The Supervisor of HIM oversees and supervises/manages the daily operations of the Health Information Management staff assigned by leading, assigning work, ensuring timely completion of work, and confirming that productivity and quality standards are being met. This position is responsible for training staff in the operation of system applications/equipment and technical aspects of assigning, processing, retrieving, releasing, and storing medical records, including legal requirements regarding HIPAA and confidentiality of medical records. The Supervisor of HIM will analyze the staff's production and workflow concerns in both electronic and manual systems and processes and develops and/ or revises work procedures to increase efficiency and resolve problems.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Customer and Employee Satisfaction
* Develops positive customer relationships by displaying professional and helpful behaviors, as well as mutual respect for patients, physicians, team members, visitors, and family/significant others.
* Communicates openly and honestly; following through with assignments; behaving in a fair and consistent manner; and supporting teamwork at all levels of the organization.
Health Information Management
* Leads and directs assigned HIM team in ensuring daily operations, production, and quality standards are met.
* Manages staff and systems in defined areas to achieve appropriate staffing, resource utilization and cost containment objectives of the organization.
* Ensures staff adheres to appropriate departmental and facility policies and procedures which include ensuring quality and quantity of work/services of staff are acceptable and the staff is meeting established productivity standards
* Develops and maintains policies and procedures applicable to scope of services supervised.
* Makes recommendations concerning updating and revising of HIM policies.
Reporting Functions
* Evaluates and prepares daily, weekly, and monthly reports indicating production levels and utilization of time and progress toward meeting established goals.
* Completes, analyzes, and submits daily, weekly, monthly, and yearly reports (statistical, productivity, Key Performance Indicators (KPIs) of a complex nature with the use of various applications including MS Excel and PowerPoint.
* Reviews various reports, analyzes data, identifies problem areas and makes recommendations/implements resolution of problems
Electronic Medical Record (EMR) Management
* Assists with planning, organizing and supervising implementation/upgrades of all HIM related IS systems, including integrated system testing and training
* Keeps abreast of information systems and all updates and assists HIMD with ensuring implementation meets compliance with department standards
Privacy/Confidentiality/Release of Information
* Assists HIM Director/Manager in directing and evaluating compliance to privacy, information security, and confidentiality of health information standards
* Assists HIM Director/Manager in ensuring compliance with related regulations and standards established by State, Federal, accrediting, and other regulatory agencies
Personnel Management
* Effectively recruits, develops, and retains qualified staff
* Coaches and mentors staff in order to improve performance and expand responsibility
* Monitors, evaluates, appraises, or disciplines employees' activities according to organizational guidelines
* Reviews and updates job descriptions annually or as necessary to delineate current requirements
* Conducts, at a minimum, monthly staff team meetings with ongoing staff training
* Verifies the validity of employees hours submitted to payroll
Training Functions
* Monitors completion of required compliance, privacy, information security, and other mandatory training
* Facilitates training for new or transfer hires and ensures staff are properly trained on all department policies and procedures and systems
* Conducts ongoing staff education, coaching, mentoring, and cross training of direct reports
* Fosters building a cooperative, collaborative, and efficient team while ensuring team engagement
SUPERVISORY RESPONSIBILITIES
If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Direct Reports (titles) Sr. HIM Specialists, HIM Specialists, HIM Leads
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 consideration may be given to other candidates per Senior Management discretion. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Current knowledge of HIM and healthcare standards, policies, and procedures
* Understanding of HIM processes in an electronic health record environment
* Extensive knowledge of medical record documentation requirements
* Demonstrated leadership abilities
* Ability to understand and follow established procedures and other guidelines of great complexity in the performance of work tasks that involve making frequent decisions
* Ability to determine methods and approaches to work problems
* Ability to handle multiple complex assignments
* Ability to identify and resolve problems of varying degrees of complexity using strong analytical and logic skills
* Ability to develop and recommend policies and procedures
* Ability to develop and maintain positive relationships with direct reports, departmental management and hospital/medical staff leadership
* Ability to communicate effectively in all interactions
* Excellent interpersonal and organizational skills and attention to detail
* Strong verbal/written communication skills
* Computer knowledge of MS Office
* Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
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 preferred to perform the job.
* Associate Degree in Health Information Technology or Bachelor's degree in Health Information Management or closely related field and three (3) years in supervisory or lead role preferred
* Previous experience in hospital and/or academic hospital/health system environment with an EMR strongly preferred
REQUIRED CERTIFICATIONS/LICENSURE
Include minimum certification required to perform the job.
* Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred
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.
* Duties may require bending, twisting and lifting of materials up to 25 lbs.
* Duties may require driving an automobile to off-site locations.
* Ability to sit for extended periods of time.
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.
* Office Work Environment
* Hospital Work Environment
* Work environment is at a moderate level
* Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment.
TRAVEL
* Up to 45% 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!
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.
