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  • RN Case Manager

    Interim Healthcare 4.7company rating

    Marion, OH jobs

    Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. What we offer our Registered Nurse Case Managers (RNCM): Competitive pay, benefits, and incentives. Truly flexible scheduling - a dedication to work/life balance - Full-time/ Part-time / PRN / Weekends Daily Pay option available No Overtime Required 1:1 patient care Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews and comprehensive physical assessments. Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers. Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve. Provide education to patients and families on proper home health care procedures. Ie. Wound care, IV administration, medication management. Work to decrease readmissions by promoting preventative care and ensuring continuity of care. To qualify as a Registered Nurse Case Manager (RNCM) with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position Current CPR/AED/BLS/First Aid certification Reliable transportation to/from care sites and/or work locations. One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience preferred. Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. #Columbus1
    $55k-69k yearly est. 2d ago
  • RN - Flexible Scheduling

    Interim Healthcare 4.7company rating

    Mount Healthy, OH jobs

    As a Registered Nurse (RN), you will be called to care when you're needed most. As part of Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. What we offer our Registered Nurses RNs: Competitive pay, benefits, and incentives. Truly flexible scheduling - a dedication to work/life balance (Full-time (FT), Part-time (PT), PRN). Daily Pay option available. No Overtime Required. 1:1 Patient care. Excited to hear more? Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day. As a Registered Nurse (RN), you will: Provide in-home direct patient care according to the provider's prescribed plan of care (and nursing scope of practice) while closely monitoring progress/recovery. Assess and document patient conditions and report changes as needed (vitals, blood/stool/urine, glucose, etc.). Administer medication, insulin, and IV/fluids; documenting thoroughly. Inspect and care for wounds, changing dressings, and assisting with personal hygiene. Assess patients for further injuries, infections, bedsores, etc., and deliver appropriate treatments. Collaborate with providers, aides, and allied health professionals to ensure exceptional patient outcomes. To qualify for a Registered Nurse (RN) with us, you will need: Education: Graduate of an accredited school of nursing. Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position. Current CPR/AED/BLS/First Aid certification. Reliable transportation to/from care sites and/or work locations. Practical trach and/or ventilator experience preferred but not required. At Interim HealthCare, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit. Our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. #Cincy1
    $56k-75k yearly est. 5d ago
  • Patient Access Representative

    Sentara Health 4.9company rating

    Woodbridge, VA jobs

    City/State Woodbridge, VA Work Shift Multiple shifts available Sentara Northern Virginia Medical Center is hiring Patient Access Representatives Part Time Night - every other Fri, Sat, Sun, & Mon, 9pm - 7:30am Full Time Day - Mon - Fri, 6:30am - 3pm, typically one Sat per month 8am-12pm The Patient Access Rep is responsible for all aspects of the patient registration process, including: verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and entering the patient's demographic and insurance information in the electronic health record. Explain and complete complex regulatory and compliance documents and adhere to all applicable privacy and compliance standards. They will explain and collect co-payments, deposits and outstanding balances, and perform transactions securely. Greet patients and families, answer questions, and ensure the patients arrive to the appropriate service area at the right time. May also perform scheduling, pre-admission and discharge duties and provide supervision and patient information updates to families in waiting rooms. Education High School Diploma or Equivalent (Required) Associate's or Bachelor's degree can be considered in lieu of two years of experience Certification/Licensure No specific certification or licensure requirements Experience Customer Service OR Data Entry - 2 years (Required) Demonstrated proficiency in computer keyboarding skills (Required) Knowledge of third party payers, ICD-9/ CPT coding and medical terminology (Preferred) Interpersonal skills Proper grammar, spelling and punctuation Extensive training provided for entry-level candidates and opportunities for advancement provided. Talroo - Allied Health, admitting, registration, insurance verification, customer service . 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 may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Northern Virginia Medical Center located in Woodbridge, VA is a 183-bed not-for-profit hospital. We combine the resources of a major health system with the compassionate, personalized care of a community hospital. We offer quiet, private rooms and quality care focused on safety and patient satisfaction. Our clinical services include advanced imaging, cancer services, cardiovascular care, emergency care, lab services, orthopedics, weight loss services and more, all powered through Sentara eCare , a comprehensive electronic medical record system. In addition to our hospital, Sentara Health is enhancing access to healthcare services in Northern Virginia with outpatient and imaging centers in Lake Ridge, Lorton, Springfield and Alexandria, Va. We improve health every day, come be a part of the community. 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.
    $29k-32k yearly est. 2d ago
  • Executive Assistant to Chief Executive Officer(DODD Agency)

    Agape Care 3.1company rating

    Columbus, OH jobs

    * *PLEASE NOTE: Client requires total assistance with hygiene needs.** 16 HOURS/ WEEK SATURDAY AND SUNDAY ONLY 8AM - 4PM Agape Care LLC is looking for RELIABLE, caring and dedicated individuals to care for consumers with developmental disabilities. Job duties include but not limited to: assisting clients with daily living skills, light housekeeping, and completing daily documentation. ---------------------------------------------------------------------------------------------- CPR/ 1st Aid - REQUIRED (CAN BE OBTAINED AFTER EMPLOYMENT) DODD training - REQUIRED (CAN BE OBTAINED AFTER EMPLOYMENT) Medication Administration Certification 1- REQUIRED (CAN BE OBTAINED AFTER EMPLOYMENT) _______________________________________________________________________ Job Type: Part-time Pay: $17.00 per hour Expected hours: 16 per week Benefits: Employee discount Paid orientation Paid training Schedule: 8 hour shift Day shift Every weekend Holidays Weekends only Work Location: In personnt
    $17 hourly 5d ago
  • RN Case Manager

    Interim Healthcare 4.7company rating

    Zanesville, OH jobs

    Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. What we offer our Registered Nurse Case Managers (RNCM): Competitive pay, benefits, and incentives. Truly flexible scheduling - a dedication to work/life balance - Full-time/ Part-time / PRN / Weekends Daily Pay option available No Overtime Required 1:1 patient care Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews and comprehensive physical assessments. Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers. Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve. Provide education to patients and families on proper home health care procedures. Ie. Wound care, IV administration, medication management. Work to decrease readmissions by promoting preventative care and ensuring continuity of care. To qualify as a Registered Nurse Case Manager (RNCM) with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position Current CPR/AED/BLS/First Aid certification Reliable transportation to/from care sites and/or work locations. One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience preferred. Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. #Cambridge1
    $55k-69k yearly est. 2d ago
  • Utilization Management Specialist I

