Tenet Healthcare jobs in Fountain Valley, CA

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Tenet Physician Resources, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success. At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: * Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match * Generous paid time off * Career development and continuing education opportunities * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance Note: Eligibility for benefits may vary by location and is determined by employment status * Assist with organizing and assigning daily workflow within the team. * Read and evaluate authorization reports and identify trends. * Ensure compliance of all rules and regulations of insurance carriers. * Ensure all authorizations are processed timely and accurately. * Work closely with the Patient Communication Manager to ensure timely authorization requests and approvals. * Identify and create solutions to problems relating to the timely processing of prior authorizations. * Monitor authorizations request for accurate insurance coding and timely processing. * Respond to patient account inquiries, questions, and complaints when necessary. The Prior Authorization Team Lead is actively involved in assisting the Patient Communication Manager with problem solving and conflict resolution with team members, customers, and insurance companies. Under the direct supervision of the Patient Communication Manager this position requires assisting with a high level of timely, accurate, and complete analysis and oversight of the prior authorizations department from the insurance companies, facility programs and the patients, as well as the protection from loss of revenue. The Prior Authorization Team Lead is responsible for working co-operatively in a team setting, promoting team spirit and generating ideas that will develop the team and the Practice. The employee will adhere to and comply with the Covenant Code of Conduct, Human Resource Policies and Procedures, Operational Policy and Procedure Manual, Patient Bill of Rights, HIPAA compliance, and Corporate Compliance Plan. EDUCATION AND/OR EXPERIENCE * High School Diploma or equivalent. * 5 years of successful prior authorization experience. * Experience with practice management systems and clearinghouses; G-Med experience preferred. Tenet Healthcare/TPR complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. #LI-MS3 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Clinical Liaison (CL) - ARU Facility Name: Good Samaritan Hospital - ARU Your experience matters At Good Samaritan Hospital, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a Clinical Liaison joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute Educate the community on acute rehabilitation to develop a census through face-to-face contacts. Develop business based on the strategic goals of the rehabilitation program. Face-to-face connections within the territory to build relationships with referral sources to increase census. Identifies barriers to the admission process and creates solutions with the assistance of the program director. Requires onsite and in-territory work through face-to-face contact with patients, families, and referral sources. Completes in-person in-services and presentations to educate on acute rehabilitation programs and services. Other duties as assigned What we offer Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. Supportive Leadership, Superior Outcomes, Expansive Benefit package, Professional Development and Advancement Opportunities Qualifications and requirements: At a minimum, should hold a 2-year degree. A graduate holding a four-year degree from a college program with a bachelor's degree in a health related, business or marketing area of concentration, nursing preferred. Education: Minimum 2-year degree required. Bachelor's degree in a health-related, business, or marketing field preferred. Experience: Previous experience in clinical liaison, marketing, or healthcare sales preferred. License: Current license to practice as required by applicable state licensure regulations. Hourly Range: $48-$50 hr EEOC Statement Good Samaritan Hospital is an Equal Opportunity Employer. Good Samaritan Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems. Knowledge/Skills/Abilities Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. This role is involved in member enrollment, provider information management, benefits configuration and/or claims processing. Responds to incoming calls from providers regarding claims inquiries and provides excellent customer service; documents calls and interactions. Assists in the reviews of state or federal complaints related to claims. Supports the other team members with several internal departments to determine appropriate resolution of issues. Researches tracers, adjustments, and re-submissions of claims. Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards. Manages defect reduction by supporting the identifying and communicating error issues and potential solutions to management. Handles special projects as assigned. Other duties as assigned. Knowledgeable in systems utilized: QNXT Pega Verint Kronos Microsoft Teams Video Conferencing Others as required by line of business or state Job Function Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina values in their actions. Responsible for effectively managing and documenting calls and responding to providers regarding issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. Job Qualifications REQUIRED EDUCATION: Associate's Degree or equivalent combination of education and experience; REQUIRED EXPERIENCE: 2-3 years customer service, claims, provider and investigation/research experience. Outcome focused and knowledge of multiple systems. 1+ years of claims research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry PREFERRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience PREFERRED EXPERIENCE: 4 years PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in a home or office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc. • Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes. • Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance. • Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement. • Assists in the development and implementation of internal desktop processes and procedures. • Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers. Required Qualifications• At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience. • Strong analytic and problem-solving abilities. • Strong organizational and time-management skills. • Ability to multi-task and meet project deadlines. • Attention to detail. • Ability to build relationships and collaborate cross-functionally. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Supervisory/leadership experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Responsibilities Canyon Ridge Hospital is a freestanding, 157-bed acute psychiatric facility offering services to adolescents ages 13-17, adults and older adults in the Chino area. We offer a complete spectrum of mental health services for adolescents, adults and seniors. We are seeking a dynamic and talented Intake Counselor to join our team! Position Summary: The Assessment & Referral Counselor is responsible for facilitating facility admissions by performing initial assessment and referral activities for all in-coming and potential patients, consulting with potential patients, patient families, medical staff and other hospital staff, and counseling patients and patient families with regard to current assessments, recommended referrals and recommended required levels of care. Canyon Ridge Hospital offers comprehensive benefits such as: * Medical, Dental Vision * PTO * Competitive Compensation * Career development opportunities within UHS and its Subsidiaries * Education Assistance * Challenging and rewarding work environment Qualifications Qualifications: * Master's Degree in social work, psychology, counseling or a related field Required * A minimum of two (2) years experience in a mental health setting preferred. * Working knowledge of the Addiction & Recovery field and experience in clinical interviewing, patient assessment, family motivation, treatment planning, communicating with external review organizations or comparable entities * Working effectively with people of diverse backgrounds. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. If you're looking for a career where you make a difference apply directly through our websites career tab Canyon Ridge Careers . One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. UHS is recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.

