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  • Case Manager-DSNP

    Sentara Health 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift First (Days) Sentara Health Plansis hiring an Integrated Nurse Case Manager/RNfor DSNP in Virginia Beach, VA! The position requires both in-person face-to-face assessments and remote telephonic assessments for Dual Special Needs Plan (DSNP) in their homes or facilities in Virginia Beach, VA! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Applicants must reside in Virginia Beach, VA! Primary responsibilities include: Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures May assist in problem solving with provider, claims or service issues. Education: Bachelors Degree in Nursing preferred Certification/Licensure Registered Nurse (RN) License (Compact or Virginia) REQUIRED Preferred qualifications: 3 years experience in Nursing REQUIRED Case Management experience preferred Discharge planning experience preferred Managed Care or Health Plan experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to ********************** and use the following as your Keyword Search: JR-90044 #Indeed Talroo - Nursing Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Virginia Beach, VA, Managed Care, MCO, Health Plan, DSNP, Dual Special Needs Plan 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 ifestablished 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.
    $34k-58k yearly est. 8d ago
  • Registered Nurse Unit Coordinator - Vascular Intermediate Care Unit

    Sentara Health 4.9company rating

    Norfolk, VA jobs

    City/State Norfolk, VA Work Shift Third (Nights) Sentara Norfolk General Hospital in Norfolk, Virginia is seeking a Registered Nurse Unit Coordinator for our Vascular Stepdown/Intermediate Care Unit (IMCU) - 9K Hours: Full Time (36 hr/week) Demonstrates proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service. What we are: 9 Kaufman is a 24-bed stepdown intermediate care unit that specializes in vascular surgery, telemetry and renal/pancreas transplant patients. 9 Kaufman is part of the Surgical Specialty Team at Sentara Norfolk General Hospital (SNGH). Staffing is comprised of RNs, LPNs, NCPs (nursing care partners) and UAs (unit ambassadors) and CSAs (clinical support associates). What we do: Some of 9 Kaufman's vascular surgeries include aortic aneurysm repair, carotid endarterectomy, femoral bypass surgeries and amputations. 9 Kaufman is an extension of the renal/pancreas transplant team to include the outpatient transplant center and all the nurses on 9 Kaufman are specially trained and can sit for the PCCN certification which we will help you obtain. All the beds on 9 Kaufman are monitored beds. 9 Kaufman cares for a variety of patients with telemetry needs, providing an environment conducive to extensive learning and skill development. You will be exposed to many types of patients on 9 Kaufman aiding in your ability to provide great care to anyone that chose Sentara Norfolk General Hospital to meet their healthcare needs. Nurse to patient ratio on 9 Kaufman is 1:4. Education Bachelor of Science Nursing- BSN or MSN Required Certification/Licensure Registered nursing License (Required) BLS required within 90 days of hire Experience 18 months revelant RN experience required Keyword: #ZipRecruiter, Talroo - Nursing, registered nurse, RN, vascular, intermediate care, stepdown, IMCU . 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 Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day! Sentara Norfolk General Hospital , located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School. In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit. 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-34k yearly est. 9d ago
  • Client Executive, Large Group

    Sentara Hospitals 4.9company rating

    Virginia jobs

    City/State Norfolk, VA Work Shift First (Days) Sentara Health Plans is hiring a Client Executive, Large Group Sales- Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City)! Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City); With travel to 2x a month in 1330 Sentara Park office, plus seasonal client and broker meetings/events Job responsibilities: The Client Executive is responsible for retaining profitable business in the Large Group segment (i.e., 151+ eligible employees), using a consultative, strategic sales approach to achieve business objectives on assigned book of business. Manage complex and extended renewal negotiations for a range of funding arrangements related to an assigned book of business. Lead the relationship management and strategic development of brokers and consultants representing mutual customers. Communicate with and present to business strategies and employer level reporting to senior level executives, decision makers and key influencers. Manage an internal team through day-to-day service and operations as well as annual workflow processes. Coach and evaluate team performance. Assist with enrollment meetings, support health fairs and participate in market events representing Sentara Health Plan in a positive and professional manner. Support strategic profitable growth objectives to include EAP, Clinical and Employer Solutions. Education: Bachelor's degree and 2 years related experience required or HS grad and 8 years related experience. Certification/Licensure: Must obtain a Life and Health Insurance License within 90 days of hire. Driver's License - Other/National Experience: Related experience includes sales or client services, health insurance industry experience required. Group Insurance Large Group (151+ eligible employees) experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to ********************** and use the following as your Keyword Search: JR-90615 #LI-PM1 #Indeed Talroo - Health Plan Keywords: Sales, Large Group, Commercial, Broker, Health Plan, Healthcare, MCO, Managed Care, L-HIL or L-LIFEHI, Remote, South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City) 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.
    $122k-198k yearly est. Auto-Apply 3d ago
  • Product Documentation Specialist, (Remote)