    Sun Behavioral Health Group 3.5company rating

    Columbus, OH jobs

    Job Details SUN Behavioral Columbus LLC - Columbus, OH Part Time High School/GED None Days Health CareDescription Responsible for the coordination of case management strategies pursuant to the Case Management process. Assists and coordinates care of the patient from pre-hospitalization through discharges. Responsible for assisting with authorization of admissions to hospital. Processes retroactive reviews and appeals, copies needed documentation and writes retro/appeal letters for insurance companies to ensure coverage for patient admissions. Conducts follow up calls with insurance companies to ensure coverage for patient admissions. Participates in performance improvement activities. Attends 80% of staff meetings. Coordinates care for patient through communication with Physicians, Nurse Practitioners, Clinical Services, Nursing, Assessment and Referrals Department. Position Responsibilities: Clinical / Technical Skills (40% of performance review) Provides thorough documentation and timely updates regarding patient status on log sheets that are prepared for daily meetings concerning admissions, reviews and discharges; including case s with limited benefits, cases in peer review/denial and /or unplanned discharges Coordinates with managed care companies or other third-party payors regarding peer reviews, retrospective reviews and appeals. Document s and updates the denial log to reflect same. Consults Business Office and/or admission staff as needed to clarify data and ensure authorization processes are complete. Documents in HCS the results of admission and concurrent reviews. Stays informed about changes in Medicare and Medicaid. Ability to stage local laws, ordinances and practices governing involuntary hospitalization and ensure compliance with same. Reviews the quality of documentation for each level of care to ensure clinical effectiveness and appropriateness of treatment. Maintains an active involvement and awareness of all patient admissions, discharges and transfers to alternate levels of care. Oversees continuity of care for each level of care transition. Develops and maintains processes to minimize denials and communication of same to CFO and Business Office Director. Reports results of daily treatment team meetings all discharges and status of high-risk case such as limited benefits, peer reviews, denials or unplanned discharges. Timely retroactive reviews and appeals within current month Strong knowledge of external review organizations (i.e.: Medicare/Managed Care/Medicaid) with knowledge of payor resources and planning. Types and mails all correspondence in a timely manner. Answers the telephone in a polite manner, Communicates information to the appropriate staff. Interacts with patients/families in a professional manner. Provides explanations regarding statements, insurance coverage. Support discharge planning and utilization review when necessary Perform other duties as required Safety (15% of performance review) Strives to create a safe, healing environment for patients and family members Follows all safety rules while on the job. Reports near misses, as well as errors and accidents promptly. Corrects minor safety hazards. Communicates with peers and management regarding any hazards identified in the workplace. Attends all required safety programs and understands responsibilities related to general, department, and job specific safety. Participates in quality projects, as assigned, and supports quality initiatives. Supports and maintains a culture of safety and quality. Teamwork (15% of performance review) Works well with others in a spirit of teamwork and cooperation. Responds willingly to colleagues and serves as an active part of the hospital team. Builds collaborative relationships with patients, families, staff, and physicians. The ability to retrieve, communicate, and present data and information both verbally and in writing as required Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word. Demonstrates adequate skills in all forms of communication. Adheres to the Standards of Behavior Integrity (15% of performance review) Strives to always do the right thing for the patient, coworkers, and the hospital Adheres to established standards, policies, procedures, protocols, and laws. Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence. Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources. Completes required trainings within defined time periods, as established by job description, policies, or hospital leadership Exemplifies professionalism through good attendance and positive attitude, at all times. Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws. Ensures proper documentation in all position activities, following federal and state guidelines. Compassion (15% of performance review) Demonstrates accountability for ensuring the highest quality patient care for patients. Willingness to be accepting of those in need, and to extend a helping hand Desire to go above and beyond for others Understanding and accepting of cultural diversity and differences Qualifications Education Required: High school diploma or GED. CPR and hospital-selected de-escalation technique certification. Preferred: Associates or Bachelors degree. Maintains education and development appropriate for position. May substitute experience for education Experience Required: One year of experience in a behavioral healthcare setting. Preferred: Previous experience in a Utilization Management department or as a Mental Health Tech May substitute education for experience
    $52k-83k yearly est. 31d ago
  • Principal Health Business Analytics - Risk Adjustment

    Guidewell 4.7company rating

    Remote

    The Principal, Health Business Analytics leads analytic strategy and execution for Medicare Risk Adjustment programs, driving insights that optimize revenue, compliance, and operational performance. This role partners with cross-functional leaders to translate complex data into actionable strategies that improve risk score accuracy, evaluate program effectiveness, and support executive decision-making. The Principal Health Business Analyst applies expertise to initiatives of the highest risk, complexity and impact to the business, solves the most critical issues, serves as a strategy influencer, applies knowledge of emerging trends and industry practices and is responsible for coaching, training and providing technical oversight to others. Essential Functions: Lead analytic strategy for risk adjustment and align insights with enterprise financial and compliance goals. Analyze risk score trends, model performance, and program results to identify revenue and quality improvement opportunities. Partner with Finance and Actuarial to forecast revenue and assess CMS model impacts (e.g., V24 → V28). Evaluate vendor, provider, and campaign performance for prospective, retrospective, and encounter programs. Ensure analytic integrity, data accuracy, and compliance with CMS risk adjustment requirements. Deliver clear, actionable insights and visualizations to senior leadership. Mentor analysts and advance the use of predictive modeling, automation, and performance dashboards. The essential functions listed represent the major duties of this role, additional duties may be assigned. Serve as strategy influencer and subject matter expert on assigned projects of high risk, complexity and impact to the business Manipulate data using large datasets and multiple data sources Act as primary Analyst for large projects and proactively identify topics for analysis Analyze or assist in the analysis of processes and programs in achieving stated goals. Provide analyses and recommendations if corrections are needed. Investigates and discovers areas of opportunity. Develop advanced Excel-based models and spreadsheets containing advanced functions that are used to evaluate historical trends and forecasts and to identify best practices. Write advanced SAS and/or SQL programs for data extraction. Integrate data across multiple areas. Modifies existing programs for data extraction Apply risk adjusters when applicable Accountable for developing insightful and actionable summaries and recommending actions Monitor and evaluate patterns, costs and trends. Recommend new analytical processes; partner with Information Management in the development of new analytical tools such as power pivots and analytical cubes to enhance analytical capabilities. Train team members on analytical tools and techniques including complex SAS and/or SQL, advanced Excel and detailed risk/analytical models. Provide guidance and review work of team members. Monitor emerging trends, provides strategy input to Director, prepares benchmarking reports and recommendations Lead development of industry leading analytical methods, tools and models Required Work Experience 8+ years related work experience. Experience Details: Risk Adjustment Related Bachelor's degree or additional related equivalent work experience Experience using algorithms and inferential statistics. Advanced level experience writing SQL /SAS or related code Advanced Excel skills Proficient with Microsoft Office products Ability to manage tasks independently, take ownership of responsibilities and meet deadlines High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy Demonstrated leadership abilities including effective knowledge sharing and conflict resolution Ability to train team members on advanced analytical tools and techniques (complex SAS and/or SQL, advanced Excel and detailed risk/analytical models) In-depth business process knowledge of several key business functional areas Expert-level ability communicating highly complex information clearly and articulately for all levels and audiences Expert innovator with ability to think beyond established standards and processes Expert-level knowledge and experience applying current and emerging trends Expert consulting, negotiating, communicating , consensus building, presentation and facilitation skills 4 or more years of experience with health business Preferred Education Bachelor's degree Business Analytics, Health Economics or similar program Master's degree General Physical Demands: Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. What We Offer: As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: Medical, dental, vision, life and global travel health insurance; Income protection benefits: life insurance, short- and long-term disability programs; Leave programs to support personal circumstances; Retirement Savings Plan including employer match; Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and A comprehensive wellness program Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. Annualized Salary Range: $116,500 - $189,300 Typical Annualized Hiring Range: $116,500 - $145,600 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.
    $116.5k-189.3k yearly Auto-Apply 5d ago
  • Life Skills Specialist

