Let’s do great things, together Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. We are seeking a Care Coordinator RN to perform care coordination within the boundaries of the company’s policies and procedures to ensure appropriate care is delivered in a timely manner and within the appropriate setting for members. Interact with the member, family and care providers to develop, coordinate and monitor the member’s treatment plan. Primary Functions: 01. Investigates opportunities for health care alternatives and prepares cost effective plans to offer patients, families, and providers. 02. Identifies health services vendors to use in Care Coordination and coordinates with providers for member’s benefits as well as identifies and utilizes community resources that may be available to member. 03. Works closely with members, families, and providers, typically by telephone in order to outline a clear, proactive plan of care with patient goals and objectives and measurements to attain the same. 04. Effectively use the company’s internal systems to accurately determine eligibility, benefit plan, physician networks associated with the member’s plan. Documents accurate, readable, narrative notes related to cases and identifies and researches any problems and offers reasonable solutions. 05. Maintains an acceptable caseload within the guidelines outlined within the department’s policies and procedures and works assigned schedule to maintain phone coverage between the hours of 7am – 5:30pm, this includes closing cases in appropriate timeframe per department standards and maintain RN audit scores at or above the 90% benchmark. 06. Applies clinical expertise and judgment to ensure compliance with medical policy and criteria of for accepted standards of care while performing Utilization Review and Service Authorizations for members of assigned employer groups. 07. Consults with physician advisors to ensure clinically appropriate determinations. 08. Refers appropriate cases to Case Manager RNs for assessment. 09. Provides approvals and denials of requests in a professional and positive manner. 10. Reports on any case entered on the High Dollar Report in Rounds meetings. 11. Develops professional relationships with internal departments, including effectively communicating with support staff and customer service staff. 12. Contributes to the ongoing efforts of the department to foster a collaborative and team approach to case load. 13. Performs other duties as assigned. Are you ready to be a betterist? If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible. Together, we can be more. We can be better.
Please apply directly here: https://ejob.bz/ATS/PortalViewRequirement.do?reqGK=27362672
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Required Skills 1. Graduate of accredited school of nursing, two, three or four year program, or a Masters Degree in Social Work. 2. Holds current unrestricted Oregon Registered Nurse license. 3. Must have 3 years recent hospital, home health, or acute care experience. 4. Type a minimum of 35 wpm on a computer keyboard and be proficient with Microsoft Office applications. 5. Strong analytical, problem solving, memory retention, organizational and detail oriented skills. 6. Excellent communication skills with the ability to interact with all levels of staff, members and providers as needed. 7. Ability to be a self starter and identify training needs of department. 8. Ability to defuse difficult/angry calls and work towards a positive resolution. 9. Ability to work well under pressure with constantly shifting priorities. 10. Ability to maintain confidentiality and project a professional business image.
Jan 16, 2020
Full time
Let’s do great things, together Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. We are seeking a Care Coordinator RN to perform care coordination within the boundaries of the company’s policies and procedures to ensure appropriate care is delivered in a timely manner and within the appropriate setting for members. Interact with the member, family and care providers to develop, coordinate and monitor the member’s treatment plan. Primary Functions: 01. Investigates opportunities for health care alternatives and prepares cost effective plans to offer patients, families, and providers. 02. Identifies health services vendors to use in Care Coordination and coordinates with providers for member’s benefits as well as identifies and utilizes community resources that may be available to member. 03. Works closely with members, families, and providers, typically by telephone in order to outline a clear, proactive plan of care with patient goals and objectives and measurements to attain the same. 04. Effectively use the company’s internal systems to accurately determine eligibility, benefit plan, physician networks associated with the member’s plan. Documents accurate, readable, narrative notes related to cases and identifies and researches any problems and offers reasonable solutions. 05. Maintains an acceptable caseload within the guidelines outlined within the department’s policies and procedures and works assigned schedule to maintain phone coverage between the hours of 7am – 5:30pm, this includes closing cases in appropriate timeframe per department standards and maintain RN audit scores at or above the 90% benchmark. 06. Applies clinical expertise and judgment to ensure compliance with medical policy and criteria of for accepted standards of care while performing Utilization Review and Service Authorizations for members of assigned employer groups. 07. Consults with physician advisors to ensure clinically appropriate determinations. 08. Refers appropriate cases to Case Manager RNs for assessment. 09. Provides approvals and denials of requests in a professional and positive manner. 10. Reports on any case entered on the High Dollar Report in Rounds meetings. 11. Develops professional relationships with internal departments, including effectively communicating with support staff and customer service staff. 12. Contributes to the ongoing efforts of the department to foster a collaborative and team approach to case load. 13. Performs other duties as assigned. Are you ready to be a betterist? If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible. Together, we can be more. We can be better.
Please apply directly here: https://ejob.bz/ATS/PortalViewRequirement.do?reqGK=27362672
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Required Skills 1. Graduate of accredited school of nursing, two, three or four year program, or a Masters Degree in Social Work. 2. Holds current unrestricted Oregon Registered Nurse license. 3. Must have 3 years recent hospital, home health, or acute care experience. 4. Type a minimum of 35 wpm on a computer keyboard and be proficient with Microsoft Office applications. 5. Strong analytical, problem solving, memory retention, organizational and detail oriented skills. 6. Excellent communication skills with the ability to interact with all levels of staff, members and providers as needed. 7. Ability to be a self starter and identify training needs of department. 8. Ability to defuse difficult/angry calls and work towards a positive resolution. 9. Ability to work well under pressure with constantly shifting priorities. 10. Ability to maintain confidentiality and project a professional business image.
Oregon Health Authority
800 NE Oregon Street, Portland, OR
REQ-26408
Close date: 2/3/2020
Salary: $3569 - $5197
Location: Portland, OR
The Oregon Health Authority (OHA), Public Health Division (PHD), HIV, STD and TB Section is recruiting for a CAREAssist Case Worker position, which provides technical assistance to individuals and/or health professionals to allow persons living with HIV access to medical care and treatment resources. CAREAssist supports access to HIV care and treatment through direct assistance with out-of-pocket medical expenses. The goal of the HIV, STD and TB Section is to educate Oregonians about the impact of HIV, STD and TB infections; to assist in the development of local and national public policy related to the prevention and care of these infections; and to coordinate with and inform other agencies of the services available to persons affected by these diseases.
What will you do? As the CAREAssist Case Worker , you will assist clients in the application process and determine their eligibility for the program in accordance with state and federal requirements. In collaboration with community partners, you will provide individualized client level care coordination services and other assistance to maintain access to medical care and HIV treatment through the AIDS Drug Assistance Program. This includes the provision of benefits counseling and direct assistance with applications for public and private insurance and other financial assistance programs. Utilizing your experience with clients, you will also provide information for improvements to program policies and procedures. What's in it for you? You will work with a team of public health professionals who are passionate about the work they do to improve the health of HIV+ Oregon residents. Do you have experience in case management? Do you have experience determining program eligibility and facilitating access to services and benefits? Have you worked with vulnerable populations? If so, we want to connect with you!
What are we looking for?
Minimum requirements: A bachelor's degree in business or public administration, behavioral or social sciences, or a degree related to the agency program that demonstrates the capacity for the knowledge and skills; OR any combination of experience or education equivalent to three years technical-level experience that typically supports the knowledge and skill requirements listed for the classification.
Experience and/or training as a case manager.
Experience in assessing needs, determining program eligibility and facilitating access to services and benefits through direct service provision or information and referral.
Experience and/or training as a Certified Application Counselor in Oregon.
Experience and/or training in Medicare, Medicaid, and/or private insurance enrollment and navigation.
Experience working with vulnerable populations.
Knowledge of the Ryan White program and services.
Ability to work in a team, with a high level of emotional intelligence and personal awareness to contribute to a culture of feedback in the office and with external partners.
Experience promoting a culturally competent and diverse work environment.
To Apply
Please submit your online application at the following link:
https://oregon.wd5.myworkdayjobs.com/en-US/SOR_External_Career_Site/job/Portland--Oregon-Street---OHA/CAREAssist-Case-Manager--Program-Analyst-1-_REQ-26408
Contact Information
Cyndi Phipps-Roman
503-945-6377
Jan 15, 2020
Full time
REQ-26408
Close date: 2/3/2020
Salary: $3569 - $5197
Location: Portland, OR
The Oregon Health Authority (OHA), Public Health Division (PHD), HIV, STD and TB Section is recruiting for a CAREAssist Case Worker position, which provides technical assistance to individuals and/or health professionals to allow persons living with HIV access to medical care and treatment resources. CAREAssist supports access to HIV care and treatment through direct assistance with out-of-pocket medical expenses. The goal of the HIV, STD and TB Section is to educate Oregonians about the impact of HIV, STD and TB infections; to assist in the development of local and national public policy related to the prevention and care of these infections; and to coordinate with and inform other agencies of the services available to persons affected by these diseases.
What will you do? As the CAREAssist Case Worker , you will assist clients in the application process and determine their eligibility for the program in accordance with state and federal requirements. In collaboration with community partners, you will provide individualized client level care coordination services and other assistance to maintain access to medical care and HIV treatment through the AIDS Drug Assistance Program. This includes the provision of benefits counseling and direct assistance with applications for public and private insurance and other financial assistance programs. Utilizing your experience with clients, you will also provide information for improvements to program policies and procedures. What's in it for you? You will work with a team of public health professionals who are passionate about the work they do to improve the health of HIV+ Oregon residents. Do you have experience in case management? Do you have experience determining program eligibility and facilitating access to services and benefits? Have you worked with vulnerable populations? If so, we want to connect with you!
What are we looking for?
Minimum requirements: A bachelor's degree in business or public administration, behavioral or social sciences, or a degree related to the agency program that demonstrates the capacity for the knowledge and skills; OR any combination of experience or education equivalent to three years technical-level experience that typically supports the knowledge and skill requirements listed for the classification.
Experience and/or training as a case manager.
Experience in assessing needs, determining program eligibility and facilitating access to services and benefits through direct service provision or information and referral.
Experience and/or training as a Certified Application Counselor in Oregon.
Experience and/or training in Medicare, Medicaid, and/or private insurance enrollment and navigation.
Experience working with vulnerable populations.
Knowledge of the Ryan White program and services.
Ability to work in a team, with a high level of emotional intelligence and personal awareness to contribute to a culture of feedback in the office and with external partners.
Experience promoting a culturally competent and diverse work environment.
To Apply
Please submit your online application at the following link:
https://oregon.wd5.myworkdayjobs.com/en-US/SOR_External_Career_Site/job/Portland--Oregon-Street---OHA/CAREAssist-Case-Manager--Program-Analyst-1-_REQ-26408
Contact Information
Cyndi Phipps-Roman
503-945-6377
Oregon Health Authority
800 NE Oregon Street, Portland, OR
REQ-26403
Close date: 2/3/2020
Salary: $3569 - $5197
Location: Portland, OR
NOTE: Additional salary differential offered for fluency in Spanish
The Oregon Health Authority (OHA), Public Health Division (PHD), HIV, STD and TB Section is recruiting for a bilingual CAREAssist Case Worker position, which provides technical assistance to individuals and/or health professionals to allow persons living with HIV access to medical care and treatment resources. CAREAssist supports access to HIV care and treatment through direct assistance with out-of-pocket medical expenses. The goal of the HIV, STD and TB Section is to educate Oregonians about the impact of HIV, STD and TB infections; to assist in the development of local and national public policy related to the prevention and care of these infections; and to coordinate with and inform other agencies of the services available to persons affected by these diseases.
What will you do? As the CAREAssist Case Worker , you will assist clients in the application process and determine their eligibility for the program in accordance with state and federal requirements. In collaboration with community partners, you will provide individualized client level care coordination services and other assistance to maintain access to medical care and HIV treatment through the AIDS Drug Assistance Program. This includes the provision of benefits counseling and direct assistance with applications for public and private insurance and other financial assistance programs. Utilizing your experience with clients, you will also provide information for improvements to program policies and procedures. What's in it for you? You will work with a team of public health professionals who are passionate about the work they do to improve the health of HIV+ Oregon residents. Do you have experience in case management? Do you have experience determining program eligibility and facilitating access to services and benefits? Have you worked with vulnerable populations? If so, we want to connect with you! What are we looking for?
Minimum requirements: A bachelor's degree in business or public administration, behavioral or social sciences, or a degree related to the agency program that demonstrates the capacity for the knowledge and skills; OR any combination of experience or education equivalent to three years technical-level experience that typically supports the knowledge and skill requirements listed for the classification.
Bilingual English/Spanish
Experience and/or training as a case manager.
Experience in assessing needs, determining program eligibility and facilitating access to services and benefits through direct service provision or information and referral.
Experience and/or training as a Certified Application Counselor in Oregon.
Experience and/or training in Medicare, Medicaid, and/or private insurance enrollment and navigation.
Experience working with vulnerable populations.
Knowledge of the Ryan White program and services.
Ability to work in a team, with a high level of emotional intelligence and personal awareness to contribute to a culture of feedback in the office and with external partners.
Experience promoting a culturally competent and diverse work environment.
To Apply
Please submit your online application at the following link:
https://oregon.wd5.myworkdayjobs.com/en-US/SOR_External_Career_Site/job/Portland--Oregon-Street---OHA/Bilingual-CAREAssist-Case-Worker--Program-Analyst-1-_REQ-26403
Contact Information
Cyndi Phipps-Roman
503-945-6377
Jan 15, 2020
Full time
REQ-26403
Close date: 2/3/2020
Salary: $3569 - $5197
Location: Portland, OR
NOTE: Additional salary differential offered for fluency in Spanish
The Oregon Health Authority (OHA), Public Health Division (PHD), HIV, STD and TB Section is recruiting for a bilingual CAREAssist Case Worker position, which provides technical assistance to individuals and/or health professionals to allow persons living with HIV access to medical care and treatment resources. CAREAssist supports access to HIV care and treatment through direct assistance with out-of-pocket medical expenses. The goal of the HIV, STD and TB Section is to educate Oregonians about the impact of HIV, STD and TB infections; to assist in the development of local and national public policy related to the prevention and care of these infections; and to coordinate with and inform other agencies of the services available to persons affected by these diseases.
What will you do? As the CAREAssist Case Worker , you will assist clients in the application process and determine their eligibility for the program in accordance with state and federal requirements. In collaboration with community partners, you will provide individualized client level care coordination services and other assistance to maintain access to medical care and HIV treatment through the AIDS Drug Assistance Program. This includes the provision of benefits counseling and direct assistance with applications for public and private insurance and other financial assistance programs. Utilizing your experience with clients, you will also provide information for improvements to program policies and procedures. What's in it for you? You will work with a team of public health professionals who are passionate about the work they do to improve the health of HIV+ Oregon residents. Do you have experience in case management? Do you have experience determining program eligibility and facilitating access to services and benefits? Have you worked with vulnerable populations? If so, we want to connect with you! What are we looking for?
Minimum requirements: A bachelor's degree in business or public administration, behavioral or social sciences, or a degree related to the agency program that demonstrates the capacity for the knowledge and skills; OR any combination of experience or education equivalent to three years technical-level experience that typically supports the knowledge and skill requirements listed for the classification.
Bilingual English/Spanish
Experience and/or training as a case manager.
Experience in assessing needs, determining program eligibility and facilitating access to services and benefits through direct service provision or information and referral.
Experience and/or training as a Certified Application Counselor in Oregon.
Experience and/or training in Medicare, Medicaid, and/or private insurance enrollment and navigation.
Experience working with vulnerable populations.
Knowledge of the Ryan White program and services.
Ability to work in a team, with a high level of emotional intelligence and personal awareness to contribute to a culture of feedback in the office and with external partners.
Experience promoting a culturally competent and diverse work environment.
To Apply
Please submit your online application at the following link:
https://oregon.wd5.myworkdayjobs.com/en-US/SOR_External_Career_Site/job/Portland--Oregon-Street---OHA/Bilingual-CAREAssist-Case-Worker--Program-Analyst-1-_REQ-26403
Contact Information
Cyndi Phipps-Roman
503-945-6377
Let’s do great things, together Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Moda Health is seeking an Actuarial Analyst who will provide actuarial services to support Individual lines of business. We are seeking an entry level candidate that has passed 1 - 3 actuarial exams.
Primary Functions : 01. Collaborates with other actuarial staff to determine appropriate rate actions to maintain profitability of Individual products; including Medicare Advantage, Medicare Supplement, ACA major medical, short-term medical, and dental. 02. Assists in rate filing process and other compliance activities required by State and Federal law. 03. Produces and distributes a variety of regular monthly, quarterly, and annual reports. 04. Conducts formula reviews and other peer reviews of analysis and reports produced by teammates. 05. Communicates rate actions to other departments within Moda Health. 06. Compiles and verifies data, prepare reports and provide various levels of analysis and modeling work. 07. Provides guidance and advice regarding rates, benefits and related matters for insurance products. 08. Perform other duties as assigned.
Are you ready to be a betterist? If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.
Please apply directly here: https://j.brt.mv/ATS/jb.do?reqGK=27366534&refresh=true
Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Required Skills 01. Bachelor degree or higher in Actuarial Science, Mathematics, Statistics, Economics, Finance, or other closely related field. 02. 0 - 2 years of experience in actuarial role or health insurance industry. 03. Passed 1 -3 actuarial exams administered by SOA, actively pursuing ASA designation. 04. Strong knowledge of accounting principles and financial analysis concepts. 05. Strong skills in Excel, SQL, SAS, and/or R. 06. Strong analytical and communication skills. 07. Ability to manage multiple tasks and deadlines with constantly changing priorities. 08. Ability to set priorities and manage a workload with limited supervision. 09. Project a professional image and maintain complete confidentiality.
Jan 03, 2020
Full time
Let’s do great things, together Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Moda Health is seeking an Actuarial Analyst who will provide actuarial services to support Individual lines of business. We are seeking an entry level candidate that has passed 1 - 3 actuarial exams.
Primary Functions : 01. Collaborates with other actuarial staff to determine appropriate rate actions to maintain profitability of Individual products; including Medicare Advantage, Medicare Supplement, ACA major medical, short-term medical, and dental. 02. Assists in rate filing process and other compliance activities required by State and Federal law. 03. Produces and distributes a variety of regular monthly, quarterly, and annual reports. 04. Conducts formula reviews and other peer reviews of analysis and reports produced by teammates. 05. Communicates rate actions to other departments within Moda Health. 06. Compiles and verifies data, prepare reports and provide various levels of analysis and modeling work. 07. Provides guidance and advice regarding rates, benefits and related matters for insurance products. 08. Perform other duties as assigned.
Are you ready to be a betterist? If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.
Please apply directly here: https://j.brt.mv/ATS/jb.do?reqGK=27366534&refresh=true
Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Required Skills 01. Bachelor degree or higher in Actuarial Science, Mathematics, Statistics, Economics, Finance, or other closely related field. 02. 0 - 2 years of experience in actuarial role or health insurance industry. 03. Passed 1 -3 actuarial exams administered by SOA, actively pursuing ASA designation. 04. Strong knowledge of accounting principles and financial analysis concepts. 05. Strong skills in Excel, SQL, SAS, and/or R. 06. Strong analytical and communication skills. 07. Ability to manage multiple tasks and deadlines with constantly changing priorities. 08. Ability to set priorities and manage a workload with limited supervision. 09. Project a professional image and maintain complete confidentiality.
