University Medical Center of Southern Nevada
Las Vegas, Nevada, United States
Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAG E This position is considered AT-WILL and will serve at the pleasure of the CEO. As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status . Position Summary: Performs managed care contracting on behalf of the hospital, review and analyze contract performance and develop in conjunction with the CEO and CFO a managed care strategy. Job Requirement Education/Experience: Equivalent to a Bachelor’s Degree in public or business administration and five (5) years of experience negotiating managed care agreements with commercial payers, Medicare Advantage Payers and Managed Medicaid Payers and five (5) years leading revenue cycle department and/or billing, coding experience. Additional and/or Preferred Position Requirements PREFERENCES WILL BE GIVEN TO APPLICANTS WHO DOCUMENT THE FOLLOWING: 10 years or greater experience negotiating managed care agreements using RBRVS reimbursement formulas 10 years or greater experience negotiating managed care agreements with Medicare Advantage Payers and Managed Medicaid Payers 5 years or greater experience leading a Revenue Cycle Department 5 years or greater experience working as a day-to-day billing and coding staff member Strong technical expert with a diverse work experience and long-time established relationships Prefer Certified Professional Coder, Certified Professional Medical Auditor Strong attention to detail Local market experience Strong analytical skills and attention to detail Strong interpersonal skills Billing experience Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: UMC policies and procedures as they apply to Primary and Quick Care Units; managed care terminology; supervisory principles and practices; marketing principles and practices; Federal, state and county laws and regulations related to the health care agency; basic data sampling and statistical analysis techniques; computer applications related to duties; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures. Skill in: Carrying assigned project(s) through, from data gathering to completion; using initiative and independent judgement within general policy guidelines; use of computer software/applications related to duties; developing contractual relationships; negotiating contracts for services; maintaining accurate records and files; preparing clear and concise reports, correspondence and other written materials; contributing effectively to the accomplishment of team or work unit goals, objectives and activities; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment. Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use standard office equipment, stamina to remain standing for long periods of time, vision to read printed materials and a VDT screen, and hearing and speech to communicate in person and over the telephone. Strength and agility to occasionally lift and carry up to 25 pounds. Attend meeting outside of normal work hours. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification. Please note: This is an EXEMPT position which is not covered by the union. Applicants for employment to non-union eligible positions are not eligible for longevity benefits. Current UMC employees who have not qualified for longevity payments (do not have 8 full years of creditable service) and who voluntarily transfer, promote, demote or are reassigned into a non-union eligible position will not receive the longevity benefit. #LI-SS1 The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package: Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"!https://www.nvpers.org/front Vestingin the pension plan after 5 years of qualifying employment! Health/Dental/Vision Insurance - Less than $10 per paycheck for employee-only coverage Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (eleven scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc. Extended Illness Bank (a/k/a Sick Bank) 457 Deferred Compensation Plan Comprehensive Group Health Insurance Plan Nevada has no State Income Tax No Social Security (FICA) Deduction As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status. THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER Closing Date/Time: Continuous
Apr 11, 2024
Full Time
Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAG E This position is considered AT-WILL and will serve at the pleasure of the CEO. As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status . Position Summary: Performs managed care contracting on behalf of the hospital, review and analyze contract performance and develop in conjunction with the CEO and CFO a managed care strategy. Job Requirement Education/Experience: Equivalent to a Bachelor’s Degree in public or business administration and five (5) years of experience negotiating managed care agreements with commercial payers, Medicare Advantage Payers and Managed Medicaid Payers and five (5) years leading revenue cycle department and/or billing, coding experience. Additional and/or Preferred Position Requirements PREFERENCES WILL BE GIVEN TO APPLICANTS WHO DOCUMENT THE FOLLOWING: 10 years or greater experience negotiating managed care agreements using RBRVS reimbursement formulas 10 years or greater experience negotiating managed care agreements with Medicare Advantage Payers and Managed Medicaid Payers 5 years or greater experience leading a Revenue Cycle Department 5 years or greater experience working as a day-to-day billing and coding staff member Strong technical expert with a diverse work experience and long-time established relationships Prefer Certified Professional Coder, Certified Professional Medical Auditor Strong attention to detail Local market experience Strong analytical skills and attention to detail Strong interpersonal skills Billing experience Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: UMC policies and procedures as they apply to Primary and Quick Care Units; managed care terminology; supervisory principles and practices; marketing principles and practices; Federal, state and county laws and regulations related to the health care agency; basic data sampling and statistical analysis techniques; computer applications related to duties; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures. Skill in: Carrying assigned project(s) through, from data gathering to completion; using initiative and independent judgement within general policy guidelines; use of computer software/applications related to duties; developing contractual relationships; negotiating contracts for services; maintaining accurate records and files; preparing clear and concise reports, correspondence and other written materials; contributing effectively to the accomplishment of team or work unit goals, objectives and activities; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment. Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use standard office equipment, stamina to remain standing for long periods of time, vision to read printed materials and a VDT screen, and hearing and speech to communicate in person and over the telephone. Strength and agility to occasionally lift and carry up to 25 pounds. Attend meeting outside of normal work hours. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification. Please note: This is an EXEMPT position which is not covered by the union. Applicants for employment to non-union eligible positions are not eligible for longevity benefits. Current UMC employees who have not qualified for longevity payments (do not have 8 full years of creditable service) and who voluntarily transfer, promote, demote or are reassigned into a non-union eligible position will not receive the longevity benefit. #LI-SS1 The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package: Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"!https://www.nvpers.org/front Vestingin the pension plan after 5 years of qualifying employment! Health/Dental/Vision Insurance - Less than $10 per paycheck for employee-only coverage Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (eleven scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc. Extended Illness Bank (a/k/a Sick Bank) 457 Deferred Compensation Plan Comprehensive Group Health Insurance Plan Nevada has no State Income Tax No Social Security (FICA) Deduction As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status. THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER Closing Date/Time: Continuous
University Medical Center of Southern Nevada
Las Vegas, Nevada, United States
Position Summary This position is considered AT-WILL and will serve at the pleasure of the CEO. As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status . Position Summary: Performs managed care contracting on behalf of the hospital, review and analyze contract performance and develop in conjunction with the CEO and CFO a managed care strategy. Job Requirement Education/Experience: Equivalent to a Bachelor’s Degree in public or business administration and five (5) years of experience negotiating managed care agreements with commercial payers, Medicare Advantage Payers and Managed Medicaid Payers and five (5) years leading revenue cycle department and/or billing, coding experience. Additional and/or Preferred Position Requirements PREFERENCES WILL BE GIVEN TO APPLICANTS WHO DOCUMENT THE FOLLOWING: 10 years of contracting current experience for a hospital and/or hospital system Local market experience Strong analytical skills and attention to detail Strong interpersonal skills Billing experience Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: UMC policies and procedures as they apply to Primary and Quick Care Units; managed care terminology; supervisory principles and practices; marketing principles and practices; Federal, state and county laws and regulations related to the health care agency; basic data sampling and statistical analysis techniques; computer applications related to duties; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures. Skill in: Carrying assigned project(s) through, from data gathering to completion; using initiative and independent judgement within general policy guidelines; use of computer software/applications related to duties; developing contractual relationships; negotiating contracts for services; maintaining accurate records and files; preparing clear and concise reports, correspondence and other written materials; contributing effectively to the accomplishment of team or work unit goals, objectives and activities; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment. Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use standard office equipment, stamina to remain standing for long periods of time, vision to read printed materials and a VDT screen, and hearing and speech to communicate in person and over the telephone. Strength and agility to occasionally lift and carry up to 25 pounds. Attend meeting outside of normal work hours. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification. Please note: This is an EXEMPT position which is not covered by the union. Applicants for employment to non-union eligible positions are not eligible for longevity benefits. Current UMC employees who have not qualified for longevity payments (do not have 8 full years of creditable service) and who voluntarily transfer, promote, demote or are reassigned into a non-union eligible position will not receive the longevity benefit. #LI-SS1 The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package: Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"!https://www.nvpers.org/front Vestingin the pension plan after 5 years of qualifying employment! Health/Dental/Vision Insurance - Less than $10 per paycheck for employee-only coverage Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (eleven scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc. Extended Illness Bank (a/k/a Sick Bank) 457 Deferred Compensation Plan Comprehensive Group Health Insurance Plan Nevada has no State Income Tax No Social Security (FICA) Deduction As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status. THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER Closing Date/Time: Continuous
Apr 20, 2024
Full Time
