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Job Description: Minimum Qualification: Education and Experience:   Minimum of six years of acute care coding experience required.         AND Current Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Procedural Coder – Hospital (CPC-H) credential. For applicants holding a CCS or CPC-H credential, Associate’s degree of Applied Science-Health Information Management is preferred.           Summary: Plans, directs and supervises functions within the Hospital Coding Area.   Essential Duties and Responsibilities: include the following. Other duties may be assigned. Supervises the activities and personnel in the Hospital Coding area. Maintains statistics for productivity, budget indicators and hospital reporting for Cost Center. 2.1. Develops and applies performance standards for area. 2.2. Assists management in developing the current expense and capital equipment budgets and quarterly variance reporting for the Cost Center. Performs employee performance reviews, interviews, hires, coaches, counsels and dismisses employees as necessary. 3.1. Performs employee Performance Reviews, at a minimum, annually. 3.2. Interviews, hires, coaches, counsels and dismisses employees as needed. 3.3. Trains, monitors and evaluates staff performance; advises, counsels and disciplines 100% of the time - reports to the Hospital Coding Manager. 3.4. Assures personnel meet established performance standards 100% of the time. Creates adequate staffing patterns to assure work is completed efficiently. Develops and evaluates departmental policies and procedures as they pertain to the Hospital Coding area. 4.1. Perform ongoing evaluation of staff productivity and workflow to better utilize manpower in reaching and maintaining productivity standards. Reports to Hospital Coding Manager as changes are made. 4.2. Updates policies and procedures on an annual basis. Monitors compliance with policies and procedures relevant to clinical data management. Designs and uses audit tools to monitor the accuracy of clinical coding, documentation gaps, and hospital billing. 5.1. Develops and applies quality standards for area. 5.2. Coordinates and performs quality validation on MS-DRG, APC, diagnosis and/or procedure assignment for accuracy and compliance. 5.3. Performs audits of clinical coding areas, identifying problem areas and areas of improvement. Follows through with necessary education and implements improvements in the Hospital Coding area. 5.4. Identifies focus areas and coordinates quarterly audits performed by Hospital Coding Specialist Leads and/or Hospital Coding Specialists.  5.5. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Hospital Coding Specialists, and providing final reports to Hospital Coding Manager. Communicates regularly with the Hospital Coding Manager or HIM Director on activities, problems, coding and/or documentation issues and pending audits. Instructs and educates WVUH physicians and ancillary staff on coding, documentation and hospital billing related issues. 7.1. Promotes compliance with CMS, Medicare documentation, Joint Commission and coding and billing regulations. 7.2. Develops and coordinates ongoing Hospital education for new staff, including physicians, coders, nurses and allied health professionals. Monitors and educates the Hospital Coding Specialists on Quality initiatives, results and issues. Coordinates RAC coding/documentation denial reviews and facilitates appeal letter formation. Serves as an EPIC Advisor/Super User for the HIM Department as pertains to Hospital Coding Specialist functions. Prepare monitoring reports for the Hospital Coding area. Disseminates monitoring reports to Hospital Coding Specialists, Hospital Coding Manager and others as needed. Develops and/or updates query templates / smartlists / smartexts /work queues in the Epic system. Supervisory Responsibilities: Supervises functions within the Hospital Coding Area. Performance Standard: Adheres to the established Performance Expectations for WVUH Employees in the areas of People, Service, Performance Improvement, and Shared Values & Culture.                                  Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to sit, stand, walk for long periods of time. Ability to lift, push or pull 11-20 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. May be exposed to all patient elements (i.e. blood home pathogens, and to environmental hazards such as anesthetic gases or elements). Knowledge, Skills, and Abilities: Knowledge of care delivery documentation systems and related medical record documents. Knowledge of age-specific needs and the elements of disease processes and related procedures. Must possess excellent oral and written excellent oral and written communication skills, strong interpersonal organization and critical thinking skills. Ability to work independently in a time oriented environment. Knowledge of database applications, spreadsheet design Knowledge of report writing software Working knowledge of medical terminology, basic anatomy and physiology Excellent working knowledge of ICD-9-CM, ICD-10-CM/PCS and E&M coding Must be able to handle stress and exemplify courteous behavior required Must be self-motivated Must be able to work with a variety of professionals Independent analytical and problem solving ability required  