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Intensive Care Unit Department. The address is 1600 Hospital Parkway; Bedford, TX 76022 Salary range is Min. $26.50/hr. to Max. $50.40/hr. – based on relevant experience Work Schedule • Shift is 7 pm to 7 am, full-time, 36 hours/week – (3) 12 hour shifts Texas Health HEB is proud to offer a new, 18-bed advanced Intensive Care Unit (ICU) for cardiovascular patients recovering from a procedure. In addition to offering ICU nurses and staff physicians to provide quality care, the new ICU features; private and spacious rooms, shaded windows, areas for families to spend the nights, and private consultation rooms The essential job duties of this position are: Delivers care to patients utilizing the Nursing Process • assesses the patient • plans the care of the patient • intervenes as appropriate • evaluates the effectiveness of interventions • Incorporates age specific safety/infection control measures into patient care. • Initiates action to meet patient and/or significant others need for information • Maintains continuity of patient care inter-shift, inter-hospital, and while expediting out of hospital transfers
The ideal candidate will possess the following qualifications • 1 year experience as a clinical nurse or completion of an RN residency program required. A Graduate of a NLN (National League of Nursing) or CCNE (Commission on Collegiate Nursing Education) accredited nursing programs • Current RN licensure or compact licensure recognized by the Texas Board of Nursing upon hire • Associate's Degree Graduate of an accredited Nursing program required. Hired within THR after April 1, 2017 require completion of BSN within 2 years of start date preferred • RN Upon Hire required BCLS upon hire • ACLS (AHA) upon hire • CPI training within 60 days of hire • NIHSS - National Institute of Health Stroke Scale Certification 30 days • 2-3 years ICU experience preferred Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism. • Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required. Why Texas Health Resources Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served. Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures and counts more than 5,500 physicians with active staff privileges at its hospitals. At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence. Texas Health Highlights • 2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4th year in a row) • 2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4th year in a row) • 2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here: http://www.Click2Apply.net/qqjftx39k58bjd3p PI116655868
Dec 26, 2019
Full time
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Intensive Care Unit Department. The address is 1600 Hospital Parkway; Bedford, TX 76022 Salary range is Min. $26.50/hr. to Max. $50.40/hr. – based on relevant experience Work Schedule • Shift is 7 pm to 7 am, full-time, 36 hours/week – (3) 12 hour shifts Texas Health HEB is proud to offer a new, 18-bed advanced Intensive Care Unit (ICU) for cardiovascular patients recovering from a procedure. In addition to offering ICU nurses and staff physicians to provide quality care, the new ICU features; private and spacious rooms, shaded windows, areas for families to spend the nights, and private consultation rooms The essential job duties of this position are: Delivers care to patients utilizing the Nursing Process • assesses the patient • plans the care of the patient • intervenes as appropriate • evaluates the effectiveness of interventions • Incorporates age specific safety/infection control measures into patient care. • Initiates action to meet patient and/or significant others need for information • Maintains continuity of patient care inter-shift, inter-hospital, and while expediting out of hospital transfers
The ideal candidate will possess the following qualifications • 1 year experience as a clinical nurse or completion of an RN residency program required. A Graduate of a NLN (National League of Nursing) or CCNE (Commission on Collegiate Nursing Education) accredited nursing programs • Current RN licensure or compact licensure recognized by the Texas Board of Nursing upon hire • Associate's Degree Graduate of an accredited Nursing program required. Hired within THR after April 1, 2017 require completion of BSN within 2 years of start date preferred • RN Upon Hire required BCLS upon hire • ACLS (AHA) upon hire • CPI training within 60 days of hire • NIHSS - National Institute of Health Stroke Scale Certification 30 days • 2-3 years ICU experience preferred Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism. • Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required. Why Texas Health Resources Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served. Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures and counts more than 5,500 physicians with active staff privileges at its hospitals. At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence. Texas Health Highlights • 2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4th year in a row) • 2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4th year in a row) • 2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here: http://www.Click2Apply.net/qqjftx39k58bjd3p PI116655868
Oak Street Health
10688 Lorain Ave, Cleveland, OH 44111
Company: Oak Street Health
Title: Behavioral Health Specialist (LCSW)
Oak Street Health is a rapidly growing company of primary care centers for adults on Medicare in medically-underserved communities where there is little to no quality healthcare. Oak Street’s care is based on an entirely new model that is based on value for its patients, not on volume of services. The company is accountable for its patients’ health, spending more than twice as long with its patients and taking on the risks and costs of their care. For more information, visit http://www.oakstreethealth.com .
Role Description
The Behavioral Health Specialist is key resource for Care Teams across a region of Oak Street Health primary clinics. S/he is responsible for coordinating and supporting behavioral healthcare for our patients, in collaboration with Care Teams and a psychiatric consultant. The Behavioral Health Social Worker will assess the needs of patients, make referrals to appropriate behavioral health resources and specialists, and provide short-term counseling and evidence-based treatments as indicated.
Responsibilities
Collaborate with the primary care teams to identify appropriate patients to refer into the Oak Street Behavioral Health program
Screen and assess patients for common mental health and substance use disorders
Develop care plans and provide or facilitate referrals to Oak Street’s psychiatric consultant and/or external resources
Provide short-term counseling and evidence-based treatments
Coordinate care with Oak Street’s psychiatric consultant, including warm hand offs for telehealth visits and collaboration on care plans
Develop relationships with primary care teams and consistently communicate changes in behavioral health care plans
Accurate and timely documentation of patient encounters and counseling sessions in Oak Street’s electronic medical record
Participate in regional and organizational efforts to advance Oak Street’s Behavioral Health program through workshops, feedback sessions and surveys
Other duties, as assigned
What we’re looking for
We’re looking for motivated, experienced licensed clinical social workers with:
A problem-solving orientation and a flexible and positive attitude
Demonstrated ability to collaborate effectively in a team setting
Experience and passion for working with behavioral health conditions
Enthusiasm for working with older adults
Comfort supporting patients with co-occurring behavioral health and substance abuse issues
Experience with screening for common mental health and/or substance use disorders.
Experience with assessment and treatment planning for common mental health and/or substance use disorders
Working knowledge of differential diagnosis of common mental health and/or substance use disorders
Working knowledge of evidence-based psychosocial treatments for common mental health disorders
Familiarity with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation)
Proficient PC skills
US work authorization
Someone who embodies being “Oaky”. What it means to be OAKY:
Creating an unmatched patient experience
Driving clinical excellence
Taking ownership and driving for results
Being scrappy
Radiating positive energy
Assuming good intentions
Why Oak Street?
Oak Street Health offers our coworkers advantages that can’t be found in other clinical workplaces, including:
The opportunity to be part of a hyper-growth company, focused on changing the future of healthcare.
Paid vacation/sick time, retirement options, as well as health, vision and dental benefits
Brand new, beautiful working environment
High levels of responsibility and rapid advancement
Supportive and fun culture
Opportunity to be at the forefront of a revolution in healthcare
Why does Oak Street Health offer all of these benefits? Because we know what it takes to deliver the highest level of care, and our team deserves the best resources to succeed and enjoy their work. In return, we expect the best out of co-workers.
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers
Dec 13, 2019
Full time
Company: Oak Street Health
Title: Behavioral Health Specialist (LCSW)
Oak Street Health is a rapidly growing company of primary care centers for adults on Medicare in medically-underserved communities where there is little to no quality healthcare. Oak Street’s care is based on an entirely new model that is based on value for its patients, not on volume of services. The company is accountable for its patients’ health, spending more than twice as long with its patients and taking on the risks and costs of their care. For more information, visit http://www.oakstreethealth.com .
Role Description
The Behavioral Health Specialist is key resource for Care Teams across a region of Oak Street Health primary clinics. S/he is responsible for coordinating and supporting behavioral healthcare for our patients, in collaboration with Care Teams and a psychiatric consultant. The Behavioral Health Social Worker will assess the needs of patients, make referrals to appropriate behavioral health resources and specialists, and provide short-term counseling and evidence-based treatments as indicated.
Responsibilities
Collaborate with the primary care teams to identify appropriate patients to refer into the Oak Street Behavioral Health program
Screen and assess patients for common mental health and substance use disorders
Develop care plans and provide or facilitate referrals to Oak Street’s psychiatric consultant and/or external resources
Provide short-term counseling and evidence-based treatments
Coordinate care with Oak Street’s psychiatric consultant, including warm hand offs for telehealth visits and collaboration on care plans
Develop relationships with primary care teams and consistently communicate changes in behavioral health care plans
Accurate and timely documentation of patient encounters and counseling sessions in Oak Street’s electronic medical record
Participate in regional and organizational efforts to advance Oak Street’s Behavioral Health program through workshops, feedback sessions and surveys
Other duties, as assigned
What we’re looking for
We’re looking for motivated, experienced licensed clinical social workers with:
A problem-solving orientation and a flexible and positive attitude
Demonstrated ability to collaborate effectively in a team setting
Experience and passion for working with behavioral health conditions
Enthusiasm for working with older adults
Comfort supporting patients with co-occurring behavioral health and substance abuse issues
Experience with screening for common mental health and/or substance use disorders.
Experience with assessment and treatment planning for common mental health and/or substance use disorders
Working knowledge of differential diagnosis of common mental health and/or substance use disorders
Working knowledge of evidence-based psychosocial treatments for common mental health disorders
Familiarity with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation)
Proficient PC skills
US work authorization
Someone who embodies being “Oaky”. What it means to be OAKY:
Creating an unmatched patient experience
Driving clinical excellence
Taking ownership and driving for results
Being scrappy
Radiating positive energy
Assuming good intentions
Why Oak Street?
Oak Street Health offers our coworkers advantages that can’t be found in other clinical workplaces, including:
The opportunity to be part of a hyper-growth company, focused on changing the future of healthcare.
Paid vacation/sick time, retirement options, as well as health, vision and dental benefits
Brand new, beautiful working environment
High levels of responsibility and rapid advancement
Supportive and fun culture
Opportunity to be at the forefront of a revolution in healthcare
Why does Oak Street Health offer all of these benefits? Because we know what it takes to deliver the highest level of care, and our team deserves the best resources to succeed and enjoy their work. In return, we expect the best out of co-workers.
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers
Let’s do great things, together Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Moda is seeking a Request for Proposal (RFP) Supervisor. This position will be responsible for supervising and directing the sales & service request for proposal (RFP’s) functions and support staff. This includes providing day to day leadership, training and support to the RFP Specialists. Coordinates communication to internal staff, including executives, on 200+ quotes both in house and externally. In addition, this individual assists with the presentation of quotes regardless of size.. Primary Functions : 01. Supervise and direct RFP’s for new potential sales & service and in force groups. 02. Manage the RFP process associated with new quotes/layouts we haven’t seen before from the agencies we work with. 03. Lead project manager on special projects as assigned. 04. Lead sales and service proposal communication initiative/strategies internally and externally. 05. Responsible for new and ongoing departmental training and documentation around the quoting process. 06. Coach and motivate staff to provide exceptional service to all clients (internal and external). 07. Lead projects and facilitate communication between internal departments (and external clients if appropriate) to ensure productivity standards are exceeded and deadlines are met. 08. Provide management support in the absence of other sales and service management staff. 09. Work with the sales & service management teams to set proposal objectives and develop an annual marketing plan to meet those objectives. 10. Responsible for the review and developing our quoting literature. 11. Provide back-up support. 12. Perform other duties as assigned. Job Conditions: Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need.
Please apply directly here: https://j.brt.mv/ATS/jb.do?reqGK=27358401&refresh=true
Are you ready to be a betterist? If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Required Skills 01. Bachelor degree or equivalent, and 3-5 years marketing/sales/supervisory experience in the health insurance industry, specifically in the RFP arena. 02. Strong verbal, written, and interpersonal communication skills. 03. Strong statistical, analytical, problem solving, organizational, and detail orientation skills. 04. Strong project management and organization skills. 05. Strong creativity and vision. 06. Ability to lead, motivate and develop staff. 07. Ability to present internally. 08. Knowledge of Medical, Dental, Vision and Pharmacy insurance business as it relates to each specific 200+ quote. 09. Maintain confidentiality and project a professional business image. 10. Ability to work well under pressure; work with frequent interruptions, and shifting priorities. 11. Computer proficiency preferably with Microsoft Word, Excel, and PowerPoint. 12. Ability to work long, extended hours. At times may need to work through the night.
Dec 09, 2019
Full time
Let’s do great things, together Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Moda is seeking a Request for Proposal (RFP) Supervisor. This position will be responsible for supervising and directing the sales & service request for proposal (RFP’s) functions and support staff. This includes providing day to day leadership, training and support to the RFP Specialists. Coordinates communication to internal staff, including executives, on 200+ quotes both in house and externally. In addition, this individual assists with the presentation of quotes regardless of size.. Primary Functions : 01. Supervise and direct RFP’s for new potential sales & service and in force groups. 02. Manage the RFP process associated with new quotes/layouts we haven’t seen before from the agencies we work with. 03. Lead project manager on special projects as assigned. 04. Lead sales and service proposal communication initiative/strategies internally and externally. 05. Responsible for new and ongoing departmental training and documentation around the quoting process. 06. Coach and motivate staff to provide exceptional service to all clients (internal and external). 07. Lead projects and facilitate communication between internal departments (and external clients if appropriate) to ensure productivity standards are exceeded and deadlines are met. 08. Provide management support in the absence of other sales and service management staff. 09. Work with the sales & service management teams to set proposal objectives and develop an annual marketing plan to meet those objectives. 10. Responsible for the review and developing our quoting literature. 11. Provide back-up support. 12. Perform other duties as assigned. Job Conditions: Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need.
Please apply directly here: https://j.brt.mv/ATS/jb.do?reqGK=27358401&refresh=true
Are you ready to be a betterist? If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Required Skills 01. Bachelor degree or equivalent, and 3-5 years marketing/sales/supervisory experience in the health insurance industry, specifically in the RFP arena. 02. Strong verbal, written, and interpersonal communication skills. 03. Strong statistical, analytical, problem solving, organizational, and detail orientation skills. 04. Strong project management and organization skills. 05. Strong creativity and vision. 06. Ability to lead, motivate and develop staff. 07. Ability to present internally. 08. Knowledge of Medical, Dental, Vision and Pharmacy insurance business as it relates to each specific 200+ quote. 09. Maintain confidentiality and project a professional business image. 10. Ability to work well under pressure; work with frequent interruptions, and shifting priorities. 11. Computer proficiency preferably with Microsoft Word, Excel, and PowerPoint. 12. Ability to work long, extended hours. At times may need to work through the night.
Let’s do great things, together Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Moda Health is seeking a Case Manger RN to perform case management within the boundaries of accreditation organization standards to ensure appropriate care is delivered timely and within the appropriate setting for Moda members; interacts with the member, family and care providers to develop, coordinate and monitor the member’s treatment plan.
Primary Functions: • Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation. • Assessment: collection of in-depth information about a member’s situation and functioning to identify individual needs. • Planning: identification of specific objectives, goals, and actions designed to meet the member’s needs as identified in the assessment. • Implementation: execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan. • Coordination: organization, securing, integrating and modifying resources. • Monitoring: gathering sufficient information to determine the plan’s effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes. Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care. Utilizes evidence-based criteria that incorporates current and validated clinical research findings. Practices within the scope of their license. • Consults with physician advisers to ensure clinically appropriate determinations. • Serves as a resource to internal and external customers. • Applies clinical expertise and judgment to ensure compliance with medical policy and criteria of for accepted standards of care while performing Utilization Review and Service Authorizations for members of all books of business. • Collaborates with other departments to resolve claims, quality of care, member or provider issues. • Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts. • Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues. • Provides consistent, accurate and timely documentation. • Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines • Other duties and responsibilities as assigned
Working Condition: - Work is performed in office setting at Moda Tower in Downtown Portland, Oregon - Work week is Monday through Friday - Work in excess of standard work week to meet business needs may occur - Prolonged amount of sitting and working on PC with extensive keyboard and telephonic work daily - Occasional travel for meeting outside of the office - Ergonomic Assessment is provided for each employee upon hire and as needed ensuring work station is ergonomically correct and user-friendly
Please apply directly here: https://j.brt.mv/ATS/jb.do?reqGK=27362725&refresh=true
Are you ready to be a betterist? If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Required Skills 1. Graduate of accredited school of nursing; two, three or four-year program. 2. Requires current unrestricted Oregon Nursing license as a registered nurse or current Mental Health license or equivalent in Social Service. 3. Certification in case management or utilization review/management required or ability to obtain within 24 months of hire. 4. Must have 3 years recent hospital, home health or acute care experience. 5. Proficient with Microsoft Office applications and type a minimum of 35 wpm on a computer keyboard. 6. Strong analytical, problem solving, memory retention, organizational and detail orientation skills. 7. Exceptional verbal and interpersonal communication skills including management of the angry customer. 8. Ability to work well under pressure. 9. Project a professional business image telephonically and in person. 10. Ability to come in to work on time and on daily basis.
Dec 09, 2019
Full time
Let’s do great things, together Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Moda Health is seeking a Case Manger RN to perform case management within the boundaries of accreditation organization standards to ensure appropriate care is delivered timely and within the appropriate setting for Moda members; interacts with the member, family and care providers to develop, coordinate and monitor the member’s treatment plan.
Primary Functions: • Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation. • Assessment: collection of in-depth information about a member’s situation and functioning to identify individual needs. • Planning: identification of specific objectives, goals, and actions designed to meet the member’s needs as identified in the assessment. • Implementation: execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan. • Coordination: organization, securing, integrating and modifying resources. • Monitoring: gathering sufficient information to determine the plan’s effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes. Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care. Utilizes evidence-based criteria that incorporates current and validated clinical research findings. Practices within the scope of their license. • Consults with physician advisers to ensure clinically appropriate determinations. • Serves as a resource to internal and external customers. • Applies clinical expertise and judgment to ensure compliance with medical policy and criteria of for accepted standards of care while performing Utilization Review and Service Authorizations for members of all books of business. • Collaborates with other departments to resolve claims, quality of care, member or provider issues. • Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts. • Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues. • Provides consistent, accurate and timely documentation. • Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines • Other duties and responsibilities as assigned
Working Condition: - Work is performed in office setting at Moda Tower in Downtown Portland, Oregon - Work week is Monday through Friday - Work in excess of standard work week to meet business needs may occur - Prolonged amount of sitting and working on PC with extensive keyboard and telephonic work daily - Occasional travel for meeting outside of the office - Ergonomic Assessment is provided for each employee upon hire and as needed ensuring work station is ergonomically correct and user-friendly
Please apply directly here: https://j.brt.mv/ATS/jb.do?reqGK=27362725&refresh=true
Are you ready to be a betterist? If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Required Skills 1. Graduate of accredited school of nursing; two, three or four-year program. 2. Requires current unrestricted Oregon Nursing license as a registered nurse or current Mental Health license or equivalent in Social Service. 3. Certification in case management or utilization review/management required or ability to obtain within 24 months of hire. 4. Must have 3 years recent hospital, home health or acute care experience. 5. Proficient with Microsoft Office applications and type a minimum of 35 wpm on a computer keyboard. 6. Strong analytical, problem solving, memory retention, organizational and detail orientation skills. 7. Exceptional verbal and interpersonal communication skills including management of the angry customer. 8. Ability to work well under pressure. 9. Project a professional business image telephonically and in person. 10. Ability to come in to work on time and on daily basis.
Let’s do great things, together
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Moda Health is seeking a Director of Medical Provider Relations. This position is responsible for all aspects of provider contracting and network development for the Moda Health provider networks, including medical HMO, PPO, POS, Medicare and Medicaid in Oregon and Alaska; oversees the provider and hospital contracting process and leads network development for new networks; supports development of value based care network models, including risk based contracts and alternate payment models.
Primary Functions : 1. Works with the Vice President of Provider Strategy and Services to develop contracting and network strategies 2. Directs provider contracting with health systems, hospitals, IPA’s, individual physicians, clinics, ancillary providers, mental health, and chemical dependency providers for all Moda Health and Eastern Oregon CCO networks 3. Directs the development of new provider networks and maintenance of existing provider networks of physicians, hospitals and other providers with a focus on the development of Alaska provider networks. 4. Develops contracting strategies related to provider risk models and value based care models 5. Directs development of unit cost goals, including individual targets, and manages performance against unit cost budget, including implementation of cost containment initiatives 6. Works with Provider Analytics team to ensure provider contracts meet financial targets 7. Responsible for regulatory compliance (Medicare, Medicaid, and Commercial programs), related to provider contracts, including oversight for First Tier and delegated entities. 8. Responsible for representing Provider Contracting in internal projects and working with internal staff to resolve Provider Contracting issues and impacts, including coordinating departmental contracting and or network strategies with other departments. 9. Oversees provider rental networks and vendor relationships 10. Meets regularly with major providers to maintain ongoing provider relations. 11. Supports Value Based Care activities with providers, including interpreting risk settlements, clinical, and financial reporting related to contract models, and developing and tracking action plans to improve performance and outcomes 12. Performs other duties as assigned by the VP of Provider Strategy and Services.
Please apply directly here: https://j.brt.mv/ATS/jb.do?reqGK=27070133&refresh=true
Are you ready to be a betterist?
