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Universal Health Services Remote jobs - 64 jobs

  • CLINICAL DOCUMENTATION COORD - REMOTE (PER DIEM)

    Universal Health Services 4.4company rating

    Las Vegas, NV jobs

    Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center,Henderson Hospital , Valley Health Specialty Hospital and West Henderson Hospital. Benefit Highlights: * Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off * Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and discounted stock plan * Career opportunities within VHS and UHS Subsidies * Challenging and rewarding work environment Job Description: Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivered to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services. Qualifications Education: Associates or Bachelors Degree in Nursing or International Medical Graduate Experience: Minimum of five (5) years of clinical experience in an acute care setting; critical care, medical/surgical or Emergency Department nursing preferred. Technical Skills: Computer proficiency to include word processing, databases, and spreadsheets. Familiarity with the operation of basic office equipment. License/Certification: Current RN license in the state in which they reside/practice if Registered Nurse. Other Knowledge of age-specific needs and elements of disease processes and related procedures required. Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes. Working knowledge of inpatient admission criteria, Medicare reimbursement system and coding systems preferred, but not required. Must possess excellent written and verbal communication skills and critical thinking skills. Ability to work independently in a time oriented environment is essential. 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 **************.
    $54k-69k yearly est. 8d ago
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  • Psychology and Religion Psychologist

    Universal Health Services 4.4company rating

    Saint Louis, MO jobs

    Responsibilities St. Louis Behavioral Medicine Institute (SLBMI) is seeking Licensed Psychologists with expertise and a passion in the area of integration of religion and spirituality with evidenced-based psychotherapy! We are committed to growth and are always looking to hire exceptional talent to join our team of dedicated healthcare professionals. Note: Local Candidates in MO preferred for this position. Our clinicians enjoy the aspects of being an independent provider that are appealing, while having the administrative and operational support to manage everything else that you need as a provider. Our dedicated and multidisciplinary team of 70+ colleagues are willing to share their clinical expertise for case consultation, continuing education, and program development. SLBMI prides itself on being a team-oriented environment that thrives on collaboration and providing compassionate behavioral healthcare! Shift: Monday-Friday, dayshift. Onsite & Remote work available, some onsite work required due to assessment component of this position. About the Psychology and Religion Program: * Clinicians in the program participate as a member of the program's assessment team, providing psychological evaluations for clergy and clergy candidates. * Clinicians can also choose to provide group therapy and present psychoeducational workshops in the community on topics related to spirituality and wellbeing, and clergy/minister wellness. Please see our website ********************* for more information about SLBMI! About working at St. Louis Behavioral Medicine Institute: As a full-time employee of SLBMI, we offer: * a centralized intake office that screens and schedules a steady flow of clients for clinicians; * an efficient and professionally run billing service; * marketing support; * assistance in managing managed care, including credentialing, and consultation on practice development; * the ability to build a diverse caseload around your different areas of interest and specialization, which could include behavior health conditions that fall outside of your Program focus; * schedule flexibility to help achieve your lifestyle preferences, while still maintaining an active patient caseload and participating in your specialty program needs; * compensation financial plan based upon percentage of net cash collections, allowing you to have more independence in your practice while earning competitive compensation. Such a model allows for the ability to earn more if you desire to have a larger caseload; * a multidisciplinary team 70+ excellent colleagues willing to share their clinical expertise for case consultation, continuing education, and program development; * opportunities for clinical presentations/speaking opportunities, consultations, research; * opportunities to attend weekly training seminars as well as longer, more formal training seminars that occur several times per year (SLBMI is approved by the American Psychological Association to sponsor continuing education for psychologists) SLBMI offers a comprehensive benefits package, including: * Competitive compensation * Professional liability insurance * Medical, dental, vision, and prescription drug plans * Paid time off * 401(K) with company match and discounted stock plans What are our Onboarding options? Our Onboarding Model is a full-time base salary guarantee (benefits-eligible) transitional plan, typically four months, to allow new providers time to build their caseload. If you believe that your clinical experience is more general in nature and your knowledge base is not as specialized as our programs are structured, you may want to consider speaking with us about our Specialist-in-Training option! Details below. SPECIALIST-IN-TRAINING MODEL: Our Specialist-in-Training model is a transitional plan of training, typically six months, that is meant for Licensed Providers who need additional training within their program's area of specialization prior to being considered a specialist in that area of practice. Generally, the Specialist-in-Training time consists of: a reduced minimum caseload with weekly supervision; assigned reading; didactic sessions to discuss the readings and receive additional education; increased conceptualization in treatment plans reviewed by your supervisor; attendance of open supervision and discussion of other SLBMI programs that may be part of your training time. Other types of activities may be possible which would enhance your skills as a clinician in general, as well as within your specialty area. For both models, revenue generated by your cases that exceed your base salary guarantee will still be assigned to you, allowing you opportunity to earn greater than your minimum base salary. Please note that non-licensed providers might be eligible instead for our Postgraduate and Postdoctoral Fellowship Opportunities. Please visit our website for information on our training program. Qualifications * Interested applicants must have completed a doctoral degree in a clinical mental health field (e.g. PsyD or Ph.D) AND be fully licensed by the State of Missouri to practice independently. * Psychologists who do not reside in Missouri must have a current Psychology license in a PSYPACT state that they reside in, hold a current PSYPACT credential and be willing to maintain that credential. Please note that onsite presence ability within Missouri is preferred for this program. * All applicants must be credentialed-eligible for managed care panels in Missouri. There is a required 90-day wait period for insurance credentialing to be completed prior to starting. * We strongly encourage applicants who have: * have graduate level training or substantial clinical experience in the integration of religion/spirituality and psychotherapy; * have expertise in psychological evaluation and report writing; * have excellent written and oral communication skills; * bring a clinical specialization which complements the Institute's current offerings (e.g., neuropsychology, addiction specialist, couples and family). About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. 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 approximately 99,000 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 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. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. 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.
    $79k-96k yearly est. 60d+ ago
  • PS Customer Service Representative - Remote Bilingual Required

