donation discussion and authorization process for potential organ and tissue donor families prior to, during and after death declaration. Provides families with the detailed information required to give legal informed authorization for anatomical donation. Communicates with the attending physician and other members of the healthcare team to establish rapport and ensure a collaborative planned approach for the donation discussion and authorization process. Provides education to hospital staff regarding authorization, family care process and donation process. Responsibilities may be affected by increased donor activity. Performs other duties as assigned. The Referral Response/Family Care Coordinator will work between 12 - 15 days per month - and be on call for periods of up to 24 hours. The ideal candidate will have: A bachelor's degree 2+ years emergency or critical care experience in a healthcare setting or prior experience as a Paramedic or EMT OR 2+ years of healthcare experience with families, counseling, bereavement, and/or crisis intervention. Demonstrated ability to understand medical terminology and read a medical chart. Exceptional teamwork, communication, and conflict management skills. Knowledge of medical and legal principles of authorization, donor evaluation, and management. Valid Driver's license with ability to pass MVR underwriting requirements We offer a competitive compensation package including: Up to 176 hours (22, 8-hour days) of PTO your first year Up to 72 hours (9, 8-hour days) of Sick Time your first year Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage 403(b) plan with matching contribution Company provided term life, AD&D, and long-term disability insurance Wellness Program Supplemental insurance benefits such as accident coverage and short-term disability Discounts on home/auto/renter/pet insurance Cell phone discounts through Verizon **New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.** You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position. DCIDS is an EOE/AA employer - M/F/Vet/Disability. PI6b6ced90678f-37***********5
    $28k-35k yearly est. 1d ago
  • Hybrid Provider Contracting Lead

    Health Care Service Corporation 4.1company rating

    Chicago, IL jobs

    A leading health care service organization in Chicago is seeking a Principal Network Management Consultant. The role involves provider recruitment, contracting, and negotiation, ensuring strategic coverage for various lines of business. Requires a Bachelor's or Master's degree combined with extensive experience in provider contracting. This hybrid role allows for 3 days in-office and 2 days remote, offering competitive compensation and a comprehensive benefits package. #J-18808-Ljbffr
    $86k-118k yearly est. 5d ago
  • Coordinator III, Transportation Parking Services (TPS)

    Emory Healthcare/Emory University 4.3company rating

    Atlanta, GA jobs

    **Discover Your Career at Emory University** Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the excellence of our academic community. **Description** JOB DESCRIPTION: + Designs, implements, and coordinates one or more programs within Transportation and Parking Services: transportation, parking, or fleet programs + Analyzes, maintains, and tracks trends of customer interaction data using a variety of systems, including customer relations management system, parking management systems, access control systems, transportation systems, fleet information management system, and related tools to process transactions, investigate and resolve issues + Schedules, organizes, and provides outreach and education on departmental programs + Develops program communication for department and customers + Maintains department process and program knowledge base documentation + Develops work plans to accomplish program goals and objectives and monitors progress toward their achievement + Develops promotional materials which may include content for reports, briefings, newsletters, grants or other written information related to the program + Monitors expenditures and may participate in the budget planning process and prepare financial reports + Performs related responsibilities as required + This is not an administrative support position **_Important details regarding core duties and responsibilities include:_** + Coordinates the access, parking, staging, and other event logistics necessary to support university/healthcare school, department or division events, conferences, meetings, and signature campus wide events + Interfaces with customers to plan TPS support for events + Coordinates with TPS staff and Parking vendor on staffing plans, equipment staging, barricades, signage, etc. to provide support for events + May conduct pre-event site/venue tours with customers + Recommends appropriate support options based on the scope and specifications of the event + Liaises with catering vendors, Staging staff, and other parties participating in producing the event + Creates TPS operational plans and calendars + Coordinates billing for TPS activities to customers MINIMUM QUALIFICATIONS: + A bachelor's degree in Communication, Business Administration, Planning or related field and three years of program planning experience, OR an equivalent combination of experience, education, and training + Organized, Detail Oriented, Excellent Written and Oral Communication Skills + MS Outlook: Word, Excel, Outlook, Teams PREFERRED QUALIFICATIONS: + Event management experience + Parking software experience for ex. Flash Parking Systems or other similar Parking system NOTE: Position tasks are required to be performed in-person at an Emory University location; working remote is not an option. Emory reserves the right to change this status with notice to employee. **Additional Details** Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory University does not discriminate in admissions, educational programs, or employment, including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training. Students, faculty, and staff are assured of participation in university programs and in the use of facilities without such discrimination. Emory University complies with Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veteran's Readjustment Assistance Act, and applicable executive orders, federal and state regulations regarding nondiscrimination, equal opportunity, and affirmative action (for protected veterans and individuals with disabilities). Inquiries regarding this policy should be directed to the Emory University Department of Equity and Civil Rights Compliance, 201 Dowman Drive, Administration Building, Atlanta, GA 30322. Telephone: ************ (V) | ************ (TDD). Emory University is committed to ensuring equal access and providing reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to seek a reasonable accommodation, please contact the Department of Accessibility Services at accessibility@emory.edu or call ************ (Voice) | ************ (TDD). We kindly ask that requests be made at least seven business days in advance to allow adequate time for coordination. **Connect With Us!** Connect with us for general consideration! **Job Number** _155920_ **Job Type** _Regular Full-Time_ **Division** _Campus Services_ **Department** _CS Parking Services_ **Job Category** _Facility Support and Building Maintenance_ **Campus Location (For Posting) : Location** _US-GA-Atlanta_ **_Location : Name_** _Emory Campus-Clifton Corridor_ **Remote Work Classification** _No Remote_ **Health and Safety Information** _Not Applicable_
    $36k-46k yearly est. 5d ago
  • Senior Revenue Integrity Pharmacy Analyst, Revenue Integrity/Coding Administration, Days, Fully Remote

