Senior Organizational Development Consultant - Med Center - Hybrid
Houston Methodist Job In Houston, TX Or Remote
Note: Selected candidate will be onsite for up to 90 days before transitioning to a hybrid model.
At Houston Methodist, the Senior Organizational Development (OD) Consultant is responsible for organizational assessment, recommendation, and development of appropriate interventions; implementation of interventions; and follow-up, evaluation and measurement of outcomes in support of the overall business strategy and objectives of Houston Methodist. Interventions fall in the areas of leadership effectiveness, change management, organizational effectiveness (e.g., employee engagement, process mapping, lean principles, etc.) and talent assessment/ succession planning. This position partners with key stakeholders to design and execute improvement plans, focusing particularly at the Director/Executive level.
Houston Methodist Standard
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
Provide personalized care and service by consistently demonstrating our I CARE values:
INTEGRITY: We are honest and ethical in all we say and do.
COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
ACCOUNTABILITY: We hold ourselves accountable for all our actions.
RESPECT: We treat every individual as a person of worth, dignity, and value.
EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
Practices the Caring and Serving Model
Delivers personalized service using HM Service Standards
Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience
Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job
Actively supports the organization's vision, fulfills the mission and abides by the I CARE values
Responsibilities
PEOPLE ESSENTIAL FUNCTIONS
Maintains strong interpersonal relationships with stakeholders and customers.
Conducts leadership coaching for multiple levels of management as a component of comprehensive development plans, focusing particularly at the Director/Executive level.
Assists team members and customers in needs assessment and the identification of knowledge gaps.
Leads the talent assessment and succession planning initiatives ensuring understanding and utilization of all associated tools and processes by the entity leadership.
Conducts the new leader assimilation process including appropriate Birkman debrief(s) and assessment of engagement of staff.
SERVICE ESSENTIAL FUNCTIONS
Researches and develops leadership program materials for individual, group, and organization-wide programs; develops training and program content, along with designing all associated participant materials and activities; adheres to all intellectual property requirements, avoiding plagiarism, and ensures proper citations in all materials.
Serves as an internal consultant for various levels throughout the organization; consultant activities include assessment, intervention, follow-up, evaluation and measurement of outcomes.
Partners with key stakeholders to design and execute change management activities; communicates plans and anticipated outcomes to support positive relationships.
Leads both small-scale and large-scale OD projects within the scope of one's department responsibility affecting the following at Houston Methodist: organizational change, process improvements, team effectiveness and competence, employee engagement/ empowerment and achievement of unparalleled safety, quality, service and innovation.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Assesses needs, diagnoses problems, and determines the appropriate intervention to enhance individual and organizational effectiveness and support strategic goals. Also includes facilitating strategic planning meetings for various levels of the leadership team and various business units.
Identifies and leverages appropriate metrics to evaluate the effectiveness of OD interventions and reports findings to key stakeholders. Uses information to adjust techniques for future engagements of similar nature and scope.
FINANCE ESSENTIAL FUNCTIONS
Acts as a good steward of organizational resources; seeks low cost or no cost solutions in interventions, maintains certifications to be an internal resource, and consistently uses tax exemption documentation.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Keeps abreast of competition, competitive issues, industry, technology and innovation in the field of leadership development, change management, performance improvement, and other role specific topics. Generates and communicates new ideas and suggestions.
Looks for trends in leadership development strategies and techniques to help leaders apply learning on the job. Brings them to department and relevant stakeholders to improve on Houston Methodist practices.
Completes and updates the My Development Plan and Talent Profile on an on-going basis. Ensures own career discussions occur with appropriate management.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications
EDUCATION
Master's degree in organizational development, industrial psychology, social work, HR management, or other related field
WORK EXPERIENCE
Five years of experience in an organizational development role to include training, coaching, and leadership development
Healthcare experience preferred
Experience in a formal leadership role preferred
License/Certification
LICENSES AND CERTIFICATIONS - REQUIRED
N/A
LICENSES AND CERTIFICATIONS - PREFERRED
Vendor certification in assessment tools, such as Birkman, Crucial Conversations, or Change Management (ADKAR) preferred
KSA/ Supplemental Data
KNOWLEDGE, SKILLS, AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Ability to multi-task, adapt, and be flexible in the face of changing demands of the department and organization
Proficiency in PowerPoint, Excel, and other presentation software
Ability to problem solve
Excellent customer service and professional communication skills with the ability to remain calm in stressful situations
Skilled facilitator who can quickly adapt training approaches, tools, and present effectively to all levels of the organization
Strong project management skills and ability to lead cross functional teams on initiatives
Strong critical thinking skills to adapt and provide application recommendations to individuals in a variety of roles
Coaching, counseling abilities and the ability to develop the functional and supervisory skills of others
Strong knowledge of leadership competencies and techniques for developing competence
Demonstrated ability to lead change management initiatives based on understanding of established principles and theories
Comprehensive understanding of the core functions of human resources management and how OD solutions integrate
Ability to understand and maneuver in the context of multiple cultures and organizational agendas
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform No
Scrubs No
Business professional Yes
Other (department approved) Yes
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
On Call* No
TRAVEL**
**Travel specifications may vary by department**
May require travel within the Houston Metropolitan area Yes
May require travel outside Houston Metropolitan area Yes
Company Profile
Houston Methodist (HM) is one of the nation's leading health systems and academic medical centers. HM consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston metropolitan area. HM also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, HM employs over 25,000 employees. Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.
In 2019 Houston Methodist and its physicians treat more than 6,333 international patients from more than 76 countries. Houston Methodist Global Health Care Services' consulting and education divisions also provide advisory services and training and development to health care organizations around the world.
Development Director - Foundation - Hybrid (Psychiatry and Behavioral Health)
Houston Methodist Job In Houston, TX Or Remote
At Houston Methodist, the Development Director position is responsible for managing a portfolio of donors, with the primary focus on cultivating, soliciting and stewarding major gift donors. The Director position drives Foundation activity in assigned medical service lines to advance their strategies and initiatives through philanthropic support. This position collaborates with Foundation colleagues and Houston Methodist leaders to elevate the institution by securing philanthropic gifts to support key initiatives and programs. The Director is accountable to specific annual metrics focused on qualification, cultivation, solicitation and stewardship of current and prospective donors. The Development Director position also collaborates with the Associate Chief Development Officer over planned giving to grow the number of planned giving expectancies for her/his areas of responsibility.
Requirements:
PEOPLE ESSENTIAL FUNCTIONS
* Maintains a portfolio of major gift prospects.
* Focuses on the qualification, cultivation, solicitation, and stewardship of contributors and prospective donors for major gifts in all ranges as directed.
* Interfaces with the Donor Relations and Stewardship to support strategic enlistment and use of councils, volunteers and events for HM and assists with events that support key volunteer and donor pipeline development.