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The purpose of the Customer Service Representative position is to support the Customer Service Call Center as it relates to physician billing for multiple clients. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Handle a large call volume while ensuring quality customer service and patient satisfaction * issues not resolved during conversation with patient/guarantor * Ability to complete other related customer service duties as assigned 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. 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. This position serves as the primary source of communication for patients' billing inquiries. This person must possess the skill to effectively assist patients with sensitive and confidential issues, while understanding our obligation to our clients to collect outstanding patient balances. They should be able to handle multiple tasks along with setting appropriate priorities with client information. * Answer patient calls within the guidelines of call center metric objectives * Ensure appropriate HIPAA compliance guidelines * Adhere to work schedule and follow call center phone procedures * Maintain professionalism and confidentiality 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 degree or equivalent required * At least 1 year experience in a medical customer service role preferred * Previous experience in a call center environment preferred * Proficiency in Microsoft Outlook, Excel and Word required * Previous experience with medical billing systems required; GE Centricity or EPIC experience a plus REQUIRED CERTIFICATIONS/LICENSURE Include minimum certification required to perform the job. N/A 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 work in sitting position, use computer and answer telephone * Ability to travel * Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments 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 TRAVEL * No travel required Compensation and Benefit Information Compensation * Pay: $14.50 - $21.80 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * 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. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. 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. **********
    $14.5-21.8 hourly 29d ago
  • Application Support Specialist - Remote based in the US

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The Spec, Application Support is tasked with the optimization and management of specified technology. This position will work closely with various vendors, ensuring the most up-to-date information and changes are evaluated for use and effectiveness in the process. Will work with the process team to determine what technology changes and needs are required to drive process improvements. Will own the development and follow through of any service requests or new implementations. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Stays current and has deep, ingrained knowledge of systems, including end user applications, reporting and enhancements. Can demonstrate full understanding of how the technology supports and is used within specific processes and brings technology driven ideas to the process team. * Reviews all ISB's for procedural impact. Edits and works with process leaders and trainers to develop procedural and training documentation. Clarifies system processes and responds to additional requests for information. * Works closely with peers to reduce redundancies and ensure there are no conflicts between multiple technologies within processes. * Ensures that Software Transfer Implementations are completed accurately and develops test plans. Meets user deadlines for system changes and other requested information. * Coordinates with IS to ensure that facility IS departments have the knowledge required to ensure the front-end system is set up appropriately. 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 accommodation may be made to enable individuals with disabilities to perform the essential functions. * Understands workflow and technology needs within the business. * Excellent grammar and writing skills * Must have good organizational skills * Able to work independently with little supervision * Able to communicate with all levels of management * Must have general computer skills and be proficient in Word, Excel, and PowerPoint * Excellent working knowledge of Patient Financial Services operations with specific focus on applicable discipline. * Ability to work and coordinate with multiple parties * Ability to manage projects * Knowledge of AR management technology tools being utilized to deliver on key performance * Knowledge of healthcare regulatory rules and how they apply to revenue cycle operations and outsourcing service providers * Excellent verbal and written communication skills EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * 4-year college degree in Healthcare Administration, Business or related area or equivalent experience * 2 - 6 years of experience in Healthcare Administration or Business Office * Lean, Six Sigma or other process improvement certification is a plus 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 work in a sitting position, use computer and answer telephone 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 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 * Pay: $21.70 - $34.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status 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. * Discretionary 401k 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. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. #LI-NO3 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. **********
    $21.7-34.7 hourly 60d+ ago
  • Seeking Claims Adjusters for Appraiser Role, Remote

    HCA Asset Management LLC 4.2company rating

    Bradenton, FL jobs

    Job DescriptionDescription: If you're growing tired of a Claims Adjuster lifestyle, we have a career option for you! Skilled Claims Adjusters often have a skillset similar to our Commercial Appraisers, and we work in an environment that rewards for performance. These are remote, salaried jobs that travel throughout the United States, while working with a group of energetic and self-motivated team members. Are you an “A Player” and looking for a company that has a lot of fun? If all of this is sounding pretty good, then here is a little more about who we are and what we're looking for: HCA Asset Management ("HCA”) is a consulting and appraisal firm offering inventory and appraisal services to corporate, university and governmental clients throughout the United States. HCA is seeking an Senior Appraiser to support our growing client base and will be trained to become proficient in appraising commercial buildings for insurance purposes. As a Commercial Appraiser with HCA, a typical day might include: Touring commercial buildings and collecting data on structure characteristics In-office pricing using collected field data and industry-standard methodologies Interfacing with clients via meeting or telephone to discuss project scope and findings Work with senior team members to hone appraisal skills and produce client deliverables Conduct field inventory of client movable equipment and assets What we bring to the table: Awesome people, awesome clients and a management team that cares Energetic and performance-driven company culture Competitive salary with future growth potential Training to manage large-scale projects and encouragement for personal development Health insurance, PTO, and 401K match available after initial period 40-year track record with the best reputation in the industry Staff that stay long-term and are eager to help each other out Requirements: As a new team member with HCA, you will need to: Be 100% committed to delivering the best experience to HCA Clients Think on your feet and thrive on learning new things Enjoy solving problems and committed to improving internal and external processes Effectively communicate with clients and team members Be detail oriented and extremely organized Travel overnight to client locations across the country 65% of the time Have earned an Associate's degree or higher from an accredited college or university or similar experience Be proficient in MS Word and Excel (Access also preferred) Bonus if you have skills or experience in any of these: Construction, cost estimating or prior appraisal experience Engineering or blueprint reading Bachelor's degree in related field Claims Adjusting experience
    $46k-55k yearly est. 11d ago
  • Director, Real Estate Project Management - Remote based in US - Up to 75% National Travel