    Norton Healthcare 4.7company rating

    Louisville, KY jobs

    Responsibilities The Sr. Revenue Integrity Pharmacy Analyst is responsible for expert review of pharmacy related charge audits, denials, quarterly HCPCS updates, and value analysis. They will review and analyze pharmacy claims, collaborating with pharmacy IS, Billing and Managed Care to ensure compliance with billing regulations while maximizing reimbursement. Additionally they provide support and education to Pharmacy and Revenue Cycle teams on coding and documentation requirements. Strong attention to detail with extensive knowledge in Pharmacy billing, coding, payor policies, federal regulations and reimbursement methodologies are essential for this role. **This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina** Qualifications Required: Three years of experience in healthcare revenue cycle, clinic operations or pharmacy technician One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT Desired: Certified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder OR Registered Health Information Administrator OR Registered Health Information Technician OR Certified Outpatient Coding OR Certified Inpatient Coder ICD-10
    $40k-55k yearly est. 18h ago
  • EMR Informatics Specialist, Health Information Management, Days Hybrid

    Norton Healthcare 4.7company rating

    Louisville, KY jobs

    Responsibilities Design and develop electronic medical record keeping and documentation systems. Implement structures and algorithms to optimize the use, storage, and retrieval of medical information. Key Responsibilities: Assists with evaluation, design, testing, implementation, upgrades, support, and maintenance of the HIM system(s). Trains, supports and provides assistance to users; and, provides ongoing education and training when needed. Provides technical consultation to health information management, other departments, vendors, and information technology on HIM system(s) and processes. Manages tools such as procedure and information flowcharts, policies and procedures, instructional manuals, and forms in order to promote effective use of applications. Provides documentation and training for users when there is a system change or update. Special projects as directed. **This position has the opportunity to work from home. You may be asked to complete training at a Norton Healthcare facility or be able to come to a Norton Healthcare facility for business purposes. Employees in this role must reside in Kentucky or Indiana** Qualifications Required: With an Associates Degree: Three years in Health Information Management or Health Information Technology With a Bachelor's Degree: One year Health Information Management or Health Information Technology One of: RHIA or RHIT Desired: Bachelor Degree Registered Health Information Administrator Registered Health Information Technician Project Management Professional EPIC Certification OnBase Certification
    $26k-32k yearly est. 18h ago
  • Licensed Clinical Social Worker (LCSW) - Remote

    Brave Health 3.7company rating

    New Mexico jobs

    Why We're Here: At Brave Health, we are driven by a deep commitment to transform lives by expanding access to compassionate, high-quality mental health care. By harnessing the power of technology, we break down barriers and bring mental health treatment directly to those who need it most-wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, yet two-thirds of providers don't accept it. Brave Health is stepping up to close this gap by making mental health care accessible, affordable, and life-changing for all. Job description We are looking for full-time Licensed Therapists to join our team and provide outpatient services through our telehealth program! Benefits: Our team works 100% remotely from their own homes! W2, Full-time Compensation package includes base salary plus bonus! Monday - Friday schedule; No weekends! Shift options include 9am-6pm MST Comprehensive benefits package including PTO, medical, dental, vision benefits along with liability insurance covered and annual stipend for growth & education opportunities Additional compensation offered to bilingual candidates (Spanish)! We not only partner with commercial health plans, but are also a licensed Medicaid and Medicare provider and see patients across the lifespan Requirements: Master's level degree and licensure Eligibility to work in the United States Work from home space must have privacy for patient safety and HIPAA purposes Fluency in English, Spanish preferred; proficiency in other languages a plus Meets background/regulatory requirements Skills: Knowledge of mental health and/or substance abuse diagnosis Treatment planning Comfortable with utilizing technology at all points of the day, including telehealth software, video communication, and internal communication tools Experience working in partnership with clients to achieve goals Ability to utilize comprehensive assessments Ready to apply? Here's what to expect next: It's important to our team that we review your application and get back to you with next steps, fast! To help with that, and be most considerate of your time (which we value and know is limited), you may receive a call from Phoenix - our AI Talent Scout. She'll ask for just 5 minutes of your time to gather some information about you and your job search to get the basics out of the way. If there is a mutual fit we'll match you to the right senior recruiter on our team. Brave Health is very proud of our diverse team who cares for a diverse population of patients. We are an equal opportunity employer and encourage all applicants from every background and life experience to apply.
    $62k-73k yearly est. 1d ago
  • Business Development Manager