Position Summary This position is considered AT-WILL and will serve at the pleasure of the CEO. As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status . Position Summary: Performs managed care contracting on behalf of the hospital, review and analyze contract performance and develop in conjunction with the CEO and CFO a managed care strategy. Job Requirement Education/Experience: Equivalent to a Bachelor’s Degree in public or business administration and five (5) years of experience negotiating managed care agreements with commercial payers, Medicare Advantage Payers and Managed Medicaid Payers and five (5) years leading revenue cycle department and/or billing, coding experience. Additional and/or Preferred Position Requirements PREFERENCES WILL BE GIVEN TO APPLICANTS WHO DOCUMENT THE FOLLOWING: 10 years of contracting current experience for a hospital and/or hospital system Local market experience Strong analytical skills and attention to detail Strong interpersonal skills Billing experience Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: UMC policies and procedures as they apply to Primary and Quick Care Units; managed care terminology; supervisory principles and practices; marketing principles and practices; Federal, state and county laws and regulations related to the health care agency; basic data sampling and statistical analysis techniques; computer applications related to duties; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures. Skill in: Carrying assigned project(s) through, from data gathering to completion; using initiative and independent judgement within general policy guidelines; use of computer software/applications related to duties; developing contractual relationships; negotiating contracts for services; maintaining accurate records and files; preparing clear and concise reports, correspondence and other written materials; contributing effectively to the accomplishment of team or work unit goals, objectives and activities; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment. Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use standard office equipment, stamina to remain standing for long periods of time, vision to read printed materials and a VDT screen, and hearing and speech to communicate in person and over the telephone. Strength and agility to occasionally lift and carry up to 25 pounds. Attend meeting outside of normal work hours. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification. Please note: This is an EXEMPT position which is not covered by the union. Applicants for employment to non-union eligible positions are not eligible for longevity benefits. Current UMC employees who have not qualified for longevity payments (do not have 8 full years of creditable service) and who voluntarily transfer, promote, demote or are reassigned into a non-union eligible position will not receive the longevity benefit. #LI-SS1 The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package: Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"!https://www.nvpers.org/front Vestingin the pension plan after 5 years of qualifying employment! Health/Dental/Vision Insurance - Less than $10 per paycheck for employee-only coverage Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (eleven scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc. Extended Illness Bank (a/k/a Sick Bank) 457 Deferred Compensation Plan Comprehensive Group Health Insurance Plan Nevada has no State Income Tax No Social Security (FICA) Deduction As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status. THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER Closing Date/Time: Continuous
Manager Case Management CalOptima CalOptima Health is seeking a highly motivated an experienced Manager Case Management to join our team. The Manager Case Management provides shared responsibility for the daily operations, activities and projects for the Case Management department. The incumbent works under the general direction of the Director of Case Management and in partnership with the other department managers to provide performance management and development of the case management staff and projects associated with the department to ensure compliance with department policies and procedures, along with the implementation of assigned projects. The incumbent may be required to attend joint operational and community meetings. The incumbent is responsible for monitoring of case management reports and reporting to management or committees. Position Information: Department: Case Management Salary Grade: P - $117,000 - $192,390 ($56.25 - $92.4952) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Cultivates and promotes a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short and long-term goals/priorities for the department. Hires, manages, trains, reviews and sets goals for department and staff. Works with the director in the development, implementation and evaluation of the department's case management policies and procedures. Ensures programs, policies and procedures, and desktop procedures are aligned with Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS) and National Committee for Quality Assurance (NCQA) standards. 45% - Program Oversight Collects, analyzes and responds to data regarding overall and individual case management effectiveness. Develops and implements complex project plans for current or new programs which will assist with improving efficiencies, outcomes and satisfaction according to federal and/or state regulations. Develops and maintains relationships with providers, networks and groups to serve as a liaison between the health plan and the provider. Forwards cases requiring director or Medical Director review or intervention and routes appropriately. Partners with the other Managers of Case Management to meet all project deadlines. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in a healthcare related field and a current unrestricted Registered Nurse (RN) license to practice in the state of California required. For non-RN's, a master's degree in healthcare, social work or related field required. 5 years of experience in managed care, preferably with Medicare and Medicaid/Medi-Cal populations required. 3 years of experience in ambulatory case management required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: 3 years of supervisory/management level experience. Active Certified Case Management (CCM) certification. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is May 6, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/manager-case-management-505-city-parkway-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-bbb85c967773e6459266ceef782b5e8c
Apr 24, 2024
Full Time