    Tenet Healthcare Corporation 4.5company rating

    Dallas, TX jobs

    Responsibilities include but not limited to: * Sets, monitors, and maintains the project goals, objectives, limitations, resources, and defined stakeholders in a project charter for the governance of the project. * Perform overall project planning, management operationalization, and close out for key real estate projects - focused primarily on USPI projects but potentially assigned to Tenet or other related projects. * Team assembly (contractors, design firms, and consultants) by managing the process for qualifications, bidding process, contract review, and selection recommendation to leadership. * Direct the identification and sourcing of internal and external resources and stakeholders as needed for the project. * Assist with land acquisition and required entitlements on projects requiring this activity. * Create and maintain project artifacts, including project plans, project status reports, project issues and risks, change requests, requirements, designs, testing plans, communication plans, education materials and knowledge transfer documentation for multiple projects. * Manages and coordinates the activities of the project delivery team, develop, and maintain the detailed action logs and risk registers, lead the development of risk mitigation strategies for the project. * Ensure that issues and risks are properly escalated and resolved. * Direct and coordinate the planning and refinement of the project scope (resources, schedule, and financial estimate) * Supervise the preparation, development and management of the master program/project budget and schedule, manages the monthly updates. * Supervise team activities and manage the execution of the projects within the agreed upon scope, timeframe, and budget. * Initiate and conduct internal team status meetings, document risks and issues and communicate to the team. * Support the necessary business plan and financial pro forma updates required. * Identify out of scope activities and manage change requests. * Facilitate communication and coordination within the project team and other stakeholders. * Facilitate status meetings with Executives, advisory and/or steering committee members for escalation of risks and issues. * Contributes to projects life-cycle improvement through lessons learned, project archives etc. Qualifications: * Bachelor's degree in Architecture, Construction Management, Engineering, or a relevant field. * Ability to travel nationally up to 75% required. Selected candidates will be required to pass Motor Vehicle Record check. * PMP Certification or similar training preferred. * Ten or more years of clinical or other pertinent experience preferred. * In-depth knowledge of project management methodology, tools, and techniques for entire project life cycle and across all knowledge areas. * Presentation and executive communication experience. * Computer-literate with practical experience developing project work plans and related MS Office tools. * Good negotiation skills with an assertive approach. * Excellent multi-tasking and problem-solving skills. * Effective interviewing and meeting facilitation skills. * Able to define, collect and document complex business and technical requirements. * Comfortable in a high-volume, deadline-driven environment. * Strong attention to detail. * Highly adaptable. * Effective coaching and mentoring skills. * Consistent professional behavior in all activities. * Detailed understanding of the challenges, differences, and specialized tasks of a healthcare project vs projects in other industry sectors. Specialized tasks in addition to responsibilities above include the following: * Working with user groups to develop programming and planning. * Vendor award, management, coordination, and installation of specialized medical equipment * Coordination and oversight of site logistics, Infection Control Risk Assessment (ICRA), Interim Life Safety Measures (ILSM). * Oversight of the facility activation. * Oversight of Regulatory and other entitlements including Department of Health (DOH) Certificate of Need (CON) preparation and pre-occupancy survey in DOH states. * Detailed Understanding of the complex infrastructure and low voltage requirements of a healthcare facility and the impacts of working in such systems in an active facility. * General understanding of the trends and issues impacting the healthcare industry including specific knowledge of the healthcare industry divisions (outpatient, acute, post-acute and senior living) and facility differences and trends (patient centered care, sustainability, operational efficiency, departmental adjacencies, etc.). * Ability to engage and carry conversations with the local hospital leadership team, including C-Suite presentations and reporting. * Experience in developing and delivering communication plans and vehicles across multiple stakeholder groups (internal and external). * Ability to quickly understand and navigate the internal Tenet business units to align the efforts of key staff to the betterment of the effort. * Basic understanding of real estate structuring, real estate documents, key deal terms (levers). * Clinical healthcare experience with knowledge of ambulatory facility operations, operating rooms, and hospital experience. Professional Attributes: * Excellent written, verbal communication and interpersonal skills with the ability to work effectively at all levels of the organization. Strong communicator with polish, savvy, and poise. * Ability to make quality, independent decisions; based on strong analytical and problem-solving skills. * Strong service management and customer service focus. * Able to effectively present information and respond to questions from hospital and market management. Personal Attributes: * An individual of highest personal and professional integrity, principle, and knowledge, earning respect and support when making difficult decisions and choices. * A high-energy individual with a strong work ethic and high expectations for performance. A person who leads by example and sets strong professional and personal standards for every activity. * A self-directed person with a strong sense of urgency; however, someone who understands the importance of collegiality, cooperation, and team spirit. Working Conditions and Physical Requirements: * Mobility to move about various facility conditions and activities. * Office environment typical, but exposures to patient care areas. Compensation * Pay: $125,840-$160,000 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits The following benefits are available, subject to employment status: * Medical, dental, vision, disability, life, AD&D and business travel insurance * Manager Time Off - 20 days per year * Discretionary 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, auto & home insurance. * For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act. 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. **********
    $125.8k-160k yearly 32d ago
  • Abrazo Scottsdale Hiring event 01/29

    Tenet Healthcare 4.5company rating

    Remote

    Join Our Team! HealthCare is Better Together Hiring Event: Abrazo Scottsdale Campus- Cafeteria When: Thursday, January 29, 2026 3:30pm-5:30pm Please join us for a special evening at Abrazo Scottsdale Campus to explore exciting new career opportunities at Abrazo Scottsdale Campus and Cave Creek Campus. Meet with our dynamic team of professionals and understand Abrazo's focus on delivering quality care. Come meet and interview with our leaders, check out our amazing culture, and see why so many choose Abrazo. Complimentary appetizers and beverages will be served. Bring copies of your resume as interviews will be conducted at the event. Visit our Career Page at AbrazoHealth.com/careers to learn more about Abrazo Health, view current opportunities, and apply online. NOW HIRING for the following positions: RN Cardiac RN Charge Nurse Cardiac RN ICU RN Clinical Coordinator ICU RN Charge Cath Lab FT Days RN Cath Lab RN ER RN OR RN Quality Coordinator RN PreOp/PACU RN Infection Preventionist MRI Technologist Ultrasound Technologist CT Technologist Multimodality Technologist Nuclear Med Technologist Respiratory Therapist Echocardiography Technologist Lead Medical Lab Scientist (MLS) Medical Lab Tech II (MLT) Surgical Tech Join Our Team! HealthCare is Better Together Hiring Event: Abrazo Scottsdale Campus- Cafeteria When: Thursday, January 29, 2026 3:30pm-5:30pm Please join us for a special evening at Abrazo Scottsdale Campus to explore exciting new career opportunities at Abrazo Scottsdale Campus and Cave Creek Campus. Meet with our dynamic team of professionals and understand Abrazo's focus on delivering quality care. Come meet and interview with our leaders, check out our amazing culture, and see why so many choose Abrazo. Complimentary appetizers and beverages will be served. Bring copies of your resume as interviews will be conducted at the event. Visit our Career Page at AbrazoHealth.com/careers to learn more about Abrazo Health, view current opportunities, and apply online. NOW HIRING for the following positions: RN Cardiac RN Charge Nurse Cardiac RN ICU RN Clinical Coordinator ICU RN Charge Cath Lab FT Days RN Cath Lab RN ER RN OR RN Quality Coordinator RN PreOp/PACU RN Infection Preventionist MRI Technologist Ultrasound Technologist CT Technologist Multimodality Technologist Nuclear Med Technologist Respiratory Therapist Echocardiography Technologist Lead Medical Lab Scientist (MLS) Medical Lab Tech II (MLT) Surgical Tech
    $51k-85k yearly est. Auto-Apply 15d ago
  • Lead Practice Coordinator