    The BJC Group, Inc. 4.6company rating

    Nashville, TN jobs

    The BJC Group, Inc. is a comprehensive construction management and contracting company specializing in commercial and residential construction, pre-construction services, and maintenance. The company provides end-to-end solutions, encompassing design, permitting, construction, and building occupancy. Backed by a highly experienced team, The BJC Group is dedicated to delivering superior quality projects at competitive prices, catering to a diverse range of project sizes and requirements. Role Description This is a full-time hybrid role for a Business Development Manager, located in Nashville, TN, with flexibility for some remote work. The Business Development Manager will be tasked with identifying and securing new business opportunities, building and maintaining client relationships, and collaborating with internal teams to ensure client satisfaction. Daily responsibilities include market research, preparing sales presentations, negotiating contracts, and contributing to strategic business planning efforts to support company growth. Qualifications Strong business development, client relationship management, and negotiation skills Experience in sales strategy, market research, and lead generation Ability to analyze market trends and develop actionable insights for business growth Excellent verbal and written communication skills for preparing proposals, presentations, and reports Organizational and project management skills to oversee multiple deals and client accounts Proficiency with CRM software and other digital tools for tracking sales processes and customer interactions Self-motivated with a proactive approach to achieving business goals Bachelor's degree in Business Administration, Marketing, Sales, Construction, or a related field is a plus Industry experience in construction management or contracting is a plus
    $58k-79k yearly est. 2d ago
  • Member & Recipient Services Clinician (Sun-Wed, Remote NC)