Manager Case Management CalOptima CalOptima Health is seeking a highly motivated an experienced Manager Case Management to join our team. The Manager Case Management provides shared responsibility for the daily operations, activities and projects for the Case Management department. The incumbent works under the general direction of the Director of Case Management and in partnership with the other department managers to provide performance management and development of the case management staff and projects associated with the department to ensure compliance with department policies and procedures, along with the implementation of assigned projects. The incumbent may be required to attend joint operational and community meetings. The incumbent is responsible for monitoring of case management reports and reporting to management or committees. Position Information: Department: Case Management Salary Grade: P - $117,000 - $192,390 ($56.25 - $92.4952) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Cultivates and promotes a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short and long-term goals/priorities for the department. Hires, manages, trains, reviews and sets goals for department and staff. Works with the director in the development, implementation and evaluation of the department's case management policies and procedures. Ensures programs, policies and procedures, and desktop procedures are aligned with Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS) and National Committee for Quality Assurance (NCQA) standards. 45% - Program Oversight Collects, analyzes and responds to data regarding overall and individual case management effectiveness. Develops and implements complex project plans for current or new programs which will assist with improving efficiencies, outcomes and satisfaction according to federal and/or state regulations. Develops and maintains relationships with providers, networks and groups to serve as a liaison between the health plan and the provider. Forwards cases requiring director or Medical Director review or intervention and routes appropriately. Partners with the other Managers of Case Management to meet all project deadlines. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in a healthcare related field and a current unrestricted Registered Nurse (RN) license to practice in the state of California required. For non-RN's, a master's degree in healthcare, social work or related field required. 5 years of experience in managed care, preferably with Medicare and Medicaid/Medi-Cal populations required. 3 years of experience in ambulatory case management required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: 3 years of supervisory/management level experience. Active Certified Case Management (CCM) certification. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is May 6, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/manager-case-management-505-city-parkway-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-bbb85c967773e6459266ceef782b5e8c
Announcement Number: 137670038 Southern Nevada Adult Mental Health Services 1321 S. Jones Blvd. • Las Vegas, Nevada 89146 702-486-7077 • Fax 702-486-8070 • dpbh.nv.gov Steve Sisolak Governor Richard Whitley, MS Director DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC AND BEHAVIORAL HEALTH Helping people. It's who we are and what we do. Lisa Sherych Administrator Ihsan Azzam, Ph.D., M.D. Chief Medical Officer _____________________________________________________________________________ Southern Nevada Adult Mental Health Services Is Seeking... Senior Psychiatrists Southern Nevada Adult Mental Health Services (SNAMHS) currently seeking Psychiatrists for our Agency located in Las Vegas, NV. SNAMHS is a State of Nevada agency whose mission is to help adults with mental illness improve their quality of life, by providing inpatient and outpatient mental health services for the Southern Nevada community. We are committed to developing innovative programs and service delivery systems to a diverse patient population. Our greatest asset is 740+ professional staff dedicated to the betterment of the lives of our consumers. We are committed to a culture of life-long learning and our employees know that SNAMHS is a place to grow, develop and build careers that are both dynamic and satisfying. It is our intention to provide an environment which fully respects human dignity and consistently reflects human caring. Some of the services we provide include Acute Inpatient Services, Mobile Crisis, Outpatient Counseling, Service Coordination, Intensive Service Coordination, Medication Clinic, Residential Support Programs, Mental Health Court, Assisted Outpatient Treatment and Programs for Assertive Community Treatment (PACT) teams. Inpatient services are provided through our state-of-the-art Rawson-Neal Psychiatric Hospital, which began serving the community on August 28, 2006. Outpatient services are provided through three mental health clinics located throughout the community and two rural locations. We are accredited by the Joint Commission and certified by Centers for Medicare and Medicaid Services (CMS). We proudly serve as a major training site for the University of Nevada Las Vegas School of Medicine medical students and psychiatric residents of all years of training, Touro University DO students, and APRN students from multiple national programs. SALARY AND Benefits: Annual salary is $201,133. National Health Service Corps Loan Repayment Program is available in our NHSC-approved sites. Relocation & J-1/H-1 Visa assistance is available. Excellent benefits package including health, dental, and vision insurance, Public Employees Retirement Plan, three weeks paid vacation, three weeks sick leave, holidays, and no state, county, city, or Social Security tax! DESCRIPTION: Incumbents participate and lead a multidisciplinary team managing a wide variety of patients and diagnoses. Dynamic work responsibilities include providing assessments and evaluating patients; plan and review care and treatment of individual patients; prescribe medications; prepare reports and case histories; interpret medical records. Ensure regulatory and Joint Commission compliance. Participate in the Resident training and Internship programs, with possible UNLV School of Medicine affiliation. EDUCATION AND EXPERIENCE: Applicants must be Board Certified/Board Eligible Psychiatrists and be eligible for licensure in the State of Nevada. Must possess and maintain NV medical license, DEA certification, State Board of Pharmacy license and CPR certification at the time of appointment. Pursuant to NRS 284.4066, all positions in this class have been identified as affecting public safety. Persons offered employment in this class must first submit to a pre- employment screening for controlled substances. Fingerprinting and a background investigation through the FBI and NHP are required. The employee is responsible for all fingerprinting fees. SPECIAL NOTES AND REQUIREMENTS: NRS 433.267 requires that Psychiatrists employed by the Division of Public and Behavioral Health be certified by the American Board of Psychiatry and Neurology within five years from the date of employment. FOR ADDITIONAL INFORMATION CONTACT mehernandez@health.nv.gov - SNAMHS HR Dept. 1321 S. Jones Blvd., Las Vegas, NV 89146 (Tel): 702-486-0935 (Fax): 702-486-8070 Closing Date/Time:
Apr 22, 2024
Full Time