**********
$55k-70k yearly est. 59d ago
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CDI Lead Specialist - Saint Joseph Hospital East
Tenet Healthcare Corporation 4.5
Tenet Healthcare Corporation job in Lexington, KY
Educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and case management. Assist with overseeing department workflow and metrics. Create reports used to make strategic decisions. Educate and train department staff. Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Record Review:
* Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) initiate a review worksheet.
* Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary.
* Formulate physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary.
* Collaborates with case managers, nursing staff and other ancillary staff regarding interaction with physicians regarding documentation and to resolve physician queries prior to discharge.
Lead Responsibilities:
* Provides daily support/mentoring/training to new hires as well as existing staff.
* Provides assistance in managing escalated issues and special projects as needed to supervisors and managers. CDI staff coverage
* Performs concurrent and retrospective CDI audits
* Provides CDI support/mentoring/training to Physicians and hospital leadership as needed.
* Completion of scrubbing and submitting monthly data to vendor
* Enters facility specific data to dashboards
* Resolves problems, concerns and reports issues with Operations Supervisor, Manager or Director.
Professional Development:
* Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding.
* Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding.
* Quarterly review of AHA Coding Clinic.
* Attends Quarterly Coding Updates and all coding conference calls as well as any required CDI education.
CDI:
* Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution
Other duties as assigned
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.
* Must display teamwork and commitment while performing daily duties
* Must demonstrate initiative and discipline in time management and medical record review
* CDI Subject Matter Expert with Advanced knowledge of Medicare Part A and familiar with Medicare Part B
* Intermediate knowledge of disease pathophysiology and drug utilization
* Intermediate knowledge of MS-DRG classification and reimbursement structures
* Critical thinking, problem solving and deductive reasoning skills
* Effective written and verbal communication skills
* Knowledge of coding compliance and regulatory standards
* Excellent organizational skills for initiation and maintenance of efficient work flow
* Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment.
* Understand and communicate documentation strategies
* Recognize opportunities for documentation improvement
* Formulate clinically, compliant credible queries
* Ability to maintain an auditing and monitoring program as a means to measure query process
* Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation
* Must be able to resolve issues effectively and provide recommendations and solutions
* Effectively explain processes and teach others to follow them
* CDS SME with ongoing education with physicians and facility leaders
* CDI facility representation for hospital and physician meetings
* Local facility mentorship for CDI team support and effectiveness
* Facility schedule review to ensure units needs covered per P&P
* CDI staff coverage
* Gathering additional data as needed for supervisor, manager and director
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.
* Preferred: Three (3) or more years experience in CDI
* Graduate from a Nursing program, BSN, or graduate of Health Information Management RHIT, RHIA preferred
* Preferred: Two (2) years experience with either HIM/Coding or Case Management experience.
CERTIFICATES, LICENSES, REGISTRATIONS
* Required: RN, or RHIT, RHIA, and/or CCS
* Preferred: CDIP or CCDS
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 for extended periods of time
* Must be able to efficiently use computer keyboard & mouse to perform CDI functions
* Good visual acuity
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.
OTHER
* Must be able to travel regionally as needed, not to exceed 10%
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!
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.
**********
$61k-89k yearly est. 17d ago
Physician Assistant / Surgery - Orthopedics / Kentucky / Permanent / Orthopedic Surgery Physician Assistant Outside Durham, NC
Lifepoint Health 4.1
Lexington, KY job
Your Healing Mission Matters As an Orthopedic APP at Maria Parham Health in Henderson, NC you will be inspired by the community you serve as a valued member of the Lifepoint Health team, a nationally recognized healthcare organization committed to caring with a local heart. You'll have access to the staff, resources, and technologies needed to make a meaningful impact on patient care while contributing to a positive, collaborative work environment.
$129k-176k yearly est. 1d ago
Analyst, Data (Member Retention)
Molina Healthcare 4.4
Lexington, KY job
**JOB DESCRIPTION** **Job Summary** Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production, and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES**
+ Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers.
+ Sets up process for monitoring, tracking, and trending department data.
+ Prepares any state mandated reports and analysis.
+ Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes.
+ Implements and uses the analytics software and systems to support the departments goals.
**JOB QUALIFICATIONS**
**Required Education**
Associate's Degree or equivalent combination of education and experience
**Required Experience**
1-3 years
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
3-5 years
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.
Pay Range: $80,168 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-116.8k yearly 1d ago
Strategy Advancement Director
Molina Healthcare 4.4
Lexington, KY job
The Strategy Advancement Director is responsible for advancing Molina's growth strategy and positioning the company for success in Medicaid, CHIP, DSNP, and Marketplace procurements. Reporting to the Vice President, Business Development, this position plays a pivotal role in the pre-RFP and procurement phases, guiding and organizing the project, ensuring deliverables are met, conducting research, tracking Business Development and/or Health Plan steps and projects, owning the governance structure for every opportunity, pulling together all the supporting team activities and pieces and connecting the dots between winning strategy and the relationships and partnerships developed by the VP, Business Development.