    Vaya Health 3.7company rating

    North Carolina jobs

    LOCATION: Remote - this is a home based, virtual position. This person must reside in North Carolina or within 40 miles of the NC border. Work Schedule: Sunday - Wednesday from 10am-9pm. Due to the nature of the Call Center and the Behavioral Health Crisis line, the job may require some holiday work throughout the year. GENERAL STATEMENT OF JOB This position is within the Member and Recipient Services Department at Vaya Health. The Member and Recipient Services Clinician is responsible for providing an array of functions to assist consumers in receiving clinically appropriate assessments and services. Telephone calls come to the unit via a 1-800 number from members, recipients, families, agencies, organizations, professionals and others within Vaya's catchment area. The Behavioral Health Crisis service line operates 24 hours per day, seven days per week, 365 days per year and the employee is subject to working holidays and holiday rotation as deemed necessary by the business. The primary purpose of the position is to provide telephone screening and triage for callers and families who are seeking mental health, substance abuse, or developmental disability services. The unit assesses the nature of the caller's situation, determines the urgency of the caller's need, and makes a referral to the most appropriate service available based on the caller's location and insurance plan. Duties include linking callers to needed services within clinically appropriate time frames, including telephonic clinical triage and referral which includes a determination of need for urgent or emergent services. In addition to providing clinical support the position will also directly handle any telephonic requests for services at times of heavy call volume. The employee works productively and efficiently with a wide variety of consumers, families, agencies, professionals, law enforcement and others in the community. Callers may be in distress or in emergency or crisis situations requiring speedy assessment and intervention. Some callers are at risk to harm themselves or others and this risk must be accurately assessed. The high volume of calls requires the employee to balance the need to do a careful and accurate telephone assessment of the consumer's need and situation, with the need to be efficient in the use of time to complete the screening and triage interaction. The employee develops and maintains the knowledge and skills necessary to accurately assess and refer consumers from all disability areas, and also maintains a good working knowledge of resources available throughout Vaya's entire catchment area. Note: This position requires access to and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee of Vaya Health. The individual filling this position shall also sign a confidentiality statement as an employee of Vaya Health. ESSENTIAL JOB FUNCTIONS Handle telephonic requests for services, respond to member and recipient calls, and provide requested information: Member and Recipient Svcs Clinician perform clinical screening, triage and referral to callers needing services, answer and provide disposition to service request calls at times of heavy call volume, and handle crisis calls in the Member and Recipient Services Call Center. Member and Recipient Svcs Clinicians triage calls for urgency and facilitate access to crisis services when risk indicators are present. Where safety is at risk, the employee initiates immediate intervention via law enforcement or emergency medical assistance. Member and Recipient Svcs Clinicians will provide information and educate callers about the involuntary commitment process, as appropriate based on assessment of risk. The employee provides brief crisis interventions and/or support when indicated to facilitate the assessment process, encourages compliance, addresses safety issues, etc. Clinical functions are performed by the Member and Recipient Services Clinicians. Member & Recipient Svcs Clinician will inquire about the caller's needs, determine clinical urgency, review and confirm member and recipient eligibility, collect necessary demographic information, offer choice of available providers based upon the consumers request and service needs, and schedule appointments within established access time standards. The Member & Recipient Svcs Clinician will inform a Member Services Manager and/or appropriate Network Development staff of gaps and needs associated with trends that are detected within the services system for timely analysis and resolution. For information calls, this position will provide information about Vaya, the Vaya provider network, community resources, and about Medicaid services in the State of NC. Member & Recipient Svcs Clinician shall receive extensive training on customer services skills such as the use of appropriate tone, cadence, inflection, and choice of recovery oriented and/or person-centered wording. All Member and Recipient Services Representatives must adhere to NCMT Call Grading Rubric provided by NCDHHS. This position requires a high degree of communication skills and professionalism with various parties- members, recipients, providers, vendors, community organizations, legal guardians, and more. The Member and Recipient Svcs Clinician will complete warm transfers and linkages to a variety of different parties to assist the caller with correct linkage. Documentation in the electronic information system: The Member & Recipient Svcs Clinician completes call notes, forms, reports and other documentation as required. The Member and Recipient Services Clinician will complete required documentation at the time of call. This position requires a high degree of technical skills with utilization of multiple systems/logins throughout a phone call. Specialized projects and reviews: The Member & Recipient Svcs Clinician will assist in specialized Member Services Departmental projects as requested by the Member and Recipient Services Managers or Directors, and/or the Vice President of Member and Recipient Services. Other duties as assigned. KNOWLEDGE, SKILLS, & ABILITIES A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance. This will require exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts. Problem solving, negotiation, arbitration and conflict resolution skills are essential to balance the needs of both internal and external customers. Mastery of utilization review principles to resume continuity of care and clinical evaluations as needed for appropriate provision of intensive, crisis services and other levels of care to ensure linkage to correct services; Knowledge of documentation and clinical protocols for utilization purposes. Knowledge of linage, authorization and level of care determinations, assisting providers with creative problem solving to suggest alternative approaches to care. Clinical knowledge of managed systems of mental health and substance abuse. Knowledge of managed behavioral care practices. Ability to collaborate with providers and other agencies. Clinical knowledge of mental health and substance abuse treatment as a basis for clinical triage and referral decisions Comprehensive knowledge of resources and the ability to use a personal workstation. Knowledge of databases and data entry is essential. A degree alone does not prepare an applicant for this position. Experience providing mental health, substance abuse, or intellectual/ developmental disabilities services are essential. This employee should have knowledge of individual and group dynamics, and will learn de-escalation of telephonic situations, and a thorough knowledge risk indicators. Considerable knowledge of governmental and private organizations and resources in the community is beneficial. Considerable knowledge of the laws, regulations, and policies that govern MCO operations is beneficial. Skill in establishing rapport with staff/consumers in discussing their issues in a sensitive, supportive and nonjudgmental way is necessary. Ability to establish and maintain effective working relationships with community members and provider agency staff is necessary. Other skills or abilities require are as follows: Knowledge of behavioral health principles, techniques, and practices, and their applications to complex treatment and service provision. Considerable knowledge of person-centered and recovery philosophies. Familiarity with mental health, developmental disability and substance abuse disorders. The ability to remain professionally responsive in an ethical and sensitive manner to individual's needs throughout the course of the work day/shift. The ability to work responsibility and effectively with others for a timely resolution of the caller's needs. The ability to interact professionally and effectively with persons who are upset and who disagree. Knowledge of the laws, regulations, and policies which govern human services and utilization management. The ability to express ideas clearly and concisely orally and in writing, and to plan and execute work effectively and efficiently. The ability to utilize complex telephone and computer systems, and to read and document information electronically. EDUCATION & EXPERIENCE REQUIREMENTS Master's degree in a Human Services field (such as Psychology, Social Work, etc.) and at least two (2) years of post-degree-progressive experience providing services in the population served OR graduation from a State accredited school of nursing and two years of experience in psychiatric nursing which provides the knowledge, skills, and abilities needed to perform the work; or an equivalent combination of education and experience. Must possess a current and valid professional license or certificate in North Carolina; or possess a current and valid license or certificate from another state or be certified by the national accrediting body appropriate to their profession. (URAC HCC 5) Experience in the public mental health field and a thorough understanding of the services available in the catchment area is highly desired due to the complexity of the work of the organization. Prior experience in a Call Center environment in Behavioral Healthcare would be valuable for this employee. A degree alone does not prepare an applicant for this position. Experience providing mental health or substance abuse services are essential. No experience can be substituted for the formal degree. Licensure/Certification Required: Must possess a current, active, unrestricted professional license or certification from North Carolina in a Human Services field (such as Psychology, Social Work, Counseling, Marriage and Family Therapy, Addictions, etc.). Acceptable licenses include Licensed Clinical Social Worker (LCSW), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Clinical Addictions Specialist (LCAS), Doctor of Psychology (Psy. D.), PhD. Psychologist, Licensed Marriage and Family Therapist (LMFT) or Licensed Psychological Associate (LPA). For RN candidates, the employee must have a current, active, unrestricted professional license to practice as a registered Nurse in North Carolina by the NC Board of Nursing. PHYSICAL REQUIREMENTS Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border. SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation. DEADLINE FOR APPLICATION: Open Until Filled APPLY: Vaya Health accepts online applications in our Career Center, please visit ****************************************** Vaya Health is an equal opportunity employer. WORK SCHEDULE: Sunday -Wednesday from 10am-9pm. Due to the nature of the Call Center and the Behavioral Health Crisis line, the job may require some holiday work throughout the year.
    $25k-31k yearly est. 6d ago
  • Radiology - Breast Physician