    Tenet Healthcare 4.5company rating

    Remote

    The Medical Office Coordinator is responsible for greeting patients, answering phones and scheduling appointments. The collection of accurate patient demographics, insurance verification, referral processing, and various other areas of data entry. Coordinates the daily operations of the physician office, including the medical records process, patient and physician scheduling, overseeing the front desk, confirming appointments, and ordering office supplies. Will be responsible for charge entry and patient balance processing and the daily reconciliation of charges and payments. High School Diploma/GED 5 years of experience in a Physician Practice preferred Completion of Medical Office Assistant program preferred Healthcare management/administration certification preferred EMR/EHR experience preferred, NextGen or Athena experience preferred Proficiency in a windows environment with a working knowledge of Word, Outlook, and the Internet is required Willingness to be flexible and adaptable in a complex, matrix environment Greeting patients, answering phones and scheduling appointments Collection of accurate patient demographics Answers telephones in a prompt and courteous manner Insurance verification Referral processing Will be responsible for charge entry and patient balance processing and the daily reconciliation of charges and payments Displays concern and provides assistance or explains procedures as appropriate to callers or in face-to-face situations Ensures that all contacts with patients, the public, physicians and other personnel are carried out in a friendly, courteous, helpful and considerate manner Manage, copy, and review medical records to ensure accuracy Coordinates the daily operations of the physician office, including the medical records process, patient and physician scheduling, overseeing the front desk, confirming appointments, and ordering office supplies
    $47k-60k yearly est. Auto-Apply 41d ago
  • Revenue Integrity Director- Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master ("CDM") and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel. * Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance. * Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives. * Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc. * Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements. * Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates. * Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities 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 (incl. titles) : Revenue Integrity Manager/Supervisor Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist 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. * Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions * Demonstrated critical-thinking skills with proven ability to make sound decisions * Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals * Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely * Ability to manage multiple projects/initiatives simultaneously, including resourcing * Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner * Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement * Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels * Ability to effectively and professionally motivate team members and peers to meet goals * Advanced knowledge of external and internal drivers affecting the entire revenue cycle * Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point) 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. * Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree * Minimum of five years healthcare-related experience required * Extensive experience as Revenue Integrity manager * Extensive knowledge of laws and regulations pertaining to healthcare industry required * Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required * Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS * Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable 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. * While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. * Must frequently lift and/or move up to 25 pounds * Specific vision abilities required by this job include close vision * Some travel 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. * Normal corporate office environment TRAVEL * Approximately 10 - 25% Compensation and Benefit Information Compensation Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Management time off (vacation & sick leave) - min of 12 days per year, accrued 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. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. 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. **********
    $104.6k-157k yearly 60d+ ago
  • Nuclear Medicine Technologist Full Time Days

    Tenet Healthcare 4.5company rating

    Remote

    may qualify for a sign-on bonus. Performs imaging procedures with the use of radioactive isotopes. Responsible for preparation, calculations, and administration of isotope products in various diagnostic and therapeutic procedures. Performs under the direction of the physician during therapeutic procedures. Minimum Education: Completion of an accredited educational program in nuclear medicine or radiologic technology. Minimum Experience: 1-year radiologic technology diagnostic and/or nuclear medicine experience Required Certification: BLS Required Licensure: TDH (MRT), NMTCB FLSA Status: Salary Grade: Skills: ** Note - Required certifications are to be completed by 3 months of employment. #LI-NS1
    $72k-140k yearly est. Auto-Apply 60d+ ago
  • Licensed Remote Outpatient Clinician