    Maximus 4.3company rating

    Tysons Corner, VA jobs

    Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation. NOTE: This position focuses on operational and process documentation, not technical or engineering documentation. Why Maximus? - Work/Life Balance Support - Flexibility tailored to your needs! - • Competitive Compensation - Bonuses based on performance included! - • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage. - • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - • Tuition Reimbursement - Invest in your ongoing education and development. - • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - • Professional Development Opportunities-Participate in training programs, workshops, and conferences. - •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees. Essential Duties and Responsibilities: - Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation. - Perform strategic and ad-hoc data work in support of Product Managers and Product Owners - Analyze and manage moderately complex business process flows and updates to system process flows and requirements. - Create and maintain technical documentation / product development & customer education materials - Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials. - Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained. - Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence. - Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments. - Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials. - Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures. - Review and improve existing documentation to enhance clarity, usability, and compliance with standards. - Support process improvement initiatives by documenting changes, workflows, and system updates. - Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively. Minimum Requirements - Bachelor's Degree or equivalent experience and 3+ Years. - Preferred SAFe Agile Certification(s). - Preferred Jira/Confluence experience. - Preferred learning development / documentation experience. - Preferred technical writing experience. - Bachelor's degree in a related field, or an equivalent combination of education and experience. - 3 years' relevant experience with documentation and supporting process improvement initiatives. - Strong attention to detail and organizational skills. - Excellent written communication skills with the ability to create clear, concise, and accurate documentation. - Experience working collaboratively with internal stakeholders to gather information and develop documentation. - Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint). - Ability to manage multiple documentation projects simultaneously and meet deadlines. Preferred Requirements - Previous experience in product documentation, writing, or business support role. - Knowledge of process improvement methodologies Home Office Requirements - Maximus provides company-issued computer equipment and cell phone - Reliable high-speed internet service * Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity * Minimum 5 Mpbs upload speeds - Private and secure workspace 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 $ 68,000.00 Maximum Salary $ 75,000.00
    $33k-49k yearly est. Easy Apply 2d ago
  • Senior Public Benefit Specialist

    Ensemble Health Partners 4.0company rating

    Richmond, VA jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $19.95 - $22.00/hr. based on experience **This will be an on-site position at VCUHS - Gateway Building in Richmond, VA Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program. Assists with application processes to facilitate accurate and appropriate submissions. Follows-up on submitted applications to insure timely billing or adjustment processing. Essential Job Functions: Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions Effectively communicating with the patient to obtain documents that must accompany the application Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting Documenting all relevant actions and communication steps in assigned patient accounting systems Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates. Other job duties as assigned. Employment Qualifications: Minimum years and type of experience: 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues. Other knowledge, skills, and abilities preferred: Understanding of Revenue Cycle including admission, billing, payments and denials. Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification. Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes. Patient Access experience with managed care/insurance and Call Center experience highly preferred. Minimum Education : High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree. Certifications: CRCR within 9 months of hire (Company Paid) Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $20-22 hourly Auto-Apply 30d ago
  • Radiologist Technologist

    Sentara Hospitals 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift Rotating Sentara Urgent Care Town Center is now hiring a Flexi-Time Radiology Technologist in Virginia Beach, VA! Schedule: Clinic hours - 8:00a.m. - 8:00p.m. Monday-Friday. Saturday and Sunday, 8am-4pm. Scheduled hours and shifts may vary based on business need and candidates' availability. As a Radiology Technologist, you will conduct general diagnostic radiological imaging studies of patients, within scope of demonstrated competency under the direction of a qualified physician, to include positioning of patient for demonstration of correct anatomy/pathology, operation of radiation producing equipment, operation of the electronic Radiology systems and preparation of patient room/equipment/medications. Phlebotomy competency for lab may be required for certain sites that do both Radiology and Lab. Certification/Licensure Registry eligible graduate in lieu of ARRT, must be registered within 90 days of hire. Licensed Rad Tech required for staff employed in Virginia. Keywords: Radiology, Radiology Technician, Rad Tech, Urgent Care, Monster, Talroo - Allied Health, Indeed 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.
    $267k-496k yearly est. Auto-Apply 60d+ ago
  • Quality Improvement Coordinator (RN)- Part Time