Announcement Number: 137670038 Southern Nevada Adult Mental Health Services 1321 S. Jones Blvd. • Las Vegas, Nevada 89146 702-486-7077 • Fax 702-486-8070 • dpbh.nv.gov Steve Sisolak Governor Richard Whitley, MS Director DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC AND BEHAVIORAL HEALTH Helping people. It's who we are and what we do. Lisa Sherych Administrator Ihsan Azzam, Ph.D., M.D. Chief Medical Officer _____________________________________________________________________________ Southern Nevada Adult Mental Health Services Is Seeking... Senior Psychiatrists Southern Nevada Adult Mental Health Services (SNAMHS) currently seeking Psychiatrists for our Agency located in Las Vegas, NV. SNAMHS is a State of Nevada agency whose mission is to help adults with mental illness improve their quality of life, by providing inpatient and outpatient mental health services for the Southern Nevada community. We are committed to developing innovative programs and service delivery systems to a diverse patient population. Our greatest asset is 740+ professional staff dedicated to the betterment of the lives of our consumers. We are committed to a culture of life-long learning and our employees know that SNAMHS is a place to grow, develop and build careers that are both dynamic and satisfying. It is our intention to provide an environment which fully respects human dignity and consistently reflects human caring. Some of the services we provide include Acute Inpatient Services, Mobile Crisis, Outpatient Counseling, Service Coordination, Intensive Service Coordination, Medication Clinic, Residential Support Programs, Mental Health Court, Assisted Outpatient Treatment and Programs for Assertive Community Treatment (PACT) teams. Inpatient services are provided through our state-of-the-art Rawson-Neal Psychiatric Hospital, which began serving the community on August 28, 2006. Outpatient services are provided through three mental health clinics located throughout the community and two rural locations. We are accredited by the Joint Commission and certified by Centers for Medicare and Medicaid Services (CMS). We proudly serve as a major training site for the University of Nevada Las Vegas School of Medicine medical students and psychiatric residents of all years of training, Touro University DO students, and APRN students from multiple national programs. SALARY AND Benefits: Annual salary is $201,133. National Health Service Corps Loan Repayment Program is available in our NHSC-approved sites. Relocation & J-1/H-1 Visa assistance is available. Excellent benefits package including health, dental, and vision insurance, Public Employees Retirement Plan, three weeks paid vacation, three weeks sick leave, holidays, and no state, county, city, or Social Security tax! DESCRIPTION: Incumbents participate and lead a multidisciplinary team managing a wide variety of patients and diagnoses. Dynamic work responsibilities include providing assessments and evaluating patients; plan and review care and treatment of individual patients; prescribe medications; prepare reports and case histories; interpret medical records. Ensure regulatory and Joint Commission compliance. Participate in the Resident training and Internship programs, with possible UNLV School of Medicine affiliation. EDUCATION AND EXPERIENCE: Applicants must be Board Certified/Board Eligible Psychiatrists and be eligible for licensure in the State of Nevada. Must possess and maintain NV medical license, DEA certification, State Board of Pharmacy license and CPR certification at the time of appointment. Pursuant to NRS 284.4066, all positions in this class have been identified as affecting public safety. Persons offered employment in this class must first submit to a pre- employment screening for controlled substances. Fingerprinting and a background investigation through the FBI and NHP are required. The employee is responsible for all fingerprinting fees. SPECIAL NOTES AND REQUIREMENTS: NRS 433.267 requires that Psychiatrists employed by the Division of Public and Behavioral Health be certified by the American Board of Psychiatry and Neurology within five years from the date of employment. FOR ADDITIONAL INFORMATION CONTACT mehernandez@health.nv.gov - SNAMHS HR Dept. 1321 S. Jones Blvd., Las Vegas, NV 89146 (Tel): 702-486-0935 (Fax): 702-486-8070 Closing Date/Time:
Occupational Therapist Pay Rate: $66,079.44/annually Hours of Work: Primarily Monday-Friday 8:00am - 4:30pm, with flexibility to meet program needs The State of Missouri, Department of Mental Health, Fulton State Hospital, is seeking full time Occupational Therapist to work in the Nixon Forensic Center in Fulton, MO. The hospital is certified by the Centers for Medicare and Medicaid Services (CMS), has been accredited by The Joint Commissions (TJC) since 1984, and is known for evidence-based treatment and innovative practices. The Occupational Therapist plays a vital role as part of an interdisciplinary treatment team working with clients who have mental health needs and complex histories. In addition, many clients have trauma histories of their own and corresponding mental illnesses that increase the likelihood of reoffending. Treatment is focused on learning self-regulation and self-management skills within a respectful and recovery based treatment program. Responsibilities include: Completion of assessment and consultation for older adults and other clients with complex medical needs and disabilities. Planning and conducting a variety of groups, case management, attending treatment team meeting, completing required documentation and assessments. Minimum Occupational Therapist Qualifications: Licensure as an Occupational Therapist in the State of Missouri. Preferred Occupational Therapist Qualifications: Licensure as an Occupational Therapist I with the Missouri Uniform Classification and Pay System. Two or more years of Professional experience conducting planned activities for persons with mental illness, developmental disabilities, and/or physical disabilities in one or more of the following areas: physical education, arts, and crafts, health and fitness, art/expressive arts, music, or a closely related area. Benefits: Affordable Health, Vision, Dental Insurance Deferred Compensation opportunities MOSERS Retirement 13 paid holidays per year 10 hours of annual leave and 10 hours of sick leave accrued per month when hired, increases with service If interested, please contact: Anne Shiraki, MT-BC, Director of Rehabilitation Services at Anne.Shiraki@dmh.mo.gov . Closing Date/Time: 2024-05-12
Apr 13, 2024
Full Time