    Universal Health Services 4.4company rating

    Worcester, MA jobs

    Responsibilities LICENSED REMOTE OUTPATIENT CLINICIAN Pay: $28.00-$38.00/hour Schedule/Location: Per Diem, Part Time, Full Time, Remote About the Role: Arbour Counseling Services is excited to offer Per Diem, Part Time, and Full Time opportunities for Licensed Clinicians in our Outpatient Program Remote Telehealth division. Our Outpatient counseling allows our patients to receive treatment options and support within a much more free and open time schedule. While programs are structured, our outpatient counseling is best for those stepping down from a higher level of care, seeking limited treatment options or testing out treatment for the first time. Arbour offers individual therapy, group therapy, couples therapy, family therapy, medication evaluation & management, school-based treatment, and elder services within our Outpatient program. The Licensed Outpatient Clinician delivers direct services to clients, and may provide individual, group, family, or other authorized therapy services within our outpatient center; participates in interdisciplinary treatment planning; and ensures that any treatments delivered are within the scope of the therapist's training, experience and general level of competence. Arbour provides clinicians with the ability to customize their own professional experience. We also offer a flexible schedule to accommodate work/life balance. Come and be part of an exciting and vibrant team here at Arbour Counseling Services! What We Offer: * Flexible Schedule * Competitive compensation & generous PTO * Yearly Tuition Reimbursement * License prep, testing fee & licensing fees covered by Arbour * Free CEU's * Weekly licensure Supervision * Monthly productivity bonus plan available * Employee Referral Bonus Program * Internal advancement opportunities ~ leadership & management training! * Growth Opportunities * 401(k) with 5% company match * Excellent Medical, Dental, Vision, and Prescription Drug Plans * Electronic Health Record (EHR) System * Employee assistance program (EAP) * Company outings * "Perks at Work" Program offering employee discounts on travel, electronics, entertainment, home appliances, food, auto, and more Arbour Counseling Services, a subsidiary of Universal Health Services, provides trusted quality and experience throughout our continuum of behavioral health and substance use treatment programs. Individualized care services are offered to individuals of all ages, groups, families, and couples. Arbour Counseling Services prioritizes quality and convenience for the communities we serve while providing compassionate care for all. Visit us online at: ************************* 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 $14.3 billion in 2023. 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 approximately 96,700 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 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** Qualifications * Master's Degree in Psychology, Social Work, Counseling, or closely related Mental Health field from an accredited college or university * LICSW, LMHC, or LMFT required * Must be licensed in MA * At least one year of Outpatient experience post graduation with Master's Degree * Need to have completed an Internship during Masters Program to obtain 45 credits * CANS Certification preferred (also able to obtain after hiring if needed) * Nonjudgmental ability to foster self-sufficiency using problem-solving and practical skills * Familiarity with support groups * Ability to establish trusting relationships through compassion, empathy and insight * Demonstrated sensitivity to the needs of clients from diverse cultural or linguistic backgrounds * Excellent time management skills to maintain appointments and timely record keeping * Candidate must possess appropriate citizenship work documentation * Candidate must pass a CORI and drug test, as well as other pre-employment documentation 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.
    $28-38 hourly 60d+ ago
  • Coding Quality Auditor - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. * Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA).Reviews medical records to determine accurate required abstracting elements (facility/client/payer specific elements) including appropriate discharge disposition * IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-9-CM codes for diagnoses and procedures. Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition. * Coding: Uses discretion and specialized coding training and experience to accurately assign ICD-9, CPT-4 codes to patient medical records. * Abstracting: Reviews medical records to determine accurate required abstracting elements (client specific elements) including appropriate discharge disposition. * Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by SOW. * CDI: Identifies and communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and resolution. * 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 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. * Ability to consistently code at 95% accuracy and quality while maintaining client specified production standards * Must successfully pass coding test * Knowledge of medical terminology, ICD-9-CM and CPT-4 codes * Must be detail oriented and have the ability to work independently * Computer knowledge of MS Office * Must display excellent interpersonal skills * The coder should demonstrate initiative and discipline in time management and assignment completion * The coder must be able to work in a virtual setting under minimal supervision * Intermediate knowledge of disease pathophysiology and drug utilization * Intermediate knowledge of MSDRG classification and reimbursement structures * Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures 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 * Associates degree in relevant field preferred or combination of equivalent of education and experience * Three years coding experience including hospital and consulting background CERTIFICATES, LICENSES, REGISTRATIONS * AHIMA Credentials, and or AAPC 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. * Duties may require travel via, plane, care, train, bus, and taxi-cab. * Ability to sit for extended periods of time. * Must be able to efficiently use computer keyboard and mouse to perform coding assignments. 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. * Floats between clients as requested. * Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment. OTHER * Regular 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: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * 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. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. 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. **********
    $30.9-46.3 hourly 8d ago
  • Manager, Hospital Regulatory & Accreditation - Remote based in US - 75% National Travel

    Tenet Healthcare 4.5company rating

    Remote

    Tenet Healthcare has an immediate opening for a Manager, Hospital Regulatory and Accreditation to support the enterprise. This position will require a high percentage of nationwide travel. Manager, Regulatory and Accreditation is responsible for assessing, developing, educating, implementing, monitoring, and leading the Tenet Regulatory and Accreditation activities within the company. This includes preparation and survey readiness. The position develops and implements processes for current safe practices in Tenet. The Manager, Regulatory and Accreditation work closely with other corporate departments, groups, and facilities for collaboration and synergy around identified priorities. Develops, educates, implements, monitors, and leads, Tenet and USPI, regulatory requirements and accreditation standards, goals, and targets through collaboration with corporate departments and the Sr. Director, Regulatory and Accreditation Is a leader for the Clinical Operations Department in the formulation of Tenet and USPI regulatory and accreditation related goals and targets. Assists with the development of the Tenet and USPI strategy and tactics for regulatory and accreditation preparation and successful surveys Conducts on-site facility surveys Provides leadership and expertise in methods of performance improvement. Coordinates and collaborates with organizational leaders on activities related to the development, implementation, improvement of and adherence to the organization's policies and procedures covering the scope of regulatory requirements and accreditation standards Supports preparation for surveys (i.e., CMS, TJC, State,) Supports the formulation of responses [plans of correction] from surveyors, electronic communication, or third-party payers under the direction of the Sr. Director of Regulatory and Accreditation Remains current concerning industry-wide, leading practices Demonstrates ethical behavior in decision-making, performance of job responsibilities while maintaining confidentiality regarding patient information, quality, performance, and peer review information. Develops policies and procedures for areas of responsibility. Develops methods, tools, and other resources for regulatory and accreditation preparedness and sustainment. Develops and presents educational material to various audiences based on identified or trending regulatory and accreditation issues. Minimum education, training and background for the successful candidate include: Required: Registered Nurse with advanced degree in relevant field plus five years of regulatory, accreditation, and performance improvement experience or Advanced degree in a health-related field (Masters) with five years of relevant regulatory, accreditation, and performance improvement experience. A minimum of 75% national travel annually is a requirement. Selected candidate will be required to pass Motor Vehicle Record check and maintain valid driver's license. Experience leading interdisciplinary initiatives in process improvement and directly with improving reliability of healthcare delivery at the point of care. Functional knowledge of TJC, CMS COP's, and other federal and state requirements regulatory standards. Relevant experience in healthcare/clinical setting. Strong organizational, written, communication, and presentation skills. REQUIRED CERTIFICATION: Certified Joint Commission Professional (CJCP) or Certified Professional Healthcare Quality (CPHQ) within twelve months of hire date. SKILLS, KNOWLEDGE, AND ABILITIES: Skilled at developing and conducting educational presentations. Adept at developing methods, tools, reports, data aggregation and conducting regulatory and operational surveys for USPI facilities, including the review of regulatory requirements and accreditation standards and Conditions of Participation. Prepares written reports of clinical and operational survey findings. Skilled in developing corrective action plans, provide educational programs, monitor implementation of action plan and other oversight activities through follow-up visits to facilities as needed, and provide guidance on regulatory and accreditation communications as needed. Expert on regulatory requirements and accreditation standards, preparation activities, and success with surveys. Knowledgeable in the areas of peer review, risk management, patient safety, infection control prevention and reporting Polished communicator (written, verbal and presentation skills) with many levels of key stakeholders from the board level to the point of care staff. Expert with working, leading, following, coordinating, and managing activities to driving change within Tenet/USPI to achieve strategic initiatives for clinical/operational initiatives related to regulatory and accreditation. PRIMARY INFORMATION, TOOLS AND SYSTEMS USED: PC based Word and Excel spreadsheet programs Industry publications as they relate to Quality and other areas, as applicable, such as Safety, Risk Management, etc. Electronic Health Record eSRM (Risk Management System) Balanced Score Card / Clinical Operations Scorecard SharePoint AMP with Tracers Compensation Pay: $114,192-$165,000 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. Management level positions may be eligible for sign-on and relocation bonuses. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D and business travel insurance Manager Time Off - 20 days per year Discretionary 401k 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, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act. #LI-JR1
    $114.2k-165k yearly Auto-Apply 8d ago
  • Regional Corporate Coding Supervisor - Remote based in US