This role requires a deep understanding of Medicaid programs, the regulatory environment, and the unique challenges of populations (i.e. TANF, ABD, DSNP, Foster Care, and DD/IDD). The Strategy Advancement Director works collaboratively across departments, including Product Development, Business Development, and Health Plans, to ensure that strategic initiatives align with state-specific priorities and are positioned for success in competitive procurements. The Director partners with the VP Market Development to provide thought leadership and subject matter expertise, identifying trends, providing insights, and continuously innovating to strengthen Molina's market position.
**Job Duties**
+ Strategy Development & Innovation
+ Collaborate on the development of state-specific strategies aligned with state priorities, procurement objectives, and evolving Medicaid needs. Translate state regulatory requirements into actionable go-to-market strategies that are innovative and differentiate Molina in competitive procurements
+ Collaborate with Product Development, Health Plan leaders, Growth Leaders and cross-functional teams to support integration of innovative care models, operational efficiencies, and value-based care solutions tailored to the unique needs of market specific Medicaid populations, especially high-risk or vulnerable groups such as dual-eligible members, foster care, and ABD
+ Conduct market research, analyze industry trends, and monitor competitor activities to identify innovation opportunities. Propose solutions that address Medicaid ecosystem pain points and enhance Molina's value proposition
+ Use insights from market research and competitive analysis to stay informed on state Medicaid trends, regulatory changes, and market conditions, and to guide strategic adjustments and future market positioning
+ Drive the development of win themes and strategy recommendations that align with state priorities, competitive dynamics, and the latest Medicaid trends, positioning Molina as a leader in Medicaid managed care
+ Track regulatory compliance and address any operational concerns or state-specific issues identified during the pre-procurement phase. Escalate issues when necessary and work to resolve them proactively
+ Market Development and Strategy Execution
+ Collaborate on the development of pre-RFP strategy and market readiness, creating and tracking playbooks, plans, and deliverables for Molina's strategy two to three years before RFP release. Ensure alignment with organizational goals and state requirements by collaborating with Market VPs, AVPs, and stakeholders
+ Identify and engage in thought leadership opportunities by representing Molina at state and national Medicaid conferences, industry forums, and other key events that enhance Molina's brand and expertise in Medicaid care delivery
+ Stakeholder Engagement & Thought Leadership
+ Support and track the development of relationships with state agencies, legislative leaders, regulatory bodies, and community organizations to enhance Molina's reputation and strengthen partnerships that could influence procurement outcomes
+ Represent Molina in strategic discussions with external partners and internal leadership, ensuring clear communication of strategy, innovation, and value propositions
+ Collaborate with internal stakeholders to influence thought leadership materials and content that showcase Molina's innovative approaches to Medicaid, particularly in high-needs areas like DSNP, ABD, and complex populations
+ Proposal Support & Competitive Differentiation
+ Serve as an expert on the pre-procurement process for the proposal team and closely collaborate with the Proposal Director to ensure consistency between market strategy, capture strategy and proposal content. Collaborate with the Proposal Director to ensure consistency between market strategy and RFP content
+ Track and support the execution of win strategy and strategic recommendations being incorporated throughout the proposal, ensuring Molina's proposals are differentiated and align with state-specific priorities and the competitive landscape
+ Actively participate in blue, pink, and red team reviews, providing strategic feedback to ensure proposal materials effectively communicate Molina's competitive advantages and compliance with RFP requirements
+ Support orals preparation, working across matrix partners to refine materials and messaging for presentations to state agencies
+ Operational Excellence & Cross-Functional Coordination
+ Use tools (i.e. Salesforce) to document market intelligence, track engagement activities, and share insights across departments. Ensure that data-driven insights are leveraged in proposal content development and strategic planning
+ Collaborate with the Growth Strategy, Competitive Intelligence and other stakeholders to leverage the competitive intelligence repository that informs decision-making and provides a strategic edge in Medicaid procurements
+ Develop project plans and roadmaps to guide the timely execution of pre-RFP and procurement activities, ensuring effective collaboration and alignment across functional teams
+ Facilitate cross-functional coordination for market entry, retention, and development strategies, ensuring that all teams are aligned and executing efficiently
+ Supports the VP Business Development as a SME during the "warranty period" post award through implementation to the IMO and health plan leadership
+ Mentorship & Team Development
+ Mentor junior staff and interns within the Business Development teams, fostering skills in strategic thinking, market research, and pre-procurement planning
+ Participate in business development activities on an ad-hoc basis, contributing to team knowledge and providing strategic insights to senior leadership
+ 50% or more Travel required
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ Bachelor's degree in business, Public Policy, Healthcare Administration or a related field or equivalent combination of education and experience
+ 7 years in market strategy, business development, or healthcare consulting, specifically within Medicaid managed care or equivalent related field
+ Proven experience in pre-RFP strategy development, with a strong understanding of Medicaid programs, including TANF, ABD, DSNP, and CHIP populations
+ Demonstrated ability to drive innovative solutions in the Medicaid space, leveraging market research and industry trends to inform strategic decisions
+ Experience with Salesforce or similar tools to track market insights, engagement activities, and manage data
+ Strong experience in stakeholder engagement, particularly with state Medicaid agencies, regulatory bodies, and community-based organizations
+ Advanced proficiency in Microsoft Office tools (Excel, PowerPoint, Word), including for strategy development, data analysis, and presentation creation
**PREFERRED QUALIFICATIONS:**
+ Master's degree (MBA, MPH, MPA) in business, public policy, or healthcare administration
+ 7+ years in business development and Medicaid procurements, particularly with complex populations (e.g., DD/IDD, Foster Care, Dual-Eligible Members)
+ Experience with Salesforce or similar tools to track market insights, engagement activities, and manage data
+ Conference management experience and participation in industry forums
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
Pay Range: $107,028 - $208,705 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$107k-208.7k yearly 16d ago
PRN Home Health Social Worker
HCA 4.5
Lexington, KY job
Introduction Do you have the PRN career opportunities as a PRN Home Health Social Worker you want with your current employer? We have an exciting opportunity for you to join Frankfort Regional Healthcare at Home which is part of the nations leading provider of healthcare services, HCA Healthcare.