Occupational Therapist Pay Rate: $66,079.44/annually Hours of Work: Primarily Monday-Friday 8:00am - 4:30pm, with flexibility to meet program needs The State of Missouri, Department of Mental Health, Fulton State Hospital, is seeking full time Occupational Therapist to work in the Nixon Forensic Center in Fulton, MO. The hospital is certified by the Centers for Medicare and Medicaid Services (CMS), has been accredited by The Joint Commissions (TJC) since 1984, and is known for evidence-based treatment and innovative practices. The Occupational Therapist plays a vital role as part of an interdisciplinary treatment team working with clients who have mental health needs and complex histories. In addition, many clients have trauma histories of their own and corresponding mental illnesses that increase the likelihood of reoffending. Treatment is focused on learning self-regulation and self-management skills within a respectful and recovery based treatment program. Responsibilities include: Completion of assessment and consultation for older adults and other clients with complex medical needs and disabilities. Planning and conducting a variety of groups, case management, attending treatment team meeting, completing required documentation and assessments. Minimum Occupational Therapist Qualifications: Licensure as an Occupational Therapist in the State of Missouri. Preferred Occupational Therapist Qualifications: Licensure as an Occupational Therapist I with the Missouri Uniform Classification and Pay System. Two or more years of Professional experience conducting planned activities for persons with mental illness, developmental disabilities, and/or physical disabilities in one or more of the following areas: physical education, arts, and crafts, health and fitness, art/expressive arts, music, or a closely related area. Benefits: Affordable Health, Vision, Dental Insurance Deferred Compensation opportunities MOSERS Retirement 13 paid holidays per year 10 hours of annual leave and 10 hours of sick leave accrued per month when hired, increases with service If interested, please contact: Anne Shiraki, MT-BC, Director of Rehabilitation Services at Anne.Shiraki@dmh.mo.gov . Closing Date/Time: 2024-05-12
MISSOULA COUNTY, MONTANA
Missoula, Montana, United States
Definition Priority Application Date: March 28, 2024 by 5:00 PM (Mountain Time) Complete applications with required attachments received by the 'Priority Application Date' will be guaranteed consideration. The position will remain open until filled. TO APPLY: Please complete all sections of the online application , even if a resume is submitted. A resume will not substitute for completing the work history section of the application. Please include with your completed application the following attachments: Cover Letter. Please address in your Cover Letter your experience working in a medical office, dental office, or a call center. Incomplete applications and applications without required attachments will be disqualified. Complete job description available upon request to the Department of Human Resources. Located halfway between Yellowstone and Glacier National Parks and home to the University of Montana, Missoula is an academic center situated in an outdoor enthusiast’s paradise. Depending on the season, you can hike, ski, fish, float rivers, ride mountain bikes, or just sit back and marvel at the surrounding scenery. Join us in scenic, sophisticated, and service-oriented Missoula! Partnership Health Center (PHC), 2019 and 2022 winner of the Employer of Choice Award for Missoula, and 2022 winner of the Montana Employer of Choice Award, offers impeccable, integrated services to over 17,000 individuals and families. A 14-site, co-applicant Federally Qualified Health Center with Missoula County, PHC fulfills its mission through the provision of a full range of primary care services - medical, dental, behavioral health, and an on-site pharmacy with a dedication to attending to the social determinants of health. Please visit our website to see the amazing benefits you will receive by joining our team such as medical (no cost for employee), dental, and vision insurance, loan forgiveness, retirement plan contributions, and generous paid sick and vacation time. The Partnership Health Center PSR Team engages in department and inter-department celebrations and recognition on a regular basis. Our Call Center PSR team is located on the Partnership Health Center campus. Join a fast-paced and supportive environment answering inbound calls to our health center. In the Creamery building, Dental PSRs work in a close team environment with dental assistants, hygienists, and dentists; Medical PSRs team-up with medical assistants and providers to provide exceptional patient care and experience. Experience in a Call Center or prior work in a dental or medical office is preferred. Performs a variety of clerical and reception duties; assesses patient income information and determines eligibility for discounted fees or services at Partnership Health Center (PHC). Representative Examples of Work Greets and registers patients for appointments; receives and screens incoming telephone calls; records messages and routes calls to appropriate departments. Schedules patient appointments and enters patient information into the computer following established protocols; prints and distributes daily schedules; makes appointment reminder calls to patients. Reviews patient charts for required updates to medical forms; verifies income and payor sources; updates patient information in charts and computer system. Interviews patients in need of financial assistance. Informs patients about the sliding fee scale and eligibility requirements. Obtains proof of income documentation, determines eligibility, and places patient on the sliding fee scale. Maintains documentation and follows up with patients to ensure completion of application process. Refers patients to a Senior or Lead Patient Services Representative if eligible for Medicaid, Medicare, or for help purchasing insurance. Calculates nominal fees and collects money for patient visit and outstanding amounts owed by patient. Balances end-of-day posting report against cash on hand. Reconciles any errors before submitting daily deposit. Works as member of a patient care team(s) assisting clinical staff to ensure efficient, accurate scheduling practices and quality patient care. Facilitates patient flow so patients are seen in a timely manner. Communicates schedule delays and changes to patients. Assures that front and back doors are locked at the end of the shift. Straightens chairs and magazines in lobby area. May be responsible for managing waiting and/or cancelation lists for assigned care team(s). May assist patients to fill out medical information/forms. May assist with medical records or secretarial support services. Performs related work as required or directed. SUPERVISION RECEIVED : Works under the general supervision of Director of Patient Services. Note: The Finance office will train and audit sliding fee scale calculations and provide guidance and recommendations for improvement as needed. SUPERVISION EXERCISED : None. May explain and review work procedures with work study students, volunteers or intermittent employees. WORKING RELATIONSHIPS : Has numerous contacts with the general public and persons from other PHC departments on routine matters for the purpose of giving and obtaining information. Has regular contact with PHC Finance Office staff for guidance and recommendations on sliding fee scale calculations and to coordinate efforts. Regular contact with other members of the provider care team. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: KNOWLEDGE : Working knowledge of modern medical office practices and procedures, including computerized scheduling for patient visits. Working knowledge of medical terminology. Working knowledge of business English, spelling, punctuation and math. Working knowledge of the principles and practices of Medicare/Medicaid billing. Working knowledge of the principles and practices of HIPAA compliance. Working knowledge of the PHC Corporate Compliance Guidelines. Working knowledge of PHC’s sliding fee scale eligibility requirements and process. Working knowledge of eligibility factors for Medicare and Medicaid. Basic knowledge of the rules and regulations of the Affordable Care Act. SKILLS : Skill in the use of modern office machines and multi-line phone systems. Skill in the use of data entry equipment as demonstrated by basic keyboarding speed (35 WPM). ABILITIES : Ability to learn assigned tasks and procedures. Ability to perform detailed work in a precise and accurate manner, manage multiple tasks and priorities, work independently and work in a stressful and hectic environment. Ability to collect and reconcile large sums of money. Ability to use initiative and good judgment and sufficient maturity to handle the confidential aspects of the work. Ability to communicate effectively in the English language, orally and in writing. Ability to establish and maintain effective working relationships with diverse individuals and groups. Ability to always put patients at the center of PHC’s service model and carry out supportive customer service in all duties. Ability to work as a part of a team, proactively seeking out ways to help patients and co-workers alike. Minimum Qualifications An equivalent combination of education and experience may be considered. EDUCATION : Requires high school graduation or GED. EXPERIENCE : Requires one year of face to face customer service experience. SPECIAL REQUIREMENTS : Requires immunizations or proof of immunity to certain infectious diseases and a TB test. New employees will be asked to volunteer vaccination status for required vaccines upon hire and will be offered assistance during hiring to receive necessary immunizations. Employees who have not received the vaccines required for their positions or who are unwilling to voluntarily provide vaccination status for required vaccines will receive a reasonable accommodation where such accommodation does not require an undue hardship or endanger the health or safely of any person. This position is not eligible for remote work. Physical/Environmental Demands The work requires frequent standing; sitting for lengthy periods of time; occasional light lifting and carrying of files or supplies (up to 20 lbs.). Work may include early morning or evening hours. The employee may risk exposure to communicable diseases. This summary outlines the benefit programs; actual benefits may vary depending on bargaining unit and employment status. Missoula County will reward your contributions to our community with competitive compensation and generous benefits, including but not limited to: Excellent Medical Health Benefits – Group health benefits, including dental and vision coverage, are available to eligible County employees. The medical health benefits premium is covered for full-time employees. The County contribution is pro-rated on hours paid for part-time employees. The employee pays the premium portion for dependent coverage. Family health benefits coverage is $258.00 per pay period. Medical deductible is $500 for an individual and $1,000 for a family. Flexible Benefits Plan – Pre-tax out-of-pocket medical expenses and day care expenses. Voluntary Life Insurance Coverage, Long and Short-Term Disability, Critical and Accident Insurance are offered through Mutual ofOmaha. Public Employees Retirement System – Montana public employees of the state, university system, local governments and certain employees of school districts are covered by the Public Employees Retirement System (PERS). New members to the PERS have an opportunity to choose between two retirement plan options: the Defined Benefit Plan or the Defined Contribution Plan. Sheriffs' Retirement System (SRS) – A public pension plan for all Montana Sheriffs hired after July 1, 1974 and Detention Officers hired after July 1, 2005. Public Service Loan Forgiveness - Working for Missoula County may qualify you to receive student loan forgiveness. Look here to learn more and understand whether you may be eligible. Supplemental Retirement Benefits are offered through Valic or Nationwide. Sick Leave – Full-time employees accrue 7.38hours per month and are eligible to use sick leave once you have been an employee for 90 days.The accrual is pro-rated for part-time employees. Vacation Leave – Full-time employees accrue 9.24 hours per month and are eligible to use leave after continuous employment for a period of 6 full months. The accrual is pro-rated for part-time employees. Holidays – The County observes eleven legal holidays in even numbered years and ten legal holidays in odd numbered years. Paid Parental Leave (PPL)- In recognition of the importance of bonding and care of a newborn child or a child placed for adoption, Missoula County 6 continuous weeks of PPL to eligible full-time employees that have been with the county for 180 days. The hours are pro-rated for part-time employees. Tuition Assistance - Because we value the professional and personal development of our employees, Missoula County is proud to offer reimbursement of certain education expenses. Closing Date/Time: Continuous
Mar 23, 2024