    Newpath Child & Family Solutions 3.4company rating

    Cincinnati, OH jobs

    Welcome! Are you ready to begin a NewPath? At NewPath, we do more to make a difference -more for each child, each client, and our community. Our dedicated team does what it takes, day and night, to get to the heart of every case and deliver the best care. Backed by a full breadth of services, we cater to each individual and answer to every need. We reach more ages with more experts for more results. Every program offers opportunity for change, every plan improves lives, and every person ignites hope, one success story at a time. Make an Impact as a Life Skills Specialist The NewPath Child & Family Solutions Life Skills Specialist plays an important role in teaching independent living skills to the youth in our program. The Life Skills Specialist assists youth and their family in achieving stated objectives and maximizing independence and productivity through support and training. The Life Skills Specialist has the opportunity to provide an environment that is growth-producing which stimulates self-confidence and autonomy. Location: Independent Living Services Apartments on Glenmore Ave. Cincinnati, OH Shifts/Hours: Full Time and Part Time . 2nd shift- 2:30pm-10pm (8 hours shifts). Rotating schedule with potential weekend days, 3rd shift -10pm to 8am (10 hour shifts). Rotating schedule with potential weekend days. Company Perks: Quick Reference Competitive Compensation Excellent Benefits Package Including Medical, Dental, Vision, and Life Insurance Career Growth in an Inclusive Company Culture 401(k) (4% automatic employer contribution - no required match) Paid Holidays, Vacation and Sick Days Employee Discounts & Partner Programs Tuition Reimbursement Employee Assistance Program Flex Spending Accounts Paid Family/Paternal Leave Legal Benefits Services Clinical Counseling/Therapy Licensure Supervision Hours (Cost Covered) Board Licensure Exam Cost Covered (Therapy, Counseling, and Nursing) What You Will Be Doing Teach independent living skills and assist the youth and their family in achieving stated objectives. Connect and work cooperatively with family members, significant others, and community partners for a successful outcome for our youth. Assist in the development of individual's comprehensive services plans, transition plans and follow up plans. Review, sign and implement ISP's as needed. Supervise all activities of the independent living center during assigned shifts. Participate in apartment tours and oversee the maintenance of the facility. Develop and implement specific activities and tasks for our clients related to the objectives in their ISP with appropriate guidance. What You Bring To The Table High school diploma or equivalent required. Bachelor's degree or, college coursework in a human services related field preferred. Prior experience working in the Mental Health/Social Services field. Must have a working knowledge of behavioral interventions. Ability and willingness to work flexible hours including some evenings and weekends. Be a minimum of 21 years of age. Have a valid driver's license and proof of current auto insurance with no DUI/OVI violations and no more than 5 points on your MVR. A clean criminal background check. NewPath Child & Family Solutions, an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law . If you are unable to apply online due to a disability or have a special need that requires accommodation, please let us know by contacting Human Resources at *********************.
    $32k-47k yearly est. 60d+ ago
  • Clinical Quality Documentation Specialist, Full-time, Days, Hybrid ($4,000 sign-on bonus)