    The Medicus Firm 4.1company rating

    Mobile, AL jobs

    Academic Breast Imaging Leadership Opportunities Gulf Coast Metro Join a prestigious academic health system dedicated to pioneering patient care and training the next generation of healthcare providers and researchers. We are seeking a fellowship-trained Breast Imager to join our dynamic team. Position Highlights: 100% Breast Imaging - Focused clinical practice Flexible Options - Call and remote work opportunities available Academic Engagement - Teach and mentor radiology residents Dedicated Facilities - Women's Hospital and Mitchell Cancer Institute Leadership Roles - Opportunities for advancement Fellowship Support - Minimum $30,000 stipend Visa Sponsorship - H1B and J1 visa support available Where Southern Charm Meets Coastal Living Charming Neighborhoods - From tree-lined streets in Midtown to waterfront views on Dauphin Island, there's a perfect spot for every lifestyle. Mardi Gras Magic - Experience the oldest celebration in America with parades, balls, and colorful culture all year long. Festivals & Food - From seafood to soul food, every weekend brings something to taste and celebrate. Booming Job Market - Aerospace, healthcare, shipping, tech-Mobile is growing and hiring. Easy Access - Quick drive to New Orleans, Gulf Shores, or Florida. Plus, a revitalized downtown scene full of energy! Reference: RBI 23030 Interested candidates should inquire to learn more about this unique blend of academic excellence and coastal lifestyle. Breast Radiology, Mammography, Breast Imaging, Academic Breast Imaging, Academic Mammo, Academic Radiology, Breast Imaging Radiology, Breast Imaging Fellowship, Mammography
    $150k-268k yearly est. 1d ago
  • Head of Postmarket Surveillance, Oral Healthcare

    Philips Healthcare 4.7company rating

    Bothell, WA jobs

    Job TitleHead of Postmarket Surveillance, Oral HealthcareJob Description Head of Postmarket Surveillance, Oral Healthcare In this role you You are responsible for overseeing all aspects of post-market surveillance, including process implementation, complaint handling, and corrective and removal activities. Your role: Drive monitoring, support enhancement and implementation of post-market surveillance, complaint handling, and correction and removal processes and activities, ensuring compliance with regulatory standards and organizational policies. Drive cross-functional periodic reviews and collaboration with stakeholders, integrating feedback and lessons learned into product development and improvement, processes improvements and strategic initiatives. Analyze and refine key operational metrics and reporting systems and ensure data-driven decision-making for continuous improvement. Lead and oversee quality metrics for trending purposes, and reports on trending, post market surveillance activities, periodic safety reports etc. Lead investigations into product complaints and adverse events, ensure timely reporting, accurate triage, escalation, and resolution, and oversee corrective/removal actions to maintain product safety and regulatory compliance. Lead, manage and develop a multidisciplinary team. Foster a culture of transparency and accountability, mentoring team members and ensuring the effective transfer of knowledge and best practices throughout the organization. You're the right fit if: Bachelor's / Master's Degree in Medical Sciences, Healthcare Management, Industrial Engineering, Supply Chain Management or equivalent. 5+ years of experience with Bachelor's OR Minimum 3 years of experience with Master's in areas such as Post Market Surveillance Operations, Medical Device, Quality Assurance, Quality Control, Clinical Research or equivalent. Preferred experience in Risk management experience for medical devices, with thorough knowledge of FMEAs and RMRs, Minimum 3 years' prior management or other relevant experience, Experience with FDA inspection, and/or ISO Audits, NCR, FSN and CAPA experience is a plus, Experience in both medical and non-medical is a plus, Working knowledge of cGMP, FDA 820 QSR and ISO 13485 or other Quality Systems You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this Office/Remote position. How we work together We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company's facilities. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations. This is an office role. About Philips We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others. Learn more about our business. Discover our rich and exciting history. Learn more about our purpose. Learn more about our culture. Philips Transparency Details The pay range for this position in Bothell, WA is $128,520 to $180,000 Annually. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity. In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here. At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case. Additional Information US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future. Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Bothell, WA. #LI-PHI This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration. Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free workplace.
    $128.5k-180k yearly Auto-Apply 13d ago
  • Analytics QA Tester (Remote)