* Interacts with other Foundation staff to facilitate preparation of proposals, acknowledgment letters, gift agreements, solicitation materials and stewardship reports for contributors in portfolio.
* Interfaces with the Campaign Director and assigned service line leaders to identify key campaign fundraising priorities.
* Works closely with the planned giving leader to grow the portfolio of planned giving expectancies.
SERVICE ESSENTIAL FUNCTIONS
* Arranges and attends donor and prospect visits as defined by department metrics.
* Actively engages stakeholders in the development and achievement of strategic initiatives.
* Assists Center of Excellence leaders and department chairs with logistical support in developing and achieving goals of the strategic initiatives as required.
* With direction of department management, develops an accelerated pipeline of development targets.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
* Ensures ethical compliance, as defined by the Association for Fundraising Professionals and all Foundation and Houston Methodist gift-related and administrative policies. Follows Business Practice standards for fundraising performance.
* Document results of all substantive contacts with donors for team lead review and critique, and maintain documentation on a timely basis to be input by closing of each respective month, including contact reports, outlining donor strategies, proposal development and submissions per month.
FINANCE ESSENTIAL FUNCTIONS
* Meets minimum agreed annual fundraising targets in qualification, face-to-face contacts, solicitations, and stewardship visits. Drives timelines for solicitation and reporting.
* Achieves target proposal success rate.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
* Develops relationships inside and outside of the organization that enhance the organization's ability to integrate donors and potential donors into the community.
* Under direction of department management, develops and executes innovative strategies for obtaining major gift donations.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications:
EDUCATION
* Bachelor's degree
WORK EXPERIENCE
* Three years of fundraising experience
* Academic medical center and/or large university experience preferred
LICENSES AND CERTIFICATIONS - REQUIRED
* N/A
LICENSES AND CERTIFICATIONS - PREFERRED
* Certified Fundraising Executive (CFRE) or other fundraising certification preferred
KNOWLEDGE, SKILLS, AND ABILITIES
* Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
* Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
* Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
* Ability to interact and communicate effectively with assigned stakeholders throughout the organization as well as donors and prospects
* Sound judgment and critical thinking skills
* Ability to effectively manage competing priorities
* Ability to interact independently with executives and physicians on fundraising initiatives
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
* Uniform No
* Scrubs No
* Business professional Yes
* Other (department approved) No
ON-CALL*
* Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
* On Call* No
TRAVEL
Travel specifications may vary by department
* May require travel within the Houston Metropolitan area Yes
* May require travel outside Houston Metropolitan area Yes
Company Profile:
Houston Methodist is one of the nation's leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care.
Houston Methodist is an Equal Opportunity Employer.
Single Billing Office, Customer Service Specialist, FT, Days, - Remote
Remote or Greenville, SC Job
Inspire health. Serve with compassion. Be the difference. Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues.
Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles.
Essential Functions
* Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. - 25%
* Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. - 20%
* Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. - 10%
* Must be knowledgeable of the entire Revenue Cycle and Epic. - 10%
* Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. - 10%
* Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. - 10%
* Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Should be cross trained and proficient to operate in any of these roles if the need arises. - 10%
* Answers all incoming calls from Prisma Health patients for both the Columbia and Greenville markets. - 5%
* Performs other duties as assigned.
Supervisory/Management Responsibilities
* This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
* Education - High School diploma or equivalent OR post-high school diploma / highest degree earned
* Experience - 2 years - Billing, bookkeeping, accounting
In Lieu Of
* NA
Required Certifications, Registrations, Licenses
* NA
Knowledge, Skills and Abilities
* NA
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70019935 System Billing Office
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Clinical Activation Planner FT (Hybrid)
Houston Methodist Job In Houston, TX Or Remote
Overview At Houston Methodist, the Clinical Activation Planner position is responsible for managing facility activation, transition and move planning of clinical space within the Houston Methodist, under the direction of the Clinical Planning and Design department management. This position serves as the liaison between the Hospital client department, consultants, contractors, regulatory agencies, and others as appropriate. The Clinical Activation Planner position must be able to manage several projects simultaneously and must be familiar with healthcare facility design and construction processes. Houston Methodist Standard PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
Provide personalized care and service by consistently demonstrating our I CARE values:
INTEGRITY: We are honest and ethical in all we say and do.
COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
ACCOUNTABILITY: We hold ourselves accountable for all our actions.
RESPECT: We treat every individual as a person of worth, dignity, and value.
EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
Practices the Caring and Serving Model
Delivers personalized service using HM Service Standards
Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience
Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job
Actively supports the organization's vision, fulfills the mission and abides by the I CARE values
Responsibilities PEOPLE ESSENTIAL FUNCTIONS
Partners with logistics consultant in development of move plans for each department. Serves as coordinator of the clinical move activities
Collaborates closely with Construction Management team to coordinate any equipment requiring early installation as well as with medical equipment planners and Biomed on all medical equipment installations and inspections
Coordinates all owner-furnished and contractor-installed items and equipment with Construction Management team
Contributes towards improvement of department scores for employee engagement, i.e. peer-to-peer accountability.
SERVICE ESSENTIAL FUNCTIONS
Assists in planning of furniture, art, equipment, telecommunications and information technology for assigned projects
Oversees the installation of new and reused equipment, furniture, art, signage, etc. Responds promptly to internal and external customer requests
Participates in the schematic and design planning phases
Assists in development of and manages move schedule for facility occupancy
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Oversees the progress of move(s) to identify and improve methods of delivery within the departments. Maintains and achieves the highest standards of quality, delivery of care and service
Monitors required actions, including those for regulatory approvals, to assure occupancy readiness
FINANCE ESSENTIAL FUNCTIONS
Ensures equipment and supply needs are identified and provided
Utilizes efficient and cost-effective work practices with department resources and supplies. Self-motivated to independently manage time effectively and prioritize daily tasks to meet established timelines, assisting coworkers as needed
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Generates and communicates new ideas and suggestions that improve quality, safety or service
Improves skills and technical knowledge by maintaining continuing education requirements for professional license and memberships as well as staying current with healthcare and construction products and trends
Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. Qualifications EDUCATION
Bachelor's degree in nursing, business or related healthcare field
WORK EXPERIENCE
Five years of hospital clinical or healthcare experience
License/Certification LICENSES AND CERTIFICATIONS - REQUIRED
RN - Registered Nurse - Texas State Licensure -- Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency) AND
Other clinician license according to applicable Board requirements
KSA/ Supplemental Data KNOWLEDGE, SKILLS, AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Strong analytical skills to develop and manage construction projects and resolve problems
Demonstrates adaptability and flexibility in the face of changing demands.