    Northwestern Medicine 4.3company rating

    Chicago, IL jobs

    is $37.35 - $48.56 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description The Clinical Quality Documentation Specialist I reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Clinical Quality Documentation Specialist I position facilitates improvement in the overall completeness and accuracy of quality data and outcomes through extensive interaction with physicians, nursing staff, interdisciplinary quality committees, multidisciplinary teams and clinical coders. The Clinical Quality Documentation Specialist I applies clinical expertise, knowledge of the national Quality agenda, professional nursing standards, current research, best practices, and interdisciplinary collaboration to advance problem analysis and creative process redesign for clinical documentation. The Clinical Quality Documentation Specialist I acts as a change agent to systematically drive and implement change as prioritized by Clinical Documentation Leadership and Senior Clinical and Senior Quality leadership and/or through the quality and safety committees. Participates in performance improvement initiatives, receives and monitors control plans and data trends under the purview of the Clinical Documentation and Clinical Quality Programs and in collaboration with clinical interdisciplinary quality committees and physician practices. Key to this role is the ability to compel changes in documentation through in-person interaction to facilitate accurate representations of patient characteristics within the medical record so that process and outcome measures based on documentation reflect performance accurately. Responsibilities: * In partnership with Clinical Documentation Leadership and the Medical Directors of Clinical Documentation, maintains integrated relationships with business unit and system physician and administrative leaders to advance quality metrics through front-line documentation efforts. * Rounds daily with physician and advanced practice providers (APPs) in assigned service line(s) or business units to ensure appropriate and accurate documentation in the medical record. Ensures the level of services and acuity of care will accurately be reflected in quality outcomes. * Partners with operational and medical leadership in a given service line or business unit to identify, develop and implement successful communication and education, to engage physicians and improve processes and outcomes. * Performs daily medical record reviews in assigned service line(s). Performs data collection activities to identify documentation issues, quality issues, and opportunities for improvement in patient care and services. * Basic understanding of clinical documentation through the lens of local and national quality and ranking methodologies, including but not limited to, U.S. News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of Clinical Documentation in execution of and maintenance of key strategies to effect change. * Understands the basics of leveraging their NM network to initiate conversations, identify root causes and resolution, and align resources. * Analyzes quality and patient safety data to identify patterns in the management of patient care and services using reported 1.) Hospital acquired conditions, 2) Patient safety indicators, 3) Case Mix index, and 4) Expected mortality. * Collaborates with the Clinical Quality Team to model, teach and improve upon the culture of safety with shared improvement in all venues. * Presents updates to operational and medical leadership, attending and resident physicians and interdisciplinary quality committees. * Communicates effectively and collaborates with colleagues and the Clinical Coding Team. Fosters an environment to execute a shared vision in creating a model of best practice in the accurate reporting of patient diagnoses, comorbid conditions and treatment rendered. * Professional Development and Education: * Masters evidence and literature in relevant clinical area, discipline, and improvement science, including clinical quality improvement, patient safety, human factors, failure modes, root cause analysis, and related performance and safety resources. * Applies knowledge of professional nursing standards, best practices, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign. * Other: * Participates in a minimum of one NM Clinical Documentation committee as approved by Manager, Clinical Documentation * Participates on departmental and hospital committees and task-forces as assigned. * Participates in concurrent performance improvement activities and on-going review activities. * Performs other job-related duties as requested, including special projects. * Complies with Northwestern Memorial Hospital policies on patient confidentiality including HIPPA requirements and Personal Rules of Conduct. Qualifications Required: * Registered Nurse in the State of Illinois * Bachelor's or Master's degree in nursing * Minimum 2 years of experience of bedside nursing care and participation in clinical quality, patient safety, or related initiatives with evidence of effective change management skills. * Must possess and consistently demonstrate: * Strong interpersonal, communication, conflict management, diplomacy and negotiation skills. * Proven leadership to affect positive clinical quality outcomes. * Analytical skills necessary to independently collect analyze and interpret clinical data. * Basic computer skills and willingness to learn computer applications relative to this position Preferred: * Master's Degree * Five years' experience in medical/ surgical, critical care, intensive care or emergency care preferred Equal Opportunity Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $37.4-48.6 hourly 13d ago
  • Bilingual Customer Retention Representative - Onsite or Remote

    Premier 4.7company rating

    Sioux Falls, SD jobs

    Shift: Various shift options available Job Status: Full-Time and Part-Time Pay: $17.00-$18.90/hour starting, additional monthly incentives available Company: PREMIER Bankcard Bilingual skills are compensated in the form of a 10% differential (English/Spanish). This job is offered on-site and remote. Remote employees must live within 50 miles of a PREMIER location or plan on relocating. Shift Options Full-Time: M-F, 12:30-9 PM and e/o Saturday from 8 AM-4:30 PM Part-Time: M-F, 2-9 PM and e/o Saturday from 8 AM-4:30 PM About the Role Responds to telephone inquiries regarding various call types including, account closures, account re-opening and activation. Utilizes the outbound dialer on various call types. Utilize various retention techniques to maintain our account base. Maintains accurate account records. Reports unusual account/application activity to management Maintains department standards as approved. Training Extensive paid training program, up to 3 weeks in length. Ongoing training opportunities for continuous improvement! Pay Base wage starting at $17-$18.90/hr. with opportunities to increase take home pay. Top performers can earn monthly incentives based on performance. Contest money available through daily, weekly, and monthly Level Up competitions. Career path from Associate I to Associate IV - each step earning an increase in pay! Earn up to an additional $3.78/hr. when working non-traditional hours. Shift differential up to 20% Bilingual skills will be compensated in the form of a 10% differential. Competitive Benefits Package Full medical benefits when working 20+ hours per week Traditional and High Deductible health plan options available FREE dental and vision coverage Generous Paid Time Off plans 401(k) - dollar-for-dollar match up to 5% of total compensation Special discounts and offers for events at the Denny Sanford PREMIER Center PREMIER Wellness Program Paid Community Volunteer Hours - PREMIER averages 30,000 hours per year Fun Employee Parties Our Culture Emphasis on personal success, respect, health, wellness, fun and giving back Employees are rewarded, valued, and celebrated for hard work Various Career advancement opportunities and growth Appreciation is shown through concerts, outdoor bashes, cash, car giveaways and more
    $17-18.9 hourly 60d+ ago
  • Utilization Management Nurse NEX

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    Utilization Management Part Time 20 Hours/week 2 10 hour Dayturn Weekend Shifts Remote The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources, and serving as a resource to the hospital staff on utilization management practices. Responsibilities: Provides clinical review to health plans as required by the health plan and/or the Utilization Review plan and ensures all days are approved and authorized. Notifies physician advisor when patients do not meet admission or continued stay criteria. Validates patient registration status with physician order against medical necessity screening criteria and applies evidence based medical necessity screening criteria as defined by the Utilization Review plan. Proactively confers with attending physician to provide coaching on accurate level of care determination at point-of-hospital entry. Ensures that all extended recovery and observation patients are screened at least daily for appropriate level of care. Assists with denial management, peer review, and quality/safety work to identify opportunities to improve department/hospital processes. Identifies compliance and ethical issues and reports appropriately. Actively participates in daily huddles, multidisciplinary rounds, and patient care conferences as needed to maintain knowledge about intensity of service, delays in service, barriers to discharge, and progression of care. Identifies and records episodes of avoidable days. Clearly documents outcomes of all actions taken in Midas and Epic as appropriate. Serves as a resource to the health care team on issues related to admission qualifications, resource utilization, and documentation improvement opportunities. Other duties as required. Other information: Technical Expertise 1. Experience in inpatient clinical is required. 2. Experience in pediatrics is preferred. 3. Experience working with all levels within an organization is required. 4. Experience in healthcare is required. 5. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Education and Experience 1. Education: Bachelors in Nursing [BSN] is required. For employees hired after July 1, 2013, BSN is required or must be obtained within 5 years from date of hire. 2. Certification: Registered Nurse licensure is required. 3. Years of relevant experience: 3 to 5 years is preferred. 4. Years of experience supervising: None. Part Time FTE: 0.500000 Status: Remote
    $66k-74k yearly est. 2d ago
  • Teen Program Staff - Fairfield Family YMCA