Full Time
Definition Priority Application Date: March 28, 2024 by 5:00 PM (Mountain Time) Complete applications with required attachments received by the 'Priority Application Date' will be guaranteed consideration. The position will remain open until filled. TO APPLY: Please complete all sections of the online application , even if a resume is submitted. A resume will not substitute for completing the work history section of the application. Please include with your completed application the following attachments: Cover Letter. Please address in your Cover Letter your experience working in a medical office, dental office, or a call center. Incomplete applications and applications without required attachments will be disqualified. Complete job description available upon request to the Department of Human Resources. Located halfway between Yellowstone and Glacier National Parks and home to the University of Montana, Missoula is an academic center situated in an outdoor enthusiast’s paradise. Depending on the season, you can hike, ski, fish, float rivers, ride mountain bikes, or just sit back and marvel at the surrounding scenery. Join us in scenic, sophisticated, and service-oriented Missoula! Partnership Health Center (PHC), 2019 and 2022 winner of the Employer of Choice Award for Missoula, and 2022 winner of the Montana Employer of Choice Award, offers impeccable, integrated services to over 17,000 individuals and families. A 14-site, co-applicant Federally Qualified Health Center with Missoula County, PHC fulfills its mission through the provision of a full range of primary care services - medical, dental, behavioral health, and an on-site pharmacy with a dedication to attending to the social determinants of health. Please visit our website to see the amazing benefits you will receive by joining our team such as medical (no cost for employee), dental, and vision insurance, loan forgiveness, retirement plan contributions, and generous paid sick and vacation time. The Partnership Health Center PSR Team engages in department and inter-department celebrations and recognition on a regular basis. Our Call Center PSR team is located on the Partnership Health Center campus. Join a fast-paced and supportive environment answering inbound calls to our health center. In the Creamery building, Dental PSRs work in a close team environment with dental assistants, hygienists, and dentists; Medical PSRs team-up with medical assistants and providers to provide exceptional patient care and experience. Experience in a Call Center or prior work in a dental or medical office is preferred. Performs a variety of clerical and reception duties; assesses patient income information and determines eligibility for discounted fees or services at Partnership Health Center (PHC). Representative Examples of Work Greets and registers patients for appointments; receives and screens incoming telephone calls; records messages and routes calls to appropriate departments. Schedules patient appointments and enters patient information into the computer following established protocols; prints and distributes daily schedules; makes appointment reminder calls to patients. Reviews patient charts for required updates to medical forms; verifies income and payor sources; updates patient information in charts and computer system. Interviews patients in need of financial assistance. Informs patients about the sliding fee scale and eligibility requirements. Obtains proof of income documentation, determines eligibility, and places patient on the sliding fee scale. Maintains documentation and follows up with patients to ensure completion of application process. Refers patients to a Senior or Lead Patient Services Representative if eligible for Medicaid, Medicare, or for help purchasing insurance. Calculates nominal fees and collects money for patient visit and outstanding amounts owed by patient. Balances end-of-day posting report against cash on hand. Reconciles any errors before submitting daily deposit. Works as member of a patient care team(s) assisting clinical staff to ensure efficient, accurate scheduling practices and quality patient care. Facilitates patient flow so patients are seen in a timely manner. Communicates schedule delays and changes to patients. Assures that front and back doors are locked at the end of the shift. Straightens chairs and magazines in lobby area. May be responsible for managing waiting and/or cancelation lists for assigned care team(s). May assist patients to fill out medical information/forms. May assist with medical records or secretarial support services. Performs related work as required or directed. SUPERVISION RECEIVED : Works under the general supervision of Director of Patient Services. Note: The Finance office will train and audit sliding fee scale calculations and provide guidance and recommendations for improvement as needed. SUPERVISION EXERCISED : None. May explain and review work procedures with work study students, volunteers or intermittent employees. WORKING RELATIONSHIPS : Has numerous contacts with the general public and persons from other PHC departments on routine matters for the purpose of giving and obtaining information. Has regular contact with PHC Finance Office staff for guidance and recommendations on sliding fee scale calculations and to coordinate efforts. Regular contact with other members of the provider care team. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: KNOWLEDGE : Working knowledge of modern medical office practices and procedures, including computerized scheduling for patient visits. Working knowledge of medical terminology. Working knowledge of business English, spelling, punctuation and math. Working knowledge of the principles and practices of Medicare/Medicaid billing. Working knowledge of the principles and practices of HIPAA compliance. Working knowledge of the PHC Corporate Compliance Guidelines. Working knowledge of PHC’s sliding fee scale eligibility requirements and process. Working knowledge of eligibility factors for Medicare and Medicaid. Basic knowledge of the rules and regulations of the Affordable Care Act. SKILLS : Skill in the use of modern office machines and multi-line phone systems. Skill in the use of data entry equipment as demonstrated by basic keyboarding speed (35 WPM). ABILITIES : Ability to learn assigned tasks and procedures. Ability to perform detailed work in a precise and accurate manner, manage multiple tasks and priorities, work independently and work in a stressful and hectic environment. Ability to collect and reconcile large sums of money. Ability