Professional Home Care Associates and Neurosport Rehabilitation Associates Remote jobs - 320 jobs
Occupational Therapist - Inpatient/Outpatient Home Based | Full Time
Blue Mountain Hospital 4.4
John Day, OR jobs
Occupational Therapist will perform duties as assigned for improving a patient's function in skilled occupational therapy care, working closely with patients to develop strategies to maximize independence & safety with activities of daily living, such as toileting, dressing, bathing, meal preparation & other household chores in order to resume valuable roles & responsibilities. An individualized evaluation determines client/family goals & customized interventions improve the person's ability to perform activities accomplished through therapeutic use of activities or "occupations" in an evidenced-based practice deeply rooted in science. The occupational therapists skillfully identify necessary home modifications & safety equipment to reduce fall risk with a focus on adapting the environment& /or task to fit the person's current needs. This position covers 2 different practice settings even though it takes place in a CAH: Home-based outpatient, inpatient, transitional care(swing bed) and long term care.
Essential Functions & Responsibilities:
Promotes the mission, vision and values of BMHD.
Assists the physician in the evaluation, diagnosis, and prognosis of patient by applying muscle, nerve, joint, and functional ability testing. Develops the occupational therapy treatment plan based on these results and revises as necessary, assisting the physician in developing the plan of care for the patient.
Treats patients safely to relieve pain, develop, or restore function to optimal ability. Directs and aids patients in active and passive exercises, muscle re-education, activities of daily living, transfer activities, functional training, prosthetic training, safety and education. Provides education for safe and effective participation in I/ADL's implementing adaptations and modifications when appropriate.
Provides ongoing assessment and analysis of patient functioning and progress. This therapy involves providing treatment which takes into account the risks and benefits of that treatment regime relevant to the patient's medical condition, rehabilitation potential and prognosis.
Provides timely and complete documentation following department guidelines and compliance requirements. Follows any indicated HIPPA, Medicare, Medicaid as well as state, organizational and department rules.
Coordinates therapy activities with other health care disciplines. This includes coordinating services through consultation with appropriate agencies to ensure follow-up and continuing care as needed.
Participates in quality and performance improvement activities within the department including but not limited to measurement and continuous improvement of clinical competency, regulatory compliance, outcome achievement, resource management, work team performance and customer satisfaction.
Education Requirements:
Bachelor's and Master's Degree
Graduate from an Accredited School of Occupational Therapy
Certifications/Licensures:
Basic Life Support (BLS) from American Heart Association (AHA)
Occupational Therapy license, in good standing with the State of Oregon
For more information, contact:
Holly Thompson, Human Resources Generalist
********************************** | **************
Why Blue Mountain Hospital District & Grant County?
The Blue Mountain Hospital District (BMHD) is located in Grant County, Oregon, at the heart of the John Day River, in beautiful, rural, Eastern Oregon. Our District is comprised of a Critical Access Hospital (CAH), Family & Rural Medicine Clinic, Home Care and Hospice, Emergency Medical Services, an Intermediate Care Center and all of the supporting ancillary departments necessary to care for the health and wellness of our community.
Our District spans from John Day to Prairie City, nestled in a valley surrounded by the Blue Mountains. The Strawberry Mountain Range and John Day River Valley offers a variety of outdoor activities, from abundant hiking/mountain biking/horse riding trails, to high and low lakes and ponds. Our area is known to be a "go to" place not just for recreation, but also for big game hunting and fishing!
Join our family-like team and settle into a lifestyle that is hard to beat!
For more information on our area, visit our Grant County Chamber of Commerce page at: *****************************
$86k-106k yearly est. 6d ago
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HRIS and Payroll Administrator
AFC Urgent Care Portland/Vancouver 4.2
Tigard, OR jobs
WE DO URGENT CARE DIFFERENTLY
On Demand Care: Immediate Care for Injuries, Illness, Primary Care and Wellness.
A Winning Culture: Supportive Teammates, Transparent Leadership, and Non-Bureaucratic Decision Making
Performance Bonuses: All Employees Work Together, See the Results, and Share in the Success
General Position Summary:
The Payroll and HR Specialist is a results-oriented professional who will be a key cross-functional member of the HR and Accounting team fully owning the payroll function and supporting the HR manager in critical areas like onboarding, HR documentation and employee benefits administration.
Essential Functions/Major Responsibilities: Payroll:
Prepare and process bi-monthly payroll, ensuring accuracy and timely completion.
Maintain and update employee data in the payroll system to reflect changes in status, pay, and deductions.
Calculate and produce manual payroll checks, adhering to state laws and company policies.
Respond promptly to payroll-related inquiries and assist in resolving concerns effectively.
Assist with year-end payroll tasks, including W-2 preparation, tax filings, and compliance reporting.
HR Administration:
File and maintain HR documentation, ensuring records are complete, accurate, and up-to-date.
Coordinate efforts between HR and other departments to ensure proper flow and maintenance of employees data, including preparation /distribution of detailed reports.
Assist with new hire onboarding and termination processes through systems access updates and maintaining accurate employee lists.
Perform regular audits of HR files and records, including but not limited to: turnover data, insurance eligibility look-back measurement periods, leave tracking and premium collections, performance milestones, and 401(k) eligibility and maintenance.
Complete annual 5500 and EEOC reporting and assist in ensuring compliance with federal, state, and local regulations.
Assists with annual open enrollment preparation and related follow-up to ensure all changes and updates are processed correctly
Ensures rolling enrollments, changes, and terminations are completed in a timely manner.
Maintains accurate benefits records and ensure compliance with relevant regulations
Conducts regular audits of benefits data to ensure accuracy and resolve discrepancies
Education and Experience:
Associate's degree in, Accounting, Business Administration, or a related field.
2+ years of experience in payroll processing and HR administration.
Strong knowledge of payroll systems and HRIS software, preferably ADP Workforce Now
Knowledge of federal, state, and local employment and payroll laws.
Required Skills/Abilities:
Affinity for Technology: The ideal candidate technologically savvy, adept across various platforms like Mac and PC. They should embrace learning new tech without hesitation. Ideal proficiency includes Google Suite/Workspace (preferred) or Microsoft Office Suite, along with familiarity with accounting and payroll systems such as ADP and Xero (preferred).
Quality Communication: The ideal candidate will be an excellent communicator, in writing, in person, and over the phone. This includes proficiency in spelling, grammar, and punctuation. This also includes being able to take a large amount of information and summarize it quickly both in writing and orally on a regular basis.
Organization & Task Management: The ideal candidate will demonstrate exceptional organizational skills and task management abilities. This entails effectively prioritizing tasks, meeting deadlines, and maintaining attention to detail. They should also possess strong multitasking skills and the ability to adapt to changing priorities seamlessly. Additionally, the candidate should excel in coordinating complex projects, delegating tasks efficiently, and ensuring all aspects of a project are completed accurately and on time.
Proficiency with data manipulation and spreadsheet operations: The ideal candidate will have a high level of competency in creating and managing intricate spreadsheets, showcasing a keen eye for detail and organization. This entails the ability to manipulate data effectively, employing advanced functions and formulas as needed. Additionally, the candidate should excel in structuring data in a clear and comprehensible manner, ensuring accessibility and accuracy.
Exhibit Company Core Values:
Commitment - Commitments are clearly made and met
Health - Healthy living for everyone is promoted through sustainable and responsible behaviors
Excellence - Excellence in everything we do
Celebrate - Celebrate wins - both small and large
Trust - Trust builds teamwork through vulnerability and respect
Job Conditions:
The work environment is a corporate office space but can occasionally require clinical visits and working indirectly with patients, clinical staff, and providers. Normal working hours are 8:00am-4:30pm weekdays. Working from home is appropriate at times as approved by the supervisor after the first 90 days of employment.
Physical requirements include prolonged periods of sitting at a desk and working on a computer,
and ability to lift 15 pounds at times.
Pay and Benefits:
$24-$27/ hr. starting, DOE
Employer contribution towards Medical, Dental, Vision Benefits
Free Healthcare Services: AFC covers the costs of medical care for employees, spouses, and dependents when using our AFC clinics for health services
401k Enrollment, with 3% Employer Contribution
3 Weeks Paid Time Off
Personalized Monthly Bonus program
Hybrid work location schedule option
Schedules & Location:
Full-time, ~40 hrs/week. - AFC Corporate Headquarters - 8060 SW Pfaffle St, Tigard, OR 97223, USA
Traditional business hours Monday - Friday, with flexible start and end times
Both traditional in-office setting located in Tigard and remote work available as organized by the supervisor. First 90-days will be required in-office full-time before a hybrid work schedule.
Safety & Wellbeing:
Alcohol and Drug-Free Policy: We are an alcohol and drug-free workplace, including THC. Offers are contingent on the successful completion of background checks and drug screenings.
EEO: AFC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
$24-27 hourly 8d ago
Crisis Mental Health Specialist III (Crisis Worker III)
Community Counseling Solutions 3.4
Pendleton, OR jobs
JOB TITLE: CRISIS Mental Health Specialist III (QMHP)
SUPERVISOR: Clinical Supervisor
PAY GRADE: MHS IV - B12 ($73,900 - $111,600 annually) Exempt - Requires Doctorate or Licensure
MHS III - B11 ($67,500 - $101,200 annually) Exempt - Masters Required
MHS II - B09 ($56,700 - $82,700 annually) Hourly/
Non-Exempt
- Must possess bachelors degree and be enrolled or willing to enroll in a Masters program within 4 months of hire.
(
**Hourly Crisis staff receive a shift differential ranging from $1 to $2.50 for working nights and weekends
)
*** $5,500 Hiring Bonus!!
(2 year Commitment, Staggered-taxed Payout)
Community Counseling Solutions provides a team-based Servant Leadership environment! Located in Eastern Oregon with year-round recreation based near the Columbia River and at the base of the Blue Mountains. Big city amenities in rural family-oriented communities.
Apply Directly at **********************************
Our mission is to provide dynamic, progressive, and diverse supports to improve the well-being of our communities and we're looking for
motivated employees
to
help us continue our vision!
CCS has a benefit package including, but not limited to:
Health, dental and vision insurance
6% initial 401K match
Potential for tuition reimbursement
Paid vacation tiers ranging from accrual of 1 day to 4 days per month (Annual rollover cap of 220 hours, additional hours can be paid out at 50% at the end of the fiscal year)
9 Paid holidays, Community service day
Floating holiday & 2 mental health days provided after 1 year introduction
Workplace Flexibility schedule options available (work from home hours vary by position & schedule)
Exempt employees receive additional admin leave & work from home hours
Relocation Benefit of up to $4,000 if moving over 100 miles, $ depending on distance. This is available to be included w/ job offer
Student loan forgiveness (NHSC & Public Service)
Paid licensure supervision.
Employee Assistance, Wellness Benefits, Dependent Care & Long-Term Disability Insurance
DESCRIPTION
Provides culturally competent and appropriate behavioral health treatment to people served by Community Counseling Solutions. The position provides treatment in accordance with the Oregon Administrative Rules (OAR's) and the mission and values of CCS. This position provides prompt and thorough assessment, evaluation, and intervention via telephone or in person, and provides written and verbal communication where indicated. The position works closely with other involved community partners and is professional in all aspects of service delivery. Additionally, this position assists administration in meeting the behavioral health needs of the community.
SUPERVISION
Supervision Received
This position is supervised by the Crisis Supervisor.
Supervision Exercised
This position does not supervise other employees.