Benefits
Frankfort Regional Healthcare at Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Fertility and family building benefits through Progyny
* Free counseling services and resources for emotional, physical and financial wellbeing
* Family support, including adoption assistance, child and elder care resources and consumer discounts
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan
* Retirement readiness and rollover services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Our teams are a committed, caring group of colleagues. Do you want to work as a PRN Home Health Social Worker where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
Job Summary and Qualifications
What qualifications you will need:
* Master's Degree in Social Work or in a human services field, including but not limited to sociology, special education, gerontology, rehabilitation counseling, and psychology
* Previous experience in a healthcare setting working directly with individuals
* Reliable transportation and proof of valid automobile liability insurance
* Must have valid driver's license
Healthcare at Home is a service line from HCA healthcare. We are dedicated to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team of professionals develop an individualized plan of care. Our professionals include registered nurses, licensed practical nurses, therapists, and social workers. We provide the care you need in the comfort of your own home to restore your independence. Healthcare at Home raises the bar on what quality healthcare looks like. Just like family, we pull together to care for, support and celebrate with each other being able to provide exceptional, expert care for patients.
HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our PRN Home Health Social Worker opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status
$52k-61k yearly est. 60d+ ago
Emergency Medicine Physician
HCA Healthcare 4.5
Frankfort, KY job
Specialization: Emergency Medicine Urgent Care Family Medicine Internal Medicine Family Medicine without OB Pediatric Internal Medicine
Emergency Medicine Physician at Frankfort Regional Medical Center in Frankfort, Kentucky.
Qualified Candidates for Emergency Medicine:
ABEM/AOEBEM certified or board eligible
ABIM/ABFM certified or board eligible with EM experience or EM Fellowship
Join HCA Clinical Services Group Emergency Medicine
Employment with full, comprehensive benefits package including:
Medical
Dental
401K
Occurrence malpractice
PTO
Frankfort Regional Medical Center Emergency Medicine:
33,072 annual Emergency Medicine visits
28 private Emergency Medicine treatment rooms, 1 trauma bay
5 fast-track rooms for rapid Emergency Medicine evaluation
178-bed facility for Emergency Medicine
Level III Trauma Center
Accredited Chest Pain Center with Primary PCI
Accredited Primary Stroke Center
Recipient of numerous awards and accolades for quality of care, including Magnet designation for nursing excellence
Frankfort, Kentucky's capital city, is nestled between Louisville and Lexington along the Kentucky River, and is in the heart of bourbon, horse, and wine country. Part of Kentucky's Golden Triangle, Frankfort residents enjoy fast interstate access to three full service airports and other "big city" amenities of Louisville, Lexington, and Cincinnati. Amidst all the bustling activity, Frankfort still retains a pleasant, secure atmosphere. The vast array of architectural styles, famous land marks, museums of Kentucky's past, and unique shopping make Frankfort a special place for residents. As a place to live and work, Central Kentucky has it all, including affordable housing, outstanding K through 12 schools, and nationally-recognized colleges and universities. You ll also have access to arts and culture and every outdoor activity you can imagine. This part of the country also features a very comfortable climate and the best of all four seasons.
Find out more about our Emergency Medicine position at Frankfort!
$149k-227k yearly est. 1d ago
Adjudicator, Provider Claims
Molina Healthcare Inc. 4.4
Lexington, KY job
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims in a call center environment. * Respond to inbound calls to provide support for provider claims adjudication activities including responding to provider to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
* Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
* Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
* Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
* Assists in reviews of state and federal complaints related to claims.
* Collaborates with other internal departments to determine appropriate resolution of claims issues.
* Researches claims tracers, adjustments, and resubmissions of claims.
* Adjudicates or re-adjudicates high volumes of claims in a timely manner.
* Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
* Meets claims department quality and production standards.
* Supports claims department initiatives to improve overall claims function efficiency.
* Completes basic claims projects as assigned.
Required Qualifications
* At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
* Research and data analysis skills.
* Organizational skills and attention to detail.
* Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
* Customer service experience.
* Effective verbal and written communication skills.
* Microsoft Office suite and applicable software programs proficiency.
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
Pay Range: $21.65 - $38.37 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-38.4 hourly 10d ago
Allied-RT - RRT
HCA Frankfort Regional Medical Center 4.5
Frankfort, KY job
Evaluates and treats patients with respiratory disorders, operates respiratory equipment, and communicates with the pulmonology team.
$21k-33k yearly est. 60d+ ago
Senior Medical Records Collector
Molina Healthcare 4.4
Lexington, KY job
JOB DESCRIPTION Job SummaryProvides senior level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records.
- Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application.
- Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff.
- Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application.
- Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation.
- Provides mentorship and leadership to team members and represents at a senior level for process and project improvement initiatives.
- Participates in and prepares feedback for meetings with vendors related to the medical record collection process.
- Some medical records collection related travel may be required.
Required Qualifications- At least 2 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
- Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA).
- Proficiency with data analysis tools (e.g., Excel).
- Ability to manage files, schedules and information efficiently.
- Ability to effectively interface with staff, clinicians, and leadership.
- Strong prioritization skills and detail orientation.
- Strong verbal and written communication skills, including professional phone etiquette.
- Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
Preferred Qualifications
- Registered Health Information Technician (RHIT).
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
Pay Range: $21.65 - $34.88 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-34.9 hourly 8d ago
Market Director Case Management
Lifepoint Hospitals 4.1
Winchester, KY job
Centerpoint Health-Winchester Job Type: Full Time | Days Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Centerpoint Health-Winchester is a 79 bed community hospital featuring updated technology including new and expanded services such as Diagnostic Services, larger capacity Emergency Services, home-like Labor and Delivery Suites, and a skilled nursing facility. The campus also includes a 45,000 square foot Medical Plaza housing the Clark Clinic, Diagnostic Center for Women, Center for Rehabilitation, Specialty Clinic and Anticoagulation Clinic.
Where We Are:
Winchester offers a truly original experience to all with so much to do and see. Just a short drive from Lexington, the "Horse Capital of the World," and the Red River Gorge, you can experience all the beauty and excitement nature has to offer.
Why Choose Us:
* Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
* Competitive Paid Time Off / Extended Illness Bank package for full-time employees
* Employee Assistance Program - mental, physical, and financial wellness assistance
* Tuition Reimbursement/Assistance for qualified applicants
* Membership discounts with local gyms and community businesses
* And much more…
*
Market Director Case Management Job Summary:
Directs the department's activities and resources to achieve departmental and organizational objectives. Will travel to Bourbon Community Hospital & Clark Regional Medical Center.
* Develops and implements departmental goals, plans, and standards consistent with the clinical, administrative, legal, and ethical requirements/objectives of the organization.
* Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.
* Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
* Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates in compliance with allocated funding.
Minimum Qualifications:
* Bachelor's Degree in related field Required
* Applicable work experience may be used in lieu of education
Required Licenses:
* Valid current Kentucky RN State Licensure
EEOC Statement:
Centerpoint Health-Winchester is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
$75k-90k yearly est. 58d ago
Mental Health Technician - 12 Hour Shifts
Universal Health Services 4.4
Lexington, KY job
Responsibilities Mental Health Technician Opportunity: Full-Time and Part Time, Approximately 36 hours per week, Every other weekend required. 7:00pm-7:30am or 7:00am-7:30pm (limited full time dayshift available) * Must attend a two week paid hospital orientation from 8:30am-5:00pm M-F*
$2,000-$2,500 Sign-On Bonus
As the only free-standing psychiatric hospital in the Central Kentucky area, we are here to help. Please join our team as we expand our services to meet the needs of our community.
The Ridge Behavioral Health System is a 110-bed hospital located in the heart of the Bluegrass, Lexington, KY. The Ridge provides psychiatric and substance use disorder treatment for children, adolescents, and adults. The Ridge offers Partial Hospitalization, Intensive Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 39 years.
Mental Health Technicians provide routine non-acute physical care for the patient as well as educational groups based on needs identified in the Master Treatment Plan.
Job Duties Include:
* Facilitates group activities tailored to the appropriate topic, age, and level of understanding as approved by the Program Coordinator.
* Ensures patients are consistently monitored in the proper location for the duration of activities.
* Provides appropriate crisis intervention as necessary by anticipating and responding quickly to escalating behaviors, utilizing de-escalation techniques to diffuse the situation, correctly prioritizing safety concerns.
What We Offer You:
* Flexible Scheduling
* Challenging and rewarding work environment with the opportunity to make a difference in the lives of others.