    Vaya Health 3.7company rating

    North Carolina jobs

    LOCATION: Remote - This is a home based, virtual position that operates Monday - Friday from 8:30am-5:00pm (EST). Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB The Analytics QA Tester works independently, as well as with developers and business analysts, to test complex software and Business Intelligence solutions. Develop test plans, participate in peer reviews of software solutions (including code reviews), and assist end-users with user acceptance testing. Responsible for automated regression testing. Work closely with other software developers and analysts to understand what the product is meant to do, to identify issues in design and development, and to provide recommendations for improvements. Analyze and understand complex data sources in order to validate developed applications, Business Intelligence solutions, data warehouses, data visualizations, and extract, transform, and load (ETL) procedures. As a member of an agile development team this position will test new features for functionality and user experience. ESSENTIAL JOB FUNCTIONS Work with the Analytics Development Team to test applications and Business Intelligence products during the systems development life cycle (SDLC). Assist end-users in performing user acceptance testing on developed solutions. Responsible for designing and implementing test plans and test cases based on product specifications. Perform post-implementation testing of developed solutions. Document test plans, test cases, and test results. KNOWLEDGE OF JOB Integrity and decision-making skills necessary to work with and protect confidential personal health information Problem solver, with ability to debug complex processes and applications Analytical and troubleshooting skills Experience within an agile development process, creating and using automating acceptance tests, automated test framework, de-bugging tools and analyzing stack traces. Microsoft Team Foundation Server for work item tracking and source code control is preferred Experience testing web applications, including the ability to use and understand advanced features of web browsers Experience testing end-user reports, ETL packages, and data visualizations including the ability to test Microsoft T-SQL procedures Excellent verbal and written communication skills, ability to articulate ideas clearly Proven ability to meet development commitments and manage expectations Desire for constant improvement Ability to work independently and as a strong team player Ability to work in a fast-paced, deadline driven environment running multiple projects simultaneously High level of computer literacy with spreadsheets, word processing and database software and business systems (Word, Access, Excel, PowerPoint, MS Project, VISIO and other graphic software). Extensive development, architecture, and configuration skills in Microsoft SQL Server 2008, 2012, or 2014 including strong SQL development skills (preferably Microsoft T-SQL). Extensive development, architecture, and configuration skills with the Microsoft .NET framework including development of applications using C# or VB.NET. EDUCATION & EXPERIENCE REQUIREMENTS Bachelor's Degree in Computer Science, Information Technology, Engineering, or a related discipline required and 5 years of experience testing highly complex software applications crossing multiple platforms and diverse technologies. PHYSICAL REQUIREMENTS Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. Mental concentration is required in all aspects of work. RESIDENCY REQUIREMENT: The person in this position must live in NC, SC, GA, TN, VA, MD, or FL. SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation. DEADLINE FOR APPLICATION: Open until filled. APPLY: Vaya Health accepts online applications in our Career Center, please visit ****************************************** Vaya Health is an equal opportunity employer.
    $54k-67k yearly est. Auto-Apply 60d+ ago
  • Locum Remote Overnight Radiology Coverage needed

    All Star Healthcare Solutions 3.8company rating

    Libertyville, IL jobs

    All Star Healthcare Solutions is seeking a Radiologist for Remote Overnight Locum coverage in Illinois. Some details include: Hours are 12a-7a Predominantly CT studies 20 CT's per night on average Occasional US, plain film, or random MR as may be needed Multiple weeks offered each month, ongoing When can you start and what availability can you offer? All Star Healthcare Solutions benefits: Competitive pay; Malpractice coverage; Paid and coordinated travel services; Full-service agency; 24/7 professional and reliable service; Dedicated, specialty-specific consultants; Member of NALTO
    $66k-92k yearly est. 5d ago
  • Hybrid Actuarial Lead Director, Self-Insured Analytics

    CVS Health Corporation 4.6company rating

    Atlanta, GA jobs

    A leading healthcare solutions company seeks a Lead Director of Actuarial to oversee and manage a team focused on Machine Readable Files and Hospital Transparency. Responsibilities include conducting analyses, building relationships with health benefit consultants, and evaluating self-insured trends. Candidates should have at least 10 years of experience in actuarial science or data analytics, strong analytical skills, and a Bachelor's degree. The role offers a competitive salary and excellent benefits. #J-18808-Ljbffr
    $110k-135k yearly est. 1d ago
  • Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)

    Northwestern Memorial Healthcare 4.3company rating

    Chicago, IL jobs

    Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: Audit of CPT codes associated with each procedure Confirmation of supplies used and verification of alignment with operative notes Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms Handles billing inquiries received via telephone or via written correspondence. Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. Performs activities and responds to patient inquiries related to billing follow-up. Requests necessary charge corrections. Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance regarding clinical documentation to optimize charges and RVUs Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. Works with patients/clients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. Reviews, prepares and sends pre-collection letters as defined by department procedures. Identifies and sends accounts to outside collection agency. Prepares and distributes reports that are required by finance, accounting, and operations. Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Identify opportunities for process improvement and submit to management. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence Displays a friendly, approachable, professional demeanor and appearance. Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. Supports a “Safety Always” culture. Maintaining confidentiality of employee and/or patient information. Sensitive to time and budget constraints. Other duties as assigned. Qualifications Required: High school graduate or equivalent. Strong Computer knowledge, data entry skills in Microsoft Excel and Word. Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. 3 years of physician office/medical billing experience. Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. Ability to work independently. Preferred: 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $45k-58k yearly est. 34d ago
  • Physician Assistant / Cardiology / North Carolina / Locum Tenens / Hospital Medicine Hybrid APP - Lake Norman