RESPONSIBILITIES
Demonstrate ability to assimilate data from a wide range of observations and use various clinical techniques and skills in gathering the client's personal, family, medical, and psychiatric histories.
Establish short-term goals with clients, provide follow-up services as needed, and make appropriate/expeditious referrals.
Provide home visits and other outreach services to schools and other agencies/providers that are necessary and appropriate.
Thoroughly screen referrals to assure proper utilization of Outpatient Services.
Promptly and accurately complete clinical records and all collateral forms as necessary and required.
Arrange for hospitalization of clients, either on a voluntary or involuntary basis, and thoroughly assess to assure that it is the least restrictive alternative. In facilitating a patient's admission, Crisis Worker must accurately assess for special needs and alert other staff and/or physician to the apparent needs of the patient. Crisis Worker will act expeditiously in assisting police and all community agencies, including hospital staff.
Arrange emergency/temporary placement as appropriate.
Will work as part of a mental health emergency response team and avail themselves to work various non-traditional work hours covering call-offs when feasible.
Cooperate with all referral sources and will provide assistance, directions, and feedback as necessary and appropriate.
Provide consultation services to hospital departments and other providers as necessary and appropriate.
If varianced, provide clinical services to children, adults and families. This would include but is not limited to screening, assessment, individual and group therapy, consultation, and all other allowed clinical services.
Actively participate in joint case planning and coordination with agency employees and relevant agency contractors. Act as a liaison between clients and other agencies. Act as a client advocate when appropriate.
Actively participate in group and individual supervision sessions.
Work with other staff and community representatives to initiate new programs, reviews, evaluates and revises existing programs as necessary.
Perform joint case planning and coordination in areas of behavioral health with other community agencies including but not limited to: schools, group homes, police organizations, district attorney's offices, courts, community clinics and hospitals and other agencies in the Department of Human Services.
Provide behavioral health and addiction education, prevention and information to various interest groups.
Provide after hours emergency services on a 24 hour, rotating basis to adults. This includes telephone consultation and crisis intervention in the community. If varianced, provides same services to children.
If varianced, initiate holds, provide civil commitment investigations, and work with the hospitals, case workers and the state and other individuals/agencies for all individuals in the civil commitment process.
Complete all paperwork in a way that is professional, clinically sound and timely as prescribed by the OAR's and other pertinent guidelines. Required to ensure that all paperwork is present, and/or the client record is well maintained.
Attend trainings, meetings, conferences, etc. as directed by administration and use the information gathered to benefit the agency and the customers.
Assist other clinicians in the facilitation of groups as requested.
If varianced, provide intensive children's treatment services.
Utilize agency software/computer systems to prepare current client records of treatment and reports as necessary and required.
Transports clients as required
Administer forms for urinalysis testing (UA's), provide accurate information on the UA's to clients, in some cases observes the UA, and record all pertinent information.
Must report all abuse to appropriate legal office, complete all necessary paperwork and investigations, and develop safety plans as required.
Other responsibilities as assigned.
Requirements
QUALIFICATIONS
Education and/or Experience
MHS IV - Either a doctorate degree from an accredited college in social work, psychology or other human service-related field is required, or a master's degree with accompanying certification as an Licensed Professional Counselor (LPC), a Licensed Clinical Social Worker (LCSW), or a Licensed Marriage and Family Therapist (LMFT).
MHS III - Requires a master's degree from an accredited college in social work, psychology or other human service related field.
MHS II w/ Variance - Must possess bachelors degree and enrolled or willing to enroll in a Masters program within 4 months of hire.
Certifications
Must have or be able to obtain certification from the Department of Human Services as a Certified Mental Health Investigator.
Must have or be able to obtain Certified Alcohol and Drug Counselor designation or Certified Gambling Addiction Counselor designation.
Other Skills and Abilities
Must possess, or have the ability to acquire, knowledge of symptoms and challenges faced by people with mental illness and addictions. Must have, or possess the ability to acquire, knowledge about relevant OAR's.
Must have the ability to effectively communicate both verbally and in writing and have the ability to work independently and complete all designated tasks and/or assignments in a thorough and timely fashion.
Understands the special needs of patients with co-occurring disorders (mental health and substance abuse), and utilizes appropriate assessment and intervention techniques.
Must have skills to professionally work with the public and the ability to coordinate services across various agencies and community groups.
Must be able to develop cooperative and respectful relationships with clients and their families.
Must have knowledge, or the ability to acquire knowledge, about the recovery model.
Must possess the ability to represent the interest of the customer and the agency in a favorable light in the community.
Must have the ability to work well with teams and other groups of individuals.
Must be computer literate and have the ability to type and utilize word processing and other software programs/systems.
The position requires the handling of highly confidential information. Must adhere to rules and laws pertaining to client confidentiality.
CRIMINAL BACKGROUND CHECKS
Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380.
In addition to a pre-employment background check, each employee, volunteer and contractor shall be checked on a monthly basis against the OIG and GSA exclusion lists, as well as other federal and state agency lists. If it is discovered that an employee, volunteer or contractor is excluded or sanctioned it will be the cause for immediate termination of employment, volunteering, or the termination of the contract.
PERSONAL AUTO INSURANCE
Must hold a valid driver's license as well as personal auto insurance for privately owned Vehicles utilized for CCS business such as client service purposes, travel between business offices and the community, to attend required meetings and trainings.
Must show proof of $300,000 or more liability coverage for bodily injury and $100,000 or more in property damage, and maintain said level of coverage for the duration of employment at CCS.
The employee's insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS.
PRE HIRE DRUG SCREEN REQUIRED
PHYSICAL DEMANDS
While performing the essential duties of this job, the employee is regularly required to use office automation including computer and phone systems that require find manipulation, grasping, typing and reaching.
The employee is also regularly required to sit; talk and hear; use hands and fingers and handle, smell or feel. The employee is occasionally required to stand; walk; reach with hands and arms; stoop; kneel and/or squat when adjusting equipment or retrieving supplies.
The employee may occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, distance vision and the ability to adjust focus.
When serving in the on-call rotation, employee may be required to perform on less than optimal amounts of sleep.
WORK ENVIRONMENT
Work is performed in an office environment as well as in the community. The noise level in the office environment is usually moderate, but occasionally one may be exposed to loud noises. The noise in the community, including the homes of customers, is often difficult to predict. Some individuals in this position may be required to drive long distances routinely as a part of their regular job duties. Occasional out of area travel and overnight stays will be required for attendance at meetings and/trainings.
However, the employee also will be required to work in the communities, homes and other living environments, of the clients we serve. Handicap access may not be available at all places where this position must go. There are some situations where this position may be required to respond to environments where a client is in crisis. The environments in these situations are difficult to predict and may be in uneven terrain.
This position exposes the employee to the everyday risks or discomforts which require normal safety precautions typical of such places as an office.
Community Counseling Solutions
IS AN EQUAL OPPORTUNITY EMPLOYER
MEMBER OF NATIONAL HEALTH SERVICES CORPORATION
Salary Description $56,700-$111,600 hrly/slry, depending on education
$73.9k-111.6k yearly 11d ago
Residential Facility Assistant Administrator - STAR
Community Counseling Solutions 3.4
Boardman, OR jobs
JOB TITLE: Residential Facility Assistant Administrator
FLSA: 1.0 FTE, Exempt (Expectation to work 40 hours a week)
SUPERVISOR: Facility Administrator
PAY GRADE: B9 ($56,700 - $82,700 annually, depending on experience)
**STAR is a BRAND NEW 24-hour sub-acute/Psychiatric Residential Treatment Facility (PRTF) offering services for up to thirteen individuals, ages 12 and below.
Community Counseling Solutions provides a team-based Servant Leadership environment!
Our mission is to provide dynamic, progressive, and diverse supports to improve the well-being of our communities and we're looking for
motivated employees
to
help us continue our vision!
Location Information:
Boardman is located in Eastern Oregon with year-round recreation based near the Blue Mountains.
Boardman offers a unique blend of small-town charm and big opportunities. With its stunning views of the Columbia River, abundant outdoor recreation, and a growing economy driven by agriculture, energy, and technology, Boardman is a place where work-life balance truly thrives. Whether you're drawn to the peaceful pace of rural living or excited by the chance to be part of a dynamic and supportive community, Boardman provides the perfect setting to grow your career while enjoying the natural beauty and warmth of a close-knit town.
Apply Directly at **********************************
CCS has a benefit package including, but not limited to:
Health, dental and vision insurance
6% initial 401K match
Potential for tuition reimbursement
Paid vacation tiers ranging from accrual of 1 day to 4 days per month (Annual rollover cap of 220 hours, additional hours can be paid out at 50% at the end of the fiscal year)
9 Paid holidays, Community service day
Floating holiday & 2 mental health days provided after 1 year introduction
Workplace Flexibility schedule options available (work from home hours vary by position & schedule)
Exempt employees receive additional admin leave & work from home hours
Relocation Benefit of up to $4,000 if moving over 100 miles, $ depending on distance. This is available to be included w/ job offer
Student loan forgiveness (NHSC & Public Service)
Paid licensure supervision.
Employee Assistance, Wellness Benefits, Dependent Care & Long-Term Disability Insurance
DESCRIPTION
This position provides assistance to the Facility Administrator for daily managerial oversight of the operations of a Residential Treatment Facility. The facility provides a secure setting to assist with the stabilizing and/or recovery of youth who have a severe and persistent mental illness. This position is split, half time as assistant administrator and half time working as a mental health specialist/QMHA.
Provides oversight of the daily operations of the children's sub-acute/Psychiatric Residential Treatment Facility (PRTF) for up to thirteen individuals, ages 12 and below. The Administrator ensures that high quality and safe treatment is provided and oversees the quality of training and supervision of the Assistant Administrator, Clinicians, Residential Associates, and other employees who provide the 24-hour sub-acute/PRTF services to the residents.
SUPERVISION
Supervision Received
This position is supervised by the Facility Administrator of Specialized Treatment and Resiliency Center, STAR. The Facility Administrator will provide both administrative supervision and clinical supervision.
Supervision Exercised
This position directly supervises all assigned staff at the facility.
RESPONSIBILITIES
Assist the administrator in meeting and maintaining all standards and procedures for the provision of care, clinical and rehabilitation services for youth using an array of milieu based and clinical methods to stabilize and treat adverse behaviors in the least restrictive manner possible. Including but not limited to:
Monitor the daily activities of the secure residential treatment facility.
Supervise, train and evaluate staff, provide on-going training and evaluate staff performance.
Responsible for scheduling staff to ensure adequate client supervision and support. Review and verify timesheets.
Is accessible by telephone or pager for emergency purposes and provides responsible support, documentation and follow-up in a timely manner if needed. Develops and participates in an on call schedule for such purposes.
Is knowledgeable about personnel policies, AFC, OAR and applicable rules and standards of other pertinent regulatory agencies, such as OSHA.
Maintains up-to-date personnel, client and program records including the accounting of client and facility funds, training and activity records, medical and health supports.
Assures that house supplies (program & client) are purchased in a timely manner, maintained in adequate supply, and stored in a safe and sanitary manner
Assure that evacuation drills are conducted according to AR requirements. Maintains professional confidentiality of personnel, clients and the program(s).
Coordinates and participates in the development of each resident's Individualized Support Plan.
Follow the grievance process for all complaints submitted and work diligently to resolve the complaints.
Ensure that the agency is meeting or exceeding all requirements for the relevant OAR's.