    Sentara Healthcare 4.9company rating

    Charlottesville, VA jobs

    City/State Charlottesville, VA Work Shift First (Days) Sentara Martha Jefferson Hospital is hiring a Quality Improvement Coordinator (Registered Nurse) for a part time, day shift in Charlottesville, VA. Hours: 20 per week, primarily mornings with some variations depending on business needs. Various scheduling options available for qualified candidates. The Quality Improvement team at Sentara Martha Jefferson has 4 members who are passionate about projects and initiatives that improve safety and patient satisfaction hospital wide. This is a rare opportunity to join and make a positive impact for our staff and patients. Ideal candidates will have supervisory or leadership background, have audit, data collection, and cause analysis experience. Example projects include: Code blue review, data and audit for restraint systems, and physician peer reviews. Each project is run individually with collaboration with the quality team. The Quality Improvement Coordinator is responsible supporting and implementing initiatives aimed at enhancing the quality and safety of patient care within the healthcare organization. Collaborates with clinical and administrative teams to assess, monitor, and improve healthcare processes, ensuring compliance with regulatory standards, accreditation requirements, and best practices. Education * Bachelor of Nursing (BSN) required * MLD or MSN Preferred Certification/Licensure * Registered Nurse License valid in the state of practice required * Specialty nursing certification in area of practice preferred (CCRN, CMSRN) Experience * 2 years of acute care RN experience Required * Previous leadership or supervisory experience highly preferred * Plan and coordinate testing and inspection of products and processes experience preferred * Implementation of corrective actions or continuous improvement initiatives experience preferred * Experience in collection and analysis of data preferred #Talroo-Nursing Keywords, QIC, Quality, Part Time, Data Analysis, Registered nurse, RN, quality improvement, coordination . 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 Martha Jefferson Hospital, located in Charlottesville, VA, is a Magnet status, 176-bed facility featuring all patient-friendly private rooms. Since its founding more than 100 years ago, Sentara Martha Jefferson has constantly evolved to meet the diverse healthcare needs of the patients who trust us with their care. Today, our vision is as clear as it was to our founders. We will continue to set the standard for clinical quality and personalized healthcare services. Our hospital offers specialized care in Cancer Care, Heart and Vascular, Neurology and Neurosurgery (including a Primary Stroke Center), Orthopedics, and Maternity. 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.
    $59k-82k yearly est. Auto-Apply 38d ago
  • Senior Insurance Authorization/Verification Specialist

    Ensemble Health Partners 4.0company rating

    Richmond, VA jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: The Opportunity: The Insurance Verification/Authorization Specialist II is responsible to support the Insurance Authorization Specialist I and Insurance Authorization Specialist II roles while performing insurance authorization and verification for all patients scheduled for services at Ensemble Health Partners. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Insurance Verification/Authorization Specialist II will work within the policies and processes as they are being performed across the entire organization. They'll support the Department's Supervisor with the daily workflow and distribution of workload, answer questions as the assigned subject matter experts, assist with mentoring and training new members of the team and report any system or process issues identified. This position starts at: $18.15/hr. Final compensation will be determined based on experience. This position is an on-site role at Bon Secours - St Mary's Hospital in Richmond, VA. Job Responsibilities: The Insurance Verification/Authorization Specialist II will support the Insurance Authorization I staff in their responsibility for selecting accurate medical records for patient safety, obtaining and validating demographic and insurance information, working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment, and ensure active/eligible coverage. Assist the supervisor of the department with escalated issues, tracking system and process issues as well as assisting in the training and mentoring of new hires. Among the expectations of this role the Insurance Verification/Authorization Specialist II will assist the Insurance Authorization Specialists I and Insurance Verification Specialists I in achieving: >95% accuracy/quality while handling accounts, as measured by account audits >95% quality of expected customer service etiquette, as measured by phone call audits Meet or exceed Lower controls of average productivity amongst the team productivity standards Assist the supervisor of the department with escalated issues, tracking system and process issues as well as assisting in the training and mentoring of new hires. Identify the appropriate clinical records and submit the authorization request to the insurance company based on plan requirements for approval. Will be the liaison between the ordering physician and insurance company to ensure any and all requirements to secure approval are identified and communicated. Performs other duties as assigned. Experience We Love: 1-3 years of experience Minimum Education: High School Diploma/GED Required Preferred 2 Year/ Associates Degree2 Year/ Associates Degree Certifications: Certified Revenue Cycle Representative (CRCR) required within 9 months of hire -Company Paid Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $18.2 hourly Auto-Apply 40d ago
  • Client Specialist, Large Group

    Sentara Hospitals 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift First (Days) Sentara Health Plans is hiring a Client Specialist, Large Group - Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City)! Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City); With travel to 2x a month in 1330 Sentara Park office, plus seasonal client and broker meetings/events Job responsibilities: Support (Sr.) Client Executive in producing and retaining profitable business in the Large Group segment. Interact with consultants, brokers, and benefit administrators and Sentara Health Plan's business units to achieve these objectives. Conduct group educational meetings with members and prospective members as requested. Demonstrate knowledge about health insurance products, basic underwriting principles, reporting and other value-added provisions related to the Large Employer segment. Responsible for maintaining the accuracy of prospect and/or customer data, quoting and proposals, plan documents and contracts. Also monitors compliance adherence. Research and resolve escalated claims issues and benefit interpretation questions. Education: Bachelor's degree OR HS grad and 4 years related experience REQUIRED Certification/Licensure: Must obtain a Life and Health Insurance License within 90 days of hire. Driver's License - Other/National Experience: Related years of experience includes Business Acumen, Customer Relation or related field. Group Insurance Large Group (151+ eligible employees) experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to ********************** and use the following as your Keyword Search: JR-90620 #LI-PM1 #Indeed Talroo - Health Plan Keywords: Sales, Large Group, Commercial, Broker, Health Plan, Healthcare, MCO, Managed Care, L-HIL or L-LIFEHI, Remote, South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City), Specialist 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.
    $32k-38k yearly est. Auto-Apply 6d ago
  • Surgical Technologist Student Extern