Strong verbal and written communication and presentation skills for management meetings and preparation of plans and reports
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform No
Scrubs No
Business professional Yes
Other (department approved) No
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
On Call* No
TRAVEL**
**Travel specifications may vary by department**
May require travel within the Houston Metropolitan area Yes
May require travel outside Houston Metropolitan area Yes
Company Profile
Houston Methodist (HM) is one of the nation's leading health systems and academic medical centers. HM consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston metropolitan area. HM also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, HM employs over 25,000 employees. Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.
In 2019 Houston Methodist and its physicians treat more than 6,333 international patients from more than 76 countries. Houston Methodist Global Health Care Services' consulting and education divisions also provide advisory services and training and development to health care organizations around the world.
Decision Support Analyst | Cost Accounting
Remote or Saint Cloud, MN Job
Find your purpose as the Decision Support Analyst at CentraCare! As the Decision Support Analyst, you would be responsible for the cost accounting process along with maintenance of and reporting from the decision support system. Trains and supports leaders that are users of the system. This position will work closely with the Finance, Managed Care, Performance Improvement and Information Systems departments to ensure data integrity.
Schedule:
Full-time 80 hours every 2 weeks
Mon-Fri 8:00a-5:00p
Work from home the majority of time; quarterly meetings and some trainings are needed onsite
Pay and Benefits:
Starting pay begins at $75,678.25 per year and increases with experience
Salary range: $75,678.25 - $113,506.69 per year
Salary range is based on a 1.0 FTE, reduced FTE will result in a prorated offer rate.
Full time benefits: medical, dental, PTO, retirement, employee discounts and more!
Qualifications:
A four year degree is required; degree with an emphasis in accounting/finance is preferred.
Healthcare experience is strongly preferred.
Cost accounting experience is needed to be successful.
Good written and verbal communication skills are required.
Experience with spreadsheet functions and report writer functionality is required.
Core Functions:
Responsible for maintenance of and data accuracy within the decision support / cost accounting system.
Coordinates RVU (relative value unit) validation with department leaders and finance analysts.
Responsible for monthly costing process.
Reconciles revenue and expense from DSS reports to the income statement on a monthly basis and resolves any issues.
Responsible for creating and maintaining standard dashboard reports.
Coordinates and maintains structure for service line reporting.
Responsible for providing detailed financial analysis to leaders and performance improvement team as needed.
Participates in Value Analysis Steering Committee.
Responsible for new charge code maintenance as it relates to the cost accounting system.
Support users and identifies educational needs for users.
Manages system software enhancements, new data feeds and new software implementation for decision support system.
Updates and prepares system structure for each fiscal year.
CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.
Advanced Practice Provider (PA/NP)-Virtual Primary Care Team (Remote)
Remote or Chapel Hill, NC Job
Join _One Great Team_ at UNC Health, an inclusive organization of over 40,000 employees dedicated to improving health and well-being across North Carolina. UNC Physicians Network is seeking **experienced Physician Assistants or Family Nurse Practitioners** to join our **Virtual Primary Care Team** . This team provides patients with convenient, high-quality care through video, phone, and e-visits - 16 hours/day, 365 days/year.
**Position Highlights:**
+ Work Type: Per diem, remote (must reside in NC)
+ Schedule: Rotating days, evenings, weekends, and holidays
+ No call required
+ Manage acute and chronic primary care needs virtually
+ Excellent work/life balance - no commute
**Ideal Candidate:**
+ 2+ years of primary care experience required
+ Behavioral health experience is a plus
+ Flexible, innovative, and tech-savvy
+ Strong virtual communication and clinical skills
+ Passionate about delivering care in new, accessible ways
UNC Physicians Network is a **physician-led, dyad-organized** system with a strong commitment to **equity, diversity, inclusion, population health, virtual care innovation** , and **provider well-being** .
**Job Details:**
+ **Legal Employer:** NC Health (Rex Healthcare, Inc.)
+ **Entity:** UNC Physicians Network
+ **Unit:** Virtual Practice Primary/Urgent Care
+ **Standard Hours/Week:** 0.01 (Per Diem)
+ **Work Assignment:** Remote (must be located in NC)
+ **Work Schedule:** Variable
+ **Location:** Chapel Hill, NC
+ **Exempt from Overtime:** Yes
_This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully owned subsidiary of UNC Health Care System. This is not a State-employed position._
UNC Health is proud to be an Equal Opportunity Employer. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
If you need assistance or accommodations to apply, please email:
[email protected]
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Ambulatory Coder Denials II, FT, Days, - Remote
Remote or Greenville, SC Job
Inspire health. Serve with compassion. Be the difference. Responsible for validating coding and facilitation of appeals process for all assigned denied professional service claims. All team members are expected to be knowledgeable of payer guidelines related to coding and appeal timelines. Communicates with providers regarding coding denial issues. Ensures documentation supports CPT, Modifiers, HCPCS and ICD-10 codes for submitted appeals, reopenings, reconsiderations, etc.
Essential Functions
* All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
* Responsible for working coding claim denials accurately and timely in accordance with performance and productivity goals.
* Utilizes appropriate coding software and coding resources in order to determine correct codes.
* Communicates billing related issues
* Follows departmental policies for charge corrections.
* Participates in coding educational opportunities (webinars, in house training, etc.).
* Provides feedback to providers or appropriate office liaison in order to clarify and resolve coding concerns.
* Submits appeals for assigned payer and/or division.
* Assists with Compliance Team and Coding Educators to identify areas that require additional training
* Participates in meetings in order to improve overall billing
* Performs other duties as assigned.
Supervisory/Management Responsibilities
* This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
* Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
* Experience - Two (2) years professional coding and/or billing experience
In Lieu Of
* NA
Required Certifications, Registrations, Licenses
* Certified Professional Coder-CPC
Knowledge, Skills and Abilities
* Maintains knowledge of governmental and commercial payer guidelines.
* Knowledge of office equipment (fax/copier)
* Proficient computer skills including word processing, spreadsheets, database
* Data entry skills
* Mathematical skills
Work Shift
Day (United States of America)
Location
Independence Pointe
Facility
7001 Corporate
Department
70019178 Medical Group Coding & Education Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Coding Compliance Auditor, Corporate, FT, Day, Remote
Remote or Columbia, SC Job
Inspire health. Serve with compassion. Be the difference.
All team members of the Compliance Department are expected to be knowledgeable and comply with Prisma Health's Code of Excellence to Inspire Health, Serve with Compassion and Be the Difference. In addition, this position requires analytical skills and close attention to detail. This position is responsible for assisting Coding Compliance Manager/Supervisor and Director, Compliance Services in the execution of the annual Coding Compliance Plan. Assists in conducting project planning and developing appropriate audit procedures, and conducts audit procedures and reports findings. Coordinates efforts between the Office of Compliance Services and Physician Practices of the University Medical Group Administration to improve medical record documentation and overall compliance rates.