Work with contracted prescribers to put together scheduled and ensure that the service delivery is well coordinated for prescribers and the customers they see. Consult with prescribers to coordinate medical treatment.
Ensure that all paperwork is completed by all staff and is timely and professional and provide supervision when that goal is not being met.
Report all cases of abuse and neglect to correct agency.
Provide utilization management for adults needing higher levels of care.
Schedule and participate in meetings with other agencies to ensure continuity of service delivery and ensure that CCS is highly regarded by community partners.
Participate in all internal administrative meetings. Hold regular staff meetings.
Communicate with members of the public to coordinate work programs, inform the public about our services, and speak with groups about our services and/or specific areas of mental health services.
Transport residents as needed.
Receive and promote all training as needed.
Develop, implement and follow policies and procedures relevant to the operation of the facility that meet state requirements as well as any other requirements of other licensing, certifying or insuring organizations.
Other duties as assigned.
Requirements
EDUCATION AND/OR EXPERIENCE
Individual must have two years of training, coursework or experience in psychology, counseling, or other human services related field
Individual must have a high school diploma or equivalent
In addition, it is preferred that this individual will have 3 years experience working in a residential setting that provides services to individuals with a mental illness.
OTHER SKILLS AND ABILITIES
Establish and maintain an accessible and up-to-date filing system of client, personnel and program information.
Read and research related technical materials and to write clear plans and proposals.
Establish effective working relationships with community resource agencies, co-workers and the general public.
Act independently and work effectively with minimal supervision. Problem solves complex issues by developing alternatives and solutions. Organize and establish priorities.
Negotiate conflicts and resolve problems.
Interact and relate to clients, staff, administrators and others with professionalism, respect and dignity.
Work with clients experiencing crisis situations.
The position requires the handling of highly confidential information. Must adhere to rules and laws pertaining to client confidentiality.
Must posses, or have the ability to possess functional knowledge of business English and medical terminology.
Must have good spelling and basic mathematical skills.
Must have the ability to learn assigned tasks readily and to adhere to general office procedures.
Good organizational and time management skills are essential
Must possess the ability to represent the interest of the customer and the agency in a favorable light in the community
Must have the ability to work well with teams and other groups of individuals.
Must have in depth knowledge of standard office equipment.
Must be able to communicate effectively in both written and oral formats.
Must have the ability to present and exchange information internally across teams and co-workers, and externally with customers and the public.
PHYSICAL DEMANDS
While performing the essential duties of this job, the employee is regularly required to use office automation including computer and phone systems that require find manipulation, grasping, typing and reaching.
The employee is also regularly required to sit; talk and hear; use hands and fingers and handle or feel. The employee is occasionally required to stand; walk; reach with hands and arms; stoop; kneel and/or squat when adjusting equipment or retrieving supplies.
The employee may occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, distance vision and the ability to adjust focus. Residential Facility Assistant Admin Page 3 of 5
Employee may be required to work weekend shifts.
Reasonable accommodations may be made to enable persons with disabilities to perform the essential functions of this position. Must be willing to work a flexible work schedule depending on community and resident needs.
WORK ENVIRONMENT
Work is performed in an inpatient services environment as well as within the community. The noise level is usually moderate, but periodically staff may be exposed to loud noise such as raised voice levels and alarms.
The noise level in the office environment is usually moderate, but occasionally one may be exposed to loud noises. Occasional out of area travel and overnight stays will be required for attendance at meetings and/trainings.
However, the employee may be required to work in the community. Handicap access may not be available at all places where this position must go. There are some situations where this position may be required to respond to environments where a client is in crisis. The environments in these situations are difficult to predict and may be in uneven terrain.
This position exposes the employee to the everyday risks or discomforts which require normal safety precautions typical of such places as an office or home environment.
PERSONAL AUTO INSURANCE
Must hold a valid driver's license as well as personal auto insurance for privately owned Vehicles utilized for CCS business such as client service purposes, travel between business offices and the community, to attend required meetings and trainings.
Must show proof of $300,000 or more liability coverage for bodily injury and $100,000 or more in property damage and maintain said level of coverage for the duration of employment at CCS.
The employee's insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS.
CRIMINAL BACKGROUND CHECKS
Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380.
In addition to a pre-employment background check, each employee, volunteer and contractor shall be checked on a monthly basis against the OIG and GSA exclusion lists, as well as other federal and state agency lists. If it is discovered that an employee, volunteer or contractor is excluded or sanctioned it will be the cause for immediate termination of employment, volunteering, or the termination of the contract.
Community Counseling Solutions
IS AN EQUAL OPPORTUNITY EMPLOYER
MEMBER OF NATIONAL HEALTH SERVICES CORPORATION
Salary Description $56,700-$82,700 annually, depending on experience
$56.7k-82.7k yearly 60d+ ago
Director Quality: Remote with residence in Oregon (preferred), Washington or California
Providence Health & Services 4.2
Portland, OR jobs
Calling all Esteemed Leaders! Are you a visionary strategist with a deep passion for healthcare quality and improvement? Have you worked in a Health Plan specific environment? Do you excel in leading transformative initiatives and ensuring excellence in health plan ratings? If so, we have a prime opportunity for you! You will work remotely but need to already reside in one of the following 3 states: Oregon (preferred), Washington or California.
+ Looking for Leaders who have the following qualities:
+ *Leadership within a highly matrixed Health Plan*
+ *Quality improvement program planning, with a focus on MA star program management and the development of quality strategies*
+ * HEDIS audits and expertise in quality management principles and tools like Six Sigma, Root Cause Analysis, PDSA, and Lean methodologies*
+ *Certified Professional in Healthcare Quality (CPHQ)*
+ *Deep understanding of regulatory requirements and program design to achieve superior health plan ratings*
The Role:
As the Director of Quality, you will be at the forefront of our efforts to enhance clinical and member experience outcomes and maintain high scores within key health plan ratings, such as CMS MA Star Ratings, NCQA ratings & accreditation, Exchange QRS ratings, and Medicaid quality. Based in our innovative environment, you'll lead the charge in designing quality programs, closing quality care gap measures, and integrating care gap closure into value-based contracting.
What You'll Do:
+ Quality Strategy & Program Design: Define and craft overarching strategies to achieve exceptional performance in key quality programs, optimizing clinical quality and member experience measures.
+ Quality Improvement: Implement precise quality improvement programs with defined ROI and feedback loops, tracking effectiveness meticulously and driving operational processes to achieve strategic imperatives.
+ HEDIS and Supplemental Data: Spearhead strategy development to meet performance goals in HEDIS and supplemental data, ensuring strong performance in pivotal quality measures like MA Stars and HEDIS.
+ Resource Management: Prioritize resources and make capital budgeting decisions to manage multiple priorities efficiently.
+ Data-Driven Analysis: Analyze data from the clinical quality analytics team to develop interventions and oversee quality performance reporting.
+ Health Equity: Partner with Health Equity leadership to implement strategies addressing health equity.
+ Quality Issue Resolution: Investigate potential quality of care issues, assess systemic and case-specific problems, and facilitate barrier analysis and process improvement.
+ Vendor Management: Oversee vendor contracts for HEDIS auditing, NCQA HEDIS reporting, and regulatory/accreditation-related surveys.
+ Team Leadership: Establish departmental priorities, manage core leaders and caregiver staff, promote professional development, and ensure comprehensive policy implementation.
What You'll Bring:
+ Educational Background: Bachelor's Degree in a business or healthcare-related field; Master's Degree in Public Health, Healthcare Administration, Business Administration or relevant programs is preferred.
+ Experience: 7 years of management or supervisory experience in a health plan and 5 years in quality improvement program planning, with a focus on MA star program management.
+ Specialized Knowledge: 3 years of experience in HEDIS audits and expertise in quality management principles and tools like Six Sigma, Root Cause Analysis, PDSA, and Lean methodologies.
+ Certifications: Certified Professional in Healthcare Quality (CPHQ) preferred.
+ Leadership Abilities: Proficient in leading the development of quality strategies and managing matrixed collaborations.
+ Regulatory Expertise: Deep understanding of regulatory requirements and program design to achieve superior health plan ratings.
+ Skills: Strong project management, team management, organizational, interpersonal, and communication skills.
+ Problem-Solving Prowess: Detail-oriented, systems thinker with adaptive and goal-oriented problem-solving abilities.
Why Join Us?
+ Transformative Impact: Be a pivotal part of an organization committed to transforming healthcare quality and impacting communities positively.
+ Empowered Innovation: Experience autonomy and support to bring your innovative ideas to fruition.
+ Collaborative Excellence: Work alongside a talented team dedicated to their craft and passionate about healthcare.
+ Dynamic Growth: Thrive in a fast-paced industry with constant opportunities for professional growth and adaptation.
Ready to Drive Healthcare Excellence?
If you're a strategic leader with a zeal for healthcare improvement, we invite you to apply! Join our team and contribute to a healthier, brighter future for all.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 401342
Company: Providence Jobs
Job Category: Clinical Quality
Job Function: Quality/Process Improvements
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 5018 STRATEGIC PLANNING
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 2-Portland
Workplace Type: On-site
Pay Range: $71.15 - $112.34
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$71.2-112.3 hourly Auto-Apply 5d ago
Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Maximus 4.3
Eugene, OR jobs
Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Build and maintain knowledge base in SharePoint.
- Build document management processes and procedures.
- Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current.
- Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content.
- Create hierarchy and ownership structure to sustain knowledge management.
- Empower contributions from key stakeholders to improve the knowledge base.
- Design and implement work flows to manage documentation process.
- Establish standard templates for all documentation for the teams to utilize in document creation.
- Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base.
- Create, promote and apply best practices for writing, style and content in Microsoft style.
- Create training material in support of the Knowledge management process.
- Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
• Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations.
• Serve as a bilingual subject matter expert (English and Spanish) for contact center content development.
• Support the creation and refinement of training materials for contact center agents.
• Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials.
• Represent the contact center perspective in content-related discussions and decisions.
• Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards.
• Manage and develop knowledge articles, chat quick text scripts and email templates.
• Conduct audits of knowledge articles and procedures to ensure accuracy and relevance.
• Identify emerging contact center trends and coordinate content updates to address urgent needs.
• Collaborate with client content teams to create, update, and review contact center-specific content.
• Serve as a subject matter expert for assigned customer agencies.
• Salesforce and SharePoint experience preferred.
• Call center knowledge and experience preferred.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Develops solutions to a variety of complex problems.
- Work requires considerable judgment and initiative.
- Exerts some influence on the overall objectives and long-range goals of the organization.
• Developing website content experience
• Self-motivated and able to work independently
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
65,000.00
Maximum Salary
$
85,200.00
$56k-67k yearly est. Easy Apply 7d ago
Deflection Peer Navigator - Umatilla County
Community Counseling Solutions 3.4
Pendleton, OR jobs
JOB TITLE: Deflection Peer Navigator
FLSA: Hourly: 1 FTE (40 hour week)
SUPERVISOR: Certified Recovery Mentor/Deflection Supervisor
PAY GRADE: B06 ($20.96 - $29.38 per hour, depending on experience)
** Potential for 10% bilingual increase if applicable to specific position and you pass the language test
*Potential for Relocation Benefit $ if moving over 100 miles
*** $5,500 Hiring Bonus!!
(2 year Commitment, Staggered-taxed Payout)
Community Counseling Solutions provides a team-based Servant Leadership environment! Located in Eastern Oregon with year-round recreation based near the Columbia River and at the base of the Blue Mountains. Big city amenities in rural family-oriented communities.