    Sentara Healthcare 4.9company rating

    Charlottesville, VA jobs

    City/State Charlottesville, VA Work Shift First (Days) Sentara Martha Jefferson Hospital is hiring a Surgical Technologist Extern in Charlottesville, VA. This is a Flexi/PRN day shift position. Department Information: Performing an average of 7,000 cases each year, the Operating Room at SMJH has 8 OR suites and offers a variety of service lines including; Complex GYN, Neurosurgery, Vascular/Thoracic and Orthopedic surgery. It is also the 2nd highest-performing OR in the Sentara system for Orthopedic total joint procedures. * Sentara Martha Jefferson has under a 12.6% RN Turnover rate * Patient Satisfaction scores are highest in the system at Martha Jefferson * Sentara Martha Jefferson Foundation education assistance program up to $32,500 * Free Parking at Sentara Martha Jefferson This position is responsible for supporting surgical services staff and department manger in the role of first scrub tech or second assistant role. The Surgical Technologist works under direct supervision of preceptor or surgeon. Must be enrolled in the 3rd or 4th semester of a 4 semester program in an accredited school of surgical technology awarding an associate degree. Education * Enrolled in 3rd or 4th semester of Surgical Technologist Trade School Degree REQUIRED * High School Graduate required Certification/Licensure * BLS required Experience * No experience required KEYWORDS: Surg Tech student. Surg tech extern. Surgical technologist student. surgical technologist extern. Surgical technologist. OR Tech. Scrub tech. Student. Extern. Externship. #Talroo-Allied Health. . 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 Martha Jefferson Hospital, located in Charlottesville, VA, is a Magnet status, 176-bed facility featuring all patient-friendly private rooms. Since its founding more than 100 years ago, Sentara Martha Jefferson has constantly evolved to meet the diverse healthcare needs of the patients who trust us with their care. Today, our vision is as clear as it was to our founders. We will continue to set the standard for clinical quality and personalized healthcare services. Our hospital offers specialized care in Cancer Care, Heart and Vascular, Neurology and Neurosurgery (including a Primary Stroke Center), Orthopedics, and Maternity. 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.
    $22k-33k yearly est. Auto-Apply 7d ago
  • Supervisor, Rehabilitation

    Sentara Healthcare 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift First (Days) Sentara Therapy Center Pediatrics Newtown is hiring a Team Supervisor We offer Competitive Salaries with Great Benefits! Manages staff and provides on-site supervision for daily operations, coordination of work, quality and service issues. Provides patient care staff assignments, coordinates quality improvement activities, resolution of customer service issues, resource utilization, and liaison activities in support of facility administrators. Serve as a resource to staff to ensure the quality of work and customer service. Assist with program and staff development, program implementation and policy/procedure development and compliance. Education * Bachelor's Level Degree Certification/Licensure * VA License as a Speech Language Pathologist, Occupational Therapist, or Physical Therapist * BLS Experience * 3 Years Clinical Rehab Services Experience * Supervisor - Previous Experience 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.
    $40k-56k yearly est. Auto-Apply 34d ago
  • Molecular Technologist I

    Sentara Healthcare 4.9company rating

    Norfolk, VA jobs

    City/State Norfolk, VA Work Shift First (Days) Sentara Norfolk General Hospital in Norfolk, VA is hiring a Molecular Diagnostic Scientist tech to work full-time day shifts (0730-1600) in Molecular Diagnostics. Sign on bonus up to $20,000 for qualified candidates! As a Molecular Technologist duties are to preform molecular microbiology and molecular pathology based laboratory tests; utilizes critical thinking skills to interpret complex test results; documents and reports test results; maintains equipment, instruments, and tools. Understands the molecular laboratory workflow and contamination risks. Communicates clearly with pathologists and physicians. Demonstrates fiscal responsibility with regard to reagent and consumable usage. Strong time management skills are necessary to effectively complete workload Education Bachelor's in medical technology or Biology/Chemical/Physical Science Certification/Licensure ASCP, AMT, or AAB certification Eligible for certification Must obtain Molecular certification in 1 year keyword: MLS, medical laboratory scientist, MT, CLS, Clinical lab Specialist, Talroo-Allied Health , Laboratory Services, Molecular Technologist, MB . 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 Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day! Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School. In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit. 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.
    $41k-62k yearly est. Auto-Apply 37d ago
  • Senior Director, Laboratory Services-Norfolk General