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Job Description: Summary of Duties The Director of the Laboratory is responsible for the overall operation of the hospital’s Laboratory. The Director assists hospital administration in accomplishing organizational objectives and goals. The Director assumes 24-hour responsibility and accountability of system functions and staff performance and patient care/services.   Core Values Mission & Sacred Work:  Supports the hospital’s mission by sharing God’s love with those we serve and Sacred Work Compassion:  Consistently treats others with caring, kindness, and thoughtfulness Respect: Respect for human dignity, individuality, and privacy Integrity: Absolute integrity in all relationships and dealings Quality: Excellence in clinical and service quality Stewardship: Responsible resource management in serving our communities Wholeness: Supports the hospital’s whole-person healthcare heritage in all our dealings with those we serve Family: Treating each other as members of a caring family   Qualifications & Requirements Current California CLS licensure, MT(ASCP) preferred as appropriate B.S.in related field required or five years management experience Masters degree preferred Demonstrates advanced level problem-solving skills and decision-making abilities Prior proven experience and expertise in clinical area relevant to unit patient population (minimum 4 to 8 years clinical work) and/or: Prior proven experience and expertise in management, either in first line or in shift supervisory work Emotional stability to deal with crises, continuous interruptions, high prolonged stress of management staff, patient care and physical environment, counseling/coaching staff, providing disciplinary action, positively interacting with all other departments during times of stress and constant change Excellent verbal and written skills for high level communication within the hospital and at interdisciplinary and administrative meetings and meeting high demands for developing written proposals, preparing budgets, writing evaluations and developing standards and Performance Improvement (PI) reports Strong mental/intellectual abilities of critical thinking, comparative analysis, statistical control application, and decision making to provide direction to area staff and assist Executive leadership with hospital wide program planning/execution/evaluation Strong organization and self discipline with attention to detail and accuracy Duties & Responsibilities Leadership Capacity: Demonstrates effective leadership skills of delegation, organization and coordination in managing a department or a unit: (1) Conducts regular supervisory rounds to include monitoring of staff documentation, patient and customer satisfaction, patient education, nursing care and unit services, implementation and use of protocols, and overall work environment (2) Program Development: As a member of the management team, participates in identifying needs at the department, unit and organizational levels and assists with strategic planning, organizing, executing, controlling and evaluating systems, processes and practice, patient care and information processing (3) Actively participates in at least one community based program or organization yearly   Strategic Planning: Actively participates with the leadership team in the hospital’s overall strategic planning to support the organizational growth. Implements effective and efficient department plans: (1) Actively participates with the leadership team in overall strategic hospital planning and for department or unit in concert with the hospital direction. (2) Actively seeks improvement of departmental and hospital processes, using current evidence-based research (3) Supports and collaborates in the development of new programs (4) Provides services that attracts new business   Safety and Legal: Ensures that patient care and nursing practice or services provided in a department meet both safety and risk management standards and legal requirements of licensing: (1) Ensures staff compliance of meeting licensure requirements, OSHA, LOA, MLOA and injury guidelines (2) Monitors staff compliance of mandatory monthly safety inservices as required   Budget Planning/Monitoring & Stewardship: Participates in budget planning and execution for department(s) in support of organizational values: (1) Identifies department resources and needs; develops, allocates, administers and evaluates the area budget, while directing and delegating appropriate aspects of the budget process with emphasis on monitoring expenditures in supplies, equipment and staffing and cost control measures (2) Uses resources efficiently to generate the sufficient capital to support our organizational values (3) Complies with required fiscal tracking (4) Actively identifies opportunities for more efficient use of resources   Standards & Policies, The Joint Commission (TJC):Responsible for compliance with all standards and policies: (1) Reviews, revises and participates in the development of structure, process and outcome such as: Standards at the department and hospital level and uses these standards as a basis for all program and professional development and outcome accomplishment accordingly (2) Demonstrates awareness of hospitals’ policies, assures compliance with and uses these as a basis for decision making for both clinical and management issues (3) Maintains and updates departmental policies and procedures as well as manuals relating to their respective area of work (4) Actively participates in TJC accreditation process for the hospital, departments and units, including ‘mock’ survey activities, intervention and follow up of, and correction of recommendations (5) Completes all required actions as defined on Functional Team Action Plans (6) Ensures that department and unit policies reflect current regulatory requirements (7) May actively participate on at least one Functional Team as appropriate   Staff Development and Performance Improvement: Develop and retain extraordinary employees through coaching and performance feedback resulting in mutual trust and respect: (1) Integrates functions of Standards Development, Continuing Education (CE), credential, performance appraisals, auditing, concurrent monitoring, utilization review, risk management and active problem identification (2) Demonstrates ability to collect, track and trend data in order to identify opportunities for performance improvement (3) Performs required performance appraisal on time for staff based on hospital job descriptions and performance standards (4) Collaborates in identifying, planning and implementing educational programs based on staff needs. Evaluated effectiveness of educational programs based on performance improvement (5) Teaching:  Demonstrates the ability to plan contents and effectively delivers educational information of a clinical and/or directorial nature and regularly participates in direct staff learning activities (6) Completes department inservice program   Staffing: Supports hospital Sacred Work mission of taking care of the people who take care of people: (1) Attracts employees and maintains appropriate levels of staff and assignments and employee satisfaction according to organization standards (2) Participates in interviewing, selecting and hiring new staff and implements strategies directed toward retention and recruitmentof employees (3) Evaluates unit and department turnover rate and reasons for termination and implements appropriate strategies as indicated (4) Maintains appropriate unit and department staffing par levels (5) Ensures department is staffed appropriately to meet the needs of the hospital and our patients (6) Monitors unit ‘unscheduled absences’ and responds to staff non-compliance appropriately   Working Relations, Team Communications, Meetings and Committees: Develops and maintains effective communication mechanisms with staff, physicians, and patients and families; between the department and other departments, and between area staff and members of the management & health care teams: (1) Chairs, attends and participates on committees, task forces, and meetings for coordination and facilitation of patient care activities or services at the department and hospital level (2) Holds monthly staff meetings, including administration’s required elements on the agenda (3) Promotes cooperation and collaboration with other departments when working to accomplish goals (4) Develops team spirit within department and assists in developing excellent working relationships between teams (5) Implements strategies for participative management involving staff in general decision making for hospital/unit operations/clinical practice/patient care via unit based committees as necessary, staff meetings and participation in standards development, PI, CE and competencies        Maintain compliance with CMS and title 22 and 24 insuring the department complies          With all regulatory expectations        Oversees department staff and insures that each employee meets the required         Standards specific to his/her job requirements        Oversees the patient care environment to insure patient safety        Responsible for insuring the availability of appropriate and necessary equipment          Participates in hospital committees and councils as appropriate        Works with physicians and the hospital executive team to expand the laboratory service      Line in conjunction with community needs        Develops policies and protocols to insure compliance with best practices        Researches new technologies to insure the department remains current with technology      and treatment options  