Apply Directly at **********************************
Our mission is to provide dynamic, progressive, and diverse supports to improve the well-being of our communities and we're looking for
motivated employees
to
help us continue our vision!
CCS has a benefit package including, but not limited to:
Health, dental and vision insurance
6% initial 401K match
Potential for tuition reimbursement
Paid vacation tiers ranging from accrual of 1 day to 4 days per month (Annual rollover cap of 220 hours, additional hours can be paid out at 50% at the end of the fiscal year)
9 Paid holidays, Community service day
Floating holiday & 2 mental health days provided after 1 year introduction
Workplace Flexibility schedule options available (work from home hours vary by position & schedule)
Employee Assistance, Wellness Benefits, Dependent Care & Long-Term Disability Insurance
DESCRIPTION
The Recovery Navigator Program provides peer support services to adults who intersect with law enforcement related to simple drug possession and/or have frequent contact with the criminal legal system because of unmet behavioral healthcare needs. The role of the Peer Navigator is to meet potential participants in the field and discuss the opportunities to engage in recovery through this program. This may or may not involve a handoff from local law enforcement. The Peer Navigator will provide trauma-informed peer support leveraging motivational interviewing skills to assist individuals in determining what their intrinsic needs are related to addiction recovery, provide resource connections when appropriate, and offer participant hand-off to a Recovery Navigator for long term peer support services.
SUPERVISION
Supervision Received
This position is supervised by the Certified Recovery Mentor/Deflection Supervisor
Supervision Exercised
This position does not have supervisory responsibilities.
RESPONSIBILITIES
Work predominantly in the field as the first contact with potential participants.
Provide in-the-field resources and referrals and limited peer coaching support.
Ensure participants are aware of program resources and services available to them and how participation in this program could potentially impact their involvement in the justice system.
Support de-escalation and stabilization of participants when necessary and establish appropriate relationships with crisis services.
Provide information on a timely basis and in a usable form to others who need to act on it.
Provide screening and intake services as needed for those who desire to be enrolled in services at Community Counseling Solutions (CCS).
Provide participants with warm handoffs to outpatient behavioral health treatment and other community supports.
Understand and utilize best practices with progressive engagement, trauma informed care, motivational interviewing, and other necessary skills suited to engaging potential program participants.
Maintain clear communication with law enforcement and partner agencies.
Attend all ongoing training programs offered to enhance the effectiveness of the role.
Follow up with program participants in the community when there is an indication of disengagement.
Maintain regular contact with encountered individuals as needed.
Maintain daily documentation on outreach services to specific individuals. If enrolled in CCS services, documentation will entered into the Electronic Health Record. If not enrolled, documentation will be entered each work day into an excel spreadsheet.
Develop relationships with community partners.
Respond to all phone calls and emails within 1 business day.
Act as a representative on behalf of CCS as needed with regards to community collaborations and events as assigned by the Supervisor. This includes reporting back to the Supervisor with updates and for direction on how to proceed with involvement.
Maintain clear communication with staff. This includes keeping the Supervisor updated on weekly schedules and copied on all important communication.
Attend on-going training programs offered to enhance effectiveness of role.
Maintain referral intake data collection and assure timely follow-up with referred individuals.
Knowledge of or ability to develop an extensive network of community organizations, resources, and referral partners.
Schedule and facilitate support groups based on identified needs and encourage individuals in receiving training.
Documents and updates enrolled client's progress in progress notes.
Works with team members to discuss client progress and outlook
Contacts client's relatives to arrange family conferences if necessary.
Completes all paperwork in a way that is professional, clinically sound and timely as prescribed by the OAR's and other pertinent guidelines.
Other duties as assigned.
Requirements
QUALFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.
Education and Experience:
No minimum education or experience required.
Must identify as a person with lived experience with substance use.
Individual must be able to pass a criminal history background check.
Certifications:
Individual will become a Certified Recovery Mentor (CRM) within 6 months of hire date.
Other Skills and Abilities
Must possess, or have the ability to acquire, knowledge of symptoms and challenges faced by people with mental illness and addictions. Must have, or possess the ability to acquire, knowledge about relevant OAR's.
Must have the ability to effectively communicate both verbally and in writing and have the ability to work independently and complete all responsibilities in a thorough and timely fashion.
Must have skills to professionally work with the public and the ability to coordinate services across various agencies and community groups.
Must be able to develop cooperative and respectful relationships with clients and their families.
Must have knowledge, or the ability to acquire knowledge, about the recovery model.
Must possess the ability to represent the interest of the customer and the agency in a favorable light in the community.
Must have the ability to work well with teams and other groups of individuals.
The position requires the handling of highly confidential information. Must adhere to rules and laws pertaining to client confidentiality.
Must posses or have the ability to possess functional knowledge of business English and medical terminology.
Must have good spelling and basic mathematical skills.
Must have the ability to learn assigned tasks readily and to adhere to general office procedures.
Good organizational and time management skills are essential.
Must have in depth knowledge of standard office equipment.
Must be able to communicate effectively in both written and oral formats. Must have the ability to present and exchange information internally across teams and co-workers, and externally with customers and the public.
CRIMINAL BACKGROUND CHECKS
Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380.
In addition to a pre-employment background check, each employee, volunteer and contractor shall be checked on a monthly basis against the OIG and GSA exclusion lists, as well as other federal and state agency lists. If it is discovered that an employee, volunteer or contractor is excluded or sanctioned it will be the cause for immediate termination of employment, volunteering, or the termination of the contract.
PRE HIRE DRUG SCREEN REQUIRED
PERSONAL AUTO INSURANCE
Must hold a valid driver's license as well as personal auto insurance for privately owned Vehicles utilized for CCS business such as client service purposes, travel between
business offices and the community, to attend required meetings and trainings.
Must show proof of $300,000 or more liability coverage for bodily injury and $100,00 or more liability coverage for property damage, and maintain said level of coverage for the duration of employment at CCS.
The employee's insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS.
PHYISCAL DEMANDS
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.
While performing the duties of this job, the employee is regularly required to be able to walk up to 8 miles per day, use hands to finger, handle, smell or feel. The employee frequently is required to stand; walk; and stoop, kneel, crouch or crawl. The employee is occasionally required to climb or balance. The employee must regularly lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and distance vision.
WORK ENVIRONMENT
Work is performed in an office as well as in the community. The noise level in the office environment is usually moderate, but occasionally one may be exposed to loud noises. The noise in the community, including the homes of customers, is often difficult to predict. Occasional out of area travel and overnight stays will be required for attendance at meetings and/trainings.
Handicap access may not be available at all places where this position must go. There are some situations where this position may be required to respond to environments where a client is in crisis. The environments in these situations are difficult to predict and may be in uneven terrain.
This position exposes the employee to the everyday risks or discomforts which require normal safety precautions typical of such places as an office or home environment.
Community Counseling Solutions
IS AN EQUAL OPPORTUNITY EMPLOYER
Salary Description $20.96 - $29.38 per hour, depending on experience
$21-29.4 hourly 7d ago
Case Builder Auditor - Veterans Evaluation Services
Maximus 4.3
Eugene, OR jobs
Description & Requirements Maximus is currently hiring for a Case Builder Auditor to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Case Builder Auditor is responsible for reviewing Disability Benefits Questionnaires ("DBQs") built by Case Builders on the "Build Team" so that Veterans may be evaluated on behalf of the Department of Veterans Affairs (the "VA"). Auditors are responsible for providing guidance and instructions to Case Builders with questions on VA specific build criteria and also second reviews and audit cases built to ensure builds meet VA specific build criteria for VBA exams. An Auditor works closely with the of Auditors and Builders, as well as with the Case Builder Manager, to maintain a respectful, positive, and high sense of urgency work environment and to make sure the Case Building Department is producing the highest quality exams possible.
Due to contract requirements, only US Citizens or Green Card holders can be considered for this opportunity.
Essential Duties and Responsibilities:
- Enter any missed build information into the software for the doctor to be able to utilize during and after the appointment.
- Ensure providers have the necessary documentation and medical records to properly evaluate Veterans.
- Research medical conditions and new information when necessary in order to assist builders with any case questions during the build process.
- Identify and confirm that all relevant worksheets and diagnostics were added during the build process as requested by the VA.
- Track Case Builder (CB) errors and monitor progress of assigned builders through weekly audit reports and master error log.
- Communicate with CB supervisors when patterns of concern regarding quality and production are identified.
- Communicate with other departments to share relevant information when necessary in order to best complete the case.
- Thoroughly checks over and approves Case Builder's work when in audit, to make sure the build is sufficient.
- Complete audits as assigned by Supervisor or Case Building Management.
- Assists with clarification response (CR) updates when a CB on the build team is out of office.
- Complete one-on-one conferencing with assigned Case Builders to review error trends and provide build feedback with the goal of improving assigned Case Builder quality.
- Responds promptly and appropriately to messages from supervisors, co- workers, and other departments.
Please note upon hire, Veterans Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfill the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements using Maximus-Provided Equipment:
- Internet speed of 20 mbps or higher required (you can test this by going to ******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and your are required to remain at your designated home location for all work activities.
Minimum Requirements
- High school graduate or GED required.
- Minimum of 2 years of related experience.
- Minimum of 1 year of Case Building experience, to include high productivity and low error percentage, during time as a Case Builder.
- 2 or more years previous Case Building experience is strongly preferred.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
26.45
Maximum Salary
$
35.35
$30k-40k yearly est. Easy Apply 8d ago
Technical Account Manager
Cardinal Health 4.4
Salem, OR jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Job Description**
As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used.
**Position Summary**
Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients.
**Role contribution and responsibilities:**
+ Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs
+ Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes.
+ Monitors performance and recommends scope, schedule, cost or resource adjustments
+ Connects short-term demands to long-term implications, in alignment with the supporting business case.
+ Prioritizes multiple tasks while meeting deadlines
+ Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion.
+ Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success.
+ Connects project objectives to broader organizational goals.
+ Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility.
+ Negotiates with stakeholders to obtain the resources necessary for successful project execution.
+ Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making.
+ High level of client contact in an Account Management portfolio approach.
**What is expected of you and others at this level**
+ Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Participates in the development of policies and procedures to achieve specific goals
+ Recommends new practices, processes, metrics, or models
+ Works on or may lead complex projects of large scope
+ Projects may have significant and long-term impact
+ Provides solutions which may set precedent
+ Independently determines method for completion of new projects
+ Receives guidance on overall project objectives
+ Acts as a mentor to less experienced colleagues
+ Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships
**Accountabilities in this role**
+ Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services
+ Acts as single technical liaison for the client
+ Daily interactions with client to assess and advise client needs and requests
+ Analyze client program, needs and propose solutions and options that provide value to client
+ Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements.
+ Manage client deliverables, timelines, and artifacts
+ Monitor team backlog and prioritize activities to deliver on time, on budget, on scope
+ Anticipate client needs and proactively make program recommendations to enhance service value
+ Perform necessary project administration, project status, and risk, issue management
_Qualifications_
+ Master's Degree preferred
+ 3-5 years' experience of client relationship management experience at the account management level preferred
+ Prior experience working in a Specialty Pharmaceutical HUB environment, preferred
+ 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred
+ Proficiency in Microsoft Office products preferred
+ Strong oral and written communication skills, with executive facing presentation experience
+ Strong project management skills
+ Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Travel requirement up to 10%
TRAINING AND WORK SCHEDULES:
+ Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
REMOTE DETAILS:
+ You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet.