If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Required Skills 1. Bachelor degree in Business, Finance, or Health Care Administration or related field and 8 years of health insurance industry and supervisory experience. 2. At least 5 years of provider contracting experience in a management role 3. Understanding of physician, hospital, and ancillary provider contracts and reimbursement mechanisms, including risk mechanisms, capitation, and alternate payment models. 4. Experience with coordinated care models, ACOs, and Medicare innovation models 5. Deep understanding of provider revenue cycle 6. Ability to work well under pressure, work with frequent interruptions and handle shifting priorities. 7. Strong verbal, written and interpersonal communication skills. 8. Ability to lead, develop and motivate staff 9. Strong problem solving skills
Dec 09, 2019
Full time
Let’s do great things, together
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Moda Health is seeking a Director of Medical Provider Relations. This position is responsible for all aspects of provider contracting and network development for the Moda Health provider networks, including medical HMO, PPO, POS, Medicare and Medicaid in Oregon and Alaska; oversees the provider and hospital contracting process and leads network development for new networks; supports development of value based care network models, including risk based contracts and alternate payment models.
Primary Functions : 1. Works with the Vice President of Provider Strategy and Services to develop contracting and network strategies 2. Directs provider contracting with health systems, hospitals, IPA’s, individual physicians, clinics, ancillary providers, mental health, and chemical dependency providers for all Moda Health and Eastern Oregon CCO networks 3. Directs the development of new provider networks and maintenance of existing provider networks of physicians, hospitals and other providers with a focus on the development of Alaska provider networks. 4. Develops contracting strategies related to provider risk models and value based care models 5. Directs development of unit cost goals, including individual targets, and manages performance against unit cost budget, including implementation of cost containment initiatives 6. Works with Provider Analytics team to ensure provider contracts meet financial targets 7. Responsible for regulatory compliance (Medicare, Medicaid, and Commercial programs), related to provider contracts, including oversight for First Tier and delegated entities. 8. Responsible for representing Provider Contracting in internal projects and working with internal staff to resolve Provider Contracting issues and impacts, including coordinating departmental contracting and or network strategies with other departments. 9. Oversees provider rental networks and vendor relationships 10. Meets regularly with major providers to maintain ongoing provider relations. 11. Supports Value Based Care activities with providers, including interpreting risk settlements, clinical, and financial reporting related to contract models, and developing and tracking action plans to improve performance and outcomes 12. Performs other duties as assigned by the VP of Provider Strategy and Services.
Please apply directly here: https://j.brt.mv/ATS/jb.do?reqGK=27070133&refresh=true
Are you ready to be a betterist?
If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Required Skills 1. Bachelor degree in Business, Finance, or Health Care Administration or related field and 8 years of health insurance industry and supervisory experience. 2. At least 5 years of provider contracting experience in a management role 3. Understanding of physician, hospital, and ancillary provider contracts and reimbursement mechanisms, including risk mechanisms, capitation, and alternate payment models. 4. Experience with coordinated care models, ACOs, and Medicare innovation models 5. Deep understanding of provider revenue cycle 6. Ability to work well under pressure, work with frequent interruptions and handle shifting priorities. 7. Strong verbal, written and interpersonal communication skills. 8. Ability to lead, develop and motivate staff 9. Strong problem solving skills
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Progressive Care Unit.
The address is: 1600 Hospital Parkway Bedford, TX 76022
Salary range is Min. $26.50/hr. to Max. $50.40/hr. – based on relevant experience
Work Schedule
7P-7A with rotating weekends and holidays
Texas Health HEB is the only hospital in Northeast Tarrant County designated as a Level III Trauma Unit. The hospital is certified by The Joint Commission for Chest Pain and Heart Failure and as a Primary Stroke Center.The Progressive Care Unit has 28 total beds, renal, neuro, heart failure, DKA, respiratory failure with state of the art resources and equipment. Our Progressive/Intermediate Care Unit RN's provide care to patients that require close monitoring and frequent assessments that proactively manage life-threating/emergent situations. If you are PCU RN that is proficient in computer monitoring equipment, excels in patient care, seeking a team where you can learn and grow then you belong here. We have the Nursing Career Advancement Program and a very strong Unit Based Council. Texas Health also covers one job applicable initial certification and renewal. The Progressive Care Unit has a scheduling committee that ensures self-scheduling is fair and just within the unit – while having a UBC that is robust and very involved in process improvements.
The essential job duties of this position are: Delivers care to patients utilizing the Nursing Process • assesses the patient • plans the care of the patient • intervenes as appropriate • evaluates the effectiveness of interventions • Incorporates age specific safety/infection control measures into patient care. • Initiates action to meet patient and/or significant others need for information • Maintains continuity of patient care inter-shift, inter-hospital, and while expediting out of hospital transfers
The ideal candidate will possess the following qualifications • Associate's Degree Nursing RNs hired after January 2017 require completion of BSN within 2 years of start date. RNs hired between January 2014 and December 2016 require completion of BSN within 3 years of start date. Req
Bachelor's Degree Nursing preferred • (Required) 1 year of experience as a clinical nurse or completion of an RN residency program Required.
(Preferred) 2 years of step down, progressive care, cardio, cardio tele, observation, or intensive care experience in a hospital setting
Current RN licensure or compact licensure recognized by the Texas Board of nursing upon hire. • Current ACLS/BLS • CPI training 60 days req. Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism.
Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required.
Why Texas Health Resources?
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford is a 296-bed, acute-care facility serving Northeast Tarrant County since 1973. With more than 550 physicians on its medical staff, hospital services include outpatient surgery, women's services, a Level III neonatal intensive care unit, a dedicated oncology unit and cardiac rehabilitation. Texas Health HEB recently received a dual accreditation as a Cycle IV Chest Pain Center and Heart Failure Center by the Society of Chest Pain Centers, is certified as a Primary Stroke Center and a designated "Baby Friendly" facility by WHO and UNICEF. Our location brings the best of suburban living, offering you the benefits of convenience and solid career opportunities.
Texas Health Highlights
2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4th year in a row)
2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4th year in a row)
2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here
PI115900765
Nov 29, 2019
Full time
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Progressive Care Unit.
The address is: 1600 Hospital Parkway Bedford, TX 76022
Salary range is Min. $26.50/hr. to Max. $50.40/hr. – based on relevant experience
Work Schedule
7P-7A with rotating weekends and holidays
Texas Health HEB is the only hospital in Northeast Tarrant County designated as a Level III Trauma Unit. The hospital is certified by The Joint Commission for Chest Pain and Heart Failure and as a Primary Stroke Center.The Progressive Care Unit has 28 total beds, renal, neuro, heart failure, DKA, respiratory failure with state of the art resources and equipment. Our Progressive/Intermediate Care Unit RN's provide care to patients that require close monitoring and frequent assessments that proactively manage life-threating/emergent situations. If you are PCU RN that is proficient in computer monitoring equipment, excels in patient care, seeking a team where you can learn and grow then you belong here. We have the Nursing Career Advancement Program and a very strong Unit Based Council. Texas Health also covers one job applicable initial certification and renewal. The Progressive Care Unit has a scheduling committee that ensures self-scheduling is fair and just within the unit – while having a UBC that is robust and very involved in process improvements.
The essential job duties of this position are: Delivers care to patients utilizing the Nursing Process • assesses the patient • plans the care of the patient • intervenes as appropriate • evaluates the effectiveness of interventions • Incorporates age specific safety/infection control measures into patient care. • Initiates action to meet patient and/or significant others need for information • Maintains continuity of patient care inter-shift, inter-hospital, and while expediting out of hospital transfers
The ideal candidate will possess the following qualifications • Associate's Degree Nursing RNs hired after January 2017 require completion of BSN within 2 years of start date. RNs hired between January 2014 and December 2016 require completion of BSN within 3 years of start date. Req
Bachelor's Degree Nursing preferred • (Required) 1 year of experience as a clinical nurse or completion of an RN residency program Required.
(Preferred) 2 years of step down, progressive care, cardio, cardio tele, observation, or intensive care experience in a hospital setting
Current RN licensure or compact licensure recognized by the Texas Board of nursing upon hire. • Current ACLS/BLS • CPI training 60 days req. Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism.
Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required.
Why Texas Health Resources?
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford is a 296-bed, acute-care facility serving Northeast Tarrant County since 1973. With more than 550 physicians on its medical staff, hospital services include outpatient surgery, women's services, a Level III neonatal intensive care unit, a dedicated oncology unit and cardiac rehabilitation. Texas Health HEB recently received a dual accreditation as a Cycle IV Chest Pain Center and Heart Failure Center by the Society of Chest Pain Centers, is certified as a Primary Stroke Center and a designated "Baby Friendly" facility by WHO and UNICEF. Our location brings the best of suburban living, offering you the benefits of convenience and solid career opportunities.
Texas Health Highlights
2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4th year in a row)
2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4th year in a row)
2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here
PI115900765
AACI is a community health organization dedicated to serving the wellness needs of our community utilizing a strength based, client centered, and culturally sensitive approach.
Why work at AACI?!
Flexible hours, possibility for Part-Time.
Licensed counselors at AACI are eligible for the HRSA student loan repayment program!
Opportunities for growth and supervision experience!
You’ll get 11 paid holidays, your birthday off, and paid Vacation and Sick Time!
We pay licensing fees and offer many training and FREE CEU opportunities.
Sign on bonus!
You’ll like working here, AACI was named one of the Bay Area’s Top Workplaces of 2019!
The Integrated Behavioral Health Counselor works with primary care providers, nurses, and psychiatrists as a team address the needs of patients and support their overall wellness. This position offers counselors the opportunity to collaborate with multi-disciplinary team (AACI’s primary care providers, nurses, medical assistants, and psychiatrist) to coordinate care for each patient on your caseload.
Licensed Clinical Social Worker (LCSW) OR Clinical Psychologist (PSY) in good professional standing with experience providing various evidenced-based treatments and clinical experience working with all ages are encouraged to apply!
Apply Now https://aaci.freshteam.com/jobs
Nov 27, 2019
Full time
AACI is a community health organization dedicated to serving the wellness needs of our community utilizing a strength based, client centered, and culturally sensitive approach.
Why work at AACI?!
Flexible hours, possibility for Part-Time.
Licensed counselors at AACI are eligible for the HRSA student loan repayment program!
Opportunities for growth and supervision experience!
You’ll get 11 paid holidays, your birthday off, and paid Vacation and Sick Time!
We pay licensing fees and offer many training and FREE CEU opportunities.
Sign on bonus!
You’ll like working here, AACI was named one of the Bay Area’s Top Workplaces of 2019!
The Integrated Behavioral Health Counselor works with primary care providers, nurses, and psychiatrists as a team address the needs of patients and support their overall wellness. This position offers counselors the opportunity to collaborate with multi-disciplinary team (AACI’s primary care providers, nurses, medical assistants, and psychiatrist) to coordinate care for each patient on your caseload.
Licensed Clinical Social Worker (LCSW) OR Clinical Psychologist (PSY) in good professional standing with experience providing various evidenced-based treatments and clinical experience working with all ages are encouraged to apply!
Apply Now https://aaci.freshteam.com/jobs
Are you a Behavioral Health Professional looking for a direct approach to support youth in the foster care system and their families?
AACI is a community health organization serving the marginalized communities in Santa Clara County. Recently AACI received a new grant allowing us to start a Katie A program allowing us to expand our services to include youth in the foster care system and hire more Behavioral Health professionals!
We provide employees with:
Flexible schedule
Professional development opportunities
Access to training and clinical supervision hours
Learning management system with free CEUs
Licensed providers eligible for student loan assistance
Paid annual license fee
Experienced clinical guidance and a supportive environment
Additional pay for bilingual staff
We offer convenient freeway access, bagel Mondays, delicious coffee and excellent benefits! 403(b) retirement plan with match and AACI pays 95% of benefit premiums for full time staff and 50% of dependent benefits.
The ideal candidate has:
Master’s Degree or higher in Social Work or Clinical Psychology (Required)
Experience with short-term models of psychotherapy
Ability to communicate well with people of diverse cultural backgrounds
Ability to learn and apply clinical skills within the various Asian/Pacific Islander and Latino cultures of the local community
Ability to possess and maintain a valid CA Driver’s License, must have suitable vehicle for agency travel and current automobile insurance.
Excellent verbal and written skills
Ability to establish and maintain effective work relationships as part of an integrated treatment team
Bilingual in an Asian language or Spanish highly desired
Apply Now: https://aaci.freshteam.com/jobs
Apply now and help us strengthen the hope and resilience of our community members by improving their health, mental health and well-being!
Nov 27, 2019
Full time
Are you a Behavioral Health Professional looking for a direct approach to support youth in the foster care system and their families?
AACI is a community health organization serving the marginalized communities in Santa Clara County. Recently AACI received a new grant allowing us to start a Katie A program allowing us to expand our services to include youth in the foster care system and hire more Behavioral Health professionals!
We provide employees with:
Flexible schedule
Professional development opportunities
Access to training and clinical supervision hours
Learning management system with free CEUs
Licensed providers eligible for student loan assistance
Paid annual license fee
Experienced clinical guidance and a supportive environment
Additional pay for bilingual staff
We offer convenient freeway access, bagel Mondays, delicious coffee and excellent benefits! 403(b) retirement plan with match and AACI pays 95% of benefit premiums for full time staff and 50% of dependent benefits.
The ideal candidate has:
Master’s Degree or higher in Social Work or Clinical Psychology (Required)
Experience with short-term models of psychotherapy
Ability to communicate well with people of diverse cultural backgrounds
Ability to learn and apply clinical skills within the various Asian/Pacific Islander and Latino cultures of the local community
Ability to possess and maintain a valid CA Driver’s License, must have suitable vehicle for agency travel and current automobile insurance.
Excellent verbal and written skills
Ability to establish and maintain effective work relationships as part of an integrated treatment team
Bilingual in an Asian language or Spanish highly desired
Apply Now: https://aaci.freshteam.com/jobs
Apply now and help us strengthen the hope and resilience of our community members by improving their health, mental health and well-being!
J oin us in our mission to strengthening the hope and resilience of our community members by improving their health, mental health and well-being.
The Nurse Manager manages both of our primary care clinics including assisting the Medical Director and other providers with patient care, maintaining, developing and monitoring clinical protocol, and supervising clinic registered nurses and other ancillary staff. The Nurse Manager will also conduct health education, provide nursing services to clients, and promote the well-being of clients. Duties include triaging incoming calls; providing nursing advice to callers; arranging for health screenings, and maintaining client assessment and progress notes.
We provide our employees:
11 Paid Holidays and your Birthday off!
Paid Vacation and Sick time
Comprehensive benefit plan with four Health Plan Options
403(b) Retirement Plan with match
Professional development opportunities
Eligibility for student loan repayment assistance
Sign on bonus
AACI named Bay Area Top Workplaces 2019
The ideal candidate:
Registered Nurse license from California
Two years nursing experience
Strong verbal and written communication skills
Working knowledge of health promotion techniques and health issues
Bilingual preferred
Apply now and join a great team of caring people.
Nov 26, 2019
Full time
J oin us in our mission to strengthening the hope and resilience of our community members by improving their health, mental health and well-being.
The Nurse Manager manages both of our primary care clinics including assisting the Medical Director and other providers with patient care, maintaining, developing and monitoring clinical protocol, and supervising clinic registered nurses and other ancillary staff. The Nurse Manager will also conduct health education, provide nursing services to clients, and promote the well-being of clients. Duties include triaging incoming calls; providing nursing advice to callers; arranging for health screenings, and maintaining client assessment and progress notes.
We provide our employees:
11 Paid Holidays and your Birthday off!
Paid Vacation and Sick time
Comprehensive benefit plan with four Health Plan Options
403(b) Retirement Plan with match
Professional development opportunities
Eligibility for student loan repayment assistance
Sign on bonus
AACI named Bay Area Top Workplaces 2019
The ideal candidate:
Registered Nurse license from California
Two years nursing experience
Strong verbal and written communication skills
Working knowledge of health promotion techniques and health issues
Bilingual preferred
Apply now and join a great team of caring people.
Texas Health Resources
1600 Hospital Parkway, Bedford, TX, USA
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Progressive Care Unit.
The address is: 1600 Hospital Parkway Bedford, TX 76022
Salary range is Min. $26.50/hr. to Max. $50.40/hr. – based on relevant experience
Work Schedule
7P-7A with rotating weekends and holidays
Texas Health HEB is the only hospital in Northeast Tarrant County designated as a Level III Trauma Unit. The hospital is certified by The Joint Commission for Chest Pain and Heart Failure and as a Primary Stroke Center.The Progressive Care Unit has 28 total beds, renal, neuro, heart failure, DKA, respiratory failure with state of the art resources and equipment. Our Progressive/Intermediate Care Unit RN's provide care to patients that require close monitoring and frequent assessments that proactively manage life-threating/emergent situations. If you are PCU RN that is proficient in computer monitoring equipment, excels in patient care, seeking a team where you can learn and grow then you belong here. We have the Nursing Career Advancement Program and a very strong Unit Based Council. Texas Health also covers one job applicable initial certification and renewal. The Progressive Care Unit has a scheduling committee that ensures self-scheduling is fair and just within the unit – while having a UBC that is robust and very involved in process improvements.
The essential job duties of this position are: Delivers care to patients utilizing the Nursing Process • assesses the patient • plans the care of the patient • intervenes as appropriate • evaluates the effectiveness of interventions • Incorporates age specific safety/infection control measures into patient care. • Initiates action to meet patient and/or significant others need for information • Maintains continuity of patient care inter-shift, inter-hospital, and while expediting out of hospital transfers
The ideal candidate will possess the following qualifications • Associate's Degree Nursing RNs hired after January 2017 require completion of BSN within 2 years of start date. RNs hired between January 2014 and December 2016 require completion of BSN within 3 years of start date. Req
Bachelor's Degree Nursing preferred • (Required) 1 year of experience as a clinical nurse or completion of an RN residency program Required.
(Preferred) 2 years of step down, progressive care, cardio, cardio tele, observation, or intensive care experience in a hospital setting
Current RN licensure or compact licensure recognized by the Texas Board of nursing upon hire. • Current ACLS/BLS • CPI training 60 days req. Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism.
Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required.
Why Texas Health Resources?
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford is a 296-bed, acute-care facility serving Northeast Tarrant County since 1973. With more than 550 physicians on its medical staff, hospital services include outpatient surgery, women's services, a Level III neonatal intensive care unit, a dedicated oncology unit and cardiac rehabilitation. Texas Health HEB recently received a dual accreditation as a Cycle IV Chest Pain Center and Heart Failure Center by the Society of Chest Pain Centers, is certified as a Primary Stroke Center and a designated "Baby Friendly" facility by WHO and UNICEF. Our location brings the best of suburban living, offering you the benefits of convenience and solid career opportunities.
Texas Health Highlights
2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4th year in a row)
2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4th year in a row)
2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here
PI115018122
Nov 01, 2019
Full time
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Progressive Care Unit.
The address is: 1600 Hospital Parkway Bedford, TX 76022
Salary range is Min. $26.50/hr. to Max. $50.40/hr. – based on relevant experience
Work Schedule
7P-7A with rotating weekends and holidays
Texas Health HEB is the only hospital in Northeast Tarrant County designated as a Level III Trauma Unit. The hospital is certified by The Joint Commission for Chest Pain and Heart Failure and as a Primary Stroke Center.The Progressive Care Unit has 28 total beds, renal, neuro, heart failure, DKA, respiratory failure with state of the art resources and equipment. Our Progressive/Intermediate Care Unit RN's provide care to patients that require close monitoring and frequent assessments that proactively manage life-threating/emergent situations. If you are PCU RN that is proficient in computer monitoring equipment, excels in patient care, seeking a team where you can learn and grow then you belong here. We have the Nursing Career Advancement Program and a very strong Unit Based Council. Texas Health also covers one job applicable initial certification and renewal. The Progressive Care Unit has a scheduling committee that ensures self-scheduling is fair and just within the unit – while having a UBC that is robust and very involved in process improvements.