    Sentara Healthcare 4.9company rating

    Norfolk, VA jobs

    City/State Norfolk, VA Work Shift First (Days) Assumes responsibility and accountability for the success of integrated hospital laboratory operations and shared functions, including Anatomic Pathology, Clinical Pathology, Transfusion Medicine, Point of Care Testing, Regulatory Compliance, quality, and safety across specific geographic regions in Sentara Healthcare. Education/Experience * Bachelors Level degree in Science or related field (Required) * 5 years of Laboratory Leadership (Required) Responsibilities * Leads, directs, manages high-performance regional teams, and fulfills system lab services strategic goals and objectives within assigned territory. * Contributes to the success of hospitals by integrating performance improvement initiatives with regulatory requirements, while supporting goals and objectives for facilities spanning multiple divisions. * Leads, directs, manages high-performance regional teams, and fulfills system lab services strategic goals and objectives within assigned territory. . 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 Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day! Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School. In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit. 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.
    $67k-87k yearly est. Auto-Apply 19d ago
  • Network Manager - Population Health - Hampton Roads Market

    Bon Secours Mercy Health 4.8company rating

    Virginia jobs

    Thank you for considering a career at Bon Secours Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Network Manager works with market leaders, Population Health team members, and providers to support success across key performance measures (KPI). The Network Manager serves as the front-line driver of network growth, retention, and utilization to improve the quality of care in our markets. The Network Manager supports and engages with affiliate and employed Clinically Integrated Network (CIN) and Accountable Care Organization (ACO) participating providers. *This is primarily a remote/work from home position, with up to 25% onsite requirement. Hire must be local to the Hampton Roads, VA Market. Essential Job Functions Collaborates with the market Director of Network Performance to successfully understand and drive market and system network integrity goals. Analyzes network utilization and cost data utilizing data analysis to develop creative solutions for achieving KPIs. Establish regular meetings with participating ACO and CIN providers to review performance expectations, individual performance data, and routine network communications. Provides support to the market Clinical Integration Oversight Committee by reviewing performance metrics and overseeing the execution of performance improvement plans (PIPs). Collaborates with the Director of Network Performance and the market Population Health team to determine necessary improvement options for provider performance. Engages market committees on network improvement options and resolutions. Collaborates with Population Health Clinical Directors, Population Health Medical Directors, Clinical Outcomes Managers, and governing quality committee members to address communication and escalations in network performance. Collaborates with other provider-facing/interacting teams within the Network. Reviews, synthesizes, and implements the strategy to yield the greatest impact on Population Health KPIs. Collaborate with the market DNP on recruitment strategy and opportunities. Manage and update provider rosters to support accurate market representation and network participation. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification None Education Bachelors, Business, Marketing, Analytics, Education or Communications (required) Masters, Business, Marketing, Analytics, Education or Communications (preferred) Work Experience 2 years' experience with data analysis and synthesizing data points into actionable steps to solve problems in a healthcare setting (required) Working Conditions Periods of high stress and fluctuating workloads may occur. General office environment. May have periods of constant interruptions. Required to car travel to off-site locations, occasionally in adverse weather conditions. Prolonged periods of working alone. Skills Population health CIN success drivers Analyzing and Interpreting data Applying data results KPIs Levers in value based contracts Network integrity Quality outcomes Time Management Strategic Thinking Microsoft Office Suite Excel Data Management PowerPoint Detail Oriented Critical Thinking Teamwork Conflict resolution Active listening Relationship building Verbal and interpersonal communication Providing feedback Stakeholder relationships Self driven Proactive Effective communication Bon Secours Mercy Health is an equal opportunity employer. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: PHSO Admin - Population Health Service Organization It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************.
    $88k-112k yearly est. 6d ago
  • Registered Dietitian