+ We will provide you with the computer, technology and equipment needed to successfully perform your job.
+ You will be responsible for providing high-speed internet.
+ Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $105,100-$150,100
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 03/15/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$105.1k-150.1k yearly 15d ago
Billing Specialist II Hybrid
Klamath Tribal Health and Family Services 3.7
Klamath Falls, OR jobs
BILLING SPECIALIST II HYBRID
RESPONSIBLE TO: Business Office Manager
SALARY: Step Range: 12 ($40,453 annually) - 31 ($70,934 annually); Full Benefits
CLASSIFICATION: Non-Management, Regular, Full-Time
LOCATION: Hybrid - Up to 80% Remote / 20% In Office after initial year of
training period
Klamath Tribal Health & Family Services
3949 S. 6th Street, Klamath Falls, Oregon
BACKGROUND: Comprehensive
POSITION OBJECTIVE
Klamath Tribal Health & Family Services (KTHFS) is a tribally operated health facility offering direct medical, dental, pharmacy, behavioral health, and non-emergent transportation services to American Indians and Alaska Natives residing within the service delivery area. The Billing Specialist II is responsible for managing patient accounts in a complex, multi-disciplinary Business Office environment. The incumbent shall cross-train with other members of the Business Office and shall participate in all functions of the coding and billing cycle, to include: daily review of encounters, analyzing chart notes and assuring the appropriate service codes are utilized, data entry of encounter forms, posting charges into the computer system, perform claims review, claims submission, timely billing, follow-up and collection of all accounts, payment posting, claims audit and research. The incumbent shall also function as a resource for clinic providers and staff and will assist with coding and billing questions, and quality assurance activities.
MAJOR DUTIES AND RESPONSIBILITIES
1. Daily review, analyze, and interpret patient ambulatory EHR and/or paper encounter coding and corresponding chart note documentation and determine that the appropriate diagnostic and procedural codes are used and appropriately reflected in the chart note for code assignment as outlined by the CMS guidelines. Assuring that medical necessity billing guidelines are met.
2. Ensure that the appropriate service codes are applied in the billing record that corresponds to the documentation referenced in the chart note or on the encounter forms. Ensure that the appropriate ICD-X, CPT, HCPCS, CDT coding conventions have been used for services provided by all health service types within KTHFS.
3. Work with providers, nursing staff, and the business office to clarify documentation in the EHR system if needed. Including correlating anatomical and physiological processes of a diagnosis to assure the most accurate and specified ICD-X code(s) are used. Advise manager and clinicians of deficiencies to support charge capture of all billable services.
4. Prepare and submit clean claims (electronic or paper) to primary/secondary insurance carriers including Medicaid, Medicare, (Part A&B), and private insurance companies.
5. Maintain compliance with billing regulations: including Medicaid , Medicare (Parts A&B, DME), and private Insurance Carriers.
6. Payment post insurance checks or EFTs, which includes: verifying the checks or EFTs that have been receipted in the Master Check's & EFT's Microsoft spreadsheet, batching the checks or EFTs into NextGen and then accurately posting the payments.
7. Process refunds for any overpayments made to KTHFS. Monitor claims payment and promptly request POs for refunds to insurance companies, or perform electronic claim adjustments per payer requirements, for any overpayments made on claims. The refund will also be processed to reflect the refunded claim in NextGen.
8. Process No-Pay EOBs by applying an adjustment and creating billing and claim follow-up notes. This includes the appeal of insurance claims that have been wrongfully paid or denied, contacting insurance companies by phone to obtain information concerning extent of benefits and/or settle unpaid claims and providing any additional information requested by insurance companies for the processing of submitted claims.
9. Record in NextGen system all claims related phone calls, correspondence, and activities related to each patient account.
10. Maintain current filing system for encounters, POs, etc., process daily incoming mail and correspondence for review, completion, and filing.
11. Communicate regularly with Patient Registration and record patient benefit effective/term date(s) into the practice management system as needed.
12. Create electronic batches to submit to the clearinghouse and reconcile with the submitted claims tracking spreadsheet including follow up on electronic claims receipt by payer. Correct any claims before archiving the file in the clearinghouse.
13. Work outstanding A/R by reviewing, rebilling, and adjusting accounts to ensure accurate and thorough billing of claims, by running reports and working on claims. Track and monitor claims processing, ensure timely follow-up for the payment of bills; Identify, and resolve all outstanding/pending claims.
14. Monitor the Business Office outlook inbox regularly and back bill any claims and/or adjust claims where applicable.
15. Run specific reports as identified below:
· To be run and worked weekly - Pending Charges Report, Unbilled and Rebilled Encounters, Paper Claims printed, Clearinghouse Reports (claims denied, outstanding claims, claims removed, claims rejected)
· Biweekly reports - Kept Appointments with No Encounters report, Aging Reports, and maintaining up to date reports making sure all old billing is addressed.
16. Establish and maintain an effective working relationship with public and private payers; identify potential problems that could cause interruptions to cash flow.
17. Participate in yearly chart audit activities for quality assurance purposes; document results in report format, as needed, for review by the Chief Medical Officer and the Chief Quality Officer.
18. Attend coding seminars, meetings, or other training opportunities to keep abreast of changes in the profession.
19. Like all employees of the Klamath Tribes, the incumbent will be called upon to accomplish other tasks that may not be directly related to this position, but are integral to the Klamath Tribes' broader functions, including but not limited to, assisting during Tribal sponsored cultural, traditional, or community events that enable the successful operation of programs and practices of The Klamath Tribes as aligned with The Klamath Tribes' Mission Statement. Some of these tasks may be scheduled outside of regular work hours, if necessary.
SUPERVISORY CONTROLS
Work under the supervision of the Business Office Manager, who provides general instructions. Work is assigned in terms of functional/organizational objectives. The manager assists with unusual situations that do not have clear precedents.
Employees must be able to work with minimal supervision, using initiative and judgement in setting priorities to meet the demands of the workload. Work is performed within the purview of laws, and regulations. The manager will review work regularly for quality and compliance with established policies and procedures and payer guidelines.
KNOWLEDGE, SKILLS, ABILITIES
Technical knowledge, skill, and understanding of the American Medical Association developed CPT coding system to acquire, interpret, and resolve problems based on information derived from system monitoring reports to be carried over to the required billing forms.
Technical knowledge, skill, and understanding of the concepts of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-X-CM) for classification of diseases and/or procedures.
Knowledge and understanding of CDT dental coding system.
Basic knowledge and understanding of HCPCS coding.
Knowledge of mental health and alcohol and drug coding and billing is desirable.
Ability to work with minimal supervision, using initiative and judgment in setting priorities to meet the demands of the workload while adhering to the insurance rules and regulations that relate to coding and billing.
The knowledge of and/or the ability to learn the billing guidelines as they pertain to FQHC/Tribal Health Clinics.
Knowledge of established procedures required claim forms (both paper and electronic) associated with the various health insurance programs.
In-depth knowledge of Medicaid (OARs, Rulebooks).
In-depth knowledge of Medicare Part A & B billing regulations.
Knowledge of medical terminology.
Knowledge of claims review, account auditing, and quality assurance.
The ability of tracking, handling, and completing multiple projects.
Ability to communicate well (both orally and in writing) and work effectively with other employees, managers, and administrators. This person should be able to express themselves in a clear and concise manner for the purposes of correspondence, reports and instructions, as well as for obtaining and conveying information to ensure a cooperative working relationship with all staff.
Willingness to maintain expertise to keep current with changes in procedure and diagnosis coding and third-party payer reimbursement policies through continuing education.
Above average ability to work with numbers and set standards to assure proper payment and adjustment posting.
Must be dependable, thorough, accurate, well-organized and detail oriented.
Ability to maintain strict confidentiality of medical records and adhere to the standards for health record-keeping, HIPAA and Privacy Act requirements.
Conduct self in accordance with KTH&FS Employee Policy & Procedure Manual.
QUALIFICATIONS, EXPERIENCE, EDUCATION
Minimum Qualifications:
Failure to comply with minimum position requirements may result in termination of employment.
· REQUIRED Onsite training/working for the first year upon hire may be required. Up to 80% of remote work after training requirements are completed subject to business needs and management approval.
· REQUIRED to possess a High School Diploma or Equivalent. (
Must submit a copy of diploma or transcripts with application.)
· REQUIRED Must have one of the following certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Medical Coder (RMC), RHIA, RHIT or an associate's degree in medical office systems or health information management.
· REQUIRED One (1) year of medical and/or dental billing and coding experience.
Experience must be reflected in application; or submit copy of coder certification with application.
· REQUIRED Demonstrated proficiency in technical knowledge of medical terminology, anatomy and physiology, and CPT and ICD-10-CM coding systems
· REQUIRED to have Computer and/or word processor experience.
· REQUIRED to submit to a background and character investigation, as per Tribal policy. Following hire must immediately report to Human Resource any citation, arrest, conviction for a misdemeanor or felony crime.
· REQUIRED to submit to annual TB skin testing and adhere to KTHFS staff immunization policy in accordance with the Centers for Disease Control immunization recommendations for healthcare workers.
· REQUIRED to accept the responsibility of a mandatory reporter in accordance with the Klamath Tribes Juvenile Ordinance Title 2, Chapter 15.64 and General Resolution #2005 003, all Tribal staff are considered mandatory reporters.
Preferred Qualifications:
AAPC coder certified, or AHIMA coder certified.
· Experience with NextGen or other electronic health record systems is preferred.
Indian Preference:
· Indian Preference will apply as per policy.
Must submit documentation with application to qualify for Indian Preference
.
ACKNOWLEDGEMENT
This is intended to provide an overview of the requirements of the position. It is not necessarily inclusive, and the job may require other essential and/or non-essential functions, tasks, duties, or responsibilities not listed herein. Management reserves the sole right to add, modify, or exclude any essential or non-essential requirement at any time with or without notice. Nothing in this job description, or by the completion of any job requirement by the employee, is intended to create a contract of employment of any type.
APPLICATION PROCEDURE
Submit a Klamath Tribal Health & Family Services
Application for Employment
with all requirements and supporting documentation to:
Klamath Tribal Health & Family Services
ATTN: Human Resource
3949 South 6th Street
Klamath Falls, OR 97603
***************************
IT IS THE RESPONSIBILITY OF THE APPLICANT TO PROVIDE SUFFICIENT INFORMATION TO PROVE QUALIFICATIONS FOR TRIBAL POSITIONS.
Please Note: If requirements are not met, i.e., submission of a resume in lieu of a tribal application or not including a required certification, your application will not be reviewed and will be disqualified.
Indian Preference will apply. In accordance with Klamath Tribal policy, priority in selection will be given to qualified applicants who present proof of eligibility for “Indian Preference”.
Applications will not be returned.
$40.5k-70.9k yearly Easy Apply 60d+ ago
District Manager
Biote 4.4
Portland, OR jobs
Description Biote Medical is the world leader in hormone optimization and we are adding to our team! We partner with providers to take a complete approach to healthier aging through patient-specific bioidentical hormone replacement therapy and the only nutraceutical line created specifically to support hormone health.This position will help support our Portland territory. We're looking for someone with a passion for changing healthcare who wants to be in a hands-on and engaged position working within a dynamic and collaborative sales team.You must be located in the Portland area to be considered.Position and Scope:We are looking for a driven candidate with the desire to recruit qualified physicians and practitioners into a partnership relationship with Biote; in order to provide cutting edge technology for bioidentical hormone replacement therapy (BHRT) and healthy aging options to their own patients and to the public at large. The ideal candidate is responsible for relationship development, practice development and sales of the Biote Method to practitioners. Sales activity includes prospecting, cold calling, practice development, tradeshows, sales events, and other methods for creating leads and closing sales for Biote within the approved price matrix. In addition, the Liaison provides technical, educational, and Provider Partner support. This is a field-based remote position.As a District Manager, your daily responsibilities will include:
Acquiring and retaining extensive knowledge of hormone replacement therapy through materials provided by Biote, as well as outside sources.
Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
Ability to read and understand medical and scientific studies.
Researching and evaluating physicians in assigned areas based on Biote's criteria for appropriateness and suitability.
Effectively presenting Biote's training and business program to physicians, Nurse Practitioners, Physician Assistants, office managers and office staff.
Recruiting suitable physicians and other practitioners through professional and effective prospecting, appointment setting and presentation skills.
Cultivating and maintaining mutually productive partnerships with practitioners to grow new and current practices and maintain patient retention levels of 60% or better.
Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
Securing all required contracts, paperwork and documentation as well as payments and fees as needed for attendees to participate in regular training and certification classes.
Conducting and facilitating patient educational seminars as needed for trained practitioners on a monthly basis.
Contributing to the development of the practice by assisting the Office Manager/Marketing position with email marketing, social media, referral cards and website information cards.
Prospecting for new leads and identifying quality sales prospects from active leads.
Attending marketing and sales events for prospects and current customers.
Working with customers for sales referrals with new prospects.
Updating all relevant sales activities in the Company's CRM system.
Closing sales accurately and effectively each month to meet or exceed targets.
Responding to all emails received from the customer and Biote employees and related vendors in a timely manner.
Performing other related duties as required or requested.
As a District Manager, your background should include:
Bachelor's degree
Strong teamwork, communication (written and oral), client management, and interpersonal skills.
Minimum of 3-5 years of sales experience in a business-to-business model, preferably medical device, diagnostics, and/or biotech.
Strong work ethic and time management skills
Ability to make effective and persuasive communications and technical presentations to physicians, management and/or large groups. Ability to thoroughly understand and communicate the attributes and qualities of Company products using professional selling and closing skills.
Proficient in Microsoft Office suite and customer relationship management software.
Ability to travel in order to do business, approximately 20% of the month.
Scheduled hours are 40 to 50 hours per week Monday through Friday but may be extended as required to execute the tasks assigned.
Valid driver's license issued by the state/province in which the individual resides and a good driving record is required.
Home office capability is required with reliable high-speed internet access
Company Perks:
Medical, Dental & Vision Insurance, Virtual Visits/Telemedicine
Company Paid Life and AD&D Insurance
15 days of Paid Time Off and Company Holidays
401k with a 3% employer contribution
Motus mileage program
Other excellent health and wellness benefits in line with our business
If you're interested in this awesome opportunity, please apply today!
$69k-117k yearly est. Auto-Apply 18h ago
Crisis Counselor - Fully Remote in Bend, OR
Protocall Services 3.9
Bend, OR jobs
Education (one of the following required):
Bachelor's Degree from an accredited 4 year college or university.
Experience: Minimum of 1 year direct experience in behavioral health, counseling, or social services
Benefits
Comprehensive medical, dental, and life insurance
401(k) program with company match
Company-matched student loan repayment program
Short- and long-term disability (STD/LTD)
Employee Assistance Program (EAP)
Accrued PTO (earn up to 4 weeks in your first year)
Opportunities for professional growth and advancement
Compensation & Incentives
In addition to base hourly pay, our crisis counselors are eligible for the following incentives:
+ $1.00/hour - Employees who voluntarily commit to both Saturday and Sunday on their recurring schedule receive a $1.00 increase to their base pay post-training.
+ $1.00/hour - for working a full 40-hour schedule in the workweek post-training
Shift Differentials: Hourly shift differentials ranging between two and six dollars may be applied on an hourly basis, depending on your shift and tenure with the organization. These details will be provided at the time of offer to help you prepare for schedule confirmation with the Scheduling Team.
Who We Are
Protocall Services is a nationally recognized leader in behavioral healthcare and crisis intervention, supporting organizations across the U.S. and Canada. For five consecutive years, we have been awarded “Top Workplace” honors for our strong culture, mission-driven work, and commitment to employee well-being.
We serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. As a remote-first organization headquartered in Portland, Oregon, our staff operate with excellence, compassion, and integrity while providing 24/7 telephonic support to individuals with various degrees of need.
Qualifications
About the Role
As a Crisis Counselor, you will be a telephonic first responder, delivering compassionate emotional support, risk assessment, crisis intervention, and stabilization services. You will engage with callers experiencing a broad range of emotional, behavioral, and situational challenges. This role requires emotional resilience, exceptional communication skills, and a strong ability to multitask while maintaining clarity and professionalism. While many calls involve acute needs, not all calls are crisis calls; some are administrative or supportive in nature. Regardless of the call type, you will ensure each caller receives professional, solution-focused care and a high-quality service experience.
Primary Responsibilities
Provide empathetic, ethical, and professional telephonic support to individuals experiencing distress or seeking guidance.
Build rapport, actively listen, and foster client engagement.
Assess emotional and behavioral health concerns, including levels of risk and urgent safety issues.
Provide resources, coping strategies, referrals, and safety planning.
Intervene appropriately in emergent situations.
Maintain accurate, timely, and clinically sound documentation.
Multitask effectively while navigating multiple software systems.
Ensure a secure, HIPAA-compliant home workspace with a locking door and a wired, stable internet connection.
What You Can Expect
Six-Week Paid Virtual Training Cohort: Monday-Friday, 8:00 AM to 4:30 PM PST
A structured onboarding program including skills development, role-playing, mentored live call work, and crisis-care foundations. Successful completion is required for continued employment.
Remote Scheduling: Upon graduation from training, you will transition to your regular schedule, developed in collaboration with our Scheduling Department. Regular availability on weekends and holidays is required.
Protocall Services Inc. is an Equal Opportunity Employer. We believe deeply in diversity of race, gender, sexual orientation, religion, ethnicity, national origin, and all of the other fascinating characteristics that make us different
$53k-66k yearly est. 21d ago
Dermatologist (1099)
Teladoc Health Medical Group 4.7
Oregon jobs
Join the team leading the next evolution of virtual care.
At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives.
Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we're transforming how better health happens.
The Dermatologist provides expert dermatology care through asynchronous telemedicine consultations on our secure platform, creating a professional yet convenient experience for patients. As part of this role, you will review cases, offer diagnostic insights, and recommend treatment plans, all without video or phone interactions. This position is offered on a 1099 contract basis, giving you the flexibility to work independently, set your own schedule, and leverage your clinical expertise to help patients thrive-supported by our technology and infrastructure. You can choose to supplement your current caseload or build a full telemedicine practice, depending on the state(s) where you are licensed.
Essential Duties and Responsibilities
Provide dermatology consultations asynchronously via our web-based platform.
Diagnose and treat skin conditions; patient education; issue prescriptions when appropriate.
Review patient-submitted cases and deliver accurate, timely, and patient-centered recommendations.
Ensure compliance with clinical guidelines and maintain patient confidentiality.
Collaborate with our support team as needed to ensure seamless patient care.
Required Qualifications
3+ years of dermatology practice experience.
MD or DO degree.
Board-certified in dermatology.
Active, unrestricted medical license for the state where the patient is located.
Ability to provide dermatology consultations asynchronously via our web-based platform.
Preferred Qualifications
Experience reviewing patient-submitted cases and deliver accurate, timely, and patient-centered recommendations.
Strong collaboration skills
Why Join Us?
100% remote - work from anywhere
Flexible scheduling to fit your lifestyle
Opportunity to expand your practice and reach patients nationwide
Supported by advanced telemedicine technology and infrastructure
The compensation for this role pays $40 per completed consultation.
#THMG
As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified.
Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.
Why join Teladoc Health?
Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission.
Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference.
Join a multi-faceted community that celebrates each colleague's unique perspective and is focused on continually improving, each and every day.
Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways.
Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs.
Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.
As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health's Notice of Privacy Practices for U.S. Employees' Personal information is available
at this link
.
$138k-204k yearly est. Auto-Apply 22d ago
(Contract) Foundation Specialist, Access Solutions & Patient Services- (Portland OR South San Francisco)
Genentech 4.5
Portland, OR jobs
****Multiple roles available****
Note: Relocation benefits are not available for this job posting. In this role, applicants would be employed through e-Team, the Managed Service Provider for Genentech's Contingent Workforce, to work on a Genentech assignment. Below are details about the assignment and Genentech.
Location: Portland (Preferred) or South San Francisco
It is preferred that candidates reside in Portland or within 50 miles of Portland.
Work Arrangement: For the first 6 months, the role will be hybrid (3 days a week on site). After that period, depending on performance and business needs, this role may have the opportunity to switch to fully remote.
Roche is a global healthcare group with 94,000 employees in 100 countries, focused on innovation and transforming patients' lives. Genentech Access Solutions, a member of Roche Group, helps patients navigate the insurance process and access medicines, improving their quality of life. Roche values science, technology, innovation and professional development. The company has a unique culture centered around its people and a vision for greater patient benefit and impact. Join Roche and be part of one of the world's largest biotechnology companies, making a meaningful difference in healthcare.
Your Opportunity:
The Foundation Specialist (FS) evaluates patient eligibility for the Genentech Patient Foundation (GPF) and coordinates shipments of Genentech products to patients within program guidelines.
Key Accountabilities
You will learn and apply aspects of reimbursement (i.e., benefit investigations, payer reimbursement policies, regulatory and administrative rules).
You will exhibit exceptional attention to detail, critical thinking, and analytical skills with a proven ability to communicate effectively in both written and verbal formats.
You will effectively solve problems under pressure, prioritize tasks, and provide excellent customer service.
You will work collaboratively in a team structure, responsibly delegate next steps to appropriate team members, and demonstrate effective leadership.
You will follow written Standard Operating Procedures, manage change, apply technical expertise, and aim for results while ensuring effective communication and teamwork.
You should be prepared for periodic mandatory overtime, including weekends, during high referral seasons or unexpected volume surges.
Who you are:
Qualifications:
Bachelor's degree is preferred.
A minimum of 3 years reimbursement experience is preferred.
The expected salary range for this position, based on the locations of Oregon is $30 per hour and California is $35 per hour. Actual pay will be determined based on experience, qualifications, geographic location, and other job-related factors permitted by law.
*LI-MG1
Genentech is an equal opportunity employer. It is our policy and practice to employ, promote, and otherwise treat any and all employees and applicants on the basis of merit, qualifications, and competence. The company's policy prohibits unlawful discrimination, including but not limited to, discrimination on the basis of Protected Veteran status, individuals with disabilities status, and consistent with all federal, state, or local laws.
If you have a disability and need an accommodation in relation to the online application process, please contact us by completing this form Accommodations for Applicants.
$30-35 hourly Auto-Apply 11d ago
Regional Field Organizer - Northern
Planned Parenthood Columbia Willamette 4.4
Portland, OR jobs
About the Role: Regional Field Organizers (RFO) empower and mobilize supporters to act in support of Planned Parenthood's mission and build power for sexual and reproductive health and rights. This position is responsible for the implementation of a strategic field program including grassroots organizing through voter identification, voter engagement, and community mobilization programs. The RFO directs community outreach, fieldwork, advocate cultivation and volunteer training and is responsible for recruiting and supporting advocates in targeted geographic areas. The RFO works closely with the Political & Organizing Director and the Planned Parenthood Action Oregon (PPAO) team to grow the advocate and supporter base and plan strategic field programs.