The essential job duties of this position are: Delivers care to patients utilizing the Nursing Process • assesses the patient • plans the care of the patient • intervenes as appropriate • evaluates the effectiveness of interventions • Incorporates age specific safety/infection control measures into patient care. • Initiates action to meet patient and/or significant others need for information • Maintains continuity of patient care inter-shift, inter-hospital, and while expediting out of hospital transfers
The ideal candidate will possess the following qualifications • Associate's Degree Nursing RNs hired after January 2017 require completion of BSN within 2 years of start date. RNs hired between January 2014 and December 2016 require completion of BSN within 3 years of start date. Req
Bachelor's Degree Nursing preferred • (Required) 1 year of experience as a clinical nurse or completion of an RN residency program Required.
(Preferred) 2 years of step down, progressive care, cardio, cardio tele, observation, or intensive care experience in a hospital setting
Current RN licensure or compact licensure recognized by the Texas Board of nursing upon hire. • Current ACLS/BLS • CPI training 60 days req. Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism.
Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required.
Why Texas Health Resources?
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford is a 296-bed, acute-care facility serving Northeast Tarrant County since 1973. With more than 550 physicians on its medical staff, hospital services include outpatient surgery, women's services, a Level III neonatal intensive care unit, a dedicated oncology unit and cardiac rehabilitation. Texas Health HEB recently received a dual accreditation as a Cycle IV Chest Pain Center and Heart Failure Center by the Society of Chest Pain Centers, is certified as a Primary Stroke Center and a designated "Baby Friendly" facility by WHO and UNICEF. Our location brings the best of suburban living, offering you the benefits of convenience and solid career opportunities.
Texas Health Highlights
2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4th year in a row)
2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4th year in a row)
2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here
PI115018122
The Oregon Health Authority has a fantastic opportunity for an experienced Auditor to join an excellent team and work to advance their Medicaid Program Operations. The Oregon Health Authority promotes health equity by developing policies and programs to eliminate health disparities and reach health equity for all Oregonians.
What you will do!
As a Financial Auditor, you will be part of the Oregon Health Authority (OHA) Fiscal and Operations Division and the Office of Program Integrity Audit Unit. The mission of the unit is to assure program integrity of the Medicaid program.
In this role, you will perform large and complex compliance and financial audits of organizations, businesses, and private and public providers participating in Medicaid programs. The audit function is designed to deter medical program fraud and abuse, and to monitor and ensure provider compliance with Federal, State, and Agency rules and regulations.
What's in it for you? Collaboration in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year. If you are an experienced Auditor , don't delay, apply today!
WHAT WE ARE LOOKING FOR:
(a) A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, or computer science; AND Three (3) years of auditing experience. OR (b) Twenty (20) quarter hours of college courses in a business or financial field; AND Five (5) years of auditing experience. OR (c) Successful completion of the duties and training as an Oregon Governmental Auditor AND A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, or computer science; AND Two (2) years of auditing experience. OR (d) Successful completion of the duties and training as an Oregon Governmental Auditor AND Twenty (20) quarter hours of college courses in a business or financial field; AND Four (4) years of auditing experience.
Extensive knowledge of auditing techniques such as financial auditing, analytical review procedures, statistical sampling and/or data mining methodologies.
Experience in account analysis, reconciliation methods, flowcharting and/or paperwork preparation.
Experience in risk analysis for evaluation of internal and management controls.
Extensive knowledge of auditing procedures for researching, writing and finalizing audits.
Extensive knowledge of agency programs and the medical provider community.
Experience conducting confidential and/or specialized investigations such as healthcare fraud and/or financial fraud.
Outstanding customer service skills for both internal and external customers.
Excellent written and verbal communication and presentation skills.
Experience in promoting a culturally competent and diverse work environment.
Sep 30, 2019
Full time
The Oregon Health Authority has a fantastic opportunity for an experienced Auditor to join an excellent team and work to advance their Medicaid Program Operations. The Oregon Health Authority promotes health equity by developing policies and programs to eliminate health disparities and reach health equity for all Oregonians.
What you will do!
As a Financial Auditor, you will be part of the Oregon Health Authority (OHA) Fiscal and Operations Division and the Office of Program Integrity Audit Unit. The mission of the unit is to assure program integrity of the Medicaid program.
In this role, you will perform large and complex compliance and financial audits of organizations, businesses, and private and public providers participating in Medicaid programs. The audit function is designed to deter medical program fraud and abuse, and to monitor and ensure provider compliance with Federal, State, and Agency rules and regulations.
What's in it for you? Collaboration in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year. If you are an experienced Auditor , don't delay, apply today!
WHAT WE ARE LOOKING FOR:
(a) A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, or computer science; AND Three (3) years of auditing experience. OR (b) Twenty (20) quarter hours of college courses in a business or financial field; AND Five (5) years of auditing experience. OR (c) Successful completion of the duties and training as an Oregon Governmental Auditor AND A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, or computer science; AND Two (2) years of auditing experience. OR (d) Successful completion of the duties and training as an Oregon Governmental Auditor AND Twenty (20) quarter hours of college courses in a business or financial field; AND Four (4) years of auditing experience.
Extensive knowledge of auditing techniques such as financial auditing, analytical review procedures, statistical sampling and/or data mining methodologies.
Experience in account analysis, reconciliation methods, flowcharting and/or paperwork preparation.
Experience in risk analysis for evaluation of internal and management controls.
Extensive knowledge of auditing procedures for researching, writing and finalizing audits.
Extensive knowledge of agency programs and the medical provider community.
Experience conducting confidential and/or specialized investigations such as healthcare fraud and/or financial fraud.
Outstanding customer service skills for both internal and external customers.
Excellent written and verbal communication and presentation skills.
Experience in promoting a culturally competent and diverse work environment.
Are you a Behavioral Health Professional licensed or close to licensure looking for an opportunity to oversee a program for youth in the foster care system and their families?
AACI is a community health organization serving the marginalized communities in Santa Clara County. Recently AACI received a new grant allowing us to start a Katie A program allowing us to expand our services to include youth in the foster care system and hire more Behavioral Health professionals!
We provide employees with:
Flexible schedule
Professional development opportunities
Access to training and clinical supervision hours
Learning management system with free CEUs
Licensed providers eligible for student loan assistance
Paid annual license fee
Experienced clinical guidance and a supportive environment.
Additional pay for bilingual staff
We offer convenient freeway access, bagel Mondays, delicious coffee and excellent benefits! 403(b) retirement plan with match and AACI pays 95% of benefit premiums for full time staff and 50% of dependent benefits.
The ideal candidate has:
Master’s Degree in Social Work, Psychology, Clinical Counseling, Marriage and Family Therapy or Ph.D/Psy. D
Licensed or close to licensure.(LMFT, LPCC, CA Licensed Psychologists (PSY), Licensed Clinical Social Worker (LCSW) or equivalent mental health related license.
Five or more years of experience in the Behavioral Health field.
Working knowledge of DSMV and experience with dual diagnoses.
Experience working with youth and families.
Experience working with intensive cases such as Katie A is desired
Ability to establish and maintain effective work relationships as part of a multi-disciplinary team.
Knowledge of laws and ethical standards pertaining to clinical care.
Bilingual in an Asian language or Spanish highly desired
For a full job description: https://aaci.org/behavioral-health-program-coordinator/
Apply now and help us strengthen the hope and resilience of our community members by improving their health, mental health and well-being!
Sep 18, 2019
Full time
Are you a Behavioral Health Professional licensed or close to licensure looking for an opportunity to oversee a program for youth in the foster care system and their families?
AACI is a community health organization serving the marginalized communities in Santa Clara County. Recently AACI received a new grant allowing us to start a Katie A program allowing us to expand our services to include youth in the foster care system and hire more Behavioral Health professionals!
We provide employees with:
Flexible schedule
Professional development opportunities
Access to training and clinical supervision hours
Learning management system with free CEUs
Licensed providers eligible for student loan assistance
Paid annual license fee
Experienced clinical guidance and a supportive environment.
Additional pay for bilingual staff
We offer convenient freeway access, bagel Mondays, delicious coffee and excellent benefits! 403(b) retirement plan with match and AACI pays 95% of benefit premiums for full time staff and 50% of dependent benefits.
The ideal candidate has:
Master’s Degree in Social Work, Psychology, Clinical Counseling, Marriage and Family Therapy or Ph.D/Psy. D
Licensed or close to licensure.(LMFT, LPCC, CA Licensed Psychologists (PSY), Licensed Clinical Social Worker (LCSW) or equivalent mental health related license.
Five or more years of experience in the Behavioral Health field.
Working knowledge of DSMV and experience with dual diagnoses.
Experience working with youth and families.
Experience working with intensive cases such as Katie A is desired
Ability to establish and maintain effective work relationships as part of a multi-disciplinary team.
Knowledge of laws and ethical standards pertaining to clinical care.
Bilingual in an Asian language or Spanish highly desired
For a full job description: https://aaci.org/behavioral-health-program-coordinator/
Apply now and help us strengthen the hope and resilience of our community members by improving their health, mental health and well-being!
Are you looking for a more direct approach to support your community?
AACI is looking for a Medical Assistant. We are a community health organization serving the marginalized communities in Santa Clara County. We provide employees with professional development opportunities, and a supportive environment with an onsite mindfulness room. We offer convenient freeway access, bagel Mondays, and excellent coffee! AACI pays 95% of benefit premiums for full time staff and 50% of dependent benefits.
The Medical Assistant assists physicians and nurses in all aspects of medical practice delivery in our Health Clinic as appropriate for the role.
The Ideal Candidate:
Has a Certificate of completion of Medical Assisting Program (Front and Back Office procedures) including the completion of instructions in injections, skin tests and withdrawal of blood.
An Active/current Board certification with one of the following: AAMA, AMCA, AMT, CCBMA, or MMCI
1-4 years of experience in health center setting is ideal.
Fluency in Vietnamese preferred.
Apply now and help us strengthen the hope and resilience of our community members by improving their health, mental health and well-being!
For a full job description: https://aaci.org/medical-assistant/
Sep 18, 2019
Full time
Are you looking for a more direct approach to support your community?
AACI is looking for a Medical Assistant. We are a community health organization serving the marginalized communities in Santa Clara County. We provide employees with professional development opportunities, and a supportive environment with an onsite mindfulness room. We offer convenient freeway access, bagel Mondays, and excellent coffee! AACI pays 95% of benefit premiums for full time staff and 50% of dependent benefits.
The Medical Assistant assists physicians and nurses in all aspects of medical practice delivery in our Health Clinic as appropriate for the role.
The Ideal Candidate:
Has a Certificate of completion of Medical Assisting Program (Front and Back Office procedures) including the completion of instructions in injections, skin tests and withdrawal of blood.
An Active/current Board certification with one of the following: AAMA, AMCA, AMT, CCBMA, or MMCI
1-4 years of experience in health center setting is ideal.
Fluency in Vietnamese preferred.
Apply now and help us strengthen the hope and resilience of our community members by improving their health, mental health and well-being!
For a full job description: https://aaci.org/medical-assistant/
Are you a Behavioral Health Professional looking for a direct approach to support youth in the foster care system and their families?
AACI is a community health organization serving the marginalized communities in Santa Clara County. Recently AACI received a new grant allowing us to start a Katie A program allowing us to expand our services to include youth in the foster care system and hire more Behavioral Health professionals!
We provide employees with:
Flexible schedule
Professional development opportunities
Access to training and clinical supervision hours
Learning management system with free CEUs
Licensed providers eligible for student loan assistance
Paid annual license fee
Experienced clinical guidance and a supportive environment
Additional pay for bilingual staff
We offer convenient freeway access, bagel Mondays, delicious coffee and excellent benefits! 403(b) retirement plan with match and AACI pays 95% of benefit premiums for full time staff and 50% of dependent benefits.
The ideal candidate has:
BA/BS degree in a related area or equivalent training and experience that would provide the ability to perform the duties described above
Two years of directly related experience
Familiarity with community based resources
High level of interpersonal skills
Excellent problem-solving and organizational skills
Ability to work independently as needed.
Computer literate
Comfortable working with diverse ethnic backgrounds and language groups
English Language proficiency
Ability to handle data with confidentiality
Ability to establish and maintain effective work relationships
Ability to work occasion nights and weekends
Ability to possess and maintain a valid CA Driver’s License, must have suitable vehicle for agency travel and current automobile insurance.
Fluent in Spanish or Vietnamese highly desired
To Apply: https://aaci.org/case-worker/
Apply now and help us strengthen the hope and resilience of our community members by improving their health, mental health and well-being!
Sep 18, 2019
Full time
Are you a Behavioral Health Professional looking for a direct approach to support youth in the foster care system and their families?
AACI is a community health organization serving the marginalized communities in Santa Clara County. Recently AACI received a new grant allowing us to start a Katie A program allowing us to expand our services to include youth in the foster care system and hire more Behavioral Health professionals!
We provide employees with:
Flexible schedule
Professional development opportunities
Access to training and clinical supervision hours
Learning management system with free CEUs
Licensed providers eligible for student loan assistance
Paid annual license fee
Experienced clinical guidance and a supportive environment
Additional pay for bilingual staff
We offer convenient freeway access, bagel Mondays, delicious coffee and excellent benefits! 403(b) retirement plan with match and AACI pays 95% of benefit premiums for full time staff and 50% of dependent benefits.
The ideal candidate has:
BA/BS degree in a related area or equivalent training and experience that would provide the ability to perform the duties described above
Two years of directly related experience
Familiarity with community based resources
High level of interpersonal skills
Excellent problem-solving and organizational skills
Ability to work independently as needed.
Computer literate
Comfortable working with diverse ethnic backgrounds and language groups
English Language proficiency
Ability to handle data with confidentiality
Ability to establish and maintain effective work relationships
Ability to work occasion nights and weekends
Ability to possess and maintain a valid CA Driver’s License, must have suitable vehicle for agency travel and current automobile insurance.
Fluent in Spanish or Vietnamese highly desired
To Apply: https://aaci.org/case-worker/
Apply now and help us strengthen the hope and resilience of our community members by improving their health, mental health and well-being!
Kilbarchan IRTS (Intensive Residential Treatment Service Unit) in Paterson, NJ provides a secure, safe therapeutic environment for high-risk boys and girls, ages 14-17, with severe impairment of social functioning, behavioral challenges and mental health disorders. Currently hiring a Clinical Case manager.
Clinical Case Manager's duties not limited:
To assist youth and their families in identifying, accessing and receiving appropriate mental health and other services in a timely, efficient and effective manner.
Participate in the assessment, evaluation and treatment to clients and families under supervision of a licensed social worker.
Compile psychosocial history.
Develop individual services plans in conjunction with collaborative agencies, staff, guardians and clients. Participate in counseling services to client, treatment home parents and natural parents. Provide group therapy weekly. Client-centered advocacy, assessing and assuring that quality care is given.
Provide referral and linkage to ancillary and or specialized treatment services and interventions. Represent the clients on the agency’s behalf on screening, placement, court appearances and any other issues.
Requirements:
Master's degree in social work
NJ State Social Work License: LSW, LCSW, LAC, or LPC
Experience working with youth in a behavioral/Institutional setting
Bi-lingual preferred
Authorization to work in the United States
Sep 18, 2019
Full time
Kilbarchan IRTS (Intensive Residential Treatment Service Unit) in Paterson, NJ provides a secure, safe therapeutic environment for high-risk boys and girls, ages 14-17, with severe impairment of social functioning, behavioral challenges and mental health disorders. Currently hiring a Clinical Case manager.
Clinical Case Manager's duties not limited:
To assist youth and their families in identifying, accessing and receiving appropriate mental health and other services in a timely, efficient and effective manner.
Participate in the assessment, evaluation and treatment to clients and families under supervision of a licensed social worker.
Compile psychosocial history.
Develop individual services plans in conjunction with collaborative agencies, staff, guardians and clients. Participate in counseling services to client, treatment home parents and natural parents. Provide group therapy weekly. Client-centered advocacy, assessing and assuring that quality care is given.
Provide referral and linkage to ancillary and or specialized treatment services and interventions. Represent the clients on the agency’s behalf on screening, placement, court appearances and any other issues.
Requirements:
Master's degree in social work
NJ State Social Work License: LSW, LCSW, LAC, or LPC
Experience working with youth in a behavioral/Institutional setting
Bi-lingual preferred
Authorization to work in the United States
The YCS George Washington School in Hackensack is a NJ Department of Education approved private school for classified students with behavioral, emotional and social challenges. We have been successfully educating students ages 5 - 15, grades K - 9, for over 30 years.
The school is currently hiring a Certified School Nurse.
Duties are and not limited too:
Responsible for providing coverage as the nurse within George Washington School.
Provide medical care, promote health maintenance and to provide health education to students.
Requirements:
Valid NJ Registered Nurse License
Valid School Nurse Certification
Bi-lingual Preferred
Must be Authorized to work in the US
Sep 18, 2019
Full time
The YCS George Washington School in Hackensack is a NJ Department of Education approved private school for classified students with behavioral, emotional and social challenges. We have been successfully educating students ages 5 - 15, grades K - 9, for over 30 years.
The school is currently hiring a Certified School Nurse.
Duties are and not limited too:
Responsible for providing coverage as the nurse within George Washington School.
Provide medical care, promote health maintenance and to provide health education to students.
Requirements:
Valid NJ Registered Nurse License
Valid School Nurse Certification
Bi-lingual Preferred
Must be Authorized to work in the US
Oregon State Hospital
Oregon State Hospital, Center Street Northeast, Salem, OR, USA
NOTE: For you to be considered for this position, you will need to apply at the link listed at the bottom of this announcement.
JOB TYPE: Permanent, Full-Time
SALARY: $5,872.00 - $8,613.00 per month
LOCATION: Salem, Oregon
AGENCY: Oregon Health Authority-Oregon State Hospital
The Oregon State Hospital is excited to announce an opportunity for a Forensic Evaluator to join their campus located in Junction City, Oregon.
What you will do:
You will prepare reports for courts throughout Oregon based on Oregon Statutes as well as provide expert testimony in Oregon Courts. You will determine potential risk and make treatment recommendations relevant to the individuals assessed.
What we are looking for:
A doctoral degree in Clinical Psychology from an APA accredited university; AND completion of a one-year internship in Psychology.
An Oregon license to practice psychology (by start date) and be fully certified by the first OHA forensic certification training course offered after date of hire.
APA accredited forensic internship and/or postdoctoral fellowship in forensic psychology.
Experience doing both capacity to stand trial and criminal responsibility evaluations.
Experience in advancing health equity, addressing systemic health disparities and collaborating with diverse, vulnerable and underrepresented populations.
Interested?
For more information and/or to apply, please visit the provided link
Sep 12, 2019
Full time
NOTE: For you to be considered for this position, you will need to apply at the link listed at the bottom of this announcement.
JOB TYPE: Permanent, Full-Time
SALARY: $5,872.00 - $8,613.00 per month
LOCATION: Salem, Oregon
AGENCY: Oregon Health Authority-Oregon State Hospital
The Oregon State Hospital is excited to announce an opportunity for a Forensic Evaluator to join their campus located in Junction City, Oregon.
What you will do:
You will prepare reports for courts throughout Oregon based on Oregon Statutes as well as provide expert testimony in Oregon Courts. You will determine potential risk and make treatment recommendations relevant to the individuals assessed.
What we are looking for:
A doctoral degree in Clinical Psychology from an APA accredited university; AND completion of a one-year internship in Psychology.
An Oregon license to practice psychology (by start date) and be fully certified by the first OHA forensic certification training course offered after date of hire.
APA accredited forensic internship and/or postdoctoral fellowship in forensic psychology.
Experience doing both capacity to stand trial and criminal responsibility evaluations.
Experience in advancing health equity, addressing systemic health disparities and collaborating with diverse, vulnerable and underrepresented populations.
Interested?
For more information and/or to apply, please visit the provided link
Warbird Consulting Partners, LLC
Albany, New York, United States, 12084
Warbird Consulting Partners is seeking qualified candidates to be considered for a full-time position as Regional Director of Patient Access. This individual will be responsible for managing all aspects of the assigned Region's Patient Access operations. Directs, oversees and manages Scheduling, Pre-Service functions including point-of-service, NoVA (Notification, Verification, and Authorization), and Financial Clearance and/or Registration, Admissions, and Benefit Advocacy. Responsible for developing, modifying and maintaining policies; continually seeking mechanisms to streamline and automate processes, and building and maintaining external and internal customer relationships.