Remote work may be considered for this position.
Accountabilities
Under the direction of the Coding Compliance Manager/Supervisor or Senior Coding Compliance Auditor, conducts random reviews of coded professional services in accordance with the Prisma Health Compliance Work Plan. Reviews patient medical records and procedures performed in selected patient care areas to ensure all policies relating to documentation are followed uniformly. Conducts and coordinates routinely scheduled audits of Prisma Health providers' documentation involved with professional fee billing, for accuracy of coding and compliance of regulatory guidelines. These audits consist of, but are not limited to, ambulatory Evaluation and Management services, office procedures as well as hospital admissions, subsequent visits, hospital procedures, and all other services performed or supervised by providers. Analyzes results to assess compliance with regulations, identifies procedural weaknesses and education needs that contribute to instances for non-compliance. Ensures that proper billings from individual patient medical records are justified with proper supporting documentation. Reports document findings in well-organized work papers as reviewed by the Coding Compliance Manager/Supervisor as deemed necessary. Communicates findings and may co-develop corrective action plans for the strengthening of internal controls with management of the audited area.
40%
Independently conducts all project planning procedures for assigned low-moderate complexity audits in a timely manner. May be assigned high complexity audits as warranted.15%
Under the direction of the Coding Compliance Supervisor, prepares formal written reports summarizing current state (findings), desired future state, and critical success factors (recommendations) for low complexity audits. Reports are accurate, concise, organizationally fluent, and grammatically correct. Applicable Prisma Health policies or federal/state/agency laws or regulations are referenced and explained. Findings are presented in order of importance and are meaningfully condensed and presented in the Office of Compliance Services Executive Summary.
30%
Participates with a Coding Compliance Supervisor or Senior Coding Compliance Auditor directing, in closing meetings with appropriate levels of management. Exhibits confident and competent verbal communication skills. Concisely presents findings and recommended corrective action plans. Cites and summarizes applicable policies, laws or regulations.
Continuously gains knowledge of CPT, ICD, HCPCS and business/industry/legislative issues relating to and impacting Coding Audit and Compliance issues. Increases knowledge by attending coding conferences, workshops, webinars and in-house sessions to receive updated coding information and changes in coding and/or regulations.
10%
Performs miscellaneous job-related duties as assigned.
5%
Supervisory/Management ResponsibilitiesThis is a non-management job that will report to a supervisor, manager, director or executive.Minimum Requirments
Certification Program
3 years of CPT, ICD-9/10 and HCPCS professional coding
Required Certifications
CPC
Work Shift
Day (United States of America)
Location
15 Medical Park Rd Richland
Facility
7001 Corporate
Department
70019700 Compliance
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Licensed Therapist - LCSW/LPCC - Remote Position
Remote or Kentucky Job
Baptist Health Medical Group is now hiring a Licensed Therapist for the Virtual Care Clinic.
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Provides clinical services including psychosocial assessment, individual, family, and group therapies that meet the established standards of care and standards of practice. Develops patient treatment plans with patient/family participation and reassess treatment plans appropriately.
If assigned to Outpatient Behavioral Health and independently privileged, may provide for initial patient assessment. Participates in performance improvement activities and assists in the interpretation of performance improvement data.
If qualified, may provide clinical supervision. Expected to participate in consultation, set professional boundaries, maintain confidentiality and adhere to ethical conduct.
MINIMUM QUALIFICATIONS:
Masters degree in social work or counselling and licensure as clinical social worker (LCSW) or clinical counselor (LPCC).
Dual licensure for IN and KY preferred but not required.
Must have supervision training to provide clinical supervision in that program.
Must have knowledge of current theoretical approaches to the delivery of counseling services.
Must have knowledge of strategies for examining, applying and evaluating cognitive/behavioral therapy concepts.
Additional skills required include thorough knowledge of the clinical aspects of the mental health field
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
Baptist Health is an
Equal Employment Opportunity
employer.
Ambulatory Coder Professional Billing, FT, Days, - Remote
Remote or Greenville, SC Job
Inspire health. Serve with compassion. Be the difference. Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues.
Essential Functions
* All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
* Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.
* Responsible for resolving all assigned pre-billing edits
* Communicates billing related issues and participates in meetings to improve overall billing process
* Provides feedback to providers in order to clarify and resolve coding concerns.
* Assists in identifying areas that need additional training.
* Performs other duties as assigned.
Supervisory/Management Responsibilities
* This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
* Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
* Experience - Two (2) years professional coding experience
In Lieu Of
* NA
Required Certifications, Registrations, Licenses
* Certified Professional Coder-CPC
Knowledge, Skills and Abilities
* Maintains knowledge of governmental and commercial payer guidelines.
* Participates in coding educational opportunities (webinars, in house training, etc.).
* Ability to utilizes appropriate coding software and coding resources in order to determine correct codes.
* Knowledge of office equipment (fax/copier)
* Proficient computer skills including word processing, spreadsheets, database
* Data entry skills
* Mathematical skills
Work Shift
Day (United States of America)
Location
Independence Pointe
Facility
7001 Corporate
Department
70019178 Medical Group Coding & Education Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Trauma Registry Analyst, FT, Day-Remote
Remote or Columbia, SC Job
Inspire health. Serve with compassion. Be the difference. All employees are expected to be knowledgeable and compliant with Prisma Health's values of compassion, dignity, excellence, integrity and teamwork. This job is responsible for the identification of trauma patients meeting registry inclusion criteria, abstracting clinical and outcomes data from the medical record, coding diagnoses, procedures, and injuries utilizing ICD-10 coding, AIS coding, E-Codes, and entering data into the Trauma Registry per National Standards and State Standards/State Trauma Regulations published by the American College of Surgeons (ACS), National Trauma Data Bank (NTDB) and SC Department of Health and Environmental Control (DHEC). Performs data analysis on Trauma Registry data for monitoring data quality and performs data analysis and writes reports to support the activities of the Trauma Program such as performance improvement, research, administrative and medical staff meetings, injury prevention, and Trauma Center Designation/Verification process.
Accountabilities
* Maintains professional development and current in coding principles. Maintains current knowledge of and complies with National standards published by the ACS, State Standards published by DHEC and State Trauma Regulations. Maintains registry within the standards and dataset of NTDB, State Trauma Registry Data Dictionary, and PHR Trauma Program.
* Accurately identifies patients meeting Trauma Registry inclusion criteria per SC Trauma Registry Data Dictionary, NTDB and ACS standards for inclusion into the Trauma Registry.
* Accurately abstracts clinical data from pre-hospital EMS database and the in-patient medical record including demographics, co-morbidities, diagnoses, injuries, ED data, operations, procedures, complications, outcomes, performance improvement, and financial data per SC Trauma Registry Data Dictionary, NTDB and ACS standards, and PHR Trauma Program.