Schedule Expectations: This is a full-time position (40 hours/week). Monday - Friday 9:30am - 6:00pm, other days or hours (including weekends) as needed to support the mission. Schedule flexibility will be discussed in the recruitment process.
Qualifications: At PPAO, we are committed to finding the best candidate for the job and that candidate may come from a variety of backgrounds. We value your lived experience as well as your work experience and encourage you to apply even if you do not meet every qualification. We encourage you to think creatively about your transferable skills, qualities, and experiences and how they could connect to the role you are applying to. Additionally, we encourage applications from Black, Indigenous and People of Color, people with disabilities, members of the 2SLGBTQIA+ community, women and others who have been historically marginalized.
Required Qualifications:
At least 1 years' experience in organizing/advocacy work or related volunteer experience.
Understanding of local, state, and federal legislative and political systems.
Volunteer engagement experience, including comfort with “cold calling” for volunteer recruitment, voter education and supporter mobilization.
Demonstrated capacity for strategic thinking and planning.
Preferred Qualifications:
Knowledge of grassroots organizing strategies, tactics, methodologies, and tools.
Familiarity or proficiency with Voter Activation Network (VAN), EveryAction, Hustle and others digital tools.
A BA/BS in related field or comparable professional experience.
Bi/multilingual
Total Rewards: The full wage range for this position is $52,000 to $75,473 annually. At PPAO we're proud to calculate a wage offer based on candidate experience, rather than negotiate an offer which leads to pay inequity. New hire wage placement typically does not exceed the midpoint of the wage range. You'll receive a comprehensive benefits package, including competitive salaries, health insurance, retirement plans, and more. Our benefits include:
Up to 4 weeks of annual paid time off (increases with tenure)
9 paid holidays
Paid medical, dental, and vision insurance for full-time employees.
403b retirement account and 6% employer match
Employee assistance program (confidential counseling and resources)
Public Service Loan Forgiveness (eligible sites and positions)
Ongoing professional development
Employee referral bonuses
Physical Requirements:
Frequent travel within region (50%), occasional travel with Oregon (10%), and infrequent (
Must be able to work flexible hours, including evenings and weekends, and in a combination of in-person and remote settings.
Ability to drive multiple hours a day (as needed) and comfortably manage the physical demands of in-person program facilitation, crowd canvassing, tabling, door-to-door canvassing, phone banking, and events.
Must have reliable transportation, a valid driver's license, and active insurance.
Location: This regional position is based out of the Portland Metro area. The position is hybrid/telework, requiring in-office work at PPAO offices in Northeast Portland, OR Tuesdays and Wednesdays. Other workdays (Monday, Thursday, Friday) employees may work remotely if desired. All PPAO employees must reside in Oregon or Washington.
Essential Functions:
Identify, train and lead volunteers and build grassroots partnerships to effectively advance local, state and federal policy initiatives.
Implement tactical steps to achieve the organization's legislative and local priorities through effective mobilization of informed volunteers.
In alignment with our national Patient Advocacy Program, mobilize Planned Parenthood supporters to engage in Oregon's legislative process through personal story collection and training.
Drive organizational efforts to grow PPAO's supporter base, including through our Patient Advocacy Programs and constituency organizing programs.
Lead regional recruitment and oversight of volunteer leaders participating in constituency programs like storytelling, health center advocacy, and college campus organizing.
Develop, grow and maintain influential relationships with supporters and volunteers, the public, voters, and PPAO staff.
Create feedback loops and opportunities for volunteer leaders to inform the work and strategic planning
Serve as a credible source of local political and public policy knowledge and information.
Plan, manage and perform voter engagement and grassroots mobilization tactics, including but not limited to, phone banking, canvassing, visibility efforts, grassroots lobbying, rallies, media events, and tabling.
Using these above tactics, implement a coordinated field strategy for PP PAC's endorsed candidate and ballot measure campaigns
Implement long-term movement building and rapid-response coordination work alongside coalition partners in support of sexual and reproductive health care and education, and cross-movement work.
Represent PPAO with local partners and develop relationships with other organizations in health care and progressive coalition
Maintain accurate data sets and lists. Track, analyze, and report on field organizing efforts and ensure budget and program alignment.
Effectively track and analyze results of field efforts to achieve high-impact community organizing and voter outreach campaigns.
Follow all affiliate, PPAO, and National Office policies, procedures, and guidelines related to work.
Skills & Competencies:
Able to effectively inspire and mobilize people who are committed to reproductive health and rights, defending and increasing access to family planning services and sexuality education, and ensuring that the right to abortion remains secure.
Experience achieving robust field recruitment goals to create and grow an active supporter and volunteer base through organizing, outreach and special event efforts.
Possesses personal initiative, is self-motivated, and is able to successfully manage multiple tasks, work under pressure, and produce quality work within tight time constraints.
Excellent written and verbal communication skills. Must be able to communicate a public affairs agenda to the voting public as well as the general public.
Experience and understanding of racial equity; understanding privilege and experience working alongside communities of color and/or immigrant communities.
Willingness to learn more about and train on topics that may include, but are not limited to, health equity, racial justice, reproductive justice, cultural humility, and trauma-informed care.
Willingness to contribute to an inclusive work environment by using trauma-informed principles in interactions with coworkers, patients, donors, volunteers, and community partners.
Commitment to ensuring that PPAO's volunteer programs are a place where BIPOC, LGBTQ+ and other historically marginalized and underrepresented communities can lead, participate, and thrive.
$52k-75.5k yearly 21d ago
Revenue Cycle Manager
AFC Urgent Care Portland/Vancouver 4.2
Tigard, OR jobs
The Revenue Cycle Manager (RCM) is responsible for overseeing the full revenue cycle for a multi-clinic healthcare organization, ensuring accurate, timely, and compliant billing and collections. This role leads the billing team, manages day-to-day revenue cycle operations, and drives continuous improvement in cash flow, payer performance, and operational efficiency.
Essential Functions/Major Responsibilities: Revenue Cycle Ownership & Results:
Own the end-to-end performance of the revenue cycle, including billing, accounts receivable, denials, and collections
Ensure timely, accurate, and compliant billing across all lines of service
Monitor and improve key metrics such as AR aging, denial rates, net collection rate, and billing timeliness
Identify revenue risks, trends, and opportunities and drive corrective action
Team Leadership & Accountability
Lead and manage the billing team and coordinate with any outsourced billing partners
Establish clear workflows, priorities, and productivity expectations
Coach, train, and develop team members to improve accuracy, efficiency, and performance
Hold team members accountable for quality, timeliness, and results
Payer Management & Operational Improvement
Oversee payer follow-up, denial management, appeals, and escalations
Analyze denial trends and payer behavior to reduce rework and prevent future issues
Develop, maintain, and improve revenue cycle processes and documentation
Partner with Finance, Operations, and Clinical leadership to support reporting, forecasting, and operational changes
Education and Experience:
5+ years of healthcare revenue cycle experience (urgent care, outpatient, or multi-site healthcare preferred)
Prior experience managing revenue cycle and billing teams
Strong understanding of payer rules, denials management, and reimbursement processes
Experience working with EHR and billing systems
Strong organizational, analytical, and communication skills
Required Skills/Abilities:
Technology & Systems Aptitude - The ideal candidate is technologically savvy and comfortable working across multiple systems and platforms (Mac and PC). They demonstrate a strong ability to learn new technologies quickly and adapt to evolving tools and workflows. Proficiency with Google Workspace or Microsoft Office Suite is required, along with experience using EHRs, billing systems, and payer portals. Familiarity with revenue cycle, practice management, or healthcare billing platforms is strongly preferred.
Clear & Effective Communication - The ideal candidate is an excellent communicator, both written and verbal, and can convey complex information clearly and concisely. This includes strong proficiency in spelling, grammar, and professional writing, as well as the ability to summarize large or complex datasets, payer issues, or operational challenges for a variety of audiences. Comfort communicating with staff, leadership, payers, and external partners is essential.
Organization, Prioritization & Accountability - The ideal candidate demonstrates exceptional organizational and time-management skills. They can effectively prioritize competing demands, meet deadlines, and maintain a high level of accuracy and attention to detail in a fast-paced environment. This role requires the ability to manage multiple workflows simultaneously, adjust priorities as needed, and ensure revenue cycle activities are completed accurately and on time.
Analytical & Data Proficiency - The ideal candidate has strong analytical skills and is highly proficient in working with data and spreadsheets. This includes the ability to create, review, and interpret revenue cycle reports, manipulate and analyze data sets, and identify trends or issues impacting performance. Advanced spreadsheet skills and a strong understanding of reporting structure, accuracy, and data integrity are important for success in this role.
Exhibit Company Core Values:
Commitment - Commitments are clearly made and met
Health - Healthy living for everyone is promoted through sustainable and responsible behaviors
Excellence - Excellence in everything we do
Celebrate - Celebrate wins - both small and large
Trust - Trust builds teamwork through vulnerability and respect
Job Conditions:
The work environment is a corporate office space but can occasionally require clinical visits and working indirectly with patients, clinical staff, and providers. Normal working hours are 8:00am-4:30pm weekdays.
Physical requirements include prolonged periods of sitting at a desk and working on a computer, and ability to lift 15 pounds at times.
Pay and Benefits:
Salary is dependent on experience and qualifications. The expected range for this role is $65,000 - $75,000 annually.
Performance-driven bonuses, paid monthly
Full-Time Benefits Eligible
AFC covers the costs of medical care for employees, spouses, and dependents when using our AFC clinics for health services
401k at 1 year, with 3% Employer Contribution
3 Weeks of Paid Time Off
Schedules & Location:
Full-time, roughly 40 hrs/week.
AFC Corporate Headquarters - 8060 SW Pfaffle St, Tigard, OR 97223, USA
Traditional business hours Monday - Friday
Both traditional in-office setting located in Tigard and remote work available as organized by the supervisor. First 90-days will be required in-office full-time before a hybrid work schedule.
Safety & Wellbeing:
Alcohol and Drug-Free Policy: We are an alcohol and drug-free workplace, including THC. Offers are contingent on the successful completion of background checks and drug screenings.
EEO: AFC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
$65k-75k yearly 11d ago
Epic Scheduling Optimization Specialist - Remote
Sentara Healthcare 4.9
Myrtle Point, OR jobs
City/State Virginia Beach, VA Work Shift First (Days) Sentara health is looking for an EPIC Scheduling Optimization Specialist to join our team ! . The EPIC Scheduling Optimization Specialist is responsible for the development, maintenance, optimization, and governance of provider, resource, and departmental scheduling tools within the Epic platform, including templates and decision trees. This role ensures consistency, accuracy, and operational alignment of scheduling structures across all departments, supporting access to care, productivity targets, and overall patient experience.
The Specialist collaborates closely with Ambulatory Services Division leadership, operations, project management, and IT teams to ensure standard work is developed, implemented, and sustained. The role requires strong analytical skills, Epic system expertise, and a passion for improving access operations through innovative and data-driven solutions.
Key Responsibilities
* Build, maintain, and troubleshoot Epic scheduling templates, visit types, modifiers, and decision trees.
* Support daily Epic scheduling configuration needs across ambulatory departments.
* Collaborate with clinical and operational leaders to align scheduling strategies and resolve build issues.