    Tenet Healthcare 4.5company rating

    Remote

    Regional Corporate Coding Supervisor (Remote based in US) Reporting to the Corporate Coding Director, the Regional Corporate Coding Supervisor will be responsible for supervising coding, data abstraction and associated coding activities. Ensures accurate and timely coding of records according to Tenet Health policies and procedures. Manages workflow related to coding and abstracting, provides direction for coding activities and productivity standards required to reach unbilled targets at all hospitals in the region. Performs duties as necessary to support the coding quality improvement process both in the region and at corporate. Position will support Tenet corporate located in Texas. Required: Must have a comprehensive knowledge of ICD-10-CM/PCS coding classification systems. The analytical abilities necessary to prepare various reports and records. The interpersonal skills necessary to interact with all levels of department personnel, other departments, physicians and individuals from outside the Hospital. Must have above average general office and computer skills. Associate degree in HIM related field RHIT Certification 5+ Years Coding Experience Preferred: Experience managing large teams and driving process improvement activities at the corporate level in a complex healthcare organization. Bachelor's Degree in HIM Related field RHIA Certification 2+ Years of Leadership Experience Compensation Pay: $66,768- $106,704 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D and business travel insurance Paid time off (vacation & sick leave) Discretionary 401k 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, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM2
    $66.8k-106.7k yearly Auto-Apply 34d ago
  • Radiology Tech

    Tenet Healthcare 4.5company rating

    Remote

    Under minimal supervision, performs basic to complex diagnostic radiographic procedures, as requested by a licensed physician. Exercises professional judgment in providing health care services, applying x-ray energy, to assist in diagnosis or treatment of patients in all age groups from newborn to elderly. Completes established competencies for the position within designated introductory period. Other related duties as assigned. Education Required: Graduate of accredited Imaging Program Preferred: Associate degree Experience Preferred: 1-3 years Certifications Required: ARRT or registry eligible; must have ARRT within one year post graduation; BLS, state license if required #LI-RF1 Produces high quality diagnostic radiographs, rotates through advanced areas of diagnostic radiology to include OR, Urography, open reductions, myelography, arthrography, placements, and trauma; assists practitioner with fluoroscopy, arthrography, OR procedures and trauma.
    $54k-78k yearly est. Auto-Apply 14d ago
  • Denials Senior Specialist-Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    Responsible for providing direct support to internal and subcontracted external legal resources engaged in the collection and recovery of managed care and/or Worker's Compensation claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Acts as liaison between the Business Office, Legal Department and outside counsel regarding outstanding litigation (ie.Venders) * Coordinates legal analysis for denied, underpaid and unpaid managed care accounts for legal referral; Compiles records and documentation for internal and external attorneys such as process documentation, copies of original contracts, etc to be used in litigation. * Reviews all existing documentation including but not limited to UB, IB, Explanation of Benefits (EOB), and Managed Care Contracts to verify claim balance calculation; ensures integrity in supporting documentation. * Works with Legal Department to file bankruptcy notifications on payers. May file liens on auto accident patients to state interest in claim. * Verifies in system that accounts have been adjudicated correctly once settled. If needed, adjust accounts per Legal request. * Works required reports (daily, weekly, monthly) to ensure legal payer issues are referred in a timely manner. 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. * Intermediate writing skills * Intermediate Microsoft Word and Excel skills * Intermediate analytical and math skills * Ability to coordinate accounts and record detailed information * Ability to research and work independently * Ability to work in high volume environment at a fast pace * Ability to communicate in a professional manner 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 equivalent * Some college helpful * 3-5 years experience in medical billing, collections, appeals, legal department and/or contract interpretation 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 at a computer terminal 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. * Call-center environment with multiple workstations in close proximity 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: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * 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. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. 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. **********
    $20.5-30.8 hourly 43d ago
  • Patient Account Senior Representative - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, to include taking appropriate steps to resolve accounts timely. This candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Representative will need to effectively follow-up on claim submission and; remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. . Participate and assist in special projects as well as provide A/R support to the team. Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team members that may be absent or backlogged. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving more complex accounts with minimal or no assistance. Senior Representative must have the ability to work closely with management and team members working an inventory of collectible accounts that bring in revenue and possess the the following: * Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients in order to obtain collection related information * Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions (may work in multiple systems for clients) * Access payer websites and discern pertinent data to resolve accounts * Utilize all available job aids provided for appropriateness in follow-up processes * Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account * Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership * Skilled in working with complex medical claim issues * Identify and communicate any issues including system access, payor behavior, account/work-flow inconsistencies or any other insurance collection opportunities * Compile data to substantiate and utilize to resolve payer, system or escalated account issues * Assist new or existing staff with training or techniques to increase production and quality * Provide support for team members that may be absent or backlogged ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. * Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. * Perform special projects and other duties as needed. Assists with special projects as assigned, documents findings, and communicates results to leaders. * Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor. * Compile data to substantiate and utilize to resolve payer, system or escalated account issues. * Assist new or existing staff with training or techniques to increase production and quality as needed. * Participate and attend meetings, training seminars and in-services to develop job knowledge. 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. * Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies * Good written and verbal communication skills * Intermediate technical skills including PC and MS Outlook * Strong interpersonal skills * Above average analytical and critical thinking skills * Ability to make sound decisions * Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors * Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation * Intermediate knowledge of CPT and ICD-9 codes * Advanced knowledge of insurance billing, collections and insurance terminology 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 education * 2-5 years experience in Medical/Hospital Insurance related collections * Minimum typing requirement of 45 wpm 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. * Office/Teamwork Environment * Ability to sit and work at a computer 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. 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: $17.20 - $25.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * 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. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. 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. **********
    $17.2-25.7 hourly 16d ago
  • RO-DBT Program LPC/LCSW - Radically Open Dialectical Behavior Therapy Program