Key Responsibilities
Provides financial management, leadership and expertise in managing all details of assigned operations and works in conjunction with other departments, including but not limited to clinical services, managed care contracts, Patient Business Service (PBS) center, information services (TIS), general accounting, and other service areas to ensure that the financial and customer service goals are accomplished
Responsible for systematic approaches that contribute to accurate capture of patient data, point of service collections, exceptional customer service and ongoing optimization of processes and people
Identifies, facilitates and builds system and process standardization, utilization of best practices, work integration, change management, issue resolution, metric development and measurement, and communications for an assigned region
Directs, coordinates and synchronizes the work efforts of geographically dispersed Patient Access work teams in order to ensure adherence to the established Standards of Excellence and ongoing monitoring of metrics and reporting of performance to Senior Leadership
Collaborates with the Vice President Hospital Site Operations in the creation of strategic plans, goals and implementation plans for operations and highly visible and complex programs and projects; Directs and oversees the development and maintenance of departmental operating and capital budgets, which includes monitoring and analysis of performance metrics
Directs and oversees human resource activities, which includes recruitment of staff, completing appropriate documentation, performance appraisals and leading goal setting; Adheres to all human resources expectations for colleagues, including compliance related responsibilities, orientation and continuing education requirements, recognition of staff/team accomplishments, etc. May terminate positions when necessary
Oversees customer service and will act as point of escalation for patient complaints or related issues; Ensures processes are in place to support prompt and appropriate handling of patient inquiries in a manner that is professional, understanding, patient and respectful
Oversees and monitors process flow across other departments, and involves them, as appropriate, when recommended actions may affect their work functions. Serves as resource to all revenue cycle staff on the development, implementation and maintenance of efficient operations, functions and services
Directs, oversees, mentors and provides guidance to Patient Access team in order to foster a team atmosphere within department and across region; Supports recruitment activities and oversees the development and education of staff
Maintains professional development, and growth and participates in appropriate continuing education programs and committees
Maintains a working knowledge of applicable federal, state, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior
Bachelor's degree in Business or Healthcare Administration (Master's degree preferred)
Must possess a comprehensive knowledge of hospital Patient Access management as normally acquired through the completion of Bachelor's degree in Finance, Business or Health Administration or related field and a minimum of 7-10 years of progressively responsible experience in revenue cycle operations and patient access functions. Master's degree preferred.
Minimum of five (5) years of leadership experience in a multi-facility, integrated health care delivery system or revenue cycle consulting experience.
Strong background in working with multi-disciplinary team, varying levels of leadership across the organization, including C-Suite and the demonstrated ability to be a change advocate, promote process improvement and ongoing education and growing the knowledge of team
Must be required to travel to hospital offsite locations within the Region approximately 10 to 15%.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of the organization
This position is a full-time permanent opportunity within a health system. Only serious candidates open to relocation to Albany should apply.
Warbird is an Equal Employment Opportunity ( EEO ) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, religion or other legally protected status. E-Verify - Warbird participates in the Electronic Employment Eligibility Verification Program.
Apply Here: http://www.Click2apply.net/28tg5hhrbw4rpfv9 PI113614861
Sep 11, 2019
Full time
Warbird Consulting Partners is seeking qualified candidates to be considered for a full-time position as Regional Director of Patient Access. This individual will be responsible for managing all aspects of the assigned Region's Patient Access operations. Directs, oversees and manages Scheduling, Pre-Service functions including point-of-service, NoVA (Notification, Verification, and Authorization), and Financial Clearance and/or Registration, Admissions, and Benefit Advocacy. Responsible for developing, modifying and maintaining policies; continually seeking mechanisms to streamline and automate processes, and building and maintaining external and internal customer relationships.
Key Responsibilities
Provides financial management, leadership and expertise in managing all details of assigned operations and works in conjunction with other departments, including but not limited to clinical services, managed care contracts, Patient Business Service (PBS) center, information services (TIS), general accounting, and other service areas to ensure that the financial and customer service goals are accomplished
Responsible for systematic approaches that contribute to accurate capture of patient data, point of service collections, exceptional customer service and ongoing optimization of processes and people
Identifies, facilitates and builds system and process standardization, utilization of best practices, work integration, change management, issue resolution, metric development and measurement, and communications for an assigned region
Directs, coordinates and synchronizes the work efforts of geographically dispersed Patient Access work teams in order to ensure adherence to the established Standards of Excellence and ongoing monitoring of metrics and reporting of performance to Senior Leadership
Collaborates with the Vice President Hospital Site Operations in the creation of strategic plans, goals and implementation plans for operations and highly visible and complex programs and projects; Directs and oversees the development and maintenance of departmental operating and capital budgets, which includes monitoring and analysis of performance metrics
Directs and oversees human resource activities, which includes recruitment of staff, completing appropriate documentation, performance appraisals and leading goal setting; Adheres to all human resources expectations for colleagues, including compliance related responsibilities, orientation and continuing education requirements, recognition of staff/team accomplishments, etc. May terminate positions when necessary
Oversees customer service and will act as point of escalation for patient complaints or related issues; Ensures processes are in place to support prompt and appropriate handling of patient inquiries in a manner that is professional, understanding, patient and respectful
Oversees and monitors process flow across other departments, and involves them, as appropriate, when recommended actions may affect their work functions. Serves as resource to all revenue cycle staff on the development, implementation and maintenance of efficient operations, functions and services
Directs, oversees, mentors and provides guidance to Patient Access team in order to foster a team atmosphere within department and across region; Supports recruitment activities and oversees the development and education of staff
Maintains professional development, and growth and participates in appropriate continuing education programs and committees
Maintains a working knowledge of applicable federal, state, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior
Bachelor's degree in Business or Healthcare Administration (Master's degree preferred)
Must possess a comprehensive knowledge of hospital Patient Access management as normally acquired through the completion of Bachelor's degree in Finance, Business or Health Administration or related field and a minimum of 7-10 years of progressively responsible experience in revenue cycle operations and patient access functions. Master's degree preferred.
Minimum of five (5) years of leadership experience in a multi-facility, integrated health care delivery system or revenue cycle consulting experience.
Strong background in working with multi-disciplinary team, varying levels of leadership across the organization, including C-Suite and the demonstrated ability to be a change advocate, promote process improvement and ongoing education and growing the knowledge of team
Must be required to travel to hospital offsite locations within the Region approximately 10 to 15%.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of the organization
This position is a full-time permanent opportunity within a health system. Only serious candidates open to relocation to Albany should apply.
Warbird is an Equal Employment Opportunity ( EEO ) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, religion or other legally protected status. E-Verify - Warbird participates in the Electronic Employment Eligibility Verification Program.
Apply Here: http://www.Click2apply.net/28tg5hhrbw4rpfv9 PI113614861
Medical Education Research Associate Chicago, IL The AMA is a unifying voice and powerful ally for America’s physicians, the patients they care for, and the promise of a healthier nation. To be part of the AMA is to be part of our Mission to promote the art and science of medicine and the betterment of public health. Join the AMA team as the Senior Research Associate I in Strategy Medical Education. As part of the team, you will be responsible for conducting high-level research and writing in-depth analysis, developing and producing research studies, documenting research outputs, and developing strategic reports for internal and external audiences. You will create presentations and support department projects. You will work independently or in cross-functional teams to perform required tasks. Other Responsibilities will include:
Conducts High-level Evaluation, Research and Assessment Activities
Provide background research ranging from simple to complex in nature related to the graduate medical education Reimagining Residency Initiative
Identify key issues and insights from research conducted
Develop and implement a logic model to identify and document inputs, outputs, and short-, medium and long-term outcomes for research projects
Develop and maintain internal technology resources and materials for knowledge sharing
Proactively stay abreast of developments on topics and issues relevant to research to assist the leadership team in identifying potential opportunities for the AMA’s involvement and input
Document the progressive attainment of initiative level Reimaging Residency graduate medical education outcomes in support of Unit and Association goals ensuring quality, accuracy and timeliness
Collaborate and build a close partnership with each Reimagining Residency grantee’s evaluation team
Prepare and submit Institutional Review Board proposals and amendments
Conduct a comprehensive written literature review based upon strategic priorities
Adhere to a high standard of research ethics
Reports and Publication
Prepare documents, reports including tables, charts and other graphical representation for internal, external or both audiences, including providing the background information and analysis
Present findings to both internal and external stakeholders
Develop and produces reports, articles and opinion pieces for publication in peer-reviewed journals
Copy edit documents to meet AMA standards, including both written documents and presentations
Collaborate with internal business units such as Advocacy, EC, and strategy in the development of communication and marketing plans, promotional materials, and handle any related activities as required
May include other responsibilities as assigned
REQUIREMENTS:
Master’s degree required, PhD a plus, preferably in social science, education, health administration, public health or health care policy required
4 or more years experience of evaluation, social science, healthcare or relevant research experience in academic, government, corporate or non-profit setting
Strong research skills
Knowledge of Medical Education preferred
Exceptional analytical approach to outcomes identification, measurement, and evaluation; strong critical thinking, writing and tracking/documentation skills; experience in the following needed: ability to conceptualize and synthesize the literature and offer key insights, to identify valid, reliable industry measures, organize and translate data
Outstanding interpersonal and verbal communication skills with a creative hands-on orientation; must have proven ability to present clear and cogent arguments informed by evidence/data
Demonstrated ability to work well under pressure, including the ability to balance work on multiple short-term projects requiring rapid responses with work on long-term projects
Must work effectively with internal and external stakeholders at all levels
Strong project management skills and attention to detail
Some travel required and some extended hours including weekends
The AMA offers competitive salaries, including an incentive plan; excellent benefits and progressive technology. Our office is a business casual environment and we respect work-life balance. The American Medical Association is located at 330 N. Wabash Avenue, Chicago, IL 60611 and is convenient to all public transportation in Chicago.
We are an equal opportunity employer, committed to diversity in our workforce. All qualified applicants will receive consideration for employment. As an EOE/AA employer, the American Medical Association will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, age, national origin, sexual orientation, gender identity and veteran or disability status.
THE AMA IS COMMITTED TO IMPROVING THE HEALTH OF THE NATION
Sep 05, 2019
Full time
Medical Education Research Associate Chicago, IL The AMA is a unifying voice and powerful ally for America’s physicians, the patients they care for, and the promise of a healthier nation. To be part of the AMA is to be part of our Mission to promote the art and science of medicine and the betterment of public health. Join the AMA team as the Senior Research Associate I in Strategy Medical Education. As part of the team, you will be responsible for conducting high-level research and writing in-depth analysis, developing and producing research studies, documenting research outputs, and developing strategic reports for internal and external audiences. You will create presentations and support department projects. You will work independently or in cross-functional teams to perform required tasks. Other Responsibilities will include:
Conducts High-level Evaluation, Research and Assessment Activities
Provide background research ranging from simple to complex in nature related to the graduate medical education Reimagining Residency Initiative
Identify key issues and insights from research conducted
Develop and implement a logic model to identify and document inputs, outputs, and short-, medium and long-term outcomes for research projects
Develop and maintain internal technology resources and materials for knowledge sharing
Proactively stay abreast of developments on topics and issues relevant to research to assist the leadership team in identifying potential opportunities for the AMA’s involvement and input
Document the progressive attainment of initiative level Reimaging Residency graduate medical education outcomes in support of Unit and Association goals ensuring quality, accuracy and timeliness
Collaborate and build a close partnership with each Reimagining Residency grantee’s evaluation team
Prepare and submit Institutional Review Board proposals and amendments
Conduct a comprehensive written literature review based upon strategic priorities
Adhere to a high standard of research ethics
Reports and Publication
Prepare documents, reports including tables, charts and other graphical representation for internal, external or both audiences, including providing the background information and analysis
Present findings to both internal and external stakeholders
Develop and produces reports, articles and opinion pieces for publication in peer-reviewed journals
Copy edit documents to meet AMA standards, including both written documents and presentations
Collaborate with internal business units such as Advocacy, EC, and strategy in the development of communication and marketing plans, promotional materials, and handle any related activities as required
May include other responsibilities as assigned
REQUIREMENTS:
Master’s degree required, PhD a plus, preferably in social science, education, health administration, public health or health care policy required
4 or more years experience of evaluation, social science, healthcare or relevant research experience in academic, government, corporate or non-profit setting
Strong research skills
Knowledge of Medical Education preferred
Exceptional analytical approach to outcomes identification, measurement, and evaluation; strong critical thinking, writing and tracking/documentation skills; experience in the following needed: ability to conceptualize and synthesize the literature and offer key insights, to identify valid, reliable industry measures, organize and translate data
Outstanding interpersonal and verbal communication skills with a creative hands-on orientation; must have proven ability to present clear and cogent arguments informed by evidence/data
Demonstrated ability to work well under pressure, including the ability to balance work on multiple short-term projects requiring rapid responses with work on long-term projects
Must work effectively with internal and external stakeholders at all levels
Strong project management skills and attention to detail
Some travel required and some extended hours including weekends
The AMA offers competitive salaries, including an incentive plan; excellent benefits and progressive technology. Our office is a business casual environment and we respect work-life balance. The American Medical Association is located at 330 N. Wabash Avenue, Chicago, IL 60611 and is convenient to all public transportation in Chicago.
We are an equal opportunity employer, committed to diversity in our workforce. All qualified applicants will receive consideration for employment. As an EOE/AA employer, the American Medical Association will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, age, national origin, sexual orientation, gender identity and veteran or disability status.
THE AMA IS COMMITTED TO IMPROVING THE HEALTH OF THE NATION
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Intensive Care Unit Department.
The address is 1600 Hospital Parkway; Bedford, TX 76022
Salary range is Min. $25.00/hr. to Max. $49.03/hr. – based on relevant experience
Work Schedule
Shift is 7 pm to 7 am, full-time, 36 hours/week – (3) 12 hour shifts
Texas Health HEB is proud to offer a new, 18-bed advanced Intensive Care Unit (ICU) for cardiovascular patients recovering from a procedure.
In addition to offering ICU nurses and staff physicians to provide quality care, the new ICU features; private and spacious rooms, shaded windows, areas for families to spend the nights, and private consultation rooms
The essential job duties of this position are: Delivers care to patients utilizing the Nursing Process • assesses the patient • plans the care of the patient • intervenes as appropriate • evaluates the effectiveness of interventions • Incorporates age specific safety/infection control measures into patient care. • Initiates action to meet patient and/or significant others need for information • Maintains continuity of patient care inter-shift, inter-hospital, and while expediting out of hospital transfers
The ideal candidate will possess the following qualifications • 1 year experience as a clinical nurse or completion of an RN residency program required. A Graduate of a NLN (National League of Nursing) or CCNE (Commission on Collegiate Nursing Education) accredited nursing programs • Current RN licensure or compact licensure recognized by the Texas Board of Nursing upon hire • Associate's Degree Graduate of an accredited Nursing program required. Hired within THR after April 1, 2017 require completion of BSN within 2 years of start date preferred • RN Upon Hire required BCLS upon hire • ACLS (AHA) upon hire • CPI training within 60 days of hire • NIHSS - National Institute of Health Stroke Scale Certification 30 days • 2-3 years ICU experience preferred
Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism.
Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required.
Why Texas Health Resources
Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served. Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures and counts more than 5,500 physicians with active staff privileges at its hospitals. At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence.
Texas Health Highlights
2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4thyear in a row)
2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4thyear in a row)
2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here
PI113282652
Aug 30, 2019
Full time
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Intensive Care Unit Department.
The address is 1600 Hospital Parkway; Bedford, TX 76022
Salary range is Min. $25.00/hr. to Max. $49.03/hr. – based on relevant experience
Work Schedule
Shift is 7 pm to 7 am, full-time, 36 hours/week – (3) 12 hour shifts
Texas Health HEB is proud to offer a new, 18-bed advanced Intensive Care Unit (ICU) for cardiovascular patients recovering from a procedure.
In addition to offering ICU nurses and staff physicians to provide quality care, the new ICU features; private and spacious rooms, shaded windows, areas for families to spend the nights, and private consultation rooms
The essential job duties of this position are: Delivers care to patients utilizing the Nursing Process • assesses the patient • plans the care of the patient • intervenes as appropriate • evaluates the effectiveness of interventions • Incorporates age specific safety/infection control measures into patient care. • Initiates action to meet patient and/or significant others need for information • Maintains continuity of patient care inter-shift, inter-hospital, and while expediting out of hospital transfers
The ideal candidate will possess the following qualifications • 1 year experience as a clinical nurse or completion of an RN residency program required. A Graduate of a NLN (National League of Nursing) or CCNE (Commission on Collegiate Nursing Education) accredited nursing programs • Current RN licensure or compact licensure recognized by the Texas Board of Nursing upon hire • Associate's Degree Graduate of an accredited Nursing program required. Hired within THR after April 1, 2017 require completion of BSN within 2 years of start date preferred • RN Upon Hire required BCLS upon hire • ACLS (AHA) upon hire • CPI training within 60 days of hire • NIHSS - National Institute of Health Stroke Scale Certification 30 days • 2-3 years ICU experience preferred
Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism.
Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required.
Why Texas Health Resources
Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served. Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures and counts more than 5,500 physicians with active staff privileges at its hospitals. At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence.
Texas Health Highlights
2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4thyear in a row)
2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4thyear in a row)
2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here
PI113282652
Educational Health Center of Wyoming
Laramie, WY, USA
The Educational Health Center of Wyoming (EHCW) is seeking applicants for the position of Chief Executive Officer (CEO). The CEO has oversight of the EHCW, a Health Resources and Services Administration (HRSA) – designated Federally Qualified Health Center (FQHC). The EHCW is a HRSA co-applicant with the University of Wyoming (UW), and is closely associated with the University’s Family Medicine Residency Program. The CEO reports to the EHCW’s 12-member Board of Directors.
Currently, the EHCW is comprised of three clinical centers. Two clinical centers are located in Casper and Cheyenne and are part of the longstanding UW Family Medicine Residency Program. These centers train 6-8 Resident Physicians per class, leading to board certification in Family Medicine. A third clinical site—the Albany Community Health Clinic—opened in Laramie in May 2017, and it is funded by a New Access Point grant from HRSA. All three clinical centers are considered part of a single FQHC and must comply with the policies and regulations prescribed by HRSA. The Family
Medicine Residency Program is administered by College of Health Sciences at the University of Wyoming.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Work closely with the Chief Medical, Financial, and Operating Officers and the Executive Committee of the EHCW to oversee fiscal and personnel issues related to the three clinical centers.
Sustain high quality healthcare, maintain/build collaborative relationships, assure workforce recruitment & retention and be a strong advocate for our EHCW on local, state, and national levels.
Along with the EHCW Board, ensure that the family medicine residency clinics and the Albany Community Health Clinic adhere to the policies and guidelines established by HRSA.
Develop monthly reports to the EHCW Board.
Support and promote EHCW Board strategies and goals.
Develop and maintain ongoing communication and collaboration with the UW Dean of College of Health Sciences, the Designated Institutional Officer for the UW Family Medicine Residency Program, and the UW Board of Trustees.
Develop ongoing communication with the Wyoming State Legislature as appropriate.
MINIMUM QUALIFICATIONS:
- Minimum of a Bachelor’s degree
- At least 5 years experience in healthcare administration/leadership
DESIRED QUALIFICATIONS:
- Experience with governance/oversight of Federally Qualified Health Centers
- Knowledge of FQHC program requirements
- Knowledge of health center operations
- Proven experience in an executive management role with a strong understanding of not-for-profit finance
- Strong collaborative/networking skills
- Ability/experience in identifying and securing private and public funding
- Evidence of successful grant writing
- In depth working knowledge of healthcare administration, operations, financial management, strategic planning, physician relations, patient care, quality assessment and improvement and human resource management
- Solid working knowledge of applicable laws, operating guidelines, and requirements of accrediting bodies
- Firm understanding of the trends and issues affecting healthcare industry, including managed care and quality outcomes
- Must be able to demonstrate competence and success in managing outcomes, operational results, financial operations, business planning and development
- Commitment to and/or experience with Graduate Medical Education
Aug 02, 2019
Full time
The Educational Health Center of Wyoming (EHCW) is seeking applicants for the position of Chief Executive Officer (CEO). The CEO has oversight of the EHCW, a Health Resources and Services Administration (HRSA) – designated Federally Qualified Health Center (FQHC). The EHCW is a HRSA co-applicant with the University of Wyoming (UW), and is closely associated with the University’s Family Medicine Residency Program. The CEO reports to the EHCW’s 12-member Board of Directors.