* Fulfill template and decision tree requests while educating users on best practices.
* Analyze scheduling data to identify trends, root causes, and recommend improvements.
* Lead provider onboarding/offboarding projects and optimize template utilization and access.
* Deliver training sessions and create user documentation (e.g., tip sheets, guides).
* Partner with IS and Epic teams to test and implement system changes.
* Use Epic reporting tools, Power BI, Excel, and Tableau for data-driven insights.
* Support onboarding efforts to ensure scheduling standards are applied consistently.
* Drive continuous improvement in scheduling build quality and turnaround times.
Education:
High school Diploma required
Certification/Licensure :
Epic Cadence Certification (must be obtained within 1 year of hire)
Experience
Required Experience and Skills:
* 3 years of direct experience working with Epic scheduling templates and decision tree configurations required
* Experience building and maintaining Epic scheduling templates, visit types, modifiers, and decision trees
* Strong ability to troubleshoot and support Epic scheduling configuration across ambulatory settings
* Proven collaboration with clinical and operational leaders to align scheduling strategy and resolve issues
* Ability to analyze scheduling data to identify trends and recommend improvements
* Skilled in conducting end-user training and creating supporting documentation
* Proficiency in Epic reporting tools and Microsoft Excel
Preferred Skills:
* Experience with provider onboarding/offboarding and automated workflow design in Epic
* Familiarity with Power BI and Tableau for generating scheduling insights
* Experience partnering with IS and Epic technical teams on system enhancements
* Knowledge of Sentara's scheduling standards or equivalent healthcare system processes
* Background in continuous improvement efforts focused on build quality and turnaround time
Benefits: Caring For Your Family and Your Career
* Medical, Dental, Vision plans
* Adoption, Fertility and Surrogacy Reimbursement up to $10,000
* Paid Time Off and Sick Leave
* Paid Parental & Family Caregiver Leave
* Emergency Backup Care
* Long-Term, Short-Term Disability, and Critical Illness plans
* Life Insurance
* 401k/403B with Employer Match
* Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
* Student Debt Pay Down - $10,000
* Reimbursement for certifications and free access to complete CEUs and professional development
* Pet Insurance
* Legal Resources Plan
* Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
$36k-42k yearly est. Auto-Apply 42d ago
Coding Compliance Analyst
Legacy Health 4.6
Oregon jobs
(OR/WA Only)
This is a remote position - incumbents, who reside in Oregon or Washington only. There may be occasional situations that require work to be performed on-site at an assigned Legacy Health location. All new hires are required to come to a designated Legacy Health office location in Portland, Oregon prior to their start date for a new hire health assessment and to complete new hire paperwork. This position may require initial training and orientation to be site-based, before transitioning to the remote schedule.
Responsibilities
You recognize that your coding and compliance expertise serves a greater purpose within the Legacy community - improving the lives of others. By developing, implementing, and monitoring systems that ensure compliance with Medicare and other payor documentation guidelines, you uphold the standards of excellence that define Legacy.
Coding Compliance Analyst:
RHIT, RHIA, CCS, CCS-P or CPC certification required for this role.
Compliance
Works closely with Regulatory department to support adherence to compliance policies relating to professional coding.
Provides new physician orientation related to regulatory compliance, documentation and coding guidelines.
Charge Capture
Analyzes physician practices to identify charge opportunities and ensure all billable services are captured.
Provides in-services to providers and staff on proper coding and documentation.
Oversees the set-up of new CPT Codes.
Updates and reviews fee tickets annually and ensures system files are updated accordingly.
Identifies need for and enlists consultant services as needed.
Participation in Reimbursement Analysis of Professional Services
Participates in reimbursement analysis to determine if denials relate to CPT or diagnostic coding.
Defines criteria for payor specific reimbursement for correct payment analysis.
Investigates payor response to new CPT/HCPCS codes.
Analyzes and documents the patient account cycle for each physician or physician line of business for timely and accurate processing.
Provider and Staff Training
Provides onsite initial and ongoing CPT and ICD-9 training to providers and staff.
Acts as a resource to physicians for CPT and diagnostic coding questions.
Performs regular audits to ensure compliance with coding and documentation guidelines. Provides feedback to physicians, both written and verbally, regarding coding and documentation accuracy.
Qualifications
Education:
Associate's degree in business or healthcare, or equivalent experience, required.
Experience:
Minimum of two years healthcare experience required.
CPT/ICD9 experience in a multi-specialty setting preferred. Database experience preferred.
Skills:
Strong communication skills, both verbal and written.
Ability to speak in front of large and small groups.
Proven ability to develop training programs, provide training and oversee work processes.
Excellent organizational skills and the ability to handle large volumes of work. Demonstrated understanding of insurance reimbursement and payment methodology. Competent in Microsoft Excel and Word software.
Licensure
RHIT, RHIA, CCS, CCS-P or CPC certification required.
Pay Range USD $30.76 - USD $44.01 /Hr. Our Commitment to Health and Equal Opportunity
Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.
If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.
Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.
To learn more about our employee benefits click here: ********************************************************************
$30.8-44 hourly Auto-Apply 23d ago
Clinical Risk Educator (US West Coast), Remote
Aledade 4.1
Portland, OR jobs
The Clinical Risk Educator is responsible for developing and delivering educational content designed to improve accurate and complete clinical documentation practices. This role supports the clinical audiences of our external partner practices as well as Aledade's clinical and non-clinical staff internally.
Key responsibilities include performing retrospective medical chart reviews to pinpoint areas for improvement, interpreting performance data to uncover learning opportunities, and leading diagnosis documentation education for clinical audiences. The Clinical Risk Educator collaborates with colleagues and leadership to design and implement educational materials that align with regulatory compliance and value-based care principles.
This position requires a deep understanding of clinical documentation concepts, clinical practice, and general outpatient practice workflows. It also demands a commitment to fostering education that promotes high-quality, compliant documentation practices within a value-based care framework.
Candidates should be comfortable working remotely/work from home anywhere within the US.Primary Duties:
The Clinical Risk Educator performs qualitative retrospective chart reviews for prioritized practices to ensure complete and accurate clinical documentation, utilizing quantitative measures to track the frequency and types of documentation errors and gaps. By analyzing review outcomes, they pinpoint specific areas for improvement in coding and clinical documentation while identifying trends and patterns that may indicate systemic issues or training needs. This role involves synthesizing concise, high-level summaries to illustrate findings, highlighting critical areas of concern, and prioritizing recommendations for improvement. Additionally, the Educator conducts educational sessions for Aledade ACO member practices and their key staff-delivered either in person or virtually-covering review findings, clinical documentation, and risk adjustment concepts.
Serve as an individual contributor on the Risk Education team, collaborating with team members to develop and update educational materials related to clinical documentation for both internal and external audiences, inclusive of reference guides, slide decks, and toolkits. Conduct ongoing annual reviews of repository content to ensure alignment with CMS regulatory updates.
Research, investigate and remain up to date on both clinical and coding guidelines as they relate to clinician documentation improvement.
Serve as a resource for appropriate clinical documentation and coding practices for assigned region.
Minimum Qualifications:
Bachelor's degree in a healthcare related field or equivalent work experience required
5+ years of clinical experience
Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. through AAPC, ACDIS, or AHIMA
2+ years of clinical documentation improvement experience
Extensive knowledge of ICD-10-CM, HCPCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required
Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts
Comfortable presenting to large and small groups in person and in virtual format (Google Meet, Zoom, etc.)
Ability to work both independently and collaboratively
Flexible and able to multi-task and prioritize work load on a daily basis
Availability for market-specific events, including the execution of 1-2 Saturday events per year in select markets
Flexibility to work occasional evening hours, with the potential for 1-2 evenings per month on a national scale
Preferred KSA's:
Active nursing credential as Registered Nurse (RN), Licensed Practical Nurse (LPN), or international medical graduate (IMG)
Background in working directly with providers in an outpatient setting
Experience developing and delivering clinical education and training via Google Slides or Powerpoint presentations
Ability to use insights from clinical and quality data to address opportunities for improvement
Advanced knowledge of Medicare billing and coding regulations, along with a deep understanding of CMS compliance standards and guidelines
General understanding of the billing requirements and reimbursement structures for FQHCs/RHCs
Willingness to travel as needed to Aledade's headquarters or markets
Physical Requirements:
Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
Willingness to travel as needed to Aledade's headquarters or markets (est. 10-20% across the year)
Who We Are:Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners Robust time-off plan (21 days of PTO in your first year) Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parents Six weeks paid sabbatical after six years of service Educational Assistant Program and Clinical Employee Reimbursement Program 401(k) with up to 4% match Stock options And much more!
At Aledade, we don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at *************************************************
$58k-87k yearly est. Auto-Apply 6d ago
Senior Coding Quality Educator - Onsite
Providence Health & Services 4.2
Moro, OR jobs
Senior Coding Quality Educator _Remote - Most states eligible._ _Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._
Providence is calling a Senior Coding Quality Educator who will:
+ Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team
+ Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable
+ Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams
+ Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters
We welcome 100% remote work for residents in the United States with the exception of the following States:
+ Colorado
+ Hawaii
+ Massachusetts
+ New York
+ Ohio
+ Pennsylvania
Essential Functions:
+ Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams
+ Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters
+ Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise
+ Serve as a resource and subject matter expert for all coding matters
+ Provide coding support to regional coding teams as needed
+ Maintain relevant documentation and data as required
+ Review and update coding guidance annually or as necessary
+ Maintain document control
+ Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes
+ Facilitates education to support Medicare Risk requirements & organization goals
+ Review relevant patient details from the medical record based on coding and documentation guidelines
+ Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details
+ Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff
+ Assists management in identifying and creating standardized workflows
+ Reviews EMR templates and identifies areas of improvement for provider documentation
+ Attends and presents at regional meetings as needed
Required qualifications for this position include:
+ High School Diploma or GED Equivalency
+ National Certification from American Health Information Management Association upon hire or National Certification from American Health Information Management Association upon hire.
+ 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work
+ 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding
+ Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment
Preferred qualifications for this position include:
+ Associate Degree in Health Information Technology or another related field of study
+ Bachelor's Degree in Health Information Technology or another related field of study
+ 5+ years of experience in coding for multispecialty practice
+ 2+ years of experience in professional fee billing methodologies
+ Experience with IDX, Allscripts, Advanced Web, Meditech
+ Experience with project management
Salary Range by Location:
AK: Anchorage: Min: $40.11, Max: $62.27
AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91
California: Humboldt: Min: $40.98, Max: $64.88
California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82
California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91
California: Bakersfield: Min: $40.11, Max: $62.27
Idaho: Min: $35.69, Max: $55.41
Montana: Except Great Falls: Min: $32.29, Max: $50.13
Montana: Great Falls: Min: $30.59, Max: $47.49
New Mexico: Min: $32.29, Max: $50.13
Nevada: Min: $41.81, Max: $64.91
Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05
Oregon: Portland Service Area: Min: $40.11, Max: $62.27
Texas: Min: $30.59, Max: $47.49
Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91
Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27
Washington: Tukwila: Min: $41.81, Max: $64.91
Washington: Eastern: Min: $35.69, Max: $55.41
Washington: South Eastern: Min: $37.39, Max: $58.05
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 411100
Company: Providence Jobs
Job Category: Coding
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4010 SS PE OPTIM
Address: TX Lubbock 3615 19th St
Work Location: Covenant Medical Center
Workplace Type: On-site
Pay Range: $See posting - $See posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$40.1 hourly Auto-Apply 15d ago
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