* Accurately codes procedures, diagnoses, and injuries using ICD-10 coding, AIS injury coding, E-codes and other appropriate coding schemes, and accurately enters into Trauma Database within departmental guidelines.
* Participates in performance improvement monitoring by gathering data on performance metrics, identifying and reporting complications, and performing analysis of registry data in support of clinical process improvement initiatives. Prepares reports pertinent to Trauma performance improvement and reports issues and trends identified to PI Coordinator and TPM.
* Prepares, processes and submits Trauma Registry records to State Trauma Registry quarterly per State Trauma Regulations and annually to the National Trauma Data Bank within established timeframe. Ensures compliance of registry with Palmetto Health HIPPA regulations.
* Responsible for report writing from the Trauma Registry Database for information requests by trauma administration, physicians, other PHR departments, and outside entities to support coding, billing, trauma research, injury prevention, performance improvement, Trauma Center Designation/Verification process, and other activities of the Trauma Program. Ensures compliance with Palmetto Health HIPPA and IRB research policies.
* Performs data analysis and data validation on Trauma Registry Data on a routine basis for data quality and errors and omissions to maintain registry integrity.
* Attends and participates in Multi-disciplinary Trauma Patient Care Conference, Multi-disciplinary Trauma Committee, and Trauma Association of South Carolina. Participates at the State level in all activities involving Trauma Registry.
* Independently works with Trauma Registry software vendor and PHR information technology on NTDB and State data submissions, upgrades, data imports, and all enhancements involving Trauma Registry.
Supervisory/Management Responsibilities
This is a non-management job that report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Associate's Degree in Health Information Management or related field.
Experience - 2 years' experience in medical record coding or relevant clinical experience.
Required Certifications/Registrations/Licenses
RHIT, RHIA, CCS, or CSTR (Certified Specialist in Trauma Registry) preferred or eligible. Requires AAAM course certification (AIS coding) and Trauma Registry Course within 1 year.
In lieu of
In Lieu of the education and experience requirements noted above, the following combination of education, training and/or experience will be considered an equivalent substitution: A coding certification such as: CCS-P, CCS, CPC RHIT or RHIA. A medical coding certification issued by the AAPC can be substituted.
Other Required Skills and Experience
Extensive knowledge of ICD-10 coding, AIS coding, E-codes, anatomy, physiology, medical terminology and disease processes. Must be computer literate and be proficient in keyboarding, spreadsheets, word processing, and databases. Requires ability to analyze and report registry data to support the activities of the Trauma Program. Must have ability to work independently and have a strong aptitude for detail.
Work Shift
Day (United States of America)
Location
Richland
Facility
1510 Richland Hospital
Department
15106579 Trauma/Neuro Administration
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Managed Care Contract Analyst, Corporate Greenville, FT, Day
Remote or Greenville, SC Job
Inspire health. Serve with compassion. Be the difference.
Coordinate system-wide hospital and physician services contracting, including but not limited to, strategy formulation, contract terms and contract performance. Coordinate the implementation, presentation and servicing of all contracts for the entire system. Provides system wide managed care education and communication.
Remote work can be considered for this position.
Accountabilities
Coordinate the processing of all payer contracts and amendments. Coordinate all the steps required in the development, review and processing of new contracts, contract renewals and contract amendments with payers. Coordinate all required steps for the execution of contracts and amendments and ensure completion or execution of finalized contracts and amendments within specified time frames or deadlines. Perform detailed review of the business terms in contracts and amendments received from payers, identify unacceptable terms and recommend revised terms that meet the needs of Prisma Health. Negotiate single case agreements when necessary. 40%
Perform detailed analyses of the financial and operational impact of procedural changes implemented by payers. 10%
Develops and maintain contracting decision making and tracking tools. 10%
Develops model contracts or contract language for use in proposing contract or amendments to payers. Establish reporting techniques that will identify areas of concern and prepare recommendations to address any issues. 15%
Provide problem solving support to Prisma Health affiliates and departments. Work closely with payers to ensure that Prisma Health receives all provider manual changes, provider bulletins, benefit plan changes and other payer documents. This position distributes this information throughout Prisma Health in a timely fashion. Conduct pro-active communication, contract compliance, and educational sessions. Develop and maintain effective relationships with payers and internal customers 25%
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Bachelor's Degree.
5 years- Managed-care experience, preferably in a contracting or provider relations role.
Required Certifications/Registrations/Licenses
N/A
In Lieu Of The Minimum Requirements Listed Above
In lieu of manage care experience, fie years experience in healthcare administration, health insurance, or provider contracting.
Other Required Sills and Experience
Knowledge of the health-insurance industry, specifically managed-care contracting operations and negotiation techniques- Required
Work Shift
Day (United States of America)
Location
Prisma Health Corporate Office
Facility
7001 Corporate
Department
70019069 Managed Care Contracting
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Remote Flex Infusion Pharmacist
Remote Job
At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work.
Day in the Life:
St. Luke's is looking for a Flex Pharmacist to join our Hospital Based Infusion team. This is an remote position and candidates must sit in either Idaho, Oregon, Arizona, or Utah. In this role you will be given hours as needed by the business needs. This position will have variable hours.
What to Expect:
Review appropriateness of prescribed medication therapy.
Provide medication information and consultation to patients, nurses and medical staff.
Interpret prescriptions, compound and dispense medications.
Supervise and authorize the work of technicians, externs, interns and support staff.
Prepare and maintains all necessary records on medication therapy, prescriptions, patient charges, medical records and inventory.
Perform cognitive clinical pharmacy services and document findings and actions in accordance with standards of the medical center.
Administer medications as appropriate.
Administer vaccinations as appropriate.
May assist in the training of technicians, externs, interns, residents and other department staff.
Serve as a role model and mentor to technicians, students, residents and new practitioners.
Qualifications:
Education: Degree from an accredited pharmacy program
Experience: 0 years' experience
Licenses/Certifications: Valid Pharmacist License in state of practice AND Current Basic Life Support (BLS) Provider Certified through American Safety and Health Institute, American Heart Association, or American Red Cross.
What's in it for you
At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
Interested but not ready to apply? Join our Talent Community and stay connected for future opportunities!
Trauma Program Registrar - Baptist Trauma Center - Days
Remote or Oklahoma City, OK Job
INTEGRIS Health Baptist Medical Center, Oklahoma's largest not-for-profit health system has a great opportunity for a Trauma Registrar in Oklahoma City, OK. In this position, you'll work M-F 8a-5p with our Trauma Team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.
The Trauma Registrar is responsible for collecting, reviewing, and analyzing data within the medical record and trauma care reports reflecting health care provided to patients to ensure comprehensive quality care and identification of performance gaps.