    Virginia Womens Center 3.5company rating

    Richmond, VA jobs

    Job Details Short Pump Office - Richmond, VA Full Time 4 Year Degree DayWhat You Do Summary: In collaboration with the patient's healthcare provider, promotes good dietary health and treats medical conditions by devising eating plans for patients based on the science of nutrition. Essential Duties and Responsibilities include the following. Other duties may be assigned. Follows evidence-based practices to provide health advice and promotes healthy eating to patients, families, health professionals, and the community. Assesses nutritional needs of patients and develops individualized nutrition plans taking into account the patient's lifestyles, health concerns, and preferences. Utilizes motivational interviewing techniques to guide patients to make dietary changes. Educates patients regarding conditions treated with dietary management including weight loss, high cholesterol, high blood pressure, polycystic ovarian syndrome (PCOS), insulin resistance, and diabetes. Educates patients who are pregnant with pre-diabetes on nutritional practices to control their blood sugar to prevent gestational diabetes and ensure a healthy pregnancy. Provides nutritional guidance to patients with gestational diabetes as needed. Provides nutritional education and guidance to patients enrolled in the Medical Weight Management Program. Assists patients in reaching their health and weight goals when taking weight loss medications, while ensuring adequate nutritional practices. Emphasizes the importance for patients to maintain an overall health lifestyle, including regular exercise, adequate sleep, and stress management. Assists patients during perimenopause and menopause to support their health and wellbeing by way of nutrition. Analyzes results of body analyses scans and develops nutrition plans to support patients in reaching their desired health outcomes. Evaluates the effects of nutritional changes over the course of care. Maintains thorough and accurate documentation of patient interactions. Abides by the Academy of Nutrition and Dietetics Code of Ethics in all areas of practice. Complies with Virginia Women's Center's policies and procedures. Follows guidelines as required by HIPAA, OSHA, CLIA, ACA, and Red Flags regulations. Maintains appropriate attendance and punctuality as defined by Virginia Women's Center. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education, Experience and/or Licensure Bachelor's degree in nutritional science, dietetics, or food science; or alternatively a life science degree that incorporates human physiology and biochemistry Credentialed as a Registered Dietitian Nutritionist (RDN) by the Commission on Dietetic Registration (CDR) Licensed as a Registered Dietitian in the State of Virginia, preferred Knowledge, Skills and Abilities Knowledge of the impact of diet on health. Knowledge of biochemistry and human physiology. Knowledge of Google Workspace and Microsoft Office. Knowledge of medical records and clinical care processes. Knowledge of organizational policies, regulations, and procedures to administer quality assurance. Knowledge of HIPAA, ACA, OSHA, and CLIA regulations. Skill in collecting, measuring, and analyzing data. Skill in maintaining clinical department quality assurance and quality control standards. Skill in preparing and maintaining records, writing reports, and responding to correspondence. Skill in demonstrating sensitivity to the interpersonal, group dynamic, organizational, political, and perceptual issues associated with change. Skill in presenting regulations, changes, and corrections to employees. Ability to utilize Google Slides and PowerPoint to make presentations. Ability to track and analyze data. Ability to develop training programs and successfully train personnel. Ability to collaborate and interact effectively with providers, senior level management, and staff members. Ability to address and resolve non-compliances. Ability to maintain strictest confidentiality. Ability to organize activities to report and continuously evaluate progress/changes. Ability to effectively communicate in verbal and written form in informal and formal settings. Ability to organize time and work activities efficiently and independently. Ability to work independently, manage multiple priorities, and meet timelines. Physical Demands Varied activities including sitting, standing, walking, bending, and reaching. Requires eye-hand coordination. Requires visual acuity and normal color perception. Requires use of independent knowledge and judgment. Occasional stress from deadlines and multiple projects. Work Environment Work is primarily performed in a medical office. Minimal travel required. Position allows for hybrid/remote work options at the discretion of management. What We Offer Benefits & Rewards A service-centered culture reflecting a strong work-ethic and caring, compassionate team members Competitive compensation and growth opportunities Health, dental, and vision insurance Health savings accounts (HSA) and flex spending accounts (FSA) 401k plan with employer contributions and match Paid time off and paid holidays Life insurance both employer-paid and voluntary Critical illness and accident insurance Annual employer contribution toward uniforms/scrubs Employer paid long-term disability benefits and comprehensive employee assistance program A variety of discount programs offered to employees Employee referral bonus and peer recognition programs Company-sponsored FUN events and community volunteer opportunities Virginia Women's Center is a full-service women's health care practice specializing in gynecology, obstetrics, urogynecology, weight and wellness, high-risk obstetrics, obstetrical genetic counseling, breast health/mammography, bone and mental health services, ultrasound, and surgeries and procedures. Living Our Values We put patients first. Every single interaction matters Communicate with compassion We embrace change. Adapt to the fast pace of women's healthcare Seek new perspectives and information We play as a team. Together, we make a difference Believe the best in each other We work to be better. Challenges are opportunities to be better Contribute to our shared purpose If you have a disability under the Americans with Disabilities Act or a similar law and you wish to discuss potential accommodations related to applying for employment at Virginia Women's Center, please contact our HR Department at **************. We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, genetic information, marital status, ancestry, military or veteran status, or any other characteristic or status protected by law. We do not tolerate discrimination or harassment in the workplace.
    $51k-59k yearly est. 60d+ ago
  • Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)

    Maximus 4.3company rating

    Tysons Corner, VA jobs

    Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus. This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area. Key Areas of Responsibility - Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials. - Developing new programs for customer engagement including integrated marketing programs from concept to execution - Drive Maximus Federal solutions and offerings. - Manage digital and social media strategies across the federal market - Build, manage, and coach a high-performing marketing team. - Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports. - Work closely with the growth leaders to align sales and marketing strategies - Maintain brand standards and ensure compliance across all marketing and communications channels. - Build long-term relationships with employees, clients, government officials, and stakeholders. - Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company. - Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement. - Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation. This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions. Qualifications: -15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team. -Previous experience at a corporation focused on the Federal sector. -Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered. -MA degree in Marketing, Communication, or similar relevant field, preferred. -Outstanding communication, presentation, and leadership skills. -In-depth knowledge of the Federal sector. -Critical thinker with problem-solving skills. -Strong interpersonal and communication skills. Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management 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 $ 216,155.00 Maximum Salary $ 292,455.00
    $113k-201k yearly est. Easy Apply 2d ago
  • Registered Nurse Unit Coordinator- Intensive Care Unit