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Job Description: Location: Department of Physician Assistant Studies - Barry Hall Reports to:  Program Director, Department of Physician Assistant Studies Summary:  The Director of Clinical Education will provide leadership in the development, design, implementation and assessment of the clinical component of the curriculum. This person will be responsible for development of all aspects of the clinical year of the Program. This will include working with clinical sites, faculty site coordinators, and receptors in the development of rotation scheduling and student assignments. This person will also ensure the proper preparedness of preceptors for participating in the Program. This person will play a major role in preparing the Program for ARC-PA accreditation as well as programmatic ongoing assessment and strategic planning. Duties and Responsibilities:  Assist Program Director with Program design and development, especially in the areas of clinical instruction.  Work with Director of Academic Studies to ensure matriculating students are well prepared to enter into the clinical phase of the Program. Teach in areas of expertise. Serve as a member of the Curriculum Committee. Prepare the Preceptor Manual for Program. Prepare Student Clinical Rotation Manual for matriculating students.   Assessment of clinical performance of students. Ongoing evaluation of clinical sites and preceptors. Visiting and monitoring clinical sites on a regular basis. Ensure adherence to all affiliation agreements. Development of clinical sites as needed by the Program. Maintenance of student records. Provide academic and career counseling to students. Participate in graduation activities. Serve as a member of the Program Advisory Board. Attend University meetings on behalf of the Program. Represent the Program in the medical community and the community-at-large. Perform other duties as assigned by the Program Director. Qualifications: Graduate of an accredited PA program. NCCPA certified. Working knowledge of ARC-PA accreditation process. Current licensure in Tennessee Minimum of two years of academic experience. Minimum of two years of clinical experience. Academic administration experience desirable. Verbal and written communication skills. Proven organizational ability In compliance with federal law, Christian Brothers University does not discriminate on the basis of race, age, color, religion, sex, national origin or handicap in its education program of activities, including employment and admissions.

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Job Description: A&G Coordinator Overview: The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. We truly value our staff and further acknowledge their contributions by offering: Employee and family health coverage Competitive salaries Employer contributed pension plan Generous time off Tuition reimbursement 403(b) retirement plan Responsibilities: Investigate and respond to written or verbal appeals and grievances submitted by members and providers in accordance with Contract Benefits and CMS and DOH regulations. Key responsibilities include determining the appropriate type of service, appeal or grievance, investigating and responding appropriately and within time guidelines, presenting cases for review and documenting all relevant information. Qualifications: Associates degree or equivalent preferred. 2 years prior related experience. Must be proficient in MS Word and Excel. Excellent communication skills, attention to detail, ability to set priorities appropriately and meet strict deadlines and the ability to manage multiple tasks simultaneously is required.