Currently, the EHCW is comprised of three clinical centers. Two clinical centers are located in Casper and Cheyenne and are part of the longstanding UW Family Medicine Residency Program. These centers train 6-8 Resident Physicians per class, leading to board certification in Family Medicine. A third clinical site—the Albany Community Health Clinic—opened in Laramie in May 2017, and it is funded by a New Access Point grant from HRSA. All three clinical centers are considered part of a single FQHC and must comply with the policies and regulations prescribed by HRSA. The Family
Medicine Residency Program is administered by College of Health Sciences at the University of Wyoming.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Work closely with the Chief Medical, Financial, and Operating Officers and the Executive Committee of the EHCW to oversee fiscal and personnel issues related to the three clinical centers.
Sustain high quality healthcare, maintain/build collaborative relationships, assure workforce recruitment & retention and be a strong advocate for our EHCW on local, state, and national levels.
Along with the EHCW Board, ensure that the family medicine residency clinics and the Albany Community Health Clinic adhere to the policies and guidelines established by HRSA.
Develop monthly reports to the EHCW Board.
Support and promote EHCW Board strategies and goals.
Develop and maintain ongoing communication and collaboration with the UW Dean of College of Health Sciences, the Designated Institutional Officer for the UW Family Medicine Residency Program, and the UW Board of Trustees.
Develop ongoing communication with the Wyoming State Legislature as appropriate.
MINIMUM QUALIFICATIONS:
- Minimum of a Bachelor’s degree
- At least 5 years experience in healthcare administration/leadership
DESIRED QUALIFICATIONS:
- Experience with governance/oversight of Federally Qualified Health Centers
- Knowledge of FQHC program requirements
- Knowledge of health center operations
- Proven experience in an executive management role with a strong understanding of not-for-profit finance
- Strong collaborative/networking skills
- Ability/experience in identifying and securing private and public funding
- Evidence of successful grant writing
- In depth working knowledge of healthcare administration, operations, financial management, strategic planning, physician relations, patient care, quality assessment and improvement and human resource management
- Solid working knowledge of applicable laws, operating guidelines, and requirements of accrediting bodies
- Firm understanding of the trends and issues affecting healthcare industry, including managed care and quality outcomes
- Must be able to demonstrate competence and success in managing outcomes, operational results, financial operations, business planning and development
- Commitment to and/or experience with Graduate Medical Education
REQ-16509
Close date: 8/28/2019
Salary: $3494 - $5088 monthly
Location: Portland, OR
The Oregon Health Authority (OHA), Public Health Division (PHD), HIV, STD and TB Section is recruiting for a bilingual CAREAssist Case Worker within the CAREAssist program, Oregon’s AIDS Drug Assistance Program. The goal of the HIV, STD and TB Section is to educate Oregonians about the impact of HIV, STD and TB infections; to assist in the development of local and national public policy related to the prevention and care of these infections; and to coordinate with and inform other agencies of the services available to persons affected by these diseases. The mission of the CAREAssist program is to facilitate access to HIV care and treatment for eligible Oregonians. In Oregon, this is achieved by reducing the financial barriers to care and treatment by assisting clients with out-of-pocket medical expenses.
What will you do? As a CAREAssist Case Worker , you will maintain a caseload of English and Spanish-speaking Oregonians living with HIV. Your primary responsibility will be to assist clients in the application process and determine their eligibility for the program in accordance with state and federal requirements. In collaboration with community partners, you will provide individualized client level care coordination services and other assistance to maintain access to medical care and HIV treatment through the AIDS Drug Assistance Program. This includes the provision of benefits counseling and direct assistance with applications for public and private insurance and other financial assistance programs. Utilizing your experience with clients, you will also provide information for improvements to program policies and procedures. What's in it for you? You will work with a dynamic team of public health professionals who are passionate about the work they do to improve the health of Oregonians living with HIV. Do you have experience determining program eligibility and facilitating access to services and benefits? Do you have knowledge of public and private insurance processes? Have you worked with vulnerable populations? If so, we want to connect with you! What are we looking for?
Bachelor’s degree in public health, behavioral or social sciences or a degree related to the program that demonstrates the knowledge and skills OR any combination of experience or education equivalent to three years technical-level experience that typically supports the knowledge and skill requirements for the position. (NOTE: The specific job-related experience or education requirements will be listed by the recruiting program based on the position under recruitment.)
Bilingual Spanish/English – speaking, reading and writing
Experience and/or training as a case manager
Experience in assessing needs, determining program eligibility and facilitating access to services and benefits through direct service provision or information and referral
Experience and/or training as a Certified Application Counselor in Oregon or other experience/training related to public and private health insurance
Experience working with vulnerable populations
Knowledge of the Ryan White program and services
Ability to work in a team, with a high level of emotional intelligence and personal awareness to contribute to a culture of feedback in the office and with external partners.
Experience promoting a diverse work environment through cultural humility.
How to Apply
To apply for this position, follow the link below and complete the online application and all supplemental questions:
https://oregon.wd5.myworkdayjobs.com/en-US/SOR_External_Career_Site/job/Portland--Oregon-Street---OHA/CAREAssist-Case-Worker--Program-Analyst-1-_REQ-16509
Contact Information
Cyndi Phipps-Roman
503-945-6377
Aug 01, 2019
Full time
REQ-16509
Close date: 8/28/2019
Salary: $3494 - $5088 monthly
Location: Portland, OR
The Oregon Health Authority (OHA), Public Health Division (PHD), HIV, STD and TB Section is recruiting for a bilingual CAREAssist Case Worker within the CAREAssist program, Oregon’s AIDS Drug Assistance Program. The goal of the HIV, STD and TB Section is to educate Oregonians about the impact of HIV, STD and TB infections; to assist in the development of local and national public policy related to the prevention and care of these infections; and to coordinate with and inform other agencies of the services available to persons affected by these diseases. The mission of the CAREAssist program is to facilitate access to HIV care and treatment for eligible Oregonians. In Oregon, this is achieved by reducing the financial barriers to care and treatment by assisting clients with out-of-pocket medical expenses.
What will you do? As a CAREAssist Case Worker , you will maintain a caseload of English and Spanish-speaking Oregonians living with HIV. Your primary responsibility will be to assist clients in the application process and determine their eligibility for the program in accordance with state and federal requirements. In collaboration with community partners, you will provide individualized client level care coordination services and other assistance to maintain access to medical care and HIV treatment through the AIDS Drug Assistance Program. This includes the provision of benefits counseling and direct assistance with applications for public and private insurance and other financial assistance programs. Utilizing your experience with clients, you will also provide information for improvements to program policies and procedures. What's in it for you? You will work with a dynamic team of public health professionals who are passionate about the work they do to improve the health of Oregonians living with HIV. Do you have experience determining program eligibility and facilitating access to services and benefits? Do you have knowledge of public and private insurance processes? Have you worked with vulnerable populations? If so, we want to connect with you! What are we looking for?
Bachelor’s degree in public health, behavioral or social sciences or a degree related to the program that demonstrates the knowledge and skills OR any combination of experience or education equivalent to three years technical-level experience that typically supports the knowledge and skill requirements for the position. (NOTE: The specific job-related experience or education requirements will be listed by the recruiting program based on the position under recruitment.)
Bilingual Spanish/English – speaking, reading and writing
Experience and/or training as a case manager
Experience in assessing needs, determining program eligibility and facilitating access to services and benefits through direct service provision or information and referral
Experience and/or training as a Certified Application Counselor in Oregon or other experience/training related to public and private health insurance
Experience working with vulnerable populations
Knowledge of the Ryan White program and services
Ability to work in a team, with a high level of emotional intelligence and personal awareness to contribute to a culture of feedback in the office and with external partners.
Experience promoting a diverse work environment through cultural humility.
How to Apply
To apply for this position, follow the link below and complete the online application and all supplemental questions:
https://oregon.wd5.myworkdayjobs.com/en-US/SOR_External_Career_Site/job/Portland--Oregon-Street---OHA/CAREAssist-Case-Worker--Program-Analyst-1-_REQ-16509
Contact Information
Cyndi Phipps-Roman
503-945-6377
The Oregon Health Authority is modernizing and expanding he Oregon Medicaid Program and currently has a fantastic opportunity for an experienced Policy Analyst to join an excellent team and work to advance their Program Integrity operations. The Oregon Health Authority promotes health equity by developing policies and programs to eliminate health disparities and reach health equity for all Oregonians.
What you will do!
As a Policy Analyst in the Program Integrity Unit, you will manage and coordinate the ongoing comprehensive study and review of existing Oregon Revised Statutes (ORS), Oregon Administrative Rules (OAR), federal regulations, federal guidance and waiver requirements as it pertains to the Medicaid program.
In this role, you will make recommendations and formulate plans for statutory, rule and policy changes and ensure cross-agency operational alignment with the Oregon Health Authority (OHA) program integrity responsibilities and oversight. As regulations and policies change or are modified, you will ensure that OHA and its partner agencies are in alignment with those actions.
What's in it for you? Collaboration in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year. If you are an experienced Policy Analyst , don't delay, apply today!
WHAT WE ARE LOOKING FOR:
(a) Eight (8) years of professional-level experience in Regulatory Compliance. OR (b) A Bachelor's Degree in Business or Public Administration, Behavioral or Social Sciences, Finance, Political Science or a related field; AND Five (5) years of professional-level experience in Regulatory Compliance. OR (c) A Master’s Degree in Business or Public Administration, Behavioral or Social Sciences, Finance, Political Science or a related field; AND Four (4) years of professional-level experience in Regulatory Compliance. OR (d) A Doctor’s Degree in Business or Public Administration, Behavioral or Social Sciences, Finance, Political Science or a related field; AND Three (3) years of professional-level experience in Regulatory Compliance.
Strong working knowledge of Medicaid Program Integrity operations and requirements as well as the prevention, detection, identification and investigations of fraud, waste and abuse.
Knowledge of program integrity theory and application.
Outstanding customer service skills to deal with differing opinions related to program integrity, oversight and monitoring.
Ability to interpret complex regulatory principles.
Experience in promoting a culturally competent and diverse work environment.
Experience in advancing health equity, addressing systemic health disparities and collaborating with diverse, vulnerable and underrepresented populations.
Excellent written and verbal communication and presentation skills.
Jul 22, 2019
Full time
The Oregon Health Authority is modernizing and expanding he Oregon Medicaid Program and currently has a fantastic opportunity for an experienced Policy Analyst to join an excellent team and work to advance their Program Integrity operations. The Oregon Health Authority promotes health equity by developing policies and programs to eliminate health disparities and reach health equity for all Oregonians.
What you will do!
As a Policy Analyst in the Program Integrity Unit, you will manage and coordinate the ongoing comprehensive study and review of existing Oregon Revised Statutes (ORS), Oregon Administrative Rules (OAR), federal regulations, federal guidance and waiver requirements as it pertains to the Medicaid program.
In this role, you will make recommendations and formulate plans for statutory, rule and policy changes and ensure cross-agency operational alignment with the Oregon Health Authority (OHA) program integrity responsibilities and oversight. As regulations and policies change or are modified, you will ensure that OHA and its partner agencies are in alignment with those actions.
What's in it for you? Collaboration in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year. If you are an experienced Policy Analyst , don't delay, apply today!
WHAT WE ARE LOOKING FOR:
(a) Eight (8) years of professional-level experience in Regulatory Compliance. OR (b) A Bachelor's Degree in Business or Public Administration, Behavioral or Social Sciences, Finance, Political Science or a related field; AND Five (5) years of professional-level experience in Regulatory Compliance. OR (c) A Master’s Degree in Business or Public Administration, Behavioral or Social Sciences, Finance, Political Science or a related field; AND Four (4) years of professional-level experience in Regulatory Compliance. OR (d) A Doctor’s Degree in Business or Public Administration, Behavioral or Social Sciences, Finance, Political Science or a related field; AND Three (3) years of professional-level experience in Regulatory Compliance.
Strong working knowledge of Medicaid Program Integrity operations and requirements as well as the prevention, detection, identification and investigations of fraud, waste and abuse.
Knowledge of program integrity theory and application.
Outstanding customer service skills to deal with differing opinions related to program integrity, oversight and monitoring.
Ability to interpret complex regulatory principles.
Experience in promoting a culturally competent and diverse work environment.
Experience in advancing health equity, addressing systemic health disparities and collaborating with diverse, vulnerable and underrepresented populations.
Excellent written and verbal communication and presentation skills.
Warbird Consulting Partners, LLC
Atlanta, Georgia, United States, 30339
Responsibilities Warbird Consulting Partners is seeking an Interim Educational Content Developer for a project in a consulting environment. This is a full time (40 hours), temporary /project/interim role, working remote and some potential travel to provide training as needed. This is estimated to be +50% remote.
Warbird engages talent and expertise across all of our practice areas and assembles experienced teams to solve a wide range of complex, pressing accounting and finance issues. Our consultants typically have 15-25 years plus of industry experience and know firsthand the daily challenges our clients encounter. We fit our consultants' skills to the needs of our clients to ensure a successful experience for all. If you're ready to take on the challenge, then let us help you advance your career in consulting.
POSITION SUMMARY: The Educational Content Developer for Case Management is responsible for designing and developing educational content for online learning-management systems. This includes providing training and course material for physicians and coding professionals. The candidate will have extensive experience with physician and hospital case management, documentation, and practice management. Responsibilities: •Design and develop educational content specific to providers and coding professionals, following both industry and regulatory standards for physician practice and hospital settings. The development style will lead to successful adoption and knowledge transfer in an online environment •Leverage expertise in the following areas: physician and hospital coding, billing, and practice management •Consistently implement the unique approaches required to educate physicians and coding professionals. •Transfer knowledge in areas of expertise to content development for topics within hospital case management •Create custom content for delivery in an onsite setting •Exhibit strong writing and communication skills •Ensure quality of educational content by reviewing and editing content developed by others •Conduct remote webinars and/or on-site educational sessions for health care staff as needed •Construct thought-leadership content and present at various external speaking engagements •Assist with keeping teams (e.g., sales, client success) informed of new content offerings and share bits of information with them to help solidify the solutions' ROI for clients •Handle client calls for which guidance is needed in areas of expertise related to current content available and provide recommendations regarding what and how to consume
Education/Requirements: •Registered nurse (RN) •Appropriate certification in Case Management preferred; for example, Commission for Case Manager Certification (CCMC) •Clinical experience •Extensive experience in developing and presenting one-on-one and group education for providers and healthcare professionals •+5 years of experience in an acute care Medical/Surgical setting •Comprehensive knowledge of federal and state laws and regulations relating to physicians and coding •Superior oral and written skills, with an aptitude for providing educational content tempered with experience •Willingness to work as a team in the areas of thought leadership, curricula design, and media applications •Ability to professionally conduct remote webinars and/or on-site educational sessions acting on behalf of nThrive •Extensive experience in conducting office management activities successfully for a physician practice
This is a W2, full time hours project - interim work. Travel can be around 25% with the remaining time remote. This project need is expected to be +6 months.
Warbird is an Equal Employment Opportunity ( EEO ) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, religion, LGBT or other legally protected status. E-Verify - Warbird participates in the Electronic Employment Eligibility Verification Program.
Apply Here: http://www.Click2apply.net/h6cvd47kqcqydpj6 PI112064668
Jul 18, 2019
Full time
Responsibilities Warbird Consulting Partners is seeking an Interim Educational Content Developer for a project in a consulting environment. This is a full time (40 hours), temporary /project/interim role, working remote and some potential travel to provide training as needed. This is estimated to be +50% remote.
Warbird engages talent and expertise across all of our practice areas and assembles experienced teams to solve a wide range of complex, pressing accounting and finance issues. Our consultants typically have 15-25 years plus of industry experience and know firsthand the daily challenges our clients encounter. We fit our consultants' skills to the needs of our clients to ensure a successful experience for all. If you're ready to take on the challenge, then let us help you advance your career in consulting.
POSITION SUMMARY: The Educational Content Developer for Case Management is responsible for designing and developing educational content for online learning-management systems. This includes providing training and course material for physicians and coding professionals. The candidate will have extensive experience with physician and hospital case management, documentation, and practice management. Responsibilities: •Design and develop educational content specific to providers and coding professionals, following both industry and regulatory standards for physician practice and hospital settings. The development style will lead to successful adoption and knowledge transfer in an online environment •Leverage expertise in the following areas: physician and hospital coding, billing, and practice management •Consistently implement the unique approaches required to educate physicians and coding professionals. •Transfer knowledge in areas of expertise to content development for topics within hospital case management •Create custom content for delivery in an onsite setting •Exhibit strong writing and communication skills •Ensure quality of educational content by reviewing and editing content developed by others •Conduct remote webinars and/or on-site educational sessions for health care staff as needed •Construct thought-leadership content and present at various external speaking engagements •Assist with keeping teams (e.g., sales, client success) informed of new content offerings and share bits of information with them to help solidify the solutions' ROI for clients •Handle client calls for which guidance is needed in areas of expertise related to current content available and provide recommendations regarding what and how to consume
Education/Requirements: •Registered nurse (RN) •Appropriate certification in Case Management preferred; for example, Commission for Case Manager Certification (CCMC) •Clinical experience •Extensive experience in developing and presenting one-on-one and group education for providers and healthcare professionals •+5 years of experience in an acute care Medical/Surgical setting •Comprehensive knowledge of federal and state laws and regulations relating to physicians and coding •Superior oral and written skills, with an aptitude for providing educational content tempered with experience •Willingness to work as a team in the areas of thought leadership, curricula design, and media applications •Ability to professionally conduct remote webinars and/or on-site educational sessions acting on behalf of nThrive •Extensive experience in conducting office management activities successfully for a physician practice
This is a W2, full time hours project - interim work. Travel can be around 25% with the remaining time remote. This project need is expected to be +6 months.
Warbird is an Equal Employment Opportunity ( EEO ) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, religion, LGBT or other legally protected status. E-Verify - Warbird participates in the Electronic Employment Eligibility Verification Program.
Apply Here: http://www.Click2apply.net/h6cvd47kqcqydpj6 PI112064668
Please email a current CV to noah.d.pokorny@state.or.us
The Oregon Health Authority , Oregon State Hospital is seeking a Psychiatrist who values comprehensive mental health treatment and a return to successful community living for people with mental illness. This is a part-time position treating patients who have been civilly committed or admitted voluntarily by their guardian and have progressed from hospital care to residential living. The Oregon State Hospital (OSH) provides patient-centered psychiatric treatment for adults with mental illness from throughout the state. The hospital's primary goal is to help people recover from their illness and return to their lives in the community. Our psychiatry staff play an essential role in achieving the hospital's vision to be a psychiatric hospital that inspires hope, promotes safety and supports recovery for all.
What you will do
Provide psychiatric care to assigned patients in a residential setting on the campus of the Oregon State Hospital in Junction City. This includes (but is not limited to) diagnosis, mental status evaluation, pharmacologic management, risk assessment and use of physical examination, laboratory, imaging, and other disciplines’ assessments as necessary.
Lead the interdisciplinary treatment team. This includes coordination of interdisciplinary clinical formulation and biopsychosocial treatment plan goals, interventions, and outcome assessment.
What's in it for you?
Access to all that OSH has to offer for Psychiatry Department staff, including:
A collegial staff of 50+ Board Certified Psychiatrists and Psychiatric Nurse Practitioners, across two campuses
A caseload of up to 16 patients living in a residential setting, with access to the medical services of the hospital
A partnership with Oregon Health and Sciences University which provides unique opportunities for access to free continuing medical education
A competitive salary, with additional compensation for: Board Certification
Voluntary Call (based on hours worked)
A generous benefit package, which includes: family medical, dental and vision insurance
optional short and long-term disability insurance
optional term life insurance
fully paid retirement program
stipend for CME activities
Generous leave policy which includes: 10 paid holidays
paid vacation and sick leave
paid personal business leave
paid education leave
Leadership training and opportunities
This is a part-time, permanent position that is classified and represented by a union .
The Oregon Health Authority is an equal opportunity, affirmative action employer committed to work force diversity.
DUTIES & RESPONSIBILITIES
Patient Evaluation and Treatment – Perform psychiatric, physical and neurological examinations. Write orders for patient care. Conduct meetings of the Interdisciplinary Treatment Team and determine individual patient treatment plans including providing clinical leadership in the implementation of services.