    Atrium Health 4.7company rating

    Cornelius, NC jobs

    Department: 04170 GCMG Hospitalist Group: Lake Norman - Hospitalists Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Varies If it's possible, you will find it at Atrium Health?the leading community-focused academic healthcare system serving North Carolina, South Carolina, and Georgia. We invite Advanced Practice Providersto discover all that we can do when we bring healing hearts, inquisitive minds and progressive visionaries together in our Carolinas Hospital Groupteam at Atrium Health. Position Highlights: 100% inpatient adult medicine. Join our current team of 6 Physicians. Hospital based practice with team-based panel of physicians and ACP providers 7 days on and 7 days off, or unless otherwise specified by the specific site Call is not required Procedures not expected Designated clinical support staff including RNs and staff administrative assistants Teaching opportunities with ACP students and ACP fellows Eligible year-end bonus based on yearly physician/ACP team goals Centralized professional support from the Center for Advanced Practice $2500 of CME allowance Candidate Qualifications: Graduation from an accredited NP or PA program. Current license to practice as a NP or PA in North Carolina. Current prescriptive privileges and DEA license required. BLS for healthcare provider from AHA required. Nurse practitioners are required to have a master's degree or doctorate in nursing practice. Certification as an Adult Acute care NPfrom a nationally recognized certifying body required. Physician Assistants with master's degree and certification from the National Commission on Certification of Physician Assistants preferred. 2+ years of experience preferred. Demonstrates appropriate critical thinking and interpersonal skills when working in a fast paced, complex hospital environment. NC or SC Licensure, depending on practice locations Nurse Practitioner Candidates: Master's Degree or Doctor of Nursing Practice required. Acute care certification required. License to practice as a Registered Nurse required. Certification in the area of practice from a nationally recognized certifying body required. ACNP, AGACNP, AGNP, PNP, or PNP-AC board certification preferred based population served. Physician Assistant Candidates: Graduate from an accredited Physician Assistant program required. Master's Degree preferred. Certification from the National Commission on Certification of Physician Assistants preferred. When you join Atrium Health, you will be welcomed into an inclusive culture that celebrates and respects the contributions a diverse team can make together. Practice where your voice is valued, your passion for advancing medicine is rewarded, and you get the resources and support you need to thrive personally and professionally. In our nationally-renowned integrated health system, you can work alongside the most advanced minds in medicine to improve medicine, elevate hope and advance healing?for all. Pay Range $50.05 - $75.10 Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more ? so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation?s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. Hospital Medicine Hybrid APP - Lake Norman
    $50.1-75.1 hourly 18h ago
  • Denial Coordinator - Hybrid

    Community Health Systems 4.5company rating

    Tennessee jobs

    The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and working closely with payers, internal departments, and revenue cycle teams to identify and address denial trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution, reduce future denials, and ensure compliance with payer guidelines. **Essential Functions** + Monitors assigned denial pools and work queues in Artiva, HMS, Hyland, BARRT, and other host systems, ensuring timely follow-up on denials and appeals. + Conducts follow-up calls and payer portal research to track the status of submitted appeals and claim determinations, documenting all actions taken. + Communicates with key stakeholders across revenue cycle, billing, and clinical teams to resolve denial trends and improve claim submission accuracy. + Tracks and documents all denial and appeal activity, maintaining accurate records in system logs, account notes, and tracking reports. + Ensures compliance with all payer guidelines and regulatory requirements, keeping up to date with policy changes and appeal submission rules. + Manages BARRT requests (Outbound/Inbound) in a timely manner, ensuring that all required documentation and system updates are completed. + Identifies root causes of denials and collaborates with internal teams to implement process improvements that reduce future denials. + Prepares and submits appeal documentation, ensuring that all required medical records, forms, and supporting materials are included. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. + This role requires at least 1 day onsite per week. **Qualifications** + H.S. Diploma or GED required + Associate Degree or higher in Healthcare Administration, Business, Finance, or a related field preferred + 1-3 years of experience in denials management, insurance claims processing, or revenue cycle operations required + Experience in revenue cycle processes in a hospital or physician office required + Experience with payer appeals, claim resolution, and healthcare billing systems preferred **Knowledge, Skills and Abilities** + Strong understanding of payer guidelines, claim adjudication processes, and denial management strategies. + Proficiency in Artiva, HMS, Hyland, BARRT, and other revenue cycle applications. + Excellent problem-solving skills, with the ability to analyze denial trends and recommend corrective actions. + Strong written and verbal communication skills, with the ability to engage effectively with payers, internal teams, and leadership. + Detail-oriented with strong organizational and documentation skills, ensuring compliance with payer appeal deadlines. + Ability to work independently and manage multiple priorities in a fast-paced environment. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $25k-29k yearly est. 5d ago
  • Associate Director , Client Delivery - Clinical Research - Central Labs Services