    Great Miami Valley YMCA 3.0company rating

    Fairfield, OH jobs

    Title: Program Staff (including Youth) FLSA Status: Non-Exempt Starting Pay: $10.70/hour Status: Part-Time Department: Youth & Family Programs Reports to: Program Director Revision Date: 09/26/2024 Under the direction of the Program Director and in accordance with the Christian mission and purpose of the Great Miami Valley YMCA Association, the Program Staff is responsible for responsible for the care of members' children while the parent remains on or off site. Also is responsible for cleanliness of the studio room and its contents. GREAT MIAMI VALLEY YMCA ASSOCIATION SUMMARY: OUR MISSION: To put Christian principles into practice through programs that build healthy spirit, mind, and body for all. OUR IMPACT: To strengthen our community by providing opportunities to serve children, individuals, and families in a safe environment which encourages all to live healthy lives and to exhibit positive character values such as faith, caring, honesty, respect, and responsibility. ESSENTIAL FUNCTIONS 1.Organizes, Monitors, promotes and leads assigned teen programs within their location and possibly in other. 2.Works closely with leadership to ensure that assigned programs are developed and delivered. 3.Assists with continuous improvement efforts focused upon established key Association. 4.Works closely with their supervisor to ensure that assigned programs have access to the necessary space and/or resources to meet the needs and goals of YMCA programs 5.Actively participate in staff meetings, development opportunities, community activities, and events. YMCA LEADERSHIP COMPETENCIES: Mission Advancement : Accepts and demonstrates the Y's values. Demonstrates a desire to serve others and fulfill community needs. Recruits volunteers and builds effective, supportive working relationships with them. Supports fund-raising. Collaboration: Works effectively with people of different backgrounds, abilities, opinions, and perceptions. Builds rapport and relates well to others. Seeks first to understand the other person's point of view, and remains calm in challenging situations. Listens for understanding and meaning; speaks and writes effectively. Takes initiative to assist in developing others. Operational Effectiveness : Makes sound judgments, and transfers learning from one situation to another. Embraces new approaches and discovers ideas to create a better member experience. Establishes goals, clarifies tasks, plans work and actively participates in meetings. Follows budgeting policies and procedures, and reports all financial irregularities immediately. Strives to meet or exceed goals and deliver a high-value experience for members. Personal Growth : Pursues self-development that enhances job performance. Demonstrates an openness to change, and seeks opportunities in the change process. Accurately assesses personal feelings, strengths and limitations and how they impact relationships. Has the functional and technical knowledge and skills required to perform well; uses best practices and demonstrates up-to-date knowledge and skills in technology. QUALIFICATIONS: Must be at least 18 years of age or older. High school diploma and/or at least 2 years of related experience and/or training. Passionate belief in the Y's cause of nurturing the potential of all youth, supporting healthy living for all people and finding ways to help and support our neighbors. Ability to relate effectively to diverse groups of people from all social and economic segments of the community. Certifications: CPR for the Professional Rescuer, AED, Basic First Aid certification must be obtained within the first 60 days Ability to foster a collaborative team approach to solving challenging situations. Highly self-motivated with demonstrated success in program development, project management, and coordinating volunteers. Strong communication skills (written and verbal) competencies needed, including the ability to speak in public, interact with and motivate volunteers, community leaders and staff, and write content for program materials. Strong organizational skills and ability to maintain detailed, accurate records. An ability to work collaboratively in a fast-paced team environment and engage equally in administrative and outreach duties. WORK ENVIRONMENT AND PHYSICAL 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. Ability to walk, stand, and sit (including on the floor) for long periods of time. Exposure to communicable diseases and bodily fluids. Must be able to lift and/or assist children up to 50 pounds in weight. Must be able to lift and carry food and supplies weighing up to 20 pounds. Ability to stand or sit while maintaining alertness for several hours at a time. Position may require bending, leaning, kneeling, and walking. Ability to speak concisely and effectively communicate. Visual and auditory ability to respond to critical situations and physical ability to act swiftly in an emergency. Ability to view/enter data for long periods of time.
    $10.7 hourly 60d+ ago
  • Care Manager III - Full Time/Partially Remote Schedule