Communication and Contact with Patient Families – Respond to inquiries from families and other interested parties and initiate contact with them as indicated.
Documentation of Services – Document in the medical record in accordance with requirements of TJC and CMMS regulations, ORSs and OARs, and hospital policies.
Professional Responsibilities – Participate in quality assurance activities. Participate in continuing education, with emphasis on psychiatry. Maintain qualifications to perform techniques of basic life support (CPR).
WHAT WE ARE LOOKING FOR
You must possess, or have the ability to obtain:
Board certification or board eligibility at the time of appointment
Physician's license issued by the Oregon Medical Board at the time of appointment and maintain the licensure throughout employment.
Note: Under filling this position as a Psychiatric Nurse Practitioner may be considered for those applicants who meet all requirements to practice medicine in the State of Oregon as a Psychiatric Nurse Practitioner, as such:
At the time of application, possess a valid Oregon Nurse Practitioner license.
Jul 02, 2019
Part time
Please email a current CV to noah.d.pokorny@state.or.us
The Oregon Health Authority , Oregon State Hospital is seeking a Psychiatrist who values comprehensive mental health treatment and a return to successful community living for people with mental illness. This is a part-time position treating patients who have been civilly committed or admitted voluntarily by their guardian and have progressed from hospital care to residential living. The Oregon State Hospital (OSH) provides patient-centered psychiatric treatment for adults with mental illness from throughout the state. The hospital's primary goal is to help people recover from their illness and return to their lives in the community. Our psychiatry staff play an essential role in achieving the hospital's vision to be a psychiatric hospital that inspires hope, promotes safety and supports recovery for all.
What you will do
Provide psychiatric care to assigned patients in a residential setting on the campus of the Oregon State Hospital in Junction City. This includes (but is not limited to) diagnosis, mental status evaluation, pharmacologic management, risk assessment and use of physical examination, laboratory, imaging, and other disciplines’ assessments as necessary.
Lead the interdisciplinary treatment team. This includes coordination of interdisciplinary clinical formulation and biopsychosocial treatment plan goals, interventions, and outcome assessment.
What's in it for you?
Access to all that OSH has to offer for Psychiatry Department staff, including:
A collegial staff of 50+ Board Certified Psychiatrists and Psychiatric Nurse Practitioners, across two campuses
A caseload of up to 16 patients living in a residential setting, with access to the medical services of the hospital
A partnership with Oregon Health and Sciences University which provides unique opportunities for access to free continuing medical education
A competitive salary, with additional compensation for: Board Certification
Voluntary Call (based on hours worked)
A generous benefit package, which includes: family medical, dental and vision insurance
optional short and long-term disability insurance
optional term life insurance
fully paid retirement program
stipend for CME activities
Generous leave policy which includes: 10 paid holidays
paid vacation and sick leave
paid personal business leave
paid education leave
Leadership training and opportunities
This is a part-time, permanent position that is classified and represented by a union .
The Oregon Health Authority is an equal opportunity, affirmative action employer committed to work force diversity.
DUTIES & RESPONSIBILITIES
Patient Evaluation and Treatment – Perform psychiatric, physical and neurological examinations. Write orders for patient care. Conduct meetings of the Interdisciplinary Treatment Team and determine individual patient treatment plans including providing clinical leadership in the implementation of services.
Communication and Contact with Patient Families – Respond to inquiries from families and other interested parties and initiate contact with them as indicated.
Documentation of Services – Document in the medical record in accordance with requirements of TJC and CMMS regulations, ORSs and OARs, and hospital policies.
Professional Responsibilities – Participate in quality assurance activities. Participate in continuing education, with emphasis on psychiatry. Maintain qualifications to perform techniques of basic life support (CPR).
WHAT WE ARE LOOKING FOR
You must possess, or have the ability to obtain:
Board certification or board eligibility at the time of appointment
Physician's license issued by the Oregon Medical Board at the time of appointment and maintain the licensure throughout employment.
Note: Under filling this position as a Psychiatric Nurse Practitioner may be considered for those applicants who meet all requirements to practice medicine in the State of Oregon as a Psychiatric Nurse Practitioner, as such:
At the time of application, possess a valid Oregon Nurse Practitioner license.
Patient Experience Specialist (Call Center)
Are you looking for a position in a growing company where you can work hard, be challenged, and enjoy a new and exciting avenue in the healthcare field? If so, Equiscript is looking for you! We are looking for professionals to fulfill the role of a Patient Experience Specialist.
Equiscript wants passionate people who enjoy coming to work and being part of a team. We are looking for candidates who are dedicated to bringing the best possible customer service to each of our patients.
As a Patient Experience Specialist, you will be under the supervision of your Manager and work alongside the sales team, healthcare provider clients, and our partner pharmacies to ensure that our patients get their prescriptions filled in a timely manner while receiving exceptional service.
Successful candidates for this position will handle customer service, monitor patient progress, communicate with multiple parties, handle medication fills and keep patients informed on the status of their prescriptions. Your work will involve research, resolving problems, using computerized systems to track and gather information, and speaking with patients over the phone. We are looking for detailed, personable, focused and passionate people! Does this sound like you?
Key Activities Include, but are not limited to:
Work as a team to achieve Equiscript’s Cause and Core Values, while providing customers with exceptional service.
Handling inbound and outbound Calls.
Monitoring patients and making sure that prescriptions are processed, filled and delivered prior to need-by dates.
Communicating with the patients over the phone about program updates and expectations.
Helping patients to understand the importance of medication adherence.
Updating and maintaining patient information and inquiries in Salesforce.com.
Identify issues that need to be resolved and take corrective action, and escalate when needed. Ensure that patients are happy with the service they are receiving.
Professional Qualities:
Excellent oral and written communication skills.
Attention to detail and accurate documentation in patient and client accounts.
Demonstrate patience and empathy when dealing with patients.
An understanding of medical terminology and medications. The Patient Experience Specialist will need to be able to pronounce drug names and explain information.
A detail-oriented, problem-solving multitasker, who is driven by deadlines and can work independently after training.
Aptitude for computers and the ability to work comfortably in a phone and computer-based environment.
Preferred Experience:
2-3 years Medical Practice or Pharmacy Experience with Customer Service Skills. (Experienced CNAs, CMAs, LPNs, Pharmacy Technicians, and Medical Assistants are encouraged to apply).
Practical Understanding of Medical Terminology and Medications.
Proficient in Microsoft Office, email, and internet use.
Saleforce.com experience and knowledge is a plus, but not required.
Bilingual English/Spanish is a Plus
Additional Information:
Have the physical ability to work full-time in a phone-based office environment
Cleared Background Check Required
Position Located in Salt Lake City, Utah
Benefits include a health plan, dental, vision, disability and paid time off
401K with up to 4% match
Jun 18, 2019
Full time
Patient Experience Specialist (Call Center)
Are you looking for a position in a growing company where you can work hard, be challenged, and enjoy a new and exciting avenue in the healthcare field? If so, Equiscript is looking for you! We are looking for professionals to fulfill the role of a Patient Experience Specialist.
Equiscript wants passionate people who enjoy coming to work and being part of a team. We are looking for candidates who are dedicated to bringing the best possible customer service to each of our patients.
As a Patient Experience Specialist, you will be under the supervision of your Manager and work alongside the sales team, healthcare provider clients, and our partner pharmacies to ensure that our patients get their prescriptions filled in a timely manner while receiving exceptional service.
Successful candidates for this position will handle customer service, monitor patient progress, communicate with multiple parties, handle medication fills and keep patients informed on the status of their prescriptions. Your work will involve research, resolving problems, using computerized systems to track and gather information, and speaking with patients over the phone. We are looking for detailed, personable, focused and passionate people! Does this sound like you?
Key Activities Include, but are not limited to:
Work as a team to achieve Equiscript’s Cause and Core Values, while providing customers with exceptional service.
Handling inbound and outbound Calls.
Monitoring patients and making sure that prescriptions are processed, filled and delivered prior to need-by dates.
Communicating with the patients over the phone about program updates and expectations.
Helping patients to understand the importance of medication adherence.
Updating and maintaining patient information and inquiries in Salesforce.com.
Identify issues that need to be resolved and take corrective action, and escalate when needed. Ensure that patients are happy with the service they are receiving.
Professional Qualities:
Excellent oral and written communication skills.
Attention to detail and accurate documentation in patient and client accounts.
Demonstrate patience and empathy when dealing with patients.
An understanding of medical terminology and medications. The Patient Experience Specialist will need to be able to pronounce drug names and explain information.
A detail-oriented, problem-solving multitasker, who is driven by deadlines and can work independently after training.
Aptitude for computers and the ability to work comfortably in a phone and computer-based environment.
Preferred Experience:
2-3 years Medical Practice or Pharmacy Experience with Customer Service Skills. (Experienced CNAs, CMAs, LPNs, Pharmacy Technicians, and Medical Assistants are encouraged to apply).
Practical Understanding of Medical Terminology and Medications.
Proficient in Microsoft Office, email, and internet use.
Saleforce.com experience and knowledge is a plus, but not required.
Bilingual English/Spanish is a Plus
Additional Information:
Have the physical ability to work full-time in a phone-based office environment
Cleared Background Check Required
Position Located in Salt Lake City, Utah
Benefits include a health plan, dental, vision, disability and paid time off
401K with up to 4% match
General Description:
Equiscript, LLC is seeking sales professionals to join our growing team. We are looking for smart, dynamic, outgoing sales closers who are passionate about reaching their goals. This is a position where you can reap the benefits of your hard work. We offer a base compensation with a generous commission plan at a fast-paced, fun, growing company.
Working on behalf of our contracted health centers, Equiscript sales professionals call patients to enroll them in a home delivery pharmacy service. This is an opportunity to make a nice income while working with warm leads and ultimately helping make people’s lives better.
We are looking for people who thrive in an inside sales environment. This is more than reading a script. We are looking for:
Smart, professional people
Dynamic interaction with patients over the phone
People with the ability to strategize
People who are ambitious
People who want to make money, and are willing to work hard for it
People who care about patients, and want to ensure that our customers have a positive experience with our service.
Saturday work may be required in the future.
Key Responsibilities:
Contacting patients to make them aware of, and enroll them in the home delivery pharmacy program.
Working with internal and external teams to ensure that patients are on-boarded properly, and shipping as scheduled.
Communicating with patients when there are changes or additional information needed.
Managing your patients and leads strategically; the way you would handle your own business.
Professional Qualities:
Winning record of performance.
Ability to multi-task effectively and often.
Excellent relationship-building and sales skills.
Excellent oral and written communication skills.
Computer aptitude, with the ability to multi-task, using computer programs while on the phone.
A strategic approach to sales and account management.
Record of being goal-oriented and achieving objectives.
Engaging personality.
A desire to help people and empathy for their challenges.
Optimism-- considers every new day a new opportunity.
Great attention to detail and follow through.
Deadline driven.
Problem solver.
Ability to work independently after training.
Ability to think and adapt quickly.
Ability to turn a negative situation into a positive one.
Bilingual candidates fluent in Spanish is a plus.
Preferred Experience:
2+ years of successful sales experience preferred.
Knowledge of Salesforce.com CRM system preferred, but not required.
Bilingual candidates fluent in Spanish are preferred.
Jun 18, 2019
Full time
General Description:
Equiscript, LLC is seeking sales professionals to join our growing team. We are looking for smart, dynamic, outgoing sales closers who are passionate about reaching their goals. This is a position where you can reap the benefits of your hard work. We offer a base compensation with a generous commission plan at a fast-paced, fun, growing company.
Working on behalf of our contracted health centers, Equiscript sales professionals call patients to enroll them in a home delivery pharmacy service. This is an opportunity to make a nice income while working with warm leads and ultimately helping make people’s lives better.
We are looking for people who thrive in an inside sales environment. This is more than reading a script. We are looking for:
Smart, professional people
Dynamic interaction with patients over the phone
People with the ability to strategize
People who are ambitious
People who want to make money, and are willing to work hard for it
People who care about patients, and want to ensure that our customers have a positive experience with our service.
Saturday work may be required in the future.
Key Responsibilities:
Contacting patients to make them aware of, and enroll them in the home delivery pharmacy program.
Working with internal and external teams to ensure that patients are on-boarded properly, and shipping as scheduled.
Communicating with patients when there are changes or additional information needed.
Managing your patients and leads strategically; the way you would handle your own business.
Professional Qualities:
Winning record of performance.
Ability to multi-task effectively and often.
Excellent relationship-building and sales skills.
Excellent oral and written communication skills.
Computer aptitude, with the ability to multi-task, using computer programs while on the phone.
A strategic approach to sales and account management.
Record of being goal-oriented and achieving objectives.
Engaging personality.
A desire to help people and empathy for their challenges.
Optimism-- considers every new day a new opportunity.
Great attention to detail and follow through.
Deadline driven.
Problem solver.
Ability to work independently after training.
Ability to think and adapt quickly.
Ability to turn a negative situation into a positive one.
Bilingual candidates fluent in Spanish is a plus.
Preferred Experience:
2+ years of successful sales experience preferred.
Knowledge of Salesforce.com CRM system preferred, but not required.
Bilingual candidates fluent in Spanish are preferred.
General Description:
Equiscript, LLC is seeking sales professionals to join our growing team. We are looking for smart, dynamic, outgoing sales closers who are passionate about reaching their goals. This is a position where you can reap the benefits of your hard work. We offer a base compensation with a generous commission plan at a fast-paced, fun, growing company.
Working on behalf of our contracted health centers, Equiscript sales professionals call patients to enroll them in a home delivery pharmacy service. This is an opportunity to make a nice income while working with warm leads and ultimately helping make people’s lives better.
We are looking for people who thrive in an inside sales environment. This is more than reading a script. We are looking for:
Smart, professional people
Dynamic interaction with patients over the phone
People with the ability to strategize
People who are ambitious
People who want to make money, and are willing to work hard for it
People who care about patients, and want to ensure that our customers have a positive experience with our service.
Saturday work may be required in the future.
Key Responsibilities:
Contacting patients to make them aware of, and enroll them in the home delivery pharmacy program.
Working with internal and external teams to ensure that patients are on-boarded properly, and shipping as scheduled.
Communicating with patients when there are changes or additional information needed.
Managing your patients and leads strategically; the way you would handle your own business.
Professional Qualities:
Winning record of performance.
Ability to multi-task effectively and often.
Excellent relationship-building and sales skills.
Excellent oral and written communication skills.
Computer aptitude, with the ability to multi-task, using computer programs while on the phone.
A strategic approach to sales and account management.
Record of being goal-oriented and achieving objectives.
Engaging personality.
A desire to help people and empathy for their challenges.
Optimism-- considers every new day a new opportunity.
Great attention to detail and follow through.
Deadline driven.
Problem solver.
Ability to work independently after training.
Ability to think and adapt quickly.
Ability to turn a negative situation into a positive one.
Bilingual candidates fluent in Spanish is a plus.
Preferred Experience:
2+ years of successful sales experience preferred.
Knowledge of Salesforce.com CRM system preferred, but not required.
Bilingual candidates fluent in Spanish are preferred.
Physical Requirements:
Requires the ability to sit or stand for long periods of time, occasional stooping, and reaching; May require lifting up to 25 pounds; requires a normal range of vision and hearing with or without accommodations.
Ability to work full-time in a phone-based office environment.
Additional Information:
Cleared Background Check Required
Employment Information:
Position Located in Salt Lake City, Utah
Benefits include a health plan, dental, vision, paid time off
Flex time
401K with up to 4% match
Jun 18, 2019
Full time
General Description:
Equiscript, LLC is seeking sales professionals to join our growing team. We are looking for smart, dynamic, outgoing sales closers who are passionate about reaching their goals. This is a position where you can reap the benefits of your hard work. We offer a base compensation with a generous commission plan at a fast-paced, fun, growing company.
Working on behalf of our contracted health centers, Equiscript sales professionals call patients to enroll them in a home delivery pharmacy service. This is an opportunity to make a nice income while working with warm leads and ultimately helping make people’s lives better.
We are looking for people who thrive in an inside sales environment. This is more than reading a script. We are looking for:
Smart, professional people
Dynamic interaction with patients over the phone
People with the ability to strategize
People who are ambitious
People who want to make money, and are willing to work hard for it
People who care about patients, and want to ensure that our customers have a positive experience with our service.
Saturday work may be required in the future.
Key Responsibilities:
Contacting patients to make them aware of, and enroll them in the home delivery pharmacy program.
Working with internal and external teams to ensure that patients are on-boarded properly, and shipping as scheduled.
Communicating with patients when there are changes or additional information needed.
Managing your patients and leads strategically; the way you would handle your own business.
Professional Qualities:
Winning record of performance.
Ability to multi-task effectively and often.
Excellent relationship-building and sales skills.
Excellent oral and written communication skills.
Computer aptitude, with the ability to multi-task, using computer programs while on the phone.
A strategic approach to sales and account management.
Record of being goal-oriented and achieving objectives.
Engaging personality.
A desire to help people and empathy for their challenges.
Optimism-- considers every new day a new opportunity.
Great attention to detail and follow through.
Deadline driven.
Problem solver.
Ability to work independently after training.
Ability to think and adapt quickly.
Ability to turn a negative situation into a positive one.
Bilingual candidates fluent in Spanish is a plus.
Preferred Experience:
2+ years of successful sales experience preferred.
Knowledge of Salesforce.com CRM system preferred, but not required.
Bilingual candidates fluent in Spanish are preferred.
Physical Requirements:
Requires the ability to sit or stand for long periods of time, occasional stooping, and reaching; May require lifting up to 25 pounds; requires a normal range of vision and hearing with or without accommodations.
Ability to work full-time in a phone-based office environment.
Additional Information:
Cleared Background Check Required
Employment Information:
Position Located in Salt Lake City, Utah
Benefits include a health plan, dental, vision, paid time off
Flex time
401K with up to 4% match
Purpose of Position: To develop and manage the Association’s training program including training and technical assistance projects and related services that enhance the capabilities of community clinics and health centers and advance the work of the Association.
Primary Responsibilities:
In-Person Training Management Provide oversight and management for CPCA’s in-person training sessions.
Coordinate across departments to support in-person trainings and programs, including content, logistics, planning, budget, etc.
Manage speaker coordination, scheduling, and contracts; monitor work plans and timelines; and engage partners and staff when necessary to ensure that project timelines and deliverables are achieved and projects stay within budget.
Oversee registration processes and coordinate efforts to improve such systems.
Maintain relationships with subject matter experts who can provide training on a variety of topics to meet member needs.
Speaker & Event Coordination Manage agenda and content for all Boutique events including Call for Presenters process, speaker selection, preparation, and coordination for general sessions, and breakout sessions
Manage speaker contracts and oversee reimbursement process.
Support registration processes for attendees as well as staff and speakers and coordinate efforts to improve such systems.
Develop and communicate guidelines for presenter best practices (e.g. Power Point format & content, tips for interactive sessions, etc.).
Work closely with other DER staff to plan and execute appropriate room set-up for all sessions, including a/v equipment, staging, etc.
Business Development & Systems Management Develop and implement strategies to enhance training revenue and resources.
Provide input and support for the statewide training budget.
Prepare scheduled and special reports; prepare grant reports; maintain program/project records and statistical information.
Training Program Leadership Participate in internal and external discussions to address member training and TA needs.
Support strategic development of the annual training calendar, ensuring that trainings are informed by data such as needs assessments, training evaluations, and trend analysis.
Prepare budgets as needed and monitor expenses and revenues. Develop regular tracking systems in coordination with the finance department.
Develop and maintain a regular training evaluation process that reviews the outcome of training objectives, participant experiences, revenue projections, and presenter feedback and use that information to enhance future offerings.
Write, edit, and coordinate the creation of training descriptions, educational materials, and/or manuals. Work with CPCA marketing staff on promotional materials, such as event programs, brochures, flyers, marketing emails, etc.
Additional Responsibilities:
Attends and participates in all staff meetings of the Association.
Reports regularly to the Deputy Director of Development & Training.
Participates in Association events and represents the Association as requested.
Other duties as assigned.
Skills and Talents Required:
Effective oral and written communications.
Event coordination and planning experience.
Highly organized.
Effective problem solving skills.
Strong time management skills.
Proficient in commonly used software products and databases.
Enthusiasm for and commitment to working within a mission-driven organization.