    Sentara Health 4.9company rating

    Norfolk, VA jobs

    City/State Norfolk, VA Work Shift First (Days) Sentara Leigh Hospital is hiring a Registered Nurse Unit Coordinator for our Intensive Care Unit Full Time (36 hours per week) Demonstrates proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service. Department/Position Overview: Sentara Leigh Hospital Intensive Care Unit, AACN Gold Beacon Award recipient, is comprised of 20 licensed critical care beds and has an average daily census of 18 patients. Staffing ratios vary and can be 1:1 to 1:3 with 1:2 being the usual assignment. The ICU RN's are required to have a wide array of knowledge, skill and ability to competently and safely provide critical care to our patients. Frequent ongoing education, new skill acquisition and skill validation are provided and supported by an experienced ICU CNS for new and experienced ICU nurses. Newly hired RN's will have between 2-14 weeks of orientation depending on prior experience. Our preceptors are purposely selected for their teaching ability and formally trained to meet the training needs of new staff. Specific attention is provided for new graduate ICU RN's as they participate in our Vizient AACN Nurse Residency Program and AACN's essentials of Critical Care Orientation online education. Experienced RN's are encouraged and supported with educational and financial assistance to achieve critical care certification. ICU staff are supported by an interdisciplinary care team which in part includes unit based respiratory, physical, speech and occupational therapists. Interpreter, nutrition, palliative, chaplaincy and ethical services are readily available as well. Our ICU has onsite and eICU pulmonary critical care intensivists and their team of physician extenders 24/7. Physician lead, nurse driven interdisciplinary rounds are held daily for continuity of care and to address nursing's concerns or questions. These rounds are made educational and even fun at times by our very engaged intensivist MD's. Our ICU team welcomes you to come check us out! Education Bachelor of Science Nursing- BSN (Required) or MSN (Preferred) Certification/Licensure Registered nursing License (Required) BLS required within 90 days of hire Experience Minimum of 18 months relevant nursing experience Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Keywords: #Indeed, Talroo - Nursing, intensive care unit, ICU, critical care, . 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 Leigh Hospital , located in Norfolk, VA, is a 274-bed acute care facility that opened in 1903 and relocated to its present site in 1977. Our hospital completed a renovation in 2016, including two new patient towers, a beautiful atrium, and a multi-story parking garage. Sentara Leigh Hospital includes a dedicated Orthopedic Hospital providing patients access to a full continuum of orthopedic care, from the preoperative phase and surgery to rehabilitation and home care services. Along with being a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, we also specialize in orthopedic and spine care, heart, vascular, maternity care, and general surgery. We are also home to the region's only 24-hour hyperbaric oxygen program that helps speed up the healing of carbon monoxide poisoning, wounds that won't heal, infections in which tissues are starved for oxygen, airborne chemical exposures, and scuba diving accidents. 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-34k yearly est. 9d ago
  • Revenue Cycle Net Revenue Manager

    Inova Health System 4.5company rating

    Virginia jobs

    Inova Health is looking for a dedicated Net Revenue Manager Lead to join their Revenue Cycle - Financial team. This remote role will be full-time day shift from Monday - Friday, 9:00 a.m. - 5:30 p.m. We are seeking a Revenue Cycle Net Revenue Manager with a strong background in finance and analytics to drive revenue cycle performance and net revenue optimization. The ideal candidate brings advanced Excel skills, proven experience in financial modeling and reporting, and the ability to translate complex data into actionable insights that support strategy, process improvement, and payer contract success. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules Revenue Cycle Net Revenue Manager Job Responsibilities: Creates and enforces work standards, quality measures, and process improvements that are consistent with the organization's goals and objectives. Ensures regulatory compliance with Medicare and state authorities, Generally Accepted Accounting Principles and any external governing authority. Assures claims are reviewed, corrections are identified/made or resolutions are initiated while ensuring all follow-up claims/actions are submitted via the appropriate medium and with all required attachments. Maintains knowledge of government regulations, payer requirements, UB-04 standards, information system functionality (i.e. Hospital, clearinghouse, payer), hospital policies/procedures and departmental SRGs. Evaluates the impact of new or upgrades to existing systems/tools while performing testing of system changes, providing technical/operational support during implementation and evaluating the success of new systems/tools. Ensures timely/accurate billing, collection, posting, servicing, and/or auditing of the $1.5 billion receivable stream. Ensures follow-up is completed utilizing TRAC work lists, QMS, or other systems/reports according to department policy/procedure, SRG, or industry best practice standards. Demonstrates a working knowledge of CareMedic systems, DSS electronic billing systems, Syntellect IVR systems, HealthQuest 2000, QMS, and Premis electronic billing systems. Provides feedback and training to supervisors and staff. Provides resolution for pended (WIP backlog) claims within allowable timeframes (as defined for appropriate deficiency) and/or ensures billed claims receive timely and appropriate follow up based on established protocol or SRG. Oversees assigned department or functional area to ensure it is performing effectively, which may include but not limited to, hiring and training team members, creating and implementing business strategies, managing performance of team members, and delegating tasks. Minimum Qualifications: Experience: Four years of experience in Revenue Cycle, Clinic Operations, Credentialing, Denials Management and/or HB/PB Operation roles; Two years in leadership roles Education: Bachelors Degree or lesser educational degree with four additional years of experience Preferred Qualifications: Bachelor's degree in Accounting, Finance, or related field preferred; advanced degree or certification a plus. Strong proficiency in Microsoft Excel (advanced formulas, pivot tables, financial modeling, dashboards). Proven experience in financial analytics, reporting, budgeting/forecasting, and revenue cycle performance metrics (Net Revenue, AR, Denials, Cash). Demonstrated ability to support managed care contract strategy, including payer trend analysis, financial modeling, and negotiation support. Skilled in process improvement, workflow streamlining, and ensuring accuracy, timeliness, and completeness of financial data. Strong communication and presentation skills with experience translating complex data into actionable insights for leadership. Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV
    $73k-101k yearly est. Auto-Apply 60d+ ago
  • Coordinator II, Performance Monitoring