* Career development opportunities within UHS and its 300+ Subsidiaries
* Competitive Compensation & Generous Paid Time Off
* Excellent Medical, Dental, Vision and Prescription Drug Plans
* 401(K) with company match and discounted stock plan
* Tuition Reimbursement Program, Retention Bonus Program, and Referral Bonus Program
* Close to Hamburg & I-75
* Free parking on premises
* Free meal with each shift
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. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. 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. Headquartered in King of Prussia, PA, UHS has 94,000 employees and continues to grow through its subsidiaries. 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 USA, Puerto Rico and the United Kingdom. ************
Qualifications
Education
* High School Diploma or GED required.
* Some college course work preferred.
Experience
* Experience may be accepted in lieu of college course work.
Other Skills
* Must demonstrate basic knowledge of emotional and mental health and disease concepts including the disease of addiction.
* Must have clear communication / interaction skills and demonstrate competency in facilitating psycho-education groups.
We encourage you to apply to become a part of our team as we set out to be the provider of choice for psychiatric care!
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.
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 **************.
$23k-29k yearly est. 21d ago
Corporate Development Manager (Mergers and Acquisitions)
Molina Healthcare 4.4
Lexington, KY job
Provides lead level support in the execution of merger and acquisition transactions and actively contributes to the advancement of Molina Healthcare's overall growth strategy. Duties include strategically identifying, sourcing, evaluating, and executing Molina Healthcare's inorganic growth initiatives, including acquisitions, divestitures, joint ventures, and strategic partnerships. Collaborates closely with Molina Healthcare's Mergers and Acquisitions (M&A) and operational leadership to evaluate and execute meaningful growth initiatives.
**Job Duties**
+ Partners with internal stakeholders to research and assess potential acquisition opportunities.
+ Develops financial and valuation models and perform comprehensive analyses to assess potential transaction opportunities and influence decision-making.
+ Coordinates all aspects of the M&A process, including due diligence, data rooms, transaction documents, internal updates, and senior management/board presentations.
+ Coordinates deal activities among internal cross-functional teams and external parties.
+ Embraces ad-hoc assignments and projects across Corporate Development and in support of post-acquisition integration efforts.
+ Actively participates in reviewing and negotiating transaction agreements.
+ Establishes a robust understanding of customer segments, industry trends, market positioning, and emerging opportunities.
**Required Qualifications**
+ At least 5 years' experience in investment banking, private equity, management consulting, corporate development, or similar environments, or equivalent combination of relevant education and experience
+ Exceptional financial modeling, interpersonal, and project management skills.
+ Attention to detail. Strong work ethic. Proactive self-starter. Calm under pressure. Able to adapt to fast-paced, ambiguous environments. High learning agility. Consummate teammate.
+ Excellent written communication skills. Strong spoken communication skills.
**Preferred Qualifications**
+ Bachelor's degree in Finance, Economics, Mathematics, or a similar field.
+ Previous healthcare 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
Pay Range: $88,453 - $206,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$88.5k-207k yearly 9d ago
Supervisor, Pharmacy Operations/Call Center
Molina Healthcare Inc. 4.4
Lexington, KY job
Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
* Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations.
* Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations.
* Ensures that adequate staffing coverage is present at all times of operation.
* Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions.
* Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis.
* Participates, researches, and validates materials for both internal and external program audits.
* Acts as liaison to internal and external customers to ensure prompt resolution of identified issues.
* Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review.
* Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures.
* Participates in the daily workload of the department, performing Representative duties as needed.
* Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership.
* Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership.
* Communicates effectively with practitioners and pharmacists.
* Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs.
* Assists with development of and maintenance of pharmacy policies and procedures
* Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies.
Required Qualifications
* At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience.
* Knowledge of prescription drug products, dosage forms and usage.
* Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity.
* Working knowledge of medical/pharmacy terminology
* Excellent verbal and written communication skills.
* Microsoft Office suite, and applicable software program(s) proficiency.
Preferred Qualifications
* Supervisory/leadership experience.
* Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
* Call center experience.
* Managed care 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
Pay Range: $55,706.51 - $80,464.96 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$28k-34k yearly est. 35d ago
Lead Ultrasound Technologist, Acute
Lifepoint Hospitals 4.1
Winchester, KY job
Schedule: Full Time | 3rd shift | Rotates weekend nights. Your experience matters Centerpoint Health - Winchester is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Lead Ultrasound Technologist 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.
More about our team
Centerpoint Health - Winchester places trust and confidence in our employees and patients on making the important decision on where you seek your healthcare. We are a dedicated team that share our mission and our culture of safe and compassionate care.
How you'll contribute
A Lead Ultrasound Technologist who excels in this role:
* Perform ultra-sonographic procedures.
* Follow all radiology policies and procedures.
* Responsible for call scheduling.
* Perform ultrasound timekeeper reviews.
* Department administrative duties.
* Transportation of patients.
* Developing and processing radiographic film.
* Performing various offices and filing procedures.
* Perform other related duties as assigned or requested.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. 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.