Ability to:
Resolve conflicts in a precise and timely manner.
Manage multiple tasks.
Establish effective relationships and communication with CPCA membership.
Establish rapport with others in business and community settings.
Education and Experience:
Bachelor’s degree required. A minimum of three years’ experience in project coordination, planning, and training implementation. Familiarity with community clinics and health centers highly preferred. Experience with membership associations preferred.
Salary: $76,729 + Excellent benefits
To Apply: Submit cover letter indicating where you heard about this position, resume, and professional references in MS Word format to jobs@cpca.org or FAX 916-440-8172.
We strive for our workforce to represent California’s diverse population including capabilities, culture, language, experience, and socio-economic background, while also meeting the highest standards and qualifications of our industry.
May 31, 2019
Full time
Purpose of Position: To develop and manage the Association’s training program including training and technical assistance projects and related services that enhance the capabilities of community clinics and health centers and advance the work of the Association.
Primary Responsibilities:
In-Person Training Management Provide oversight and management for CPCA’s in-person training sessions.
Coordinate across departments to support in-person trainings and programs, including content, logistics, planning, budget, etc.
Manage speaker coordination, scheduling, and contracts; monitor work plans and timelines; and engage partners and staff when necessary to ensure that project timelines and deliverables are achieved and projects stay within budget.
Oversee registration processes and coordinate efforts to improve such systems.
Maintain relationships with subject matter experts who can provide training on a variety of topics to meet member needs.
Speaker & Event Coordination Manage agenda and content for all Boutique events including Call for Presenters process, speaker selection, preparation, and coordination for general sessions, and breakout sessions
Manage speaker contracts and oversee reimbursement process.
Support registration processes for attendees as well as staff and speakers and coordinate efforts to improve such systems.
Develop and communicate guidelines for presenter best practices (e.g. Power Point format & content, tips for interactive sessions, etc.).
Work closely with other DER staff to plan and execute appropriate room set-up for all sessions, including a/v equipment, staging, etc.
Business Development & Systems Management Develop and implement strategies to enhance training revenue and resources.
Provide input and support for the statewide training budget.
Prepare scheduled and special reports; prepare grant reports; maintain program/project records and statistical information.
Training Program Leadership Participate in internal and external discussions to address member training and TA needs.
Support strategic development of the annual training calendar, ensuring that trainings are informed by data such as needs assessments, training evaluations, and trend analysis.
Prepare budgets as needed and monitor expenses and revenues. Develop regular tracking systems in coordination with the finance department.
Develop and maintain a regular training evaluation process that reviews the outcome of training objectives, participant experiences, revenue projections, and presenter feedback and use that information to enhance future offerings.
Write, edit, and coordinate the creation of training descriptions, educational materials, and/or manuals. Work with CPCA marketing staff on promotional materials, such as event programs, brochures, flyers, marketing emails, etc.
Additional Responsibilities:
Attends and participates in all staff meetings of the Association.
Reports regularly to the Deputy Director of Development & Training.
Participates in Association events and represents the Association as requested.
Other duties as assigned.
Skills and Talents Required:
Effective oral and written communications.
Event coordination and planning experience.
Highly organized.
Effective problem solving skills.
Strong time management skills.
Proficient in commonly used software products and databases.
Enthusiasm for and commitment to working within a mission-driven organization.
Ability to:
Resolve conflicts in a precise and timely manner.
Manage multiple tasks.
Establish effective relationships and communication with CPCA membership.
Establish rapport with others in business and community settings.
Education and Experience:
Bachelor’s degree required. A minimum of three years’ experience in project coordination, planning, and training implementation. Familiarity with community clinics and health centers highly preferred. Experience with membership associations preferred.
Salary: $76,729 + Excellent benefits
To Apply: Submit cover letter indicating where you heard about this position, resume, and professional references in MS Word format to jobs@cpca.org or FAX 916-440-8172.
We strive for our workforce to represent California’s diverse population including capabilities, culture, language, experience, and socio-economic background, while also meeting the highest standards and qualifications of our industry.
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Progressive Care Unit.
The address is: 1600 Hospital Parkway Bedford, TX 76022
Salary range is Min. $25.00/hr. to Max. $49.03/hr. – based on relevant experience
Work Schedule
7P-7A with rotating weekends and holidays
Texas Health HEB is the only hospital in Northeast Tarrant County designated as a Level III Trauma Unit. The hospital is certified by The Joint Commission for Chest Pain and Heart Failure and as a Primary Stroke Center.
Responsible for handling initial patient assessments
Point of care testing and associated administrative tasks
Collaborate with staff in determining best outcomes for patient population.
The ideal candidate will possess the following qualifications • Associate's Degree Nursing RNs hired after January 2017 require completion of BSN within 2 years of start date. RNs hired between January 2014 and December 2016 require completion of BSN within 3 years of start date. Req
Bachelor's Degree Nursing preferred • 1 year of experience as a clinical nurse or completion of an RN residency program required. 2-3 years of step-down, progressive care, ICU experience. • Current RN licensure or compact licensure recognized by the Texas Board of nursing upon hire. • Current ACLS/BLS • CPI training 60 days req. Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism.
Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required.
Why Texas Health Resources?
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford is a 296-bed, acute-care facility serving Northeast Tarrant County since 1973. With more than 550 physicians on its medical staff, hospital services include outpatient surgery, women's services, a Level III neonatal intensive care unit, a dedicated oncology unit and cardiac rehabilitation. Texas Health HEB recently received a dual accreditation as a Cycle IV Chest Pain Center and Heart Failure Center by the Society of Chest Pain Centers, is certified as a Primary Stroke Center and a designated "Baby Friendly" facility by WHO and UNICEF. Our location brings the best of suburban living, offering you the benefits of convenience and solid career opportunities.
Texas Health Highlights
2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4thyear in a row)
2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4thyear in a row)
2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here: http://www.Click2Apply.net/z4mpcvhswwwry6p6
PI110367047
May 31, 2019
Full time
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Progressive Care Unit.
The address is: 1600 Hospital Parkway Bedford, TX 76022
Salary range is Min. $25.00/hr. to Max. $49.03/hr. – based on relevant experience
Work Schedule
7P-7A with rotating weekends and holidays
Texas Health HEB is the only hospital in Northeast Tarrant County designated as a Level III Trauma Unit. The hospital is certified by The Joint Commission for Chest Pain and Heart Failure and as a Primary Stroke Center.
Responsible for handling initial patient assessments
Point of care testing and associated administrative tasks
Collaborate with staff in determining best outcomes for patient population.
The ideal candidate will possess the following qualifications • Associate's Degree Nursing RNs hired after January 2017 require completion of BSN within 2 years of start date. RNs hired between January 2014 and December 2016 require completion of BSN within 3 years of start date. Req
Bachelor's Degree Nursing preferred • 1 year of experience as a clinical nurse or completion of an RN residency program required. 2-3 years of step-down, progressive care, ICU experience. • Current RN licensure or compact licensure recognized by the Texas Board of nursing upon hire. • Current ACLS/BLS • CPI training 60 days req. Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism.
Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required.
Why Texas Health Resources?
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford is a 296-bed, acute-care facility serving Northeast Tarrant County since 1973. With more than 550 physicians on its medical staff, hospital services include outpatient surgery, women's services, a Level III neonatal intensive care unit, a dedicated oncology unit and cardiac rehabilitation. Texas Health HEB recently received a dual accreditation as a Cycle IV Chest Pain Center and Heart Failure Center by the Society of Chest Pain Centers, is certified as a Primary Stroke Center and a designated "Baby Friendly" facility by WHO and UNICEF. Our location brings the best of suburban living, offering you the benefits of convenience and solid career opportunities.
Texas Health Highlights
2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4thyear in a row)
2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4thyear in a row)
2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here: http://www.Click2Apply.net/z4mpcvhswwwry6p6
PI110367047
The Oregon Health Authority is modernizing and expanding their Program Integrity Audit Unit and currently has a fantastic opportunity for an experienced Manager with a background in Auditing or Program Performance to join an excellent team and work to advance their program operations. The Oregon Health Authority promotes health equity by developing policies and programs to eliminate health disparities and reach health equity for all Oregonians.
What you will do!
As the Manager of the Program Integrity Audit Unit, you will provide leadership and direct management supervision to the Program Integrity Audit Unit (PIAU) in the Fiscal and Operations Division of the Oregon Health Authority (OHA). You will work closely with all levels of OHA executives and managers on audit, regulatory and program integrity issues.
In this role, you will directly supervise the audit staff of the PIAU and direct and monitor the work of the audit staff to ensure work is completed as assigned or detailed in the PIAU strategic plan. You will lead in the preparation and execution of the PIAU audit plan for OHA and be responsible for coordinating various audits and develop consistent, effective and efficient work processes, procedures and practices.
Your responsibilities will include assisting in the coordination of, contributing to and participating in program integrity activities and functions in OHA and with partner agencies where Medicaid funds are invested. You will act as a liaison with federal, state and stakeholder partners regarding the interpretation, implementation and application of program integrity requirements. Examples of stakeholder partners include Centers for Medicare and Medicaid Services (CMS), the U.S. Office of Inspector General (OIG), the U. S. Government Accounting Office (GAO), the U.S. Attorney’s office, the Oregon Department of Justice, and professional organizations such as the Oregon Board of Medicine and the Oregon Board of Nursing. At times, you may serve as a contract administrator as needed.
In this strategic leadership position, you will be integral to the integrity of Oregon’s Medicaid funding, which ultimately impacts the health and access to services by over one million Medicaid beneficiaries in Oregon, who originate from racially, ethnically, culturally, gender- and ability- diverse communities throughout the state. You will need to demonstrate a strong understanding of PIAU’s role in advancing health equity and addressing systemic health disparities.
Additionally, you will assist the OHA Administrator for Program Integrity in the preparation and monitoring of the PIAU budget and assist in the development of responses to budget and revenue projection requests. You will lead in the development of the PIAU audit plan and assist the Administrator in the development of the OHA Program Integrity Strategic Plan. You will also perform a variety of typical management functions, including conducting staff meetings, preparing written reports, resolving disputes, reviewing information and legislative activity related to program integrity. You will have a responsibility to proactively create an inclusive environment for all staff, including those from diverse backgrounds and be responsible to ensure LEAN activities are thoughtfully and thoroughly implemented and carried out.
Finally, you will be responsible for representing PIAU in a range of stakeholder workgroups and committees internal and external to OHA, related to audits and program integrity, such as the OHA Quality Health Outcome Committee and the Oregon Association of Health and Hospital Systems. You will be on the forefront of recruiting, retaining and promoting a qualified, diverse workforce and inclusive workplace environment for the OHA Fiscal and Operations Division and the overall agency.
What's in it for you? Collaboration in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year. If you are an experienced Manager with a background in Auditing or Program Performance , don't delay, apply today!
WHAT WE ARE LOOKING FOR:
Six (6) years of experience in supervision, staff-technical, or professional-level work related to auditing or program performance. Two (2) years of this experience must have included supervision and management of a program, section, or unit which included: a) development of program rules and policies, b) development of long- and short-range goals and plans, c) program evaluation, and d) budget preparation. A Bachelor's degree or equivalent course work (144 quarter or 96 semester hours) in a field related to management, such as Business or Public Administration, or a field related to auditing, may be substituted for Three (3) years of the required experience, but will not substitute for the Two (2) years of specialized experience.
Strong working knowledge of federal and state level Medicaid Program Integrity operations and requirements as well as the prevention, detection, identification and investigations of fraud, waste and abuse.
Experience using data analytics applications in the prevention, detection, identification and investigation of fraud, waste and abuse.
Knowledge of program integrity theory and application.
Excellent customer service and all types of communication strategies and skills to deal with differing opinions related to program integrity, oversight and monitoring.
Ability to interpret complex federal, state and other regulatory principles.
Experience in advancing health equity, addressing systemic health disparities and collaborating with diverse, vulnerable and underrepresented populations.
Apr 29, 2019
Full time
The Oregon Health Authority is modernizing and expanding their Program Integrity Audit Unit and currently has a fantastic opportunity for an experienced Manager with a background in Auditing or Program Performance to join an excellent team and work to advance their program operations. The Oregon Health Authority promotes health equity by developing policies and programs to eliminate health disparities and reach health equity for all Oregonians.
What you will do!
As the Manager of the Program Integrity Audit Unit, you will provide leadership and direct management supervision to the Program Integrity Audit Unit (PIAU) in the Fiscal and Operations Division of the Oregon Health Authority (OHA). You will work closely with all levels of OHA executives and managers on audit, regulatory and program integrity issues.
In this role, you will directly supervise the audit staff of the PIAU and direct and monitor the work of the audit staff to ensure work is completed as assigned or detailed in the PIAU strategic plan. You will lead in the preparation and execution of the PIAU audit plan for OHA and be responsible for coordinating various audits and develop consistent, effective and efficient work processes, procedures and practices.
Your responsibilities will include assisting in the coordination of, contributing to and participating in program integrity activities and functions in OHA and with partner agencies where Medicaid funds are invested. You will act as a liaison with federal, state and stakeholder partners regarding the interpretation, implementation and application of program integrity requirements. Examples of stakeholder partners include Centers for Medicare and Medicaid Services (CMS), the U.S. Office of Inspector General (OIG), the U. S. Government Accounting Office (GAO), the U.S. Attorney’s office, the Oregon Department of Justice, and professional organizations such as the Oregon Board of Medicine and the Oregon Board of Nursing. At times, you may serve as a contract administrator as needed.
In this strategic leadership position, you will be integral to the integrity of Oregon’s Medicaid funding, which ultimately impacts the health and access to services by over one million Medicaid beneficiaries in Oregon, who originate from racially, ethnically, culturally, gender- and ability- diverse communities throughout the state. You will need to demonstrate a strong understanding of PIAU’s role in advancing health equity and addressing systemic health disparities.
Additionally, you will assist the OHA Administrator for Program Integrity in the preparation and monitoring of the PIAU budget and assist in the development of responses to budget and revenue projection requests. You will lead in the development of the PIAU audit plan and assist the Administrator in the development of the OHA Program Integrity Strategic Plan. You will also perform a variety of typical management functions, including conducting staff meetings, preparing written reports, resolving disputes, reviewing information and legislative activity related to program integrity. You will have a responsibility to proactively create an inclusive environment for all staff, including those from diverse backgrounds and be responsible to ensure LEAN activities are thoughtfully and thoroughly implemented and carried out.
Finally, you will be responsible for representing PIAU in a range of stakeholder workgroups and committees internal and external to OHA, related to audits and program integrity, such as the OHA Quality Health Outcome Committee and the Oregon Association of Health and Hospital Systems. You will be on the forefront of recruiting, retaining and promoting a qualified, diverse workforce and inclusive workplace environment for the OHA Fiscal and Operations Division and the overall agency.
What's in it for you? Collaboration in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year. If you are an experienced Manager with a background in Auditing or Program Performance , don't delay, apply today!
WHAT WE ARE LOOKING FOR:
Six (6) years of experience in supervision, staff-technical, or professional-level work related to auditing or program performance. Two (2) years of this experience must have included supervision and management of a program, section, or unit which included: a) development of program rules and policies, b) development of long- and short-range goals and plans, c) program evaluation, and d) budget preparation. A Bachelor's degree or equivalent course work (144 quarter or 96 semester hours) in a field related to management, such as Business or Public Administration, or a field related to auditing, may be substituted for Three (3) years of the required experience, but will not substitute for the Two (2) years of specialized experience.
Strong working knowledge of federal and state level Medicaid Program Integrity operations and requirements as well as the prevention, detection, identification and investigations of fraud, waste and abuse.
Experience using data analytics applications in the prevention, detection, identification and investigation of fraud, waste and abuse.
Knowledge of program integrity theory and application.
Excellent customer service and all types of communication strategies and skills to deal with differing opinions related to program integrity, oversight and monitoring.
Ability to interpret complex federal, state and other regulatory principles.
Experience in advancing health equity, addressing systemic health disparities and collaborating with diverse, vulnerable and underrepresented populations.
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Intensive Care Unit Department. The address is 1600 Hospital Parkway; Bedford, TX 76022 Salary range is Min. $25.00/hr. to Max. $49.03/hr. – based on relevant experience Work Schedule • Shift is 7 pm to 7 am, full-time, 36 hours/week – (3) 12 hour shifts Texas Health HEB is proud to offer a new, 18-bed advanced Intensive Care Unit (ICU) for cardiovascular patients recovering from a procedure. In addition to offering ICU nurses and staff physicians to provide quality care, the new ICU features; private and spacious rooms, shaded windows, areas for families to spend the nights, and private consultation rooms The essential job duties of this position are: Delivers care to patients utilizing the Nursing Process • assesses the patient • plans the care of the patient • intervenes as appropriate • evaluates the effectiveness of interventions • Incorporates age specific safety/infection control measures into patient care. • Initiates action to meet patient and/or significant others need for information • Maintains continuity of patient care inter-shift, inter-hospital, and while expediting out of hospital transfers
The ideal candidate will possess the following qualifications • 1 year experience as a clinical nurse or completion of an RN residency program required. A Graduate of a NLN (National League of Nursing) or CCNE (Commission on Collegiate Nursing Education) accredited nursing programs • Current RN licensure or compact licensure recognized by the Texas Board of Nursing upon hire • Associate's Degree Graduate of an accredited Nursing program required. Hired within THR after April 1, 2017 require completion of BSN within 2 years of start date preferred • RN Upon Hire required BCLS upon hire • ACLS (AHA) upon hire • CPI training within 60 days of hire • NIHSS - National Institute of Health Stroke Scale Certification 30 days • 2-3 years ICU experience preferred Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism.• Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required. Why Texas Health Resources Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served. Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures and counts more than 5,500 physicians with active staff privileges at its hospitals. At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence. Texas Health Highlights • 2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4th year in a row)• 2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4th year in a row)• 2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here: http://www.Click2Apply.net/7vjbkv5smnzz628j
PI108867032
Apr 01, 2019
Full time
Texas Health HEB seeks to hire a Registered Nurse to work Full Time in the Intensive Care Unit Department. The address is 1600 Hospital Parkway; Bedford, TX 76022 Salary range is Min. $25.00/hr. to Max. $49.03/hr. – based on relevant experience Work Schedule • Shift is 7 pm to 7 am, full-time, 36 hours/week – (3) 12 hour shifts Texas Health HEB is proud to offer a new, 18-bed advanced Intensive Care Unit (ICU) for cardiovascular patients recovering from a procedure. In addition to offering ICU nurses and staff physicians to provide quality care, the new ICU features; private and spacious rooms, shaded windows, areas for families to spend the nights, and private consultation rooms The essential job duties of this position are: Delivers care to patients utilizing the Nursing Process • assesses the patient • plans the care of the patient • intervenes as appropriate • evaluates the effectiveness of interventions • Incorporates age specific safety/infection control measures into patient care. • Initiates action to meet patient and/or significant others need for information • Maintains continuity of patient care inter-shift, inter-hospital, and while expediting out of hospital transfers
The ideal candidate will possess the following qualifications • 1 year experience as a clinical nurse or completion of an RN residency program required. A Graduate of a NLN (National League of Nursing) or CCNE (Commission on Collegiate Nursing Education) accredited nursing programs • Current RN licensure or compact licensure recognized by the Texas Board of Nursing upon hire • Associate's Degree Graduate of an accredited Nursing program required. Hired within THR after April 1, 2017 require completion of BSN within 2 years of start date preferred • RN Upon Hire required BCLS upon hire • ACLS (AHA) upon hire • CPI training within 60 days of hire • NIHSS - National Institute of Health Stroke Scale Certification 30 days • 2-3 years ICU experience preferred Skills • Good computer skills using a medical management application. • Possesses a strong work ethic and a high level of professionalism.• Serve as a role model, be an intra/interdisciplinary collaborator and a coordinator for quality patient care. • A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment is required. Why Texas Health Resources Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served. Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures and counts more than 5,500 physicians with active staff privileges at its hospitals. At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence. Texas Health Highlights • 2018 FORTUNE Magazine's “100 Best Companies to Work For®” (4th year in a row)• 2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4th year in a row)• 2018 Employees' Choice “Best Places to Work” by Glassdoor
Apply Here: http://www.Click2Apply.net/7vjbkv5smnzz628j
PI108867032