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
* Has working knowledge of the American College of Surgeons and Oklahoma State Department of Health inclusion criteria and ability to review reports and/or charts for possible candidates and select qualifying patients
* Accurately Codes and reports treatment of cases using the current International Classification of Diseases (ICD-10 CM) and Abbreviated Injury Scale (AIS) Coding
* Reviews care provided and identifies variations in the process or outcome of care provided
* Responsible for the data management, case findings, abstracting, data retrieval and analysis
* Ensures that all functions of the registry are met using the guidelines set forth by the American College of Surgeons, the National Trauma Data Bank (NTDB), and the Trauma Quality Improvement Program (TQIP)
* Reports statistics to physicians, administration and outside agencies upon requests
* Assist with information regarding the Trauma Registry
* Meets established guidelines for record completion in the Trauma Registry
* Participates in inter-rater validation of abstracted patient records
General Responsibilities:
* Performs other duties as assigned
Education: Graduate of Health Information Management baccalaureate OR an equivalent combination of education and experience in a health-related field. This to include experience in coding, abstracting data, or emergency room activities for the required education/certification.
Experience: Understanding of medical terminology required. Utilization of electronic Medical Records. Fully remote positions require a minimum of one year trauma registrar experience.
Licensure/Certifications/Registrations Required: Must have previously attended, or attend within 12 months of hire the following courses: The American Trauma Society's Trauma Registrar Course or equivalent provided by a state trauma program, The Association of the Advancement of Automotive Medicine's Injury Scaling Course, ICD-10 Coding Course that must be refreshed every 5 years.
Knowledge, Skills and Abilities:
Knowledge of principles and practices of trauma registry and medical records and policies and procedures. Knowledge of indexing, classification and staging systems. Will need to know medical terminology, anatomy and physiology pertaining to trauma processes. Database management skills, especially in abstracting and coding trauma related data from medical records and laboratory reports that are computerized. Knowledge of report writing. Good computer and interpersonal skills.
Epic Analyst Sr, FT, Days, - Remote
Remote or Greenville, SC Job
Inspire health. Serve with compassion. Be the difference. Lead position in analyzing clinical, business and/or technical processes and problems and formulating and developing recommendations for new and modified systems that meet client and/or internal project requirements. Provides more advanced technical expertise than that of an Application Analyst in identifying, evaluating and developing systems and procedures that are cost effective and meet user requirements. Is generally assigned more complicated work efforts. Gathers and works with departments to prioritize development initiatives and activities. Provides analysis of workflow, recommends solutions, and implements application solutions to meet departmental needs. Translates departmental requests into business functional requirements. Performs financial analysis/business plan/impact assessment. Supports internal customers in such functional areas including, but not limited to, nursing, ancillary departments, Physician practice, patient accounting, medical records, finance, human resources, purchasing, sales, and contracts. Ability to perform a variety of complicated tasks and may lead and direct the work of others. A wide degree of creativity and latitude is expected as part of the job performance as well as the ability to rely on judgment and experience to accomplish goals. Manages system upgrades and large projects. Responsible for oversight of assigned Epic modules, workflows and system configuration. Mentors Associate and Mid- level I/S Analysts in their roles and supervises work efforts as directed.
Essential Functions
* All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
* Coordinates the preparation, installation, deployment and production support of applications and Epic modules, including workflow analysis and flow charting, design specifications, programming and/or building, testing, training and implementation. Manages the purchase of appropriate hardware/software for new projects - under the direction of the respective IS Project Manager. Develops a timeline for implementation and ensures that all steps are taken to close all outstanding issues regarding the new implementation.
* Codes programs, maintains application tables/profiles/dictionaries, builds screens and/or pathways, and develops application support procedures to support customer requirements. Develops creative uses of existing technology or finds ways to expand the use of technology in existing areas. Accepts final responsibility for testing and debugging software before final deployment. Responsible for coordinating efforts for assigned Epic modules.
* Takes a lead role in maintaining customer relations and resolving customer issues related to software applications before involving the Manager. Interacts with users to develop plans to resolve their problems regarding the use of applications. Responsible for I/S communications to assigned departments concerning system status, downtime plans or other specific I/S involved events using various means such as the I/S intranet page, global emails, etc.
* Functions as the primary technical liaison with the respective vendor(s) for all implementation and post implementation activities of specific Epic modules. Functions as the lead department contact and provides project management support as required.
* Maintains application contingency plan documentation for assigned areas, ensuring the plan is updated and tested at least once annually.
* Mentors and trains assigned team members on internal standards for implementation planning, work plan development, project management, system support and customer service, including Epic and legacy systems as assigned. Prioritize and implement change control to all assigned systems and modules.
* Completes tasks on time and meet assignment dates. Checks processes and tasks and ensures data integrity for assigned applications, testing to ensure new code does not impact previous version. Manages the work of others and assures tasks are completed on time.
* Communicates with assigned departments, Epic representatives and Prisma Health end user community and acts as the "hub" of communication between the department and Prisma Health IS. Investigates, identifies and prepares proposals to solve specific operational problems with all clinical operational areas, partnering with the department Director, Managers, and Supervisors of those departments.
* May create training materials. Incorporate various learning techniques to achieve desired outcomes. Assesses curriculum to ensure users are able to pick up the knowledge needed to succeed when using the systems.
* Performs other duties as assigned.
Supervisory/Management Responsibility
* This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
* Education - Bachelor's degree in Information Services, Health Administration, Business Administration, Health Sciences or related field of study. Master's degree preferred
* Experience - Five (5) years of experience in EPIC or integrated EMR experience. Information technology experience in a business, computer science or healthcare setting.
In Lieu Of
* In lieu of the educational and experience requirements listed above, an Associate degree in Computer Science or a related field of study and six (6) years of related Information Technology experience in a business, computer science, or health care setting may be considered.
* In lieu of the educational and experience requirements listed above, a High School Diploma or equivalent and eight (8) years related Information Technology experience in a business, computer science, or health care setting including two (2) years of Epic related experience AND Epic certification in required module may be considered
Required Certifications, Registrations, Licenses
* Epic certification in assigned Epic application discipline
Knowledge, Skills and Abilities
* Presentation skills
* Communication skills
* Interpersonal skills
* Ability to multi-task
Work Shift
Day (United States of America)
Location
Independence Pointe
Facility
7001 Corporate
Department
70019419 ITS Financial Billing Systems
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Pharmacist-System Specialist, PRN
Remote or Greenville, SC Job
Inspire health. Serve with compassion. Be the difference.