Opportunity Details Southwest Healthcare in Murrieta and Temecula, CA is partnering with a highly reputable, well-established area GI and multispecialty practice, to recruit a BC/BE Gastroenterologist to join their group. Join a busy practice in state-of-the-art offices with excellent growth, earning potential and full support staff serving one of the fastest growing areas in southern California. The group offers specialty services in Gastroenterology, including advanced endoscopy, Surgery (General, Robotic GI, HPB), Pulmonology, Critical Care, Sleep, and Integrative Medicine. Discover here what makes Murrieta and the Temecula Valley a wonderful place to call home! Opportunity highlights: Private practice opportunity Well-appointed office location and endoscopy center Hospital endoscopy labs featuring the latest advanced technology and equipment Flexible call Financial package: Hospital provides initial income guarantee and sign-on bonus First year income of $550,000 - $600,000 Equity opportunity in ASC Partnership track Southwest Healthcare, a 5-hospital system in southern California, features three acute care facilities in the neighboring communities of Murrieta, Wildomar, and Temecula. Rancho Springs Hospital in Murrieta treats 50,000 patients a year in their ED with dedicated OB and Pediatric Emergency Services and features The Family Birth Center with a Level III NICU. Inland Valley Hospital is a Level II and the only Trauma Center in the region, an Advanced Primary Stroke Center and offers nearly all open and minimally invasive surgical services including The Bariatric Center, certified as Comprehensive by MBSAQIP. Temecula Valley Hospital excels in cardiovascular services and surgery, GI services, advanced neurological care, spine and orthopedic surgery, oncology, and has an ED serving nearly 49,000 patients a year. Southwest Healthcare is owned and operated by a subsidiary of Universal Health Services (UHS), one of the nation's largest hospital management companies. Murrieta and Temecula, California, located just north of San Diego and east of Orange County, are family-oriented communities in one of the most desirable areas in Southern California. The Temecula Valley, known as Southern California Wine Country, is a stable, growing region with an increasingly diverse and affluent population ideal for families, singles and retirees alike. Housing and living costs are significantly lower than nearby coastal counties and both communities are ranked in the Top 20 safest cities in the U.S. by MoneyGeek (100,000+ population). Come and experience our award-winning schools, excellent healthcare services, great weather, nearby beaches, lakes and mountains, and numerous recreational and lifestyle options! If you have interest in this opportunity, please contact: Nathan Arnett Physician Recruiter Southwest Healthcare ************************ ************ mobile (call/text)

Responsibilities Come Join Our Team! PATHOLOGY TRANSCRIPTIONIST Full Time position located at Corona Regional Medical Center in Corona, CA Reporting to the Pathologist and Pathology Coordinator this position is responsible for transcribing all reports and letters. The accuracy ratemust be maintained at a minimum of 98%. This position requires the full understanding and active participation in fulfilling the mission of Corona Regional Medical Center. It is expected that the employee demonstrate behavior consistent with the core values. The employee shallsupport Corona Regional Medical C enter strategic plan and the goals and direction of the performance improvement plan. The tradition of caring that culminated in the establishment of Corona Regional Medical Center began in 1965, with the founding of Corona Community Hospital. Since that time the hospital has changed to meet the needs of the rapidly growing community. Corona Community Hospital merged with Circle City Medical Center in 1992 and the resulting entity became Corona Regional Medical Center. The merged hospitals are now a 238-bed community hospital network comprised of a 160-bed acute care hospital and a 78-bed rehabilitation campus. It is certified by The Joint Commission, employs more than 1,250 trained healthcare workers and has a medical staff of approximately 347 physicians representing more than 40 specialties Benefits include: * Tuition Reimbursement. * Career development opportunities across UHS and our 300+ locations! * Diverse programming to expand your experience. * HealthStream online learning catalogue with plenty of free CEU courses. * Competitive Compensation & Generous Paid Time Off. * Excellent Medical, Dental, Vision and Prescription Drug Plans. * 401(K) with company match and discounted stock plan. * Pet Insurance. * SoFi Student Loan Refinancing Program · More information is available on our Benefits Guest Website: benefits.uhsguest.com About Universal Health Services: One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** Qualifications Position Requirements * Minimum two years experience in pathology transcription required. * Prior hospital experience preferred. * Extensive knowledge of medical terminology, anatomy, and physiology. * Clerical, typing and computer experience preferred. EEO Statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams: At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Responsibilities Come Join Our Team! Plant Operations Manager The Manager - Plant Operations manages the day-to-day plant operations, construction, preventative maintenance, and repair activities. Responsible for all safety and environment of care activities as the hospital safety officer. Responsible for supervision of maintenance personnel, scheduling, coordinating, and inspecting all related operations and jobs in addition to performing journeyman level work in most disciplines associated with the construction, maintenance, alteration, and repairs of buildings and equipment. Essential Job Duties: * Participates in Emergency Preparedness Drills. Demonstrates through practice drills and upon request understanding of his/her role in the event of an emergency or disaster. * Facilitates departmental and hospital educational activities and inservices in conjunction with the Education Department. * Responsible for development, review and revision of departmental written policies and procedures. * Ensures that the department has equipment, supplies necessary to provide consistent quality and service delivery. * Reports any unsafe situations or safety hazards immediately. Labels and removes any malfunctioning equipment from service and notifies Engineering. * Provides and applies practical knowledge regarding building maintenance, operation of steam distribution systems, air conditioning and heating systems, building automatic control systems, water distribution, fire protection, sanitary and storm sewer operations, piped medical gases, electrical distribution and central utility plants for steam and chilled water. * Evaluates, locates and recommends equipment and systems for replacement or upgrades. * Ensures building code compliance, proper instillation and design practices for systems associated with minor or major maintenance and renovation projects. * Manages and insures compliance with CMS, Federal Accreditation Agencies, State Health * Departments, and other regulatory business appointments. Acts as a liaison between the hospital and the local City authorities and regulatory agencies including building code compliance. * Monitors flow and quality of work to assure