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Job Description: A&G Coordinator Overview: The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. We truly value our staff and further acknowledge their contributions by offering: Employee and family health coverage Competitive salaries Employer contributed pension plan Generous time off Tuition reimbursement 403(b) retirement plan Responsibilities: Investigate and respond to written or verbal appeals and grievances submitted by members and providers in accordance with Contract Benefits and CMS and DOH regulations. Key responsibilities include determining the appropriate type of service, appeal or grievance, investigating and responding appropriately and within time guidelines, presenting cases for review and documenting all relevant information. Qualifications: Associates degree or equivalent preferred. 2 years prior related experience. Must be proficient in MS Word and Excel. Excellent communication skills, attention to detail, ability to set priorities appropriately and meet strict deadlines and the ability to manage multiple tasks simultaneously is required.

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Job Description: A&G Coordinator Overview: The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. We truly value our staff and further acknowledge their contributions by offering: Employee and family health coverage Competitive salaries Employer contributed pension plan Generous time off Tuition reimbursement 403(b) retirement plan Responsibilities: Investigate and respond to written or verbal appeals and grievances submitted by members and providers in accordance with Contract Benefits and CMS and DOH regulations. Key responsibilities include determining the appropriate type of service, appeal or grievance, investigating and responding appropriately and within time guidelines, presenting cases for review and documenting all relevant information. Qualifications: Associates degree or equivalent preferred. 2 years prior related experience. Must be proficient in MS Word and Excel. Excellent communication skills, attention to detail, ability to set priorities appropriately and meet strict deadlines and the ability to manage multiple tasks simultaneously is required.

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Job Description: Bereavement Coordinator Overview: Our groundbreaking hospice and palliative care programs offer a significant difference when dealing with a life-limiting condition. We offer a broad range of services in the community or facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. We truly value our staff and further acknowledge their contributions by offering: Employee and family health coverage Competitive salaries Employer contributed pension plan Generous time off Tuition reimbursement 403(b) retirement plan Responsibilities: The Bereavement Coordinator utilizes supportive counseling services to provide the clinical assessment and treatment of grief & loss needs for patients and bereaved persons of all ages in accordance with the interdisciplinary plan-of-care; The Coordinator also participates in the clinical training and supervision of Bereavement Interns; Supports special programming, research, education and marketing efforts to promote the organization's mission and growth; and responds to the grief & loss needs of staff and the community-at-large. Qualifications: Master's degree in a counseling-related discipline. Two years' experience working in a health care setting as a counselor; including a minimum of 6 months experience in hospice or palliative care (academic internship placement hours may be included as a portion of this experience). Current state or national license/certification in specific professional discipline; grief-counseling certification through ADEC or the AAGC within the first year of employment is encouraged. A valid NY State driver's license is preferred. Word Processing, spreadsheet, and electronic medical records skills a must.

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Job Description: Credentialing Coordinator Overview: The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Responsibilities: Oversees the proper credentialing/recredentialing of all providers within the Home First network including but not limited to site visitation, application processing and information verification. Implements quality improvement. Responsible for the development and creation of provider contracts, provider manual and member network provider directory. Creates provider reports based on paid claims data. Oversees the daily management of sub-network agreement. Audits claims processing functions to determine error rate. Sends network providers correspondence regarding changes in the MLTCP. Qualifications: High School diploma. Minimum Two Years managed care experience working in provider relations or member services department. Amisys, Word, Excel, Smartcare, Argo.

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Job Description: Medicaid Coordinator Overview: The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. We truly value our staff and further acknowledge their contributions by offering: Employee and family health coverage Competitive salaries Employer contributed pension plan Generous time off Tuition reimbursement 403(b) retirement plan Responsibilities: Responsible for processsing all Medicaid applications. Prepares Medicaid new applications; conversions and re-certifications. Contacts families to explain the Medicaid guidelines and requirements. Process residents discharges to Medicaid. Prepares budget corrections. Sends approvals of Medicaid budgets and re-certifications to families. Meets with Social workers to discuss discharge plans for patients. Follows up on all Medicaid deferrals regarding explanation of rejections and approvals. Makes sure all applications and deferrals are clocked prior to ninety (90) day rule. Completes address changes for all long term resident income where appropriate. Sorts mail and distributes accordingly. Reviewstape matches to determine other sources of payments. Qualifications: High School Diploma or equivalency. Experience in Medicaid application process. Computer proficient - Microsoft. Knowledge of Medicaid Regulations and HIPAA practices and procedures. Possess good organizational skills. Ability to work high volume work load.