    Universal Health Services 4.4company rating

    Saint Louis, MO jobs

    Responsibilities St. Louis Behavioral Medicine Institute (SLBMI) is seeking Licensed Professional Counselors and Licensed Clinical Social Workers with expertise and a passion in the area of Radically Open (RO) Dialectical Behavior Therapy (DBT) (RO-DBT)! We are committed to growth and are always looking to hire exceptional talent to join our team of dedicated healthcare professionals. Note: Local Candidates in MO preferred, but not required. We are open to eligible candidates located outside of the St. Louis region who may be interested in joining our team through providing telehealth services. Interested candidates for this option must be professionally licensed in Missouri. Our clinicians enjoy the aspects of being an independent provider that are appealing, while having the administrative and operational support to manage everything else that you need as a provider. Our dedicated and multidisciplinary team of 70+ colleagues are willing to share their clinical expertise for case consultation, continuing education, and program development. SLBMI prides itself on being a team-oriented environment that thrives on collaboration and providing compassionate behavioral healthcare! Shift: Monday-Friday, dayshift. Onsite & Remote work available. About the Radically-Open Dialectical Behavior Therapy Program: * Candidates to join must have some RO-DBT training or are in the process of being trained through the Blended Learning training program. Candidates who are actively pursuing the training program (but not yet began) are also eligible for consideration, under the prerequisite that they must have a pending start date for the training program. However, receiving an RO-DBT intensive training certificate is not a requirement to be considered. We will support and encourage you to pursue the intensive training as part of your practice in accordance with our Specialist-in-Training model (see below for details). * Providers within this program provide RO-DBT adherent individual session, with opportunities to co-facilitate our adult and/or adolescent RO skill classes. * You will be able to carry a caseload of individual patients per week, while tailoring your caseload to other interests and expertise that you have that may be outside of RO-DBT. * Collaboration available through RO-DBT weekly consultation team meeting. Please see our website ********************* for more information about SLBMI! About working at St. Louis Behavioral Medicine Institute: As a full-time employee of SLBMI, we offer: * a centralized intake office that screens and schedules a steady flow of clients for clinicians; * an efficient and professionally run billing service; * marketing support; * assistance in managing managed care, including credentialing, and consultation on practice development; * the ability to build a diverse caseload around your different areas of interest and specialization, which could include behavior health conditions that fall outside of your Program focus; * schedule flexibility to help achieve your lifestyle preferences, while still maintaining an active patient caseload and participating in your specialty program needs; * compensation financial plan based upon percentage of net cash collections, allowing you to have more independence in your practice while earning competitive compensation. Such a model allows for the ability to earn more if you desire to have a larger caseload; * a multidisciplinary team 70+ excellent colleagues willing to share their clinical expertise for case consultation, continuing education, and program development; * opportunities for clinical presentations/speaking opportunities, consultations, research; * opportunities to attend weekly training seminars as well as longer, more formal training seminars that occur several times per year (SLBMI is approved by the American Psychological Association to sponsor continuing education for psychologists) SLBMI offers a comprehensive benefits package, including: * Competitive compensation * Professional liability insurance * Medical, dental, vision, and prescription drug plans * Paid time off * 401(K) with company match and discounted stock plans What are our Onboarding options? Our Onboarding Model is a full-time base salary guarantee (benefits-eligible) transitional plan, typically four months, to allow new providers time to build their caseload. If you believe that your clinical experience is more general in nature and your knowledge base is not as specialized as our programs are structured, you may want to consider speaking with us about our Specialist-in-Training option! Details below. SPECIALIST-IN-TRAINING MODEL: Our Specialist-in-Training model is a transitional plan of training, typically six months, that is meant for Licensed Providers who need additional training within their program's area of specialization prior to being considered a specialist in that area of practice. Generally, the Specialist-in-Training time consists of: a reduced minimum caseload with weekly supervision; assigned reading; didactic sessions to discuss the readings and receive additional education; increased conceptualization in treatment plans reviewed by your supervisor; attendance of open supervision and discussion of other SLBMI programs that may be part of your training time. Other types of activities may be possible which would enhance your skills as a clinician in general, as well as within your specialty area. For both models, revenue generated by your cases that exceed your base salary guarantee will still be assigned to you, allowing you opportunity to earn greater than your minimum base salary. Please note that non-licensed providers might be eligible instead for our Postgraduate and Postdoctoral Fellowship Opportunities. Please visit our website for information on our training program. Qualifications * Interested applicants must have completed a Master's or doctoral degree in a clinical mental health field (e.g. MSW, Professional Counselor, Ph.D) AND be fully licensed by the State of Missouri to practice independently. * All applicants must be credentialed-eligible for managed care panels in Missouri. There is a required 90-day wait period for insurance credentialing to be completed prior to starting. * Candidates must have some RO-DBT training or are in the process of being trained through the RO-DBT Blended Learning training program. The Ideal Candidate: * is passionate about RO-DBT and how it can dramatically improve the lives of patients who suffer from diagnoses of over-control. * Understands that RO-DBT is a journey that requires continuing education and collaboration with peers. * is self-motivated and excited about the opportunities of working in our setting. About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. 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 approximately 99,000 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 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. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. 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.
    $51k-61k yearly est. 53d ago
  • USPI Utilization Review/Appeals RN