Leads, oversees and ensures the successful delivery and management of projects/systems within scope, quality, schedule, and cost constraints that may be clearly defined or may require dynamic change management to deliver business value. Clinical subject matter expert, and often end user who participates in the selection, planning, and execution of products, services, or outcomes outside of the department scope or regular business duties. May also initiate projects under the direction of pharmacy administration to enhance existing operations. Works with pharmacy executives, directors, functional managers, and clinical pharmacists on a regular basis as well as non-pharmacy clinical, ancillary, informational services, and marketing teams. Collaborates with allocated project team members and evaluates productivity, communication, and teamwork. The job requires project and program management skills to oversee the deliverables for multiple special projects/systems simultaneously so that all projects/systems are integrated across the department. Helps identify project/system strengths, weaknesses, opportunities, and risks. This position allows remote work at the discretion of the reporting operational leader.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference
Management of systems/special projects:
-Assess feasibility through research and stakeholder engagement
-Collect project/system requirements, objectives, and acceptance criteria from sponsors and stakeholders
-Ensure that objectives are in line with department and enterprise objectives
-Identify, prioritize, and schedule deliverables, milestones, and required activities/tasks
-Engage operational leadership to estimate resource requirements, activity durations, and costs
-Prepare and update documents such as charter (scope), work breakdown structure, project sign off, and lessons learned
-Follow established standards and procedures for reporting and documentation
-Work with operational leadership to recruit or assign team members to tasks
-Evaluate individual and team performances and provide feedback to operational leadership
-Monitor project/system activities, ensuring the accuracy, quality, and integrity of the information
-Perform risk assessments and implement mitigation plans
-Ensure that the project/system results meet agreed upon business objectives
-Facilitate project closure by archiving project documents and conducting project review sessions with stakeholders
-Work with operational leadership to smoothly transition deliverables to the functional team(s)
Enhancement of operational productivity and performance:
-Actively evaluate operational workflow and develop process improvement initiatives where needed
-Anticipate, mitigate, and solve workflow problems
-Incorporate feedback from patients, clinical staff, ancillary staff, and leaders to improve performance
-Standardize yet customize workflow initiatives for individual clinical sites
Promotion of a successful project and operational team:
-Facilitate effective collaboration and communication among operational, clinical, and ancillary staff
-Guide and educate project/system and operational key stakeholders
-Unite teammates through conflict resolution and prevention
-Recognize individual and team wins
-Encourage leadership and professional development opportunities for the team
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Bachelor's degree in Pharmacy as a graduate from an ACPE approved College of Pharmacy. PharmD preferred.
Experience - Two (2) years of experience with project management, system management, project coordination, and/or general business management. Pharmacy experience preferred.
In Lieu Of
In lieu of an active SC Pharmacist license, may be a graduate of an ACPE accredited US college of Pharmacy with a SC intern certificate pending initial licensure or have completed requirements for reciprocity pending board of pharmacy interview for licensure.
Required Certifications, Registrations, Licenses
Licensed to practice as a Pharmacist or eligible to become licensed within 4 months of hire date in the state the team member is working.
Knowledge, Skills and Abilities
Demonstrated sensitivity to working in a political environment and to interacting with leadership
Ability to problem solve.
Ability to work in dynamic interdisciplinary team situations; handle urgent, stressful conditions.
Ability to exhibit excellent interpersonal skills in dealing with subordinates, peers, supervisors and others outside the department.
Knowledge of medical and pharmacy terminology; strong mathematical & computer skills. Understand BOP/DHEC/DEA rules/regulations
Work Shift
Variable (United States of America)
Location
Greenville Memorial Med Campus
Facility
7001 Corporate
Department
70017296 Pharmacy System Support
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Infectious Disease Physician (MD/DO) Per Diem Teleacute ID (Remote)
Remote or Morrisville, NC Job
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. UNC Physician's Network is seeking Board Certified/Eligible Infectious Disease Physician (MD/DO) to provide per diem virtual teleacute services to a variety of patients at multiple UNC Health community hospital facilities. This role will provide both synchronous and asynchronous consults to patients.
About This Position:
- Remote position, offering the opportunity for work/life balance with no commute.
- Variable shifts; Hours of Operation are Monday-Friday 8am-5pm
- Virtual consultations of hospitalized patients , consisting of adults 18 and older.
- High-quality care to adult (18+ years old) hospital patients who need medical services.
- Candidate must be physically located in North Carolina.
- No call.
- EPIC electronic medical record platform utilized.
Ideal Candidate:
- 2+ years of experience is preferred.
- Board Certified/Eligible in Infectious Disease.
- Telemedicine experience is a plus, but not required.
- Open-minded and flexible with change.
- Dedicated to developing new and exciting ways to deliver care.
UNC Physicians Network is physician-led and dyad-organized. Our expansive network is fully committed to essential and transformational areas like virtual care & medical informatics, population health, children's health, and wellness and experience which continue to drive our work. Our expansive network is fully committed to essential and transformational areas like virtual care & medical informatics, population health, children's health, and wellness and experience which continue to drive our work. UNCPN is committed to the AHA's Equity of Care Pledge and leading the way in diversity, equity and inclusion efforts as a health care provider and employer. Come join our "One Great Team"!
For more information, please contact Laura Oakes at *****************************.
**Job Details**
Legal Employer: NCHEALTH
Entity: UNC Physicians Network
Organization Unit: Virtual Practice Spec Care
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Multiple Locations
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email
[email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Commercial Collector - FT (Hybrid)
Houston Methodist Job In Houston, TX Or Remote
Overview At Houston Methodist, the Commercial Collector position is responsible for ensuring that the organization's financial viability is protected at the most basic level by securing accurate and timely payments. This position performs ongoing monitoring of assigned accounts to ensure maximization of collection dollars by providing appropriate follow-up and documenting actions taken. This position has direct contact with other Houston Methodist departments and insurance companies and must demonstrate strong interpersonal and persuasive abilities in order to promote teamwork and cooperation as well as secure accurate and timely payment from third party payors. Houston Methodist Standard PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
Provide personalized care and service by consistently demonstrating our I CARE values:
INTEGRITY: We are honest and ethical in all we say and do.
COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
ACCOUNTABILITY: We hold ourselves accountable for all our actions.
RESPECT: We treat every individual as a person of worth, dignity, and value.
EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
Practices the Caring and Serving Model
Delivers personalized service using HM Service Standards
Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience
Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job
Actively supports the organization's vision, fulfills the mission and abides by the I CARE values
Responsibilities PEOPLE ESSENTIAL FUNCTIONS
Promotes a positive work environment and contributes to a dynamic team focused work unit that actively helps one another to achieve optimal department and organizational results.
Strikes a balance between maintaining trustful relationships and ensuring timely payments. Exhibits professionalism and trustworthiness.