    Labcorp 4.5company rating

    Burlington, NC jobs

    At Labcorp, we believe in the power of science to change lives. We are a leading global life sciences company that delivers answers for crucial health questions. Through our unparalleled diagnostics and drug development capabilities, we provide insights and accelerate innovations that not only empower patients and providers but help medical, biotech, and pharmaceutical companies transform ideas into innovations. Central Laboratory Services is part of a global contract research organization within Labcorp. We offer the world's largest network of central laboratories and support global clinical trials testing. A common set of processes, procedures, and instrumentation is offered throughout our sites in Europe, Asia/Pacific, and the United States, allowing us to receive samples globally and provide more than 700 assays across all laboratory science disciplines. LabCorp is seeking an **Associate Director, Global Client Delivery,** to join our **Central Labs Services** team. In this position, you will be accountable to create, implement and advance the Study Management function's vision and strategy in alignment with the Global Project Management (PM) strategy. This position is directly responsible for the day-to-day management and supervision of the study management team to ensure the successful implementation of the global project management strategy, structure, process, and metrics to deliver outstanding customer satisfaction. The Associate Director will ensure integrated services with other global parts of Global Project Management, across departments and business units, focusing on innovative solutions to meet the needs of the pharmaceutical and biotech industries. The three primary areas of focus are: + People: Provide an environment where people can build their careers and thrive + Process: Contribute to an ongoing and sustainable improvement in cost, quality and service delivery for the Portfolio Manager, GSM and SDL functions. + Client: Deliver market-leading quality in an environment of increased regulatory scrutiny through a systematic quality program with focus on continuous improvement. **This is a remote opportunity and can be located anywhere in the US. Indianapolis metro area preferred.** **Responsibilities:** + Manage and supervise the day-to-day operations of the project management team including but not limited to: + Ensure the development of a competent workforce to meet growth plans within budget. + Ensure the seamless integration of project management services and influence pan-Labcorp Drug Development as necessary. + Accountable for the activities and outcomes of the project management team(s), taking corrective action where appropriate. + Ensure appropriate resource allocation to successfully implement and execute project plans to achieve agreed upon service levels. + Ensure consistent implementation, use, and review of SOPs. + Establish and monitor performance objectives for direct reports and take corrective action where appropriate. + Complete thorough, timely and well-documented performance evaluations and interim progress reviews. + Lead the study management team tasks related to planning, budgeting, and cross project management team issues. + Participate in the Project and Alliance Leadership team to establish strategy and business plans. + Engage in mentoring and developing staff and participate in Talent Assessment and Succession Planning processes. + Champion the PM Excellence strategy to continue to grow and enhance the PM competencies across the organization. Engage and partner with other PM pan-Labcorp Drug Development to share best practices and develop appropriate partnerships. + Drive a culture of continuous improvement, quality, and productivity. + Identify business growth opportunities and project management service enhancements. Monitor, track, and manage progress to the PM strategy. Share learning and best practices as appropriate. + Ensure all service failures and opportunities (CCLS and pan-Labcorp Drug Development) are identified, tracked, and resolved in a timely manner. Take preventative action to ensure that the same service failure(s) does not occur. Share learning and best practices as appropriate. + Accountable for the effective management of the study management team budget as appropriate. + Effectively partner and influence across CLS Leadership, Alliance Leaders, Business Development Directors, and Executive Sponsors to meet the growing and evolving client needs. **Minimum Experience Required:** + Minimum 5 years of people leadership experience + Experience managing a team of up to 20 plus is preferred + Excellent written, verbal, and interpersonal skills + Demonstrated high degree of initiative and ability to work collaboratively + Proven ability to inspire effective teamwork and motivate staff in a multi-regional, matrixed environment + Knowledge of regulatory requirements in clinical or laboratory settings + Strong negotiation skills to facilitate, guide, and influence a unified approach within a global, cross-functional environment + Proven strength in planning, problem solving, and organization + Consistent track record of driving continuous improvement and achieving results through leadership + Demonstrated ability to interact with, influence and inspire staff at all levels of the organization + Inclusive and engaging presentation and communication skills + Demonstrated leadership development capabilities **Minimum Education/Qualifications/Certifications and Licenses Required:** + 4-year degree + Clinical trial or central laboratory experience in a people leadership role + Regulatory experience (GXP) **Preferred Education:** + MBA or master's degree **Application Window:** closes at the end of the day 1/30/2026 **Pay Range:** 130-160K per annum All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. The position is also eligible for an annual bonus under the Labcorp Bonus Plan. Bonuses are payable based on corporate and/or business segment performance and are subject to individual performance modifiers. **Benefits:** Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here (************************************************************** . **Labcorp is proud to be an Equal Opportunity Employer:** Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. **We encourage all to apply** If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site (**************************************************** or contact us at Labcorp Accessibility. (Disability_*****************) For more information about how we collect and store your personal data, please see our Privacy Statement (************************************************* .
    $77k-101k yearly est. 8d ago
  • Remote Work From Home Data Entry

    Work Out World 3.8company rating

    Washington jobs

    Basic Data Entry Clerk Wanted - Work From Home 25 Words Per Minute Input We are Legitimate Work From Home Data Entry Jobs are going to require that you have skills relevant to the position you are applying for. Training is provided based on the position. JOB REQUIREMENTS Computer with internet access Quiet work space away from distractions Must be able and comfortable to working in an environment without immediate supervision Ability to read, understand, and follow oral and written instructions. Data entry or administrative assistant experience is not needed but can be a bonus We are recruiting those who have a background in health care, ware house worker, delivery drivers, customer service, etc - we welcome all backgrounds so long as you're ready to learn You must apply on our website only. Our paid focus group members come from all backgrounds and industries including remote data entry clerk, administrative assistant, receptionist, sales assistant, customer service agent, warehouse or factory workers, driver, medical assistant, nurse, call center representative, etc. If you are looking for a part time remote work from home job, this is a great position for earning a good extra income. Earn Part time income from the comfort of your home. This work allows you to: Work on your time - you work when you want. Learn new skills, get access to in demand work from home jobs No dress code, work in your pj's or work in a suit - If you choose Get started today by visiting our web site - and once there follow instructions as listed Qualifications Computer with internet access Quiet work space away from distractions Must be able and comfortable to working in an environment without immediate supervision Ability to read, understand, and follow oral and written instructions Data entry or administrative assistant experience is not needed but can be a bonus We are recruiting those who have a background in health care, ware house worker, delivery drivers, customer service, etc - we welcome all backgrounds so long as you're ready to learn Benefits Earn Part time income from the comfort of your home Work on your time - you work when you want Learn new skills, get access to in demand work from home jobs No dress code, work in your pj's or work in a suit - If you choose
    $32k-39k yearly est. 60d+ ago

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