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Job Description: Payroll Coordinator Overview: Our Corporate team may not provide direct care, but we still touch people's lives in a very real and substantial way. The services we provide contribute greatly to the overall patient and member experience, supporting our reputation for excellence. We truly value our staff and further acknowledge their contributions by offering: Employee and family health coverage Competitive salaries Employer contributed pension plan Generous time off Tuition reimbursement 403(b) retirement plan Responsibilities: Processes time to ADP in order to produce a weekly payroll. Imports, reviews, and maintains historical data Kronos, Lawson, and STAT. Reviews, edits, changes data imported into ADP from Kronos and Stat, enters any manual adjustments and transmits to ADP for payroll to process. Interacts with employees to resolve discrepancies. Reviews Employee Changes Report produced in ADP from Lawson import. Reviews Lawson printout to make necessary changes to ADP, i.e. Group Term Life, Qualified Pension Fields and Union Flags. Enters garnishments, W4, voluntary deductions and direct deposit information into ADP system. Opens and distributes department mail. Processes hand checks for any time not imported into ADP. Imports accrual and pay component information into ADP. Qualifications: High School Diploma. Minimum 3 Years payroll experience. Proficiency in ADP, Report Smith, Excel, and Kronos. ADL helpful. Ability to work independently. Strong organizational skills. Detail oriented. Strong interpersonal skills. Strong problem solving skills.

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Job Description: Credentialing Coordinator Overview: The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Responsibilities: Oversees the proper credentialing/recredentialing of all providers within the Home First network including but not limited to site visitation, application processing and information verification. Implements quality improvement. Responsible for the development and creation of provider contracts, provider manual and member network provider directory. Creates provider reports based on paid claims data. Oversees the daily management of sub-network agreement. Audits claims processing functions to determine error rate. Sends network providers correspondence regarding changes in the MLTCP. Qualifications: High School diploma. Minimum Two Years managed care experience working in provider relations or member services department. Amisys, Word, Excel, Smartcare, Argo.

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Job Description: A&G Coordinator Overview: The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. We truly value our staff and further acknowledge their contributions by offering: Employee and family health coverage Competitive salaries Employer contributed pension plan Generous time off Tuition reimbursement 403(b) retirement plan Responsibilities: The A&G Coordinator investigates and responds to written and/or verbal appeals and grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS (Centers for Medicare & Medicaid Services), and DOH (Department of Health) regulations.#LI-Post Qualifications: Associates degree or 60 college credits preferred, but will consider prior experience. 4 years prior related experience is required. Managed Care or Health Care related experience preferred. Must be proficient in MS word, excel and desktop software knowledge preferred. Excellent organizational skills. Very good communication skills (oral and written). Good interpersonal Skills.

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Job Description: RAI Coordinator Bruceville Terrace, a Skilled Nursing Facility and a member of Dignity Health, is currently looking for a RAI Coordinator to add to their facility staff. The RAI Coordinator coordinates the accurate and timely completion of the MDS that both enhances the care and maximizes the appropriate reimbursement for the care provided to the patient/residents. The Coordinator facilitates the communication between the disciplines such as Nursing, Social Services, Activities, PT, OT, and Speech Therapy. This position should effectively communicate with the business office regarding RUG levels and changes in insurance qualifications. Requirements: At least 1+ year experience working with resident assessment instruments Must have a CA RN and BLS from the American Heart Association. Working knowledge of the PPS system for financial reimbursement and knowledge of the Title 22 and OBRA regulations. An AANAC certification is preferred. Ability to develop and implement nursing systems to enhance the accuracy of the MDS system Ability to communicate proficiently in English, demonstrating these skills both verbally and in writing. Good organization, prioritization and interpersonal skills. The RAI Coordinator shall demonstrate behaviors consistent with the core (Mercy) values in support with Bruceville Terrace and the Mission and Philosophy of Dignity Health. Bruceville Terrace has been providing quality, compassionate care since 1989. Licensed as the 171-bed Distinct/Part Skilled Nursing Facility of Methodist Hospital of Sacramento, Bruceville Terrace offers patients access to a high standard of care and comprehensive medical services 24 hours a day. Bruceville Terrace provides skilled nursing, rehabilitative and complex medical services to our patients and residents using an interdisciplinary team approach. Over half of the facility is dedicated to skilled nursing/convalescent care, while the remaining 46 beds are committed to meet the medical and rehabilitative needs of the short-term patient after a stay at the acute care hospital. Learn more at www.methodistsacramento.org. Equal Opportunity Dignity Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status. For more information about your EEO rights as an applicant, please click here.