SERVICE ESSENTIAL FUNCTIONS
Reviews incoming correspondence and takes appropriate action. Responds promptly to payor's request for additional information/documentation. Confers with Billers, as necessary, to obtain additional information/clarification.
Informs manager of payer trends or any problems or changes in payor requirements, including any barriers or obstacles.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Obtains corrected information and requests rebills as needed.
Provides clear and concise documentation of every action taken on an account in the system collection notes. Provides balance breakdown to document the status of next responsible party (i.e., primary, secondary payor, patient balance, or credit balance).
Effectively manages inventory in accordance with departmental standards. Identifies accounts for advanced due diligence steps or legal placement.
Meets or exceeds stated Performance Indicator Expectations (e.g., productivity, account reviews, aging) as demonstrated on weekly Key Performance Indicator.
FINANCE ESSENTIAL FUNCTIONS
Follows up on assigned delinquent insurance claims. Ensures maximization of collection dollars from insurance companies in accordance with the respective contract and/or Houston Methodist financial arrangement.
Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary. Updates account information accordingly. Follows levels of authority for posting adjustments, refunds, and contractual allowances.
Uses resources effectively and efficiently. Organizes time effectively, minimizing incidental overtime, and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Stays current on collection procedures of various payors and industry trends. Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development.
Generates and communicates new ideas and suggestions that will improve quality or service. Demonstrates adaptability and flexibility in the face of changing demands.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. Qualifications EDUCATION
High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
WORK EXPERIENCE
Two years of experience in commercial insurance follow-up, preferably in hospital accounts receivable
License/Certification LICENSES AND CERTIFICATIONS - REQUIRED
N/A
KSA/ Supplemental Data KNOWLEDGE, SKILLS, AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc.; knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation
Extensive knowledge of billing, collections, reimbursement, contractual agreements and the appeals process
Understanding of revenue cycle fundamentals
Ability to follow-through and handle multiple tasks simultaneously
Excellent communication and negotiation skills, as well as an ability to work independently and interdependently with other business office staff
Good judgment in handling of accounts and ability to apply a professional approach in dealing with patients and insurance companies
Sharp analytical abilities in order to resolve patient accounts in a timely and correct manner
Proficient computer skills and ability to learn and navigate multiple software programs
Ability to remain calm in stressful situations with patience and understanding
Ability to approach problems with an open mind and contribute to solutions
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform No
Scrubs No
Business professional Yes
Other (department approved) Yes
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
On Call* No
TRAVEL**
**Travel specifications may vary by department**
May require travel within the Houston Metropolitan area No
May require travel outside Houston Metropolitan area No
Company Profile
Houston Methodist (HM) is one of the nation's leading health systems and academic medical centers. HM consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston metropolitan area. HM also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, HM employs over 25,000 employees. Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.
In 2019 Houston Methodist and its physicians treat more than 6,333 international patients from more than 76 countries. Houston Methodist Global Health Care Services' consulting and education divisions also provide advisory services and training and development to health care organizations around the world.
RN Clinical Nurse II - Nurse Connect - Remote
Remote or Chapel Hill, NC Job
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.
Responsibilities:
1. Education - Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
2. Evaluation of Care - Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care.
3. Implementation - Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
4. Leadership - With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all.
5. Patient Assessment - Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs.
6. Planning - Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
7. Research - Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability.
**Other Information**
Other information:
**Education Requirements:**
● Graduation from a school of professional nursing.
● If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date.
**Licensure/Certification Requirements:**
● Licensed to practice as a Registered Nurse in the state of North Carolina.
● Basic Life Support (BLS) for Healthcare Provider certification
**Professional Experience Requirements:**
● One (1) year of nursing experience.
**Knowledge/Skills/and Abilities Requirements:**
**Job Details**
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Nurse Connect
Work Type: Part Time
Standard Hours Per Week: 20.00
Salary Range: $33.88 - $47.91 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Work Schedule: Variable
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email
[email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Epic Analyst, Revenue Cycle, FT, Days, - Remote
Remote or Columbia, SC Job
Inspire health. Serve with compassion. Be the difference. Provides analysis of workflow, recommend solutions and implements application solutions to meet department needs. Translates department requirements into business functional requirements. Performs a variety of duties related to Epic and other information technology applications as assigned. Responsibilities include assisting with design, development, system configuration, implementation and support of assigned Epic applications for the organization. Also responsible for planning, training and evaluation of application functionality. Responsible for working with the team and key customers to ensure appropriate development of training and implementation of application functionality.
Essential Functions
* All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
* Performs in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software. Investigates end users' preferences while making build decisions and analyses business operations as they relate to build decision. Builds and maintains Epic application content as assigned by department lead/manager. Stays current with new application functionality and enhancements.
* Follows functional specification documents to create content within the Epic application. Completes thorough unit testing of all build prior to handoff for functional and/or integrated testing. Documents and reports system issues through internal chain of command; communication with vendor where appropriate. Populates databases during the initial system build with assistance from Epic.
* Collects information regarding potential system enhancements and functionality needs. Prepares details of specifications as needed. Analyzes data conversion needs and ensure that data coming across an interface into an Epic application meets the business need.
* Develops and documents project team procedures for implementing system changes and other tasks. Establishes change control processes and procedures for the system.
* Participates in training development and delivery to end users. Works with end users to troubleshoot problems and investigate questions from end users. Works with report writers to ensure that the application has the necessary reports.
* Prioritizes and implement requested changes to the system and analyze new functionality in releases to determine how it should be used.
* Maintains regular communication with Epic representatives and work with the Epic representatives and GHS' end user community to ensure the system meets the organization's needs.
* Provides end user support during implementation; able to serve as an application expert to assist in application roll-out.
* Applies proven communication, analytical and problem-solving skills to help identify, communicate and resolve system issues to maximize system potential.
* Performs other duties as assigned.
Supervisory/Management Responsibility
* This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
* Education - Bachelor's degree in Information services, health administration, business administration, health sciences or related field of study
* Experience - Two (2) years of Epic or integrated EMR experience
In Lieu Of
* In lieu of the educational and experience requirements listed above, an Associate degree in Computer Science or related field of study and four (4) years of related Information Technology experience in a Business Computer Science, or health care setting may be considered.
* In lieu of the educational and experience requirements listed above, a High School Diploma or equivalent and seven (7) years related Information Technology experience in a business, computer science, or health care setting may be considered.
* In lieu of the educational and experience requirements listed above, one (1) year of Epic build and/or support experience may be considered.
Required Certifications, Registrations, Licenses
* Epic Module Certification as required by the position
* CPHIMS preferred
Knowledge, Skills and Abilities
* Presentation skills
* Communication skills
* Interpersonal skills
* Ability to multi-task
Work Shift
Day (United States of America)
Location
Corporate
Facility
7001 Corporate
Department
70019419 ITS Financial Billing Systems
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.