    Cnyhhn 3.6company rating

    Utica, NY jobs

    Full-time Description Job Title: Care Manager (Level 3) Job Category: 9 - Service Worker Department/Group: Care Management Agency Travel Required: Yes Level/Salary Range: NE3 Min $19.18 - Max $30.69 Salary determined by experience and education. Position Type: Full-Time / Part-Time, Non Exempt, 35 Hours a Week Position Summary: The Care Manager conducts and schedules assessments, referrals, advocacy and supports, counseling, education of patients and enrollees and care team members assuring the patient receives quality services to maintain optimum healthcare needs without barriers. ROLE AND RESPONSIBILITIES: Activities include but are not limited to the following: Outreach and engagement to formally enroll referred individuals into the care management program. Conduct assessments, evaluates needs, establishes and maintains care plan and maintains referrals for enrollees. Assures supports are in place inclusive of peer and family contacts. Develops Interim Plan of Care based on preliminary clinical information and assigned level that will identify linkages and services immediately required, based on information received from referral sources if applicable. Ensures all initial linkages are established and maintained. Collaborates with all service providers and establishes team communication plan. Monitor goals on a continuing basis and that team is communicating. Monitors that care plan is relevant to health home policies and procedures. Consults with family members and social supports to maintain support consistency. Advocates for additional services and linkages as appropriate. Maintains current care management documentation and information regarding care management activities within the required health information technology (HIT) system. Ensure compliance with all pertinent government and agency regulations and operating standards, including maintaining all required documentation and applicable databases. All other duties as assigned. Requirements QUALIFICATIONS / EDUCATION / EXPERIENCE REQUIREMENTS A Bachelor's degree in one of the following fields listed: a major or concentration in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreational therapy, counseling, community mental health, child and family studies, sociology, speech and hearing or other related human services field; and two years of experience In providing direct services to people with Serious Mental Illness, Developmental Disabilities, or Substance Use Disorder; OR in linking individuals with Serious Mental Illness, Developmental Disabilities, or Substance Use Disorders to a broad range of services essential to successful living in a community setting (i.e. medical, psychiatric, social, educational, legal, housing and financial services); OR A NYS teacher's certificate for which a bachelor's degree is required; OR NYS licensure and registration as a Registered Nurse and a bachelor's degree; OR A Bachelor's level education or higher in any field with five years of experience working directly with persons with behavioral health diagnoses; OR A Credentialed Alcoholism and Substance Abuse Counselor (CASAC); OR A Master's Degree in one of the qualifying education fields may be substituted for one year of experience. Basic Computer Skills (Windows, Outlook, Word, Excel) Travel is required. Must have a valid NYS Driver's License. Competencies and experiences necessary include customer service orientation, diplomacy, diversity, flexibility, follow through, informing others, safety orientation, reliability and consistency, written communication and cooperation and teamwork, listening skill, optimism, quality orientation, analytical thinking. Applies and actively shares knowledge, expertise and best practices with team Behavior supports the mission, core values and objectives of the organization. Displays flexibility and openness in daily work and encourages others to stay open to change and improvement. Accepts and readily adapts to changing priorities, new ideas, strategies, procedures and methods. Demonstrates and promotes respect toward coworkers and adapts behaviors to work effectively with varying people and situations. Accumulates all relevant information prior to making job-related decisions. Presents well-considered alternatives when making recommendations. Makes decisions in a timely manner. Represents the organization and its network of providers by displaying a respectful and caring manner with clients and their families. Addresses all client concerns in a timely and efficient manner and reports any complaints to their immediate supervisor or the Director of Health Home Operations for resolution. Complies with quality assurance, OSHA, HIPAA, infection control, safety and other policies set forth. This position has the potential for regular and substantial contact with health home enrollees under age 21 and must satisfactorily pass a Criminal History Record Check (including fingerprinting), State Registered Clearance, Mandated Reporter Training, and Staff Exclusion List. WORK ENVIRONMENT / HAZARDS Job related tasks do not involve exposure or potential exposure to blood, body fluids, or tissue and Category I tasks are not a condition of employment. May have exposure to unpredictable individuals and situations when working at CNYHHN sites, its affiliates or the community. OSHA Exposure Category III PHYSICAL DEMANDS Certain deadlines and unanticipated developments may require work during evenings, weekends. Ability to quickly address any emergent issues without losing focus on task at hand. The employee must have full sight and hearing with fluency in the English language. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand, walk and sit. Must be able to sit for long periods of time. Constantly operates a computer and other office productivity machinery, such as a copy machine, scanner, computer printer, etc. 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 of the position without compromising work-flow and efficiency. Benefits: Health Insurance Voluntary Insurance Options Paid Time Off Paid Sick Leave Dental Insurance Vision Insurance Pet Insurance Life Insurance Retirement Plan Employee Assistance Program Flexible Schedule Flexible Spending Account Other WORK CONTACT GROUP All staff, individuals at sites, visitors, family members, vendors, various county mental health services, various regulatory and professional agencies. There is daily contact with outside providers. SUPERVISED BY: Program Manager / Project Manager SUPERVISES: None Acknowledgement I have received, reviewed and fully understand the job description for Care Manager (Level 3). I further understand that I am responsible for the satisfactory execution of the essential functions described therein, under any and all conditions as described. Salary Description $19.18 hour - Max $30.69 hour
    $19.2-30.7 hourly 60d+ ago
  • 988 Crisis Call Specialist

    Western Montana Mental Health Center 3.5company rating

    Missoula, MT jobs

    Looking for a career that makes a difference in the lives of others, offering hope, meaningful life choices, and better outcomes? Who we are Since 1971 Western Montana Mental Health Center (WMMHC) has been the center of community partnership in the 15 counties we serve across western Montana. We have committed to providing whole-person, person-centered care by ensuring an approach to health care that emphasizes recovery, wellness, trauma-informed care, and physical-behavioral health integration. We know the work we do is important and makes a significant impact in the lives of our clients and in our communities. Working at WMMHC also gives you the opportunity to work under the Big Sky, giving you the adventure of a life time while serving your community and changing lives. We offer a work life balance so you still have time to discover all the natural beauty and recreational dreams that Montana has to offer while still engaging in a career path that is challenging and fulfilling. If you want to join our team where community is at the heart of what we do, then you've come to the right place! Job Summary: Do you like to talk on the phone? Are you the person your family and friends turn to when they need support? Can you remain calm in stressful situations and empathize without judgement? If you can answer yes to these questions, the National Suicide Prevention Lifeline team needs your help! With training in the following tasks, you will be able to serve your community members. Triage incoming Lifeline calls and obtain caller information. Conduct assessments and dispatch appropriate interventions when needed. Deescalate callers in crisis over the phone. Develop appropriate and realistic safety plans and complete appropriate follow up tasks. Knowledge and familiarity with community resources Complete documentation in an accurate and thorough manner. Location: Remote* only after training and available to come into office when needed. We are seeking a candidate who is able and willing to work varied shifts including evenings, weekends, holidays, and overnights. Overnights shifts offer a pay differential. *Remote work is available after completion of training. Qualifications High School diploma or equivalent Ability to pass background check Provide proof of auto liability insurance coverage per Western's policies Montana Driver's License with a good driving record 1-year related work experience in human services, preferred Benefits: We know that whole-person care is not just important for our clients, but recognize it's just as important for our employees. WMMHC has worked hard to provide a benefits package that encompasses that same concept. Our comprehensive benefits package focuses on the health, security, and growth of our employees. Benefit offerings will vary based upon full time, part time, or variable status. Health Insurance - 3 options to choose from starting as low as $5 per pay period Employer paid benefits: Employee Assistance Program, Life insurance for employees and dependents, and long term disability Voluntary options available: dental & vision insurance, short term disability, additional life insurance and dependent care flexible spending account Health savings account (HAS) with match or medical flexible spending account (FSA) 403(B) Retirement enrollment offered right away with an employer match offered after one year Generous paid time off to take care of yourself and do the things you love Accrued PTO starts immediately Extended sick leave 9 paid holidays and 8 floating holidays Loan forgiveness programs through PSLF or NHSC
    $38k-45k yearly est. Auto-Apply 60d+ ago
  • Principal Health Business Analytics - Risk Adjustment