    Tenet Healthcare 4.5company rating

    Remote

    The USPI Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination across United Surgical Partners International (USPI) Hospitals. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity. This position manages medical necessity process for accurate and timely payment for services which may require negotiation with a payer on a case-by-case basis. This position integrates national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention Coordination with payers to authorize appropriate level of care and length of stay for medically necessary services required for the patient Compliance with state and federal regulatory requirements, TJC accreditation standards and USPI policy Education provided to payers, physicians, hospital/office staff and ancillary departments related to covered services and administration of benefits Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review Preparing and documenting appeal letters based on industry accepted criteria. REQUIREMENTS Required: 5 years of acute hospital or behavioral health patient care experience with at least 2 years utilization review in an acute hospital, surgical hospital, or commercial/managed care payer setting. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered. Experience in writing appeals. Preferred: Accredited Case Manager (ACM). Previous classroom led instruction on InterQual products (Acute Adult, Peds, Outpatient and Procedures). Patient Accounting experience a plus. Managed care payor experience a plus either in Utilization Review, Case Management or Appeals. Interaction with facility Case Management, Physician Advisor, and Revenue Cycle Team is a requirement. May require travel up to 25% travel across USPI hospitals. The selected candidate will be required to pass a Motor Vehicle Records check. Compensation Pay: $70,096-$112,112 annually. Compensation depends on location, qualifications, and experience. Management level positions may be eligible for sign-on and relocation bonuses. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D, and business travel insurance Paid time off (vacation & sick leave) Discretionary 401k 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, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. RESPONSIBILITIES Clinical Denials/Appeals Performs retrospective (post -discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible for clinical review. Constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate module of InterQual criteria (Acute, Procedures, etc.). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization. Demonstrates ability to critically think, problem solve and make independent decisions supporting the clinical appellate process. Demonstrates proficiency in use of medical necessity criteria sets, currently InterQual , as evidenced by Inter-rater reliability studies and other QA audits. Demonstrates basic patient accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, etc. Utilization Management Balances clinical and financial requirements and resources in advocating for patient needs with judicious resource management Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes Completes and sends admission and concurrent reviews for payers with an authorization process identifies and documents Avoidable Days using the data to address opportunities for improvement Coordinates clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay and discharge) compared to evidence-based practice, internal and external requirements. Payer Authorization Assures the patient is in the appropriate status and level of care based on Medical Necessity and submits case for Secondary Physician review per USPI policy Ensures timely communication and documentation of clinical data to payers to support admission, level of care, length of stay and authorization Advocates for the patient and hospital with payers to secure appropriate payment for services rendered Prevents denials and disputes by communicating with payers and documenting relevant information Manages payer dispute processes utilizing secondary review, peer to peer and payer type changes Education Ensures and provides education to physicians and the healthcare team relevant to the: Effective progression of care, Appropriate level of care, and Safe and timely patient transition Provides healthcare team education regarding resources and benefits available to the patient along with the economic impact of care options Compliance Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services Adheres to department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and USPI policies Operates within the RN scope of practice as defined by state licensing regulations Remains current with USPI Case Management practices 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 lift 15-20lbs Ability to travel approximately 25% of the time; either to facility sites, headquarters or other designated sites Ability to sit and work at a computer for a prolonged period conducting medical necessity reviews and appeal letters
    $70.1k-112.1k yearly Auto-Apply 10d ago
  • Epic Integrations Manager- Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    Responsible for the management of several small to medium concurrent initiatives. Will work with key stakeholders, clients, and operation to ensure all key project milestones and timelines are achieved. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Manages multiple concurrent small to medium size project initiatives (e.g., new client onboarding, acquisitions, divestitures, system implementation, optimization/stabilization and internal initiatives) which support the company's strategic goals * Implements continuous process improvements for project initiatives policies, procedures, and processes to align with Conifer's "best practices" * Implements continuous improvement of communication and support provided to internal and external clients during project initiatives to ensure client satisfaction and achievement of financial objectives * Develops skill sets of team members to support succession planning INANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense) * For project initiatives, capital and expense costs are equal to or below those included in the approved financial model. SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities 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. No. Direct Reports (incl. titles) 1 - 3 Analysts 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. * Knowledgeable in defining approach and resource requirements for projects, * Knowledgeable in leading teams both as direct reports and in a matrix environment with minimal direction * Project management experience including directing and leading multiple projects concurrently * Knowledgeable in understanding of business process outsourcing * Knowledgeable in and has developed influencing, negotiation, and communication skills * Knowledgeable and experienced in organizational, customer service, interpersonal, facilitation, and time management skills 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. * Bachelor Degree required (Preference for Business or Healthcare Administration) or equivalent work experience * PMP (PMI certified project manager) preferred but not required * Minimum of 5 years of project management experience in a matrixed environment * Minimum of 5 years experience in revenue cycle operations * Minimum of 2 years supervisory experience or 2 years managing resources in a matrixed environment * Proficient in Microsoft Excel, Word, PowerPoint, Visio, SharePoint and Project 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 travel at least 20-50% 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. * The work environment is a standard office environment. OTHER * No additional information needed other than what has been provided above. Compensation and Benefit Information Compensation * Pay: $72,509 $108,763 annually. Compensation depends on location, qualifications, and experience. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrued 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. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. 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. **********
    $72.5k-108.8k yearly 9d ago

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