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Job Description: Enrollment Coordinator Overview: The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. We truly value our staff and further acknowledge their contributions by offering: Employee and family health coverage Competitive salaries Employer contributed pension plan Generous time off Tuition reimbursement 403(b) retirement plan Responsibilities: Provides clerical support to the Enrollment Department. Receives referral information and evaluates for membership. Enters enrollment data in clinical information system and ensures the completeness and accuracy of the demographic information through verification of date of birth, sex, address, social security number, Medicaid number, and Medicare number. Transmits and tracks enrollment materials to Human Resources Administration(HRA). Drafts official correspondence to referral sources, prospective enrollees and their families with regard to enrollment and eligibility. Prepares correspondence and reports, i.e., enrollment processes for the Department of Health, HRA and any other official agencies Qualifications: HS Diploma or GED. A minimum of one year work experience in office setting. Microsoft Word, Excel. Initiates and undertakes self-directed activities. Demonstrates principles of customer service.

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Job Description: Scheduling Coordinator   DUTIES INCLUDE BUT ARE NOT LIMITED TO: Coordinates front office employee schedules to ensure all business office areas are covered daily.  Serves as back-up for all front office positions when needed. Helps scheduler obtain CPT and ICD-9 diagnosis codes and other clinical information as required for treatment of the patient from the physician's office. Prepares documentation for Notification of Non-covered Medicare Services or Advance Beneficiary Notices to patient and notifies physician's offices about these procedures. Educates/trains current employees on needed changes within the business office.  Completes training of all new employees front end employees under supervision of Administrator/CBO Director. Verifies/confirms physician is credentialed at the center before scheduling the patient. Handles conflicts and procedural questions.  Seeks advice from CBO Director/Administrator/Pre-Op/PACU Coordinator, and OR Coordinator when needed. Oversees all medical records functions according to ASD policies. Prepares daily deposit packet and forwards to CBO. Completes log for month end processing of petty cash. Responsible for assisting with Advantx Security Matrix review.  Maintains knowledge of and complies with established ASD policies, Best Practices and procedures. Displays and maintains the highest standards of customer service to ensure patients/customers are taken care of in the most expedient and friendly manner. Continually reviews current processes and develops new processes to improve quality and quantity of work processed. Assists in care and upkeep of department equipment, supplies and keeping office area neat and organized. Enters daily case count on Atlas ASD website. Enters the Expected Payment Log in Excel and forwards to the CBO Director/Designee. Maintains work area in a neat and orderly manner. Maintains a professional image through proper attire, appropriate verbal and written communication Attends required meetings and participates in committees as requested. Supports the goals of the business office and presents a positive image of the department and Center in all situations. Understands/follows HIPAA and security policies/procedures. Actively participates in the Ethics and Compliance Program related the position. Practices and adheres to the "Code of Conduct" philosophy and "Mission and Value Statement". Cross trains and performs other general duties as assigned.   BEHAVIORAL SPECIFIC EXPECTATIONS: Supports and adheres to all company and Center policies and procedures. Supports and adheres to HCA Code of Conduct, related Ethics and Compliance policies, and HIPAA requirements. Supports and adheres to personnel policies and programs which specify privileges and responsibilities of employment, including compliance with an adverse incident reporting system, quality improvement program, patient safety initiatives, and risk management program. Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety literature/policies. KNOWLEDGE, SKILLS & ABILITIES: Organization - Proactively prioritizes needs and effectively manages resources and time. Communication - Communicates clearly, concisely and professionally. Analytical Skills - Demonstrates ability to critically evaluate and appropriately act upon information. Customer Orientation - Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. Decision Making - Identifies and understands issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or develops appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences. Contributing to Team Success - Actively participates as a member of the Center's team to move the team toward the completion of goals. Policies & Procedures - Articulates knowledge and understanding of organizational policies, procedures, and systems. PC Skills - Demonstrates proficiency in Microsoft Office (Excel, Word, Outlook) applications; knowledge of, or ability to learn, AdvantX - Accounts Receivable System, Smart, HOST and other systems as required.  Demonstrates ability to type on PC keyboard. Technical Skills - Demonstrates a basic knowledge of medical terminology and medical insurance.   EDUCATION: N/A   EXPERIENCE: Two years medical business office experience preferably within an ambulatory surgery center. Lead or supervisory experience preferred.   CERTIFICATE/LICENSE: BLS may be required as determined by facility practices.   PHYSICAL DEMANDS/WORKING CONDITIONS: This job requires prolonged sitting, some bending, stooping and stretching.  It also requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, computer, photocopier, telephone, calculator, and other office equipment.  Requires normal range of hearing/eyesight/voice projection to record, prepare, and communicate appropriately.  Requires occasional lifting up to 50 pounds.   Work is performed in an office environment. Work may involve dealing with angry or upset people and may be stressful at times.   OSHA CATEGORY: The normal work routine involves no exposure to blood, body fluids, or tissues (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid, or to be potentially exposed in some other way.