    Florida Blue 4.5company rating

    Remote

    The Principal, Health Business Analytics leads analytic strategy and execution for Medicare Risk Adjustment programs, driving insights that optimize revenue, compliance, and operational performance. This role partners with cross-functional leaders to translate complex data into actionable strategies that improve risk score accuracy, evaluate program effectiveness, and support executive decision-making. The Principal Health Business Analyst applies expertise to initiatives of the highest risk, complexity and impact to the business, solves the most critical issues, serves as a strategy influencer, applies knowledge of emerging trends and industry practices and is responsible for coaching, training and providing technical oversight to others. Essential Functions: Lead analytic strategy for risk adjustment and align insights with enterprise financial and compliance goals. Analyze risk score trends, model performance, and program results to identify revenue and quality improvement opportunities. Partner with Finance and Actuarial to forecast revenue and assess CMS model impacts (e.g., V24 → V28). Evaluate vendor, provider, and campaign performance for prospective, retrospective, and encounter programs. Ensure analytic integrity, data accuracy, and compliance with CMS risk adjustment requirements. Deliver clear, actionable insights and visualizations to senior leadership. Mentor analysts and advance the use of predictive modeling, automation, and performance dashboards. The essential functions listed represent the major duties of this role, additional duties may be assigned. Serve as strategy influencer and subject matter expert on assigned projects of high risk, complexity and impact to the business Manipulate data using large datasets and multiple data sources Act as primary Analyst for large projects and proactively identify topics for analysis Analyze or assist in the analysis of processes and programs in achieving stated goals. Provide analyses and recommendations if corrections are needed. Investigates and discovers areas of opportunity. Develop advanced Excel-based models and spreadsheets containing advanced functions that are used to evaluate historical trends and forecasts and to identify best practices. Write advanced SAS and/or SQL programs for data extraction. Integrate data across multiple areas. Modifies existing programs for data extraction Apply risk adjusters when applicable Accountable for developing insightful and actionable summaries and recommending actions Monitor and evaluate patterns, costs and trends. Recommend new analytical processes; partner with Information Management in the development of new analytical tools such as power pivots and analytical cubes to enhance analytical capabilities. Train team members on analytical tools and techniques including complex SAS and/or SQL, advanced Excel and detailed risk/analytical models. Provide guidance and review work of team members. Monitor emerging trends, provides strategy input to Director, prepares benchmarking reports and recommendations Lead development of industry leading analytical methods, tools and models Required Work Experience 8+ years related work experience. Experience Details: Risk Adjustment Related Bachelor's degree or additional related equivalent work experience Experience using algorithms and inferential statistics. Advanced level experience writing SQL /SAS or related code Advanced Excel skills Proficient with Microsoft Office products Ability to manage tasks independently, take ownership of responsibilities and meet deadlines High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy Demonstrated leadership abilities including effective knowledge sharing and conflict resolution Ability to train team members on advanced analytical tools and techniques (complex SAS and/or SQL, advanced Excel and detailed risk/analytical models) In-depth business process knowledge of several key business functional areas Expert-level ability communicating highly complex information clearly and articulately for all levels and audiences Expert innovator with ability to think beyond established standards and processes Expert-level knowledge and experience applying current and emerging trends Expert consulting, negotiating, communicating , consensus building, presentation and facilitation skills 4 or more years of experience with health business Preferred Education Bachelor's degree Business Analytics, Health Economics or similar program Master's degree General Physical Demands: Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. What We Offer: As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: Medical, dental, vision, life and global travel health insurance; Income protection benefits: life insurance, short- and long-term disability programs; Leave programs to support personal circumstances; Retirement Savings Plan including employer match; Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and A comprehensive wellness program Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. Annualized Salary Range: $116,500 - $189,300 Typical Annualized Hiring Range: $116,500 - $145,600 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.
    $116.5k-189.3k yearly Auto-Apply 5d ago
  • Registered Nurse Home Visits: Registered Nurse: Summit County Juvenile Detention Center

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    Summit County Juvenile Detention Center Part-Time 24 Hours A Week The Registered Nurse (RN) provides a skilled level of care to select patients by assessing and monitoring their physical condition, supporting and providing patient/caregiver education, and providing treatments and procedures based on a physician ordered plan of care. The RN helps the patient achieve and/or maintain their optimal level of function and provides a level of care required to manage the patient in a home and community environment. Responsibilities: 1. Demonstrates the knowledge and skills necessary to provide care for the physiological, psychological, socioeconomic, developmental, educational, and safety needs of the patients served regardless of age. 2. Assesses physiological, cognitive/mental, developmental, emotional, and social status of each patient. 3. Provides treatments and procedures based on a physician ordered plan of care. 4. Provides patient and/or caregiver education as needed. 5. Serves as a back-up for office RNs as deemed necessary in updating comprehensive assessments due to changes in patient condition or 60-day regulatory follow-ups. 6. Assists the patient in achieving and/or maintaining their optimal level of function. 7. Assists, prompts, and/or provides personal care and other activities of daily living (ADLs) in order to maintain proper hygiene and nutrition. 8. Serves as a vital member of the patient care team and provides input on patient plan of care and progress toward goals. 9. Maintains a clean working/patient care environment. 10. Documents all treatments/care provided and patient responses to treatments. 11. Reports changes in patient condition to physician, Case Coordinator and/or Clinical Supervisor as indicated. 12. Obtains and/or clarifies home care orders as needed and communicates changes to team members. 13. Provides a safe environment and reports safety concerns to the RN and other appropriate regulatory entities. 14. Provides medical clinic nursing coverage to youths at the Summit County Juvenile Detention Center (JDC) as assigned. 15. Other duties as required. Other information: Technical Expertise 1. Experience in home health or an acute care setting is preferred. 2. Experience in Pediatrics and/or working with individuals with developmental delays is preferred. 3. Experience in managing technology dependent and/or medically complex patients is preferred. 4. Communication skills needed to work with all levels within an organization is required. 5. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Education and Experience 1. Education: Graduation from an approved accredited Registered Nursing program is required. 2. Certification: Current Ohio licensure as a Registered Nurse is required. Current CPR/BLS certification through the American Heart Association is required. 3. Years of experience: Six months experience preferred in one of more of the following areas: Home Care, Geriatric care, Medical/Surgical, CCU, Pediatrics, Obstetrics, or Department of Developmental Disabilities (DODD). 4. Years of experience supervising: None Part Time FTE: 0.600000 Status: Onsite
    $21k-47k yearly est. 4d ago
  • Bilingual Customer Retention Representative - Onsite or Remote