    Cardinal Health 4.4company rating

    Richmond, VA 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. **Together, we can get life-changing therapies to patients who need them-faster.** **What Performance Monitoring contributes to Cardinal Health:** Performance Monitoring is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Performance Monitoring is responsible for monitoring, analyzing and reviewing customer contact quality. **Responsibilities:** + Conduct quality reviews of Adverse Events submitted by staff before submission to client safety unit. + Conduct case audits to ensure correct process steps have been followed for the "patient journey" + Monitor calls and provide effective written feedback + Maintain knowledge of the client's program and product/service offerings. + Interpret and transcribe inbound and outbound calls from patients and health care providers. + Identify adverse events when monitoring calls. + Ensure documentation is in order following client regulatory guidelines. + Identify trends and training needs from call monitoring and escalate appropriately. + Work effectively with dynamic, integrated task teams + Maintain a work pace appropriate to the workload **Qualifications** + HS Diploma, GED or technical certification in related field or equivalent experience, preferred. + 2 years' call center or transcriptionist experience preferred. Certified Medical Transcriptionist (CMT) qualification would be an asset. + 2 years' quality review experience preferred. + Knowledge of medical terminology preferred. + Exceptional listening skills required. + Proficient in Microsoft Office (Excel, Word, PowerPoint, etc.) + Multi-tasking, time management and prioritization skills considered an asset. + Bilingual Spanish would be an asset. **What is expected of you and others at this level** + Applies acquired job skills and company policies and procedures to complete standard tasks + Works on routine assignments that require basic problem resolution + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **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 (8-hour shifts, 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- 8:00pm 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 hourly range:** $18.35 per hour - $26.40 per hour **Bonus eligible:** No **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:** 1/2/2026. 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 (***************************************************************************************************************************
    $18.4-26.4 hourly 2d ago
  • Senior Insurance Authorization/Verification Specialist

    Ensemble Health Partners 4.0company rating

    Richmond, VA jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: * Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. * Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. * Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: The Opportunity: The Insurance Verification/Authorization Specialist II is responsible to support the Insurance Authorization Specialist I and Insurance Authorization Specialist II roles while performing insurance authorization and verification for all patients scheduled for services at Ensemble Health Partners. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Insurance Verification/Authorization Specialist II will work within the policies and processes as they are being performed across the entire organization. They'll support the Department's Supervisor with the daily workflow and distribution of workload, answer questions as the assigned subject matter experts, assist with mentoring and training new members of the team and report any system or process issues identified. This position starts at: $18.15/hr. Final compensation will be determined based on experience. This position is an on-site role at Bon Secours - St Mary's Hospital in Richmond, VA. Job Responsibilities: * The Insurance Verification/Authorization Specialist II will support the Insurance Authorization I staff in their responsibility for selecting accurate medical records for patient safety, obtaining and validating demographic and insurance information, working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment, and ensure active/eligible coverage. * Assist the supervisor of the department with escalated issues, tracking system and process issues as well as assisting in the training and mentoring of new hires. * Among the expectations of this role the Insurance Verification/Authorization Specialist II will assist the Insurance Authorization Specialists I and Insurance Verification Specialists I in achieving: >95% accuracy/quality while handling accounts, as measured by account audits >95% quality of expected customer service etiquette, as measured by phone call audits Meet or exceed Lower controls of average productivity amongst the team productivity standards Assist the supervisor of the department with escalated issues, tracking system and process issues as well as assisting in the training and mentoring of new hires. * Identify the appropriate clinical records and submit the authorization request to the insurance company based on plan requirements for approval. * Will be the liaison between the ordering physician and insurance company to ensure any and all requirements to secure approval are identified and communicated. * Performs other duties as assigned. Experience We Love: * 1-3 years of experience Minimum Education: * High School Diploma/GED Required Preferred * 2 Year/ Associates Degree2 Year/ Associates Degree Certifications: * Certified Revenue Cycle Representative (CRCR) required within 9 months of hire -Company Paid Join an award-winning company Five-time winner of "Best in KLAS" 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 * Innovation * Work-Life Flexibility * Leadership * Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: * Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. * Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. * Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. * Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $18.2 hourly Auto-Apply 22d ago

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