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Job Description: RAC COORDINATOR Description : The RAC Coordinator is responsible for coordinating all aspects of the RAC program request, appeals, etc. The RAC Coordinator will interact with administrative and clinical staff and ancillary departments to assist and provide necessary information to identify opportunities related to the RAC reviews. Participates in hospital committees regarding RACs. Qualifications : Certifications and Licensures Required RN (Registered Nurse) Education Required Associate's Nursing Preferred Bachelor's Related Field Experience Required 3 years Nursing Required 3 years Case Management Preferred 1 year Managed Care Preferred 2 years Utilization Review Preferred 1 year Medicare Preferred 1 year Medicaid Preferred 1 year Specific Systems related to department Specific Skills Required Work with a team Required Medical terminology use and understanding Required Interpersonal skills Required Work independently Required Leadership skills Required Management skills Required Analytical Skills Required Customer service skills Required Administrative and clerical skills Required Analyze systems and processes and problem solve solutions Required Organizational skills Required Critical thinking skills Required Knowledge of regulatory standards appropriate to position Required Computer skills appropriate to position Required Interact and conduct group presentations at all levels Required Time management skills Required Written and verbal communication skills

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Job Description: Scheduling Coordinator DUTIES AND RESPONSIBILITIES   Responsible for collecting new patient information required by physicians to assist in decision making. Greet patients, families and visitors giving full attention to their needs.  Direct phone calls appropriately; place reminder phone calls to all pain center patients. Maintain physician portion of patient charts, and file all correspondence within 24 hours of receipt. Ensures all patient and insurance information is up to date, pre-certifications and/or approvals required placed in chart prior to patient visit.  Assist patients with prior authorizations as needed.  Ensure that all tests ordered by physicians are scheduled, logged, results received and physicians notified in timely manner.     The successful candidate will have a high school diploma, basic computer skills, superior communication skills, types 50 wpm.   Must demonstrate exceptional teamwork and organizational skills.   Displays extraordinary customer service skills in person, telephone and written communications. Primary duties are to manage the front office, triage phone calls, scheduling, physician billing, filing, assist Senior Office Coordinator with data entry, registration.  The successful candidate will have a high school diploma, computer knowledge, types 50 wpm and demonstrates good customer relations skills. Teamwork and organizational skills are essential. Displays extraordinary customer service skills in person, telephone and written communications. Job Qualifications: High school diploma or general education degree (GED) equivalent. Requires one year of OR scheduling experience.  Work hours are from 8a.m. to 5 p.m Strong Customer Service skills. Knowledge of CPT codes and medical terminology. Experience with AdvantX or other Windows scheduling software and Microsoft Outlook preferred. Basic clerical skills, computer proficiency, 10-key touch, and experience with office equipment. Must be able to stand, walk, sit, talk or type for extended periods of time. Must be able to bend, lift 2 to 30 pounds occasionally.

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Job Description: Laboratory Coordinator SPECIFIC ELEMENTS AND ESSENTIAL FUNCTIONS* *1. Directs daily operations including decision-making, response to problems, identifying errors and taking corrective action. Demonstrates technical expertise. *2. Contributes to good employee relationships and provides for staff development. Performs employee performance appraisals. *3. Adheres to proper resource allocation and coordination. Ensures maximum efficiency in use of personnel. Controls departmental supply expense. *4. Demonstrates and encourages innovation and creativity. Responds to changes in clinical laboratory medicine. Motivates and educates staff to challenge traditional operational methods, i.e., scheduling, processes, etc. *5. Manages and shares daily workload. Uses time wisely. Provides a productive atmosphere. Manages specialty areas and/or assignments in compliance with general laboratory standards. *6. Demonstrates thorough knowledge of test methodologies and quality control. Develops, writes, reviews and implements procedures and policies. Prepares laboratory for inspections. Prepares reports as needed. *7. Maintains good communication with laboratory leadership, pathologists, co-workers, team members and customers. Demonstrates an awareness of patient/client expectations and seeks to always satisfy. Provides a productive atmosphere. Supports the Hospital and Laboratory administrative and management teams. Displays effective supervisory skills and talents. *8. Demonstrates proficiency in all laboratory computer related tasks. Provides training to employees as necessary. *9. Ensures that all instrument maintenance is performed and documented. Administers to all established quality control procedures. Troubleshoots instruments effectively, when appropriate. *10. Understands and participates in laboratory QA plan, safety policies, emergency preparedness plan and infection control plan. *11. Understands/respects laboratory billing compliance plan. Adheres to guidelines set forth in Lab Billing Compliance Plan. Attends Annual Billing Compliance Training and Annual Ethics Training. Understands and adheres to patient security and confidentiality standards. *12. Initiates and documents patient teaching, including family and /or significant others. Demonstrates knowledge and skills necessary to provide care and assess data appropriate to the age of the patient served. EXPERIENCE Required - Graduate of accredited school of Clinical Laboratory Science, minimum 1 year in designated section Preferred - 1-2 years experience as Medical Technologist, minimum 2 years in designated section CERTIFICATION Required- ASCP/NCA certified Preferred-ASCP/NCA certified, specialty in designated section EDUCATION Required - Bachelor of Science, related science Preferred - Bachelor of Science, Medical Technology