timely completion of workload and adherence to facility's standards and regulations. Prepares and maintains a variety of departmental records and reports. * Inspects areas within the Hospital to ensure the maintenance standards are being maintained according to established policy. * Coordinates Plant Operations procedures with activities of other departments and resolves concerns and/or questions about the service. * Supports the Director in conducting and recording periodic staff meetings, at least monthly, to * inform staff of changes in policies and procedures, as well as coordinates/conducts employee training. * Interacts with outside vendors and directs services as necessary. * Works with Director to develop/implement action plans for improvement in compliance and service. Qualifications Education and Experience: * Associate's degree from an accredited College or University in related field required. * Bachelor's degree from an accredited College or University in related field preferred. * Graduation from an accredited trade school preferred. * Three (3) to Five (5) years of continuing advanced responsibilities in Plant Operations. Healthcare experience strongly preferred. * Minimum one (1) year supervisory experience. Three (3) to five (5) years management or supervisory experience highly preferred. * Experience in maintenance and installation, construction and maintenance of equipment, utilities and buildings required. * Knowledge of boilers, compressors, generators, etc. as well as various mechanical, electrical and plumbing systems. * Knowledge of building codes and safety regulations * Must have and maintain a valid driver's license. * Certification as a Certified Healthcare Facilities Manager (CHFM) by the American Hospital Association preferred. * Specialty licenses and/or certifications in facility systems (electrical, boiler operator, etc.) preferred. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. About Universal Health Services: One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** Avoid and Report Recruitment Scams: At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching their skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters

The Senior Facilitated Enroller will use a high degree of customer service to successfully work with the team to provide optimal enrollment success. The Senior Facilitated Enroller (SFE) will assist the Facilitated Enrollment Supervisor in meeting and exceeding sites expectations and providing exceptional levels of customer service. The SFE will continue to assist eligible recipients for enrollment by phone or conduct face to face meetings. Assist the Facilitated Enrollment Supervisor in training, assisting with client meetings (webinars and leading meetings) and will be more involved with the Marketing Tracker and Salesforce. The SFE will also work closely with the Facilitated Enroller and will report to the Facilitated Enrollment Supervisor the successes or areas that require improvement and will provide input on strategy as the business needs change within given territory. Knowledge/Skills/Abilities Assists with inbound/outbound calls when necessary to assist FE with achieving monthly, quarterly and annual enrollment goals. The SFE will assist in leading FE and/or projects to help ensure monthly enrollment results. SFE will provide support across projects, including quality checks to Marketing Tracker and Sales Force. Works with Facilitated Enrollment Supervisor to successfully support FEs in enrollment success and to formulate resolutions for struggling FEs. Identifies any challenges and communicates to Facilitated Enrollment Supervisor. Successfully maintains and/or manages monthly FE calendar Excellent time management with the ability to maintain multi-faceted projects, providing both quality and quantity while completing job duties and adhering to various objectives with little to no supervision. Maintains a high level of professionalism to all outgoing emails to clients Shows a comprehensive understanding of processes, best practices, and indications with minor errors Monitors daily operations and identifies need for program tools and works with Facilitated Enroller Supervisor to meet staff needs. Participates in the design and implementation of process improvements within the current facilitated enrollment policies, procedures, services and workflow to improve the customer experience as well as productivity Maintains expert knowledge of current processes, rules and regulations of the MMC, EP, CHP and QHP programs and serves as a resource for implementation, training teams Offers suggestions to Facilitated Enrollment Supervisor regarding corrective action plans and conducts other quality activities to include policy and procedure review and application reviews Performs research assignments as directed by Facilitated Enrollment Supervisor which may include but are not limited to educational resources and best practices. Meets with consumers at various sites throughout the communities Provide education and support to individuals who are navigating a complex system by assisting consumers with application process, explaining requirements and necessary documentation Consistently demonstrates high standards of integrity by supporting Molina Healthcare of NY, Inc mission and values and adhering to the Corporate Code of Conduct Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures Performs other functions as assigned by management. Job Qualifications Required Education: High School Diploma or equivalence Required Experience: Minimum of 3 years of experience working with State and Federal Health Insurance programs and populations Demonstrated organizational skills, time management skills and ability to work independently Previous experience leading projects, processes, or teams Excellent written and oral communication skills; strong presentation skills Basic computer skills including Microsoft Word, Excel, Salesforce and Share Point Strong interpersonal, organizational skills and the ability to work in a team environment. A positive attitude with the ability to be flexible and adapt to change Knowledge of Managed Care insurance plans Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities Required Licensure or Certification: Must have reliable transportation and a valid NYS drivers' license with no restrictions Successful completion of the NYSOH required training, certification To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity No Late Nights! Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility * Medical, Dental, Vision insurance * 401(k) * Associate assistance program * Employee discounts * Referral program * Early access to earned wages for hourly associates (outside of CA) * Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility * Paid Time Off * Paid holidays * Company provided life insurance * Adoption benefit * Disability (short and long term) * Flexible Spending Accounts * Health Savings Account * Optional life and dependent life insurance * Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan * Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. * Operates a dish washing machine to clean dishes, glasses, cups, trays, silverware, and other food service equipment. * Dishwashers keep all food prep and service areas sanitary, empty garbage, and sweep/mop kitchen floors. Responsible for overall cleanliness of the kitchen. * Assists with prep as needed. Brookdale is an equal opportunity employer and a drug-free workplace.