    Premier 4.7company rating

    Dakota Dunes, SD jobs

    Shift: Multiple Shifts Available, Every Other Saturday 8:00am-4:30pm Job Status: Full-Time and Part-Time Pay: $17.00-$18.90/hour starting, additional monthly incentives available Company: PREMIER Bankcard Bilingual skills are compensated in the form of 10% differential (English/Spanish). Applicants must be fluent in English/Spanish. Work Site This job is offered onsite and remote. Remote employees must live within 50 miles of a PREMIER location or plan on relocating. Shift Options Full-Time: M-F, 12:30-9 PM and e/o Saturday from 8 AM-4:30 PM Part-Time: M-F, 2-9 PM and e/o Saturday from 8 AM-4:30 PM About the Role Responds to telephone inquiries regarding various call types including, account closures, account re-opening and activation. Utilizes the outbound dialer on various call types. Utilize various retention techniques to maintain our account base. Maintains accurate account records. Reports unusual account/application activity to management Maintains department standards as approved. Training Extensive paid, onsite training program, up to 3 weeks in length. Ongoing training opportunities for continuous improvement! Pay Base wage starting at $17-$18.90/hr. with opportunities to increase take home pay. Top performers can earn monthly incentives based on performance. Contest money available through daily, weekly, and monthly Level Up competitions. Career path from Associate I to Associate IV - each step earning an increase in pay! Earn up to an additional $3.78/hr. when working non-traditional hours. Shift differential up to 20% Bilingual skills will be compensated in the form of a 10% differential. Competitive Benefits Package Full medical benefits when working 20+ hours per week Traditional and High Deductible health plan options available FREE dental and vision coverage Generous Paid Time Off plans 401(k) - dollar-for-dollar match up to 5% of total compensation Special discounts and offers for events at the Denny Sanford PREMIER Center PREMIER Wellness Program Paid Community Volunteer Hours - PREMIER averages 30,000 hours per year Fun Employee Parties Our Culture Emphasis on personal success, respect, health, wellness, fun and giving back Employees are rewarded, valued, and celebrated for hard work Various Career advancement opportunities and growth Appreciation is shown through concerts, outdoor bashes, cash, car giveaways and more
    $17-18.9 hourly 60d+ ago
  • Part-time Scheduling Specialist - Pittsburgh, PA

    Gateway Rehabilitation Center 3.6company rating

    Coraopolis, PA jobs

    Job DescriptionDescription: Gateway Rehab Center (GRC) has an opportunity for a Part-time Scheduling Specialist who is caring, compassionate and displays excellent customer service to individuals who are calling GRC seeking admission to treatment. This position guides prospective patients through the admissions process by taking initial calls, completing screenings, and scheduling outpatient evaluations. This position is remote, but the ideal candidate must live in Pittsburgh, PA region or surrounding counties. This position receives frequent supervision and instruction. Note: The position is Part-time, but we will require some evening hours. Why Choose Gateway Rehab? Make an impact through Gateway's mission “to help all affected by addictive disease to be healthy in body, mind, and spirit.” Be a part of an organization that has been leading the way in addiction treatment for over 50years. Enjoy the flexibility of a fully remote role while maintaining meaningful client connections. Responsibilities Completes non-clinical evaluation components consisting of and not limited to: answering initial calls and completing the pre-screening process, coordinating and scheduling outpatient evaluations. Receive calls for other departments and will need to route calls appropriately. Knowledge Skills and Abilities Computer proficiency with working knowledge of Word, Excel, Teams and use of email. Excellent verbal and written communication skills and organizational skills. Familiarity with drug and alcohol/mental health treatment and/or managed care processes preferred. Ability to multi-task. Excellent time management skills. Requirements: High school diploma or GED. Additional Requirements Pass a PA Criminal Background Check. Obtain PA Child Abuse and FBI Fingerprinting Clearances. Pass Drug Screen. Obtain 2-Step TB Test. Work Conditions Remote Favorable working conditions work which may include evening hours of work. Minimal physical demands. Mental demands include attention to detail and strong customer service. GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.
    $30k-35k yearly est. 9d ago
  • RN, Registered Nurse - Interventional Radiology

    Mount Carmel Health System 4.6company rating

    Columbus, OH jobs

    *Employment Type:* Part time *Shift:* Day Shift *Description:* * The RN Specialist within the scope of the Ohio Nurse Practice Act, will provide care in an atmosphere sensitive to each person's physical, emotional, social and spiritual needs. The RN Specialist oversees and coordinates nursing care for the patients in the Department Of Radiology. Responsibilities include assessing and identifying patient needs, implementing appropriate intervention, and evaluating and documenting outcomes. Acts as a liaison between Patient Care Services and the Department of Radiology Services. Assists physicians / technologists as required during diagnostic / therapeutic procedures. *What you will do:* * Provides nursing care, ensures an environment of patient safety, promotes evidence-based practice and quality initiatives and exhibits professionalism in nursing practice within the model of the ANCC Magnet Recognition Program . * Assesses and evaluates patient care for an assigned group of patients, utilizing evidence-based practice. Collaborates with patient and family to develop and implement a plan of care that includes physical, spiritual, and educational components. * Accurately communicates to appropriate team members in a timely manner, Keeps patient/family appraised/updated. * Documents accurately and completely pertinent assessments, interventions and outcomes for patients in accordance with documentation standards, policies, procedures and or guidelines. *Minimum Qualifications:* * Education: Graduate from school of nursing * Licensure / Certification: Current license to practice as a Registered Nurse in the State of Ohio, required. * Experience: A minimum of two years medical / surgical experience. Critical care experience preferred or Radiology RN certification. *Position Highlights and Benefits:* * Mount Carmel Health System recognized by Forbes in 2025 as one of America's Best State Employers. * Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one. * Retirement savings account with employer match starting on day one. * Generous paid time off programs. * Employee recognition programs. * Tuition/professional development reimbursement starting on day one. * RN to BSN tuition 100% paid at Mount Carmel's College of Nursing. * Relocation assistance (geographic and position restrictions apply). * Employee Referral Rewards program. * Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day! * Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups. *Ministry/Facility Information:* Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You! *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $51k-67k yearly est. 5d ago
  • RN Case Manager

    Interim Healthcare 4.7company rating

    Gratiot, OH jobs

    Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. What we offer our Registered Nurse Case Managers (RNCM): Competitive pay, benefits, and incentives. Truly flexible scheduling - a dedication to work/life balance - Full-time/ Part-time / PRN / Weekends Daily Pay option available No Overtime Required 1:1 patient care Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews and comprehensive physical assessments. Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers. Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve. Provide education to patients and families on proper home health care procedures. Ie. Wound care, IV administration, medication management. Work to decrease readmissions by promoting preventative care and ensuring continuity of care. To qualify as a Registered Nurse Case Manager (RNCM) with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position Current CPR/AED/BLS/First Aid certification Reliable transportation to/from care sites and/or work locations. One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience preferred. Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. #Cambridge1
    $55k-69k yearly est. 10d ago

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