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Job Description: TRANSPORTER COORDINATOR Description : The Transport Center Coordinator is responsible for staffing, scheduling and dispatching transporters, arranging appropriate training for transporters, generating and maintaining department statistics in MS Office software applications and maintaining a high level of customer service with our many customers. The coordinator uses the Invision application to confirm patient identity and location and the Kronos application to act as timekeeper for the department. The coordinator assists the department supervisor in hiring and in the orientation, training and competency assessment of transporters. Assists other department managers in scheduling transporters as fill-ins when needed. Performs back up for other transporters as needed, performs other duties as assigned and demonstrates the ability to work independently. Qualifications : Certifications and Licensures Required BLS (Basic Life Support) Preferred CNA (Nursing Assistant) Education Required High School or Equivalent Experience Required 1 year Transport Or 1 year Hospital in related field Preferred 3 years Customer Service Specific Skills Required Medical terminology use and understanding Required Written and verbal communication skills Required Delegation skills Required Work with a team Required Customer service skills Required Work independently Required Administrative and clerical skills Required Interpersonal skills Required Computer skills appropriate to position Required Management skills Required Critical thinking skills Required Knowledge of regulatory standards appropriate to position Required Organizational skills

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Job Description: Shipping Coordinator Duties and Responsibilities: Ships blood, tissue, and tumor samples from patients enrolled on clinical trials.  Duties include:  Maintain accurate records of sample acquisition and shipping. Records will also be kept with study files  Maintain work space  Notify courier of any sample shipments. If too late for courier, be available to make arrangements to drop samples at FedEx, UPS, etc. if necessary  Assist with process of obtaining archived tumor biopsies and sending/retrieving to/from study sponsor or contract lab  Ensure there is an adequate supply of dry ice available for shipment  Package/ship Biopsy samples as directed in shipping manual  Ability to respond to queries generated from study sponsor or contract lab regarding patient/sample data  Willing to assist other clinic personnel in clinic management when asked  Other duties as assigned Knowledge:  Knowledge of organization policies, procedures systems.  Knowledge of OSHA requirements for safe handling of blood and body fluids.  Maintain IATA certification.  Skills:  Skill in verbal and written communication  Skill in gathering and reporting information  Skill in computer applications  Abilities:   Ability to work effectively with staff, and other internal and external sponsor and agencies. Ability to multi-task in fast paced environment is essential.  Education:  Technical diploma preferred  Experience:  Clinical laboratory and phlebotomy experience or equivalent experience preferred. 

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The ADVANCE job board has thousands of medical coordinator jobs, ranging from admissions to staffing to health care coordinator positions. You can find a wide variety of career opportunities here, and they’re easy to explore. Just use the control panel on the left side of the page to focus in on specific employers, cities and states.

Whether you’re looking for medical coordinator jobs on the administrative side of the business or on the clinical side, you can find plenty of openings that will take your career where you want it to go. We make it easy to hunt down positions in specific departments, which is really helpful if you’re experienced in a particular specialty. We can connect you to medical coordinator jobs in rehab, nursing, ED, NICU, home care, pharmacy, social services, research and much more.

You can apply to any of these medical coordinator jobs instantly as long as you have a resume on file. Save up to five custom resumes so you have different versions to choose from when you find opportunities that interest you. If you’re logged in and have a resume ready to go, you can apply in seconds. Give it a try today!

The ADVANCE job board has thousands of medical coordinator jobs, ranging from admissions to staffing to health care coordinator positions. You can find a wide variety of career opportunities here, and they’re easy to explore. Just use the control panel on the left side of the page to focus in on specific employers, cities and states.

Whether you’re looking for medical coordinator jobs on the administrative side of the business or on the clinical side, you can find plenty of openings that will take your career where you want it to go. We make it easy to hunt down positions in specific departments, which is really helpful if you’re experienced in a particular specialty. We can connect you to medical coordinator jobs in rehab, nursing, ED, NICU, home care, pharmacy, social services, research and much more.

You can apply to any of these medical coordinator jobs instantly as long as you have a resume on file. Save up to five custom resumes so you have different versions to choose from when you find opportunities that interest you. If you’re logged in and have a resume ready to go, you can apply in seconds. Give it a try today!