Responsibilities Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. SUMMARY: Coordinates surgical procedures. Verifies and updates schedule as needed, and prepares paperwork as required. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Hours: 8:30am-5:30pm Qualifications EDUCATION and/or EXPERIENCE: High school diploma or GED required. Confidentiality is essential. Knowledge of anatomy and physiology helpful. CERTIFICATES, LICENSES, AND REGISTRATIONS: None. ESSENTIAL FUNCTIONS: Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job's purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Note: (other duties may be assigned, deleted or changed at any time, at the discretion of management, formally, or informally, either verbally or in writing). 1. Answer phones on a daily basis. Must be able to handle several incoming lines and direct calls to appropriate individuals in a timely, professional manner. Hand delivers messages as necessary. 2. Obtain authorizations for needed surgeries and procedures. 3. Direct and assist patients at front reception window. 4. Schedule surgeries and procedures as requested by the medical offices. 5. Prepare daily surgery schedule and distribute to providers and other personnel as necessary. 6. Operate computer terminal to access data, enter data, and change or delete data as necessary, according to prescribed procedures for the department. 7. Perform special projects or tasks when requested by the Nursing Supervisor. Interact with all departmental personnel in a manner that promotes a "Team Effort" within the department. 8. Inventory and order medical supplies and material, as needed. 9. Coordinators with Vendors to ensure necessary equipment and appliance are available at time of surgery. 10. Coordinate DME and physical therapy as required post operatively. OTHER RESPONSBILITIES: 1. Uphold and support the philosophy, objectives, and policies of Riverside Medical Clinic, 2. Assume responsibility for initiating a pleasant patient-oriented atmosphere by displaying a professional attitude through performance, appearance, and demeanor. 3. Maintain work area in a clean and organized manner. 4. Annually participate and complete required health screening. 5. Adhere to Safety Program as outlined in Core Competencies and Injury, Illness and Prevention Program. 6. Maintains professional composure and confidence during stressful situations. 7. Maintains open communication using appropriate chain of command regarding issues. 8. Presents neat appearance in proper attire and identification as required by the position, department and RMC policy. 9. Continuously displays a positive, "can do" attitude within the department and across departmental lines to contribute to the overall customer service program in place at Riverside Medical Clinic. Benefit Highlights: * Challenging and rewarding work environment. * Competitive compensation and paid time off. * Excellent Medical, Dental, Vision and Life Insurance Plans. * 401(K) with company match and discounted stock plan. About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when available, and the application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing. Job Duties This role supports negotiations with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports according to departmental procedures. • Sends out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. • Receives calls from prospective providers and answers questions regarding contracting process, policies and procedures. • Forwards requested information/documentation to prospective providers in a timely manner. • Maintains database of all contracts and specific applications sent to prospective new providers. • Completes and updates Provider Information Forms for each new contract. • Ensures accuracy and completeness of provider demographic information and coordinates communication of such information to Provider Configuration team. • Sends out new provider welcome packets to providers who have contracted with the plan. • Utilizes Plan's system to track and follow up with Providers who have not responded to Contracts and/or Applications sent as directed by management. • Formats and distributes Provider network resources (e.g. electronic specialist directory). Job Qualifications REQUIRED EDUCATION: High School Diploma or equivalent GED REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: 1 year customer service, provider service, contracting or claims experience in the healthcare industry. PREFERRED EDUCATION: Associate's Degree or Bachelor's Degree in a related field or an equivalent combination of education and experience PREFERRED EXPERIENCE: Managed Care experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Opportunity Details Seeking Diagnostic Radiologist to join our well established Multi-specialty group in Beautiful Riverside CA . This position is primarily outpatient focused. Full time position. Position includes some light interventional radiology procedures such as Thyroid Biopsies, FNA, Paracentesis and Fluoroscopy. Benefits include Paid time off, Paid Holidays, 401k. Full Benefits including Medical, Dental, Vision and 401k. Salary range is 400k - 500k Riverside Medical Clinic (RMC) has been a part of the community for 85 years and is the largest independently owned and operated multi-specialty group, with over 190 providers, in the Inland Empire, the fastest growing community close to beaches, mountains and the desert. Our physicians are held in high regard by the community and our patients. The team of physicians at RMC sincerely works together on behalf of our patients. Collaboration between our close knit physicians is common. Whether you are a primary care physician or a specialist, it is good to know that the referral process at RMC is quite simple. For PCP's, it provides confidence that your patient will be treated well and kept in your patient base. For specialists, it is good to know that there is a continuing flow of referrals.

Restorative Nursing Assistant (RNA) - LTACH Per Diem (Weekend coverage) Wage scale: $24.00 - $25.00 per hour Your experience matters At Kindred Hospital Brea, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a Restorative Nursing Assistant joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute Provides restorative nursing interventions under the supervision of a licensed nurse to support patients discharged from formal rehabilitation therapy, those not eligible for formal therapy, or those requiring supplemental interventions during custodial care. The goal is to promote independent, safe functioning and enhance physical, mental, and psychosocial well-being. Restorative nursing services (excluding Continuous Passive Motion) do not require a physician's order. * Perform restorative nursing interventions to support patients in reaching maximum functional potential. * Report patient responses and condition changes to the supervising nurse or therapist. * Participate in quality management and safety committee activities. * Assist in collecting quality review data and survey preparation. * Support cost-effective care delivery and interdisciplinary group activities. * Engage in continuing education and professional development. * Demonstrate professional behavior in interactions with patients, families, and colleagues. * Adhere to the standards of professional organizations and internal policies. * Contribute to client relations and marketing efforts. * Maintain clinical competency and participate in team meetings. * Support administrative and clinical efficiency initiatives. * ADDITIONAL INFORMATION: Work Environment: Hospital-based; may involve exposure to biohazards and require PPE What we offer Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers: * Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. * Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. * Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. * Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). * Professional Development: Ongoing learning and career advancement opportunities. Qualifications and requirements: Education: High school diploma or GED required. Experience: Six months experience as a Rehab Tech or Restorative Nursing Aide in a hospital or long-term care setting preferred. Certifications: Basic Life Support (BLS) certification required. Skills and Abilities: Competence with basic computer and technology systems. About us Kindred Hospital Brea is a 48-beds hospital located in Brea, California, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters. EEOC Statement Lifepoint Rehabilitation is an Equal Opportunity Employer. Lifepoint Rehabilitation is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

**Internships at UnitedHealth Group.** If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start **Caring. Connecting. Growing together.** Actuaries are the decision-making engine for our business. That is why we support you from day one by offering guidance and assistance with exams. Our businesses serve the entire spectrum of health care participants: individual consumers and employers, commercial payers and intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more, providing you with a career that is challenging, exciting, and integral in helping to write the history of healthcare. **This position will be supporting UnitedHealthcare's Employer & Individual (E&I) line of business and be located on-site in Cypress, CA with a hybrid work arrangement model of four days in office and one day remote.** Actuaries are the decision-making engine for our business. That is why we support you from day one by offering guidance and assistance with exams. Our businesses serve the entire spectrum of health care participants: individual consumers and employers, commercial payers and intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more, providing you with a career that is challenging, exciting, and integral in helping to write the history of healthcare. **The Actuarial Summer Internship Program offers:** + Focused career development opportunities + Networking with senior leadership + Formal mentorship program + Sponsored social and volunteer activities + Meaningful, relevant, and current project work critical to managing our business + Potential areas of focus may include but are not limited to: + Healthcare Economics + Pricing + Reserving + Forecasting + Data Analytics + Consulting **Primary Responsibilities:** + Providing moderately complex analytical support to actuaries in the development and implementation of recommendations + Conducting and documenting moderately complex analysis and research + Preparing, forecasting, and analyzing trends + Initiating, compiling and preparing analytical models, tools and databases + Assisting in developing innovative strategies, policies, and procedures + Providing detailed summaries, reports, and recommendations to assist in managerial decision making You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualification:** + Must be actively enrolled in an accredited college/university pursuing a bachelor's or master's degree throughout the duration of the internship - _internships are not intended for graduating seniors_ + Pursuing a major in Actuarial Science, Mathematics, Statistics, Accounting, Finance, Economics, or another related technical field **Preferred Qualifications:** + Minimum 3.00 cumulative GPA + 1 or more actuarial exams passed + Demonstrated knowledge or interest in a career as an Actuary Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $27.00 to $37.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

Provides lead level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance for system changes. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. This role will work directly with Ohio Healthplan leadership including the Plan President, CFO, and other department heads to improve performance according to our Key Performance Indicators. Candidate will utilize SQL and Azure Databricks to query and analyze data however this is not just a technical role. They must be able to understand the business need, propose solutions, and meet KPIs. JOB DUTIES Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. Monitors regulatory sources to ensure all updates are aligned. Uses comprehensive background to navigate analytical problems, including: clearly defining and documenting their unique specifications. Leads coordinated development and ongoing management / interpretation review process, committee structure and timing with key partner organizations. Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements. Provides status and updates to health plan/product team partners, senior management and stakeholders. Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. Where applicable, codifies the requirements for system configuration alignment and interpretation. Provides support and/or requirement interpretation inconsistencies and complaints. Assists with the development of requirement solution standards and best practices while suggesting improvement processes to consistently apply requirements across states and products where possible. Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials. Conducts industry research and engagement to evaluate, provide insights, and best practices as applicable. Coordinates with relevant teams for analysis, impact and implementation of changes that impact the product. Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes. Mentors and trains new staff as well as provide ongoing support, leadership, and training new/integrating health plans and corporate teams. KNOWLEDGE/SKILLS/ABILITIES Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning. Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas. Ability to lead complex projects across organizational boundaries with little direct instruction. Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company. Ability to concisely synthesize large and complex requirements. Ability to organize and maintain regulatory data including real-time policy changes. Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems. Ability to work independently in a remote environment. Ability to work with those in other time zones than your own. Create reporting tools to enhance communication on updates and initiatives. JOB QUALIFICATIONS Required Qualifications At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience. Policy/government legislative review knowledge. Strong analytical and problem-solving skills. Familiarity with administration systems. Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams. Previous success in a dynamic and autonomous work environment. Preferred Qualifications Project implementation experience Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

The Revenue Cycle Manager (RCM Manager) oversees all functions in the Billing/Accounts Receivable department and is responsible and accountable for the revenue cycle process. This position works collaboratively with front-line staff, clinicians, department managers, and senior leadership to maximize revenue, provide reports demonstrating trends in patient accounts, and ensure accuracy and compliance in billing, collections, and denials. The RCM Manager also ensures proper oversight of related financial screening areas (e.g., sliding fee discount policy, patient refunds, patient collections, COVID-related claims, and write-offs). Primary Responsibilities: * Manage the day-to-day revenue cycle operational processes. Our complete billing cycle in handled in house * Participate in the development and implementation of organizational strategies, policies, and practices to create overall department success * Identify reimbursement issues and take timely steps to resolve * Set productivity goals, monitor, and eliminate barriers to achieving those goals at the individual and/or team level * Manage billing department staff (5) in daily activities, assign work, set completion dates, review work and manage performance in accordance with established policies and procedures * Analyze and assign new errors and denials * Exhibits exceptional customer service skills; answering client calls; prompt return and follow up to all interactions; * Prompt response to requests for information, both internally and externally initiates and maintains direct contact with CHMB clients, engaged in proactive resolution of issues and timely response to questions and concerns. * Clearly documents issues and resolution, as well as documents AR issues/status for client presentation. * Participates in client workgroups, if needed, to address AR issues. * Maintains a schedule of client meetings either monthly or quarterly depending on the size and scope of the client. * Professionally interacts with clients and patients to resolve questions and concerns. * Delivers timely required reports to the Director of Operations; initiates and communicates the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges, vendor input and implementation. * Identifies and provides timely resolution of process issues. * Track clients' AR productivity (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis; as needed to ensure the client and company expectations are met. * Provide training and mentoring to staff; ensure standard operating procedures (SOP) are followed and improvements occur. * Stay current with company's policies and procedures regarding AR activity such as, reviewing month end reports to guarantee the AR is below 20% over 90 days, identifying trends. * Analyze reports to determine when, how and why decrease in clients' AR; includes denials, unbilled, credit issues; holds; communicate with client and staff to resolve. * Review work performed by outside vendors for accuracy and production. * Hires, retains mentors and manages staff to achieve organizational goals. * Meets regularly with staff; in-person and as a group to confirm the status of client accounts, effectively prioritizing AR activities for staff holding them accountable for work performed. * Provides support, training and oversight to build and enhance a team to meet current and future business needs supporting our clients. * Analyze and address staff performance, conduct and other problems in a timely and professional manner, offering counseling, correction and discipline as appropriate. * Performs period reviews to mentor and give constructive feedback to improve performance. * Handle and manage internal staffing issues regarding daily matters, including but not limited to such items as timekeeping, coverage, workflow, and training. * Achieve goals set forth by supervisor, CHMB and compliance requirements. * Other duties as assigned * Assist in hiring and training new staff members * Prepare reports for management and physician review * Oversee and manage and direct the retrieval, approval and correction of claims as they come through the EHR to the Practice Management System. * Reviews patient charges, payments and adjustments on automated systems. * Reconcile charges, payments and adjustments posted to the system on a regular basis. * Work closely with all stakeholders and billing personnel to assure the accuracy and integrity of the accounts receivable system, claims, registration processes. * Report fiscal detail and trends to Executive leadership, regularly. * Monthly review of patient statements, receivables. * Ensure that all third-party denials are re-billed or appropriately adjusted. * Help prepare yearly cost reports, UDS data, audit materials as requested. * Work with Executive and Operations teams to ensure that any new programs and services are billable. * Provide accurate detailed audit documentation for internal, external audits. * Ensure processes are compliant with billing policies and procedures. * Design and update business forms, as necessary. * Train, supervise and evaluate revenue management, billing manager, billers, and coding staff. * Facilitate patient and staff inquiries regarding financial accounts. * Train and provide direction to other individuals whose functions directly impact patient financials, billing, denials, eg.Front Office and Medical Assistants. * Provide over-site of outsourced accounts A/R management organizations Maintain user access to external health plan, IPA portals used for membership reporting. Essential Duties and Responsibilities: * Review all visit's data to ensure all services and diagnosis are accounted for. * Develops reports/data to assist in the evaluation of business performance * Develops best practice revenue cycle performance benchmark for Federally Qualified Health Center (FQHC) * Participates in analysis of monthly/quarterly/annual consolidated financial data, including variance analysis and determination of profitability * Assist with budgeting, and forecasting, including participation in business development and financing projects * Prepare and assist in Medicare cost report and Medi-Cal reconciliation annual submission * Review Sliding Fees and Fee Schedules to ensure up-to-date * Handle ad-hoc reporting and analysis and investigate issues providing explanations and interpretations * Review journal entries for revenues and allowance for doubtful accounts during month-end close * Perform work in a self-directed manner and work with less structured, more complex issues * Act as a resource to others Ad hoc projects * Partner with internal and external stakeholders in key business areas related to Revenue Cycle management * Work with management and other departments to improve billing workflow * Analyze data from multiple sources, including patient accounting data, claims data, and clinical data from electronic medical records, to discover key insights for revenue cycle and operational improvement * Review explanation of benefit forms received in the reimbursement process. * Appeal any incorrect non/under-payments. * Follow up on unresolved accounts receivables. * Document procedures as needed. * Provide required information on time and with a high degree of quality and transparency * Ability to work independently and multi-task, with a strong attention to detail * Ability to communicate effectively; excellent verbal and written communication skills * Strong PC skills, including solid experience with standard Microsoft products * Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers * Performs other duties as assigned by supervisory staff. * Other duties as assigned by the supervisor. Requirements Job Qualifications: * Education and/or Experience: Sufficient training and experience is required to demonstrate the ability to perform the above duties and responsibilities and to attain the knowledge, skills and abilities listed below. * Required Education: Degree in Finance or Accounting or a related field * Preferred Education: Bachelor in Finance, Accounting, Business, or Healthcare * Required Experience: 5-7 years of experience in billing, revenue cycle management. * Preferred Experience: previous experience working in FQHC environment Competencies & Skills: * Accountability: Takes ownership for delivering on commitments; owns mistakes and uses them as opportunities for learning and development; discusses openly his/her actions and their consequences both good and bad; has an ability to identify strengths and developmental opportunities and leverages insight in making adjustments adjusting to improve effectiveness; has the courage to engage in difficult conversation. * Communicating Effectively: Sharing information. Listens and involves others. Clearly conveys ideas in a manner that engages others and helps them understand and retain the message. * Decision Making/Judgment: Approaches problems and decisions methodically and objectively; involves others as needed; uses sound judgment in making decisions and understanding the impact to themselves, customers, their team, and the organization; conducts the appropriate analysis to identify the symptoms and root cause of issues; makes timely decisions. * Results Orientation: Is focused on outcomes and accomplishments; follows through on commitments; can be counted upon to successfully execute on goals; motivated by achievement and a need for closure; has an attention to detail and is both efficient and effective in achieving a high level of measurable outcomes; persists in achieving goals despite obstacles. * Oral Communication - Speaks clearly and persuasively; Listens and gets clarification when necessary; Responds informatively to questions.Ability to be approachable by staff * Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives. * Professionalism - Approaches others in a polite and tactful manner; Maintains composure and reacts well under pressure; Treats others with respect and consideration; Accepts responsibility for own actions; Follows through on commitments. * Quality - Demonstrates accuracy and thoroughness; Applies feedback to improve performance; Monitors own work to ensure quality. Physical Requirement: * Physical effort which may include occasional light lifting to a 25 pound limit, and some bending, stooping or squatting. Considerable walking may be involved. The ability to sit or stand for extended periods of time is required. * Flexibility to work in multiple locations throughout the week. * The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this job, the employee may be required to travel to all UCHC facilities as needed. * Occasionally required to sit and walk. * Finger dexterity required. * Hand coordination required. * Specific vision abilities required for this job include: close vision, distance vision, ability to adjust or focus. Work Environment: * Exposure to adverse conditions. * Exposure to extreme heat. * Exposure to extreme cold. * Exposure to wet and/or humid conditions. * Exposure to moving mechanical parts. * Exposure to high, precarious places. * Exposure to fumes or airborne particles. * Exposure to toxic or caustic chemicals. * Exposure to outside weather conditions. * Possible risk of electrical shock * Exposure to explosives * Possible risk of radiation and vibration. * Protective clothing or equipment is required including: gloves, helmets, steel-toed boots, protective eyewear. * The noise level in the work environment usually is high Equal Employment Opportunity Universal Community Health Center is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), age, disability, genetic information, national origin, or any other protected characteristic as defined under applicable state, federal, or local laws.

Responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and non-governmental programs. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment. Also responsible for obtaining and completing the Confidential Financial Statement form and assisting patients in the process of applying for any benefits for which they may be eligible. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Conducts interviews with patients and/or family members. * Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle. * Performs financial clearance function including collections. Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review. * Follows up on EES assigned accounts to ensure follow-through on Government application submitted. Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility. * Conducts field visits to patient homes for skip tracing and or assisting patient with documents. * Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Working familiarity with the rules and regulations pertaining to Federal, State and County programs * P/C systems literate including Windows, and Microsoft Outlook, Excel and Word programs * Ability to work independently * Excellent oral and written communication skills, as well as the clear understanding of the English language * Detail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms * Ability to prioritize and manage multiple tasks with efficiency * Bi-lingual preferred (Spanish) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * High School diploma or equivalent * Minimum 2 years work experience with Social Services or Hospital Admitting or related area PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to sit and work at a computer terminal for extended periods of time * Must be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedside * Ability to travel if required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Both Hospital and Office facilities, in direct contact with Patients and Staff OTHER * Some travel may be required As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $23.00 - $30.25 per hour. * Shift differentials of $1.00-$2.50/per hour may be available depending on the shift worked. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Registered Dietitian Per Diem (Job Number: 535421) Description ScionHealth is committed to a culture of service excellence as demonstrated by our employees' adherence to the service excellence principles of Pride, Teamwork, Compassion, Integrity, Respect, Fun, Professionalism, and Responsibility. As our most acute level of care, our specialty hospitals offer the same critical care patients receive in a traditional hospital or intensive care unit, but for an extended recovery period. Our clinicians play a vital role in the recovery process for chronic, critically ill and medically complex patients. Job Summary The Dietitian is responsible for the planning and implementation of the nutrition care of the patients in accordance with applicable federal, state, and local standards and regulations, clinical guidelines, and policies and procedures. The dietitian, in collaboration with the Culinary Services Manager, ensures high quality nutrition care is provided to the patients through oral, enteral, and parenteral nutrition therapy. Essential Functions Leadership: Completes annual competency testing and maintains professional growth and development portfolio to maintain registration and licensure/certification Performs job based on applicable federal, state, and local regulations, company policies and procedures, and evidenced based clinical guidelines Performs clinical duties within the defined scope of practice Serves on various committees as required by company standards, regulations, and/or appointment by immediate supervisor Participates in developing and implementing policies and procedures related to nutrition care of the patient Direct Patient Care: Conducts initial and reassessments on all patients admitted to the hospital Ensure proper completion of documentation (assessments, care plans, education, discharge planning) Prescribes nutrition therapy to meet estimated needs and monitors tolerance Provides ongoing reassessment to ensure optimal nutrition therapy is provided Participates with interdisciplinary team meetings to develop, implement, and monitor the nutrition care plan Interviews patients, family members, legal representatives, and/or significant others to obtain diet history, food preferences, and other pertinent information needed to develop and/or update plan of care Advocates for patient to protect and promote patients' rights, and accommodate individual needs and cultural/religious preferences Involves the patient/family in planning objectives and goals for the patient Conducts nutrition education individually and in classes to patients, families, staff, and community as appropriate Conducts meal rounds to ensure patients are receiving therapy that meets patients' need Coordinates with culinary department to resolve patients' concerns or dissatisfactions with diet or meal service Menu Management (if Culinary Services manager is not a Registered Dietitian, then RD provides the following oversight): Provides oversight to the menu management process ensuring all aspects of the menu flow process is completed per policies and procedures Reviews and approves all patient menus in the facility; must approve any substitutions provided to patients Reviews and approves all nutritional data posted in the café Provides oversight for the transcription of diet orders in the department to ensure accuracy Ensures all patient snack orders are checked against the diet order and distributed to patients timely Provides training to all staff as needed on therapeutic diets, menu process, food allergens, or other related topics Is proficient in the operation of the menu management software Quality Assurance / Performance Improvement: Participates in the hospital's performance improvement program by conducting, aggregating, trending, and acting on data for key department indicators Annual QAPI department plan is developed with mandatory components Participates in quality assurance activities that ensure oral nutrition therapy is safe and accurate from the culinary department Monthly reports are taken to hospital committee as per facility policy Participates in the survey process; instructs staff in matters of conduct and disclosure; maintains a presence at all times while surveyors are on-site and directs the timely collection of information required by the survey team. Undertakes corrective action while survey is in progress, if appropriate; works with other hospital departments to develop survey plan of correction, as needed Communicates issues, concerns, and opportunities for improvement to supervisor routinely Other: Fulfills job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Program, applicable federal and state laws, and applicable professional standards and codes of ethics Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected Consistently demonstrates guest relation's skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact Works cooperatively as a team member with co-workers in all departments of the hospital Adheres to dress code and wears proper identification while on duty; maintains neat and clean appearance Completes annual health, safety, and education requirements; maintains professional growth and development Reports to work on time as scheduled; adheres to policies regarding notification of absence Attends all mandatory in-services and staff meetings Maintains current certification for position Performs other duties as assigned Knowledge/Skills/Abilities/Expectations: Knowledge of therapeutic diets Knowledge in current clinical nutrition guidelines Knowledge of federal, state, and city food codes and regulations Basic computer skills with working knowledge of Microsoft Office and ability to learn menu management system Understands principles of growth and development for the entire life span with the ability to provide care appropriate for the adolescent, adult, and geriatric patients as appropriate to the patient population Must read, write, and speak fluent English Must have good and regular attendance Approximate percent of time required to travel: less than 10% Salary Range: $25.34 - $38.01/Hour ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications Education Bachelor's degree or higher in dietetics or nutrition related field required Registration/Licenses/Certification Registration from the Commission on Dietetic Registration (*************** Licensure and/or certification from the State Licensing Board for Dietitians, if applicable Experience Two years experience in acute care hospital, preferred **Registered dietitians awaiting approval of state licensure/certification may practice under a Provisional Licensure if the state licensing board allows. Provisional dietitians must have all documentation in a medical record co-signed by a state licensed dietitian. Job: Plant Ops./Dietary/Materials Mgmt.Primary Location: CA-Rancho Cucamonga-Kindred Hospital - RanchoOrganization: 4576 - Kindred Hospital - RanchoShift: Day