* Free Parking on site
What we're looking for
* High school diploma or equivalent required
* Post high school training and/or education preferred
* Minimum of five (5) years' previous experience in ultrasound technology required.
* Knowledge and skills necessary to provide care appropriate to the population of patients served in Diagnostic Imaging.
* State Diagnostic Medical Sonographer
* Registered Diagnostic Medical Sonographer (RDMS) required.
* Certifications: Basic Life Support (BLS)
Connect with a Recruiter
Not ready to complete an application, or have questions? Please contact Morgan Gilbert by emailing **********************************
More about Centerpoint Health - Winchester
Centerpoint Health - Winchester is a 79-bed acute care hospital that has been offering exceptional care to the Winchester community. We are proud to be recognized by Joint Commission, Affiliation with the Gill Heart Vascular Institute Affiliate Network, Leapfrog, and Affiliation with the Markey Cancer Center Affiliate Network.
EEOC Statement
"Centerpoint Health - Winchester is an Equal Opportunity Employer. Centerpoint Health - Winchester is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
$77k-93k yearly est. Easy Apply 11d ago
Patient Access Lead Representative-2nd and 3rd shift- Berea, KY
Tenet Healthcare Corporation 4.5
Tenet Healthcare Corporation job in Berea, KY
Demonstrates knowledge of departmental financial clearance and displays Patient Access leadership skills to lead a wide range of duties in support of departmental efficiencies which may include but not limited to arranging support Hospital services requested by patients through referrals, performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports , drive team performance accountability , leads shift Patient Access Operations, collaborates with Department leaders in process and operational excellence.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Greeting customers following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services. May also schedule diagnostic and/or surgical procedures, conducts physician office/patient interviews, and explains hospital procedure guidelines and policies. Coordinates with clinical departments on schedule modifications.
* Provides full patient financial counseling, education & referrals, employs and completes all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
* Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicare services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors.
* Performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, completes departmental operational reports based on team performance accountability, leads shift Patient Access Operations, and collaborates with Department leaders in process and operational excellence.
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.
* Minimum typing skills of 35 wpm
* High level working knowledge of all Software, programs and equipment, including PCs
* Knowledge of function and relationships within a hospital environment preferred
* Advance Customer service skills and experience
* Ability to work in a fast paced environment
* Ability to receive and express detailed information through oral and written communications
* Advanced Understanding of Third Party Payor requirements preferred
* Advanced Understanding of Compliance standards preferred
* Advanced Patient Liability Collection performance and high achievement in productivity
* Must be crossed trained in all Patient Access service areas
* Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
* Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
* Identifies opportunities to improve patient relations and shorten the time it takes to handle registration processes
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 preferred to perform the job.
* High School Diploma or GED required
* 2-4 year college degree in Business, Accounting, Medical Administration or related area preferred
* 2 - 4 years experience in medical facility, health insurance, or related area
* 3- 5 years experience in Patient Access preferred
* 1 - 2 years in supervisory or lead role preferred
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.
* Must be able to sit at computer terminal for extended periods of time
* Occasionally lift/carry items weighing up to 25 lbs.
* Frequent prolonged standing, sitting, and walking
* Occasionally push a wheelchair to assist patients with mobility problems.
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.
* Hospital administration
* Can work in patient care locations which include potential exposure to life-threatening patient conditions.
OTHER
* Must be available to work hours and days as needed based on departmental/system demands.
* Must be available for on-call scheduling support when required.
* Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.
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!
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.
**********
$29k-33k yearly est. 10d ago
Sleep Technician PRN, Acute
Lifepoint Hospitals 4.1
Georgetown, KY job
Schedule: PRN | As Needed | Your experience matters Centerpoint Health-Georgetown is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Sleep Technician 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.
More about our team
Centerpoint Health-Georgetown places trust and confidence in our employees and patients on making the important decision on where you seek your healthcare. We are a dedicated team that share our mission and our culture of safe and compassionate care.
How you'll contribute
A Sleep Technician who excels in this role:
* Provides care for patients undergoing sleep studies and sleep disorder treatment.
* Prepares for the arrival of the patient by setting up and preparing the equipment for the ordered test.
* Interviews patient to determine sleep disorder issues and to explain testing procedures.
* Performs testing and any additional testing required for sleep disorder that is noted.
* Scores, interprets, and reports results of sleep studies.
* Educates patients about test results, sleep disorders, community support groups, and available resources.
* Prepares, calibrates, repairs, and maintains equipment required for testing.
* Determines and reports needed repairs and replacements.
* Maintains proper supplies to care for patients.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. 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.
* Free Parking on site
What we're looking for
Applicants should have completed a program in polysomnography. Additional requirements include:
* Minimum Education: High school diploma or equivalent required
Completion of a program in Polysomnography required
* Licensure: Basic Life Support (BLS) American Heart Association required
* Certification: by the Board of Registered Polysomnographic Technologists as a Registered Polysomnographic Technologist or equivalent required
* Registered Sleep Technologist (RPSGT) required
* Minimum Work Experience: Minimum of two (2) years of experience preferred
Connect with a Recruiter Not ready to complete an application, or have questions? Please contact Morgan Gilbert by emailing **********************************
More about Centerpoint Health-Georgetown
Centerpoint Health-Georgetown is a 75- bed acute care hospital that has been offering exceptional care to the Georgetown community. We are proud to be recognized by our Affiliation with the Markey Cancer Center Affiliate Network, Affiliation with the Gill Heart & Vascular Institute Affiliate Network and The Joint Commission Accreditation.
EEOC Statement
Centerpoint Health-Georgetown is an Equal Opportunity Employer. Centerpoint Health-Georgetown is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
$48k-62k yearly est. Easy Apply 3d ago
PRN Home Health Social Worker
HCA Healthcare 4.5
Lexington, KY job
**Introduction** Do you have the PRN career opportunities as a PRN Home Health Social Worker you want with your current employer? We have an exciting opportunity for you to join Frankfort Regional Healthcare at Home which is part of the nation's leading provider of healthcare services, HCA Healthcare.
**Benefits**
Frankfort Regional Healthcare at Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Fertility and family building benefits through Progyny
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ Family support, including adoption assistance, child and elder care resources and consumer discounts
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan
+ Retirement readiness and rollover services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Learn more about Employee Benefits (**************************************************************************
**_Note: Eligibility for benefits may vary by location._**
Our teams are a committed, caring group of colleagues. Do you want to work as a PRN Home Health Social Worker where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
**Job Summary and Qualifications**
**What qualifications you will need:**
+ Master's Degree in Social Work or in a human services field, including but not limited to sociology, special education, gerontology, rehabilitation counseling, and psychology
+ Previous experience in a healthcare setting working directly with individuals
+ Reliable transportation and proof of valid automobile liability insurance
+ Must have valid driver's license
Healthcare at Home is a service line from HCA healthcare. We are dedicated to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team of professionals develop an individualized plan of care. Our professionals include registered nurses, licensed practical nurses, therapists, and social workers. We provide the care you need in the comfort of your own home to restore your independence. Healthcare at Home raises the bar on what quality healthcare looks like. Just like family, we pull together to care for, support and celebrate with each other being able to provide exceptional, expert care for patients.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our PRN Home Health Social Worker opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status
$52k-61k yearly est. 60d+ ago
Per Diem Staff Pharmacist
Unitedhealth Group 4.6
Lexington, KY job
**Explore opportunities with CPS** , part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.**
As a per diem Staff Pharmacist you'll play a vital role in delivering safe, accurate, and efficient pharmacy services. This is a hands-on opportunity to make a direct impact by ensuring the accuracy of medication orders, verifying technician-prepared products, and safeguarding controlled substances. You'll contribute to a high-performing team by mentoring new staff, maintaining seamless daily operations, and supporting the Director in optimizing pharmacy performance.
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 Qualifications:**
+ ACPE-accredited pharmacy degree (PharmD preferred)
+ Active applicable state pharmacist license in good standing
+ 1+ years of recent pharmacist experience (hospital setting preferred)
+ Experience with pharmacy systems and Microsoft Office
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 $94.52 to $162.07 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._
$69k-83k yearly est. 60d+ ago
Registered Nurse (RN), Professional Development
Lifepoint Hospitals 4.1
Paris, KY job
Full Time l Days $10,000 Sign On Bonus About Us Lifepoint Health's Centerpoint Health - Paris market is comprised of four acute care, community-based hospitals, with over 50 outpatient clinics that provide comprehensive healthcare in the Bluegrass region. We are committed to our mission of making communities healthier. As an integrated network, our facilities have the ability and resources to develop opportunities for professional growth and advancement to accomplish your career goals. We take pride in personalized patient care backed by high-quality designations to support a culture of safety for both employees and patients.
A Career with Us Offers:
* Newly Adjusted Competitive Pay Rates
* Paid Time Off (PTO)
* Extended Illness Benefit (EIB)
* Flexible Spending Accounts (FSA)
* Choice of Insurance Plans (Health, Dental, Vision, Life)
* Educational Assistance
* Bereavement Leave
* 401(k) Match
* Free Parking
Daily, the Registered Nurse (RN), Professional Development:
Will work onsite at Centerpoint -Versailles and Centerpoint - Paris
* Coordinates educational activities and professional development within the department of nursing and hospital wide.
* Effectively plans and administers the technologies and resources used for educational purposes
* Ensures department stays focused on their important role in the continuum of care
* Creates and fosters an environment that encourages professional growth.
Qualifications
Minimum Education Bachelor's Degree Nursing, required. Master's Degree Nursing, preferred.
Licensure/Certifications: Valid current Kentucky RN state licensure Basic Life Support (BLS) Advanced Cardiovascular Life Support (ACLS) Pediatric Advanced Life Support (PALS) Handle With Care- obtained within 30 days of hire
Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
EEOC Statement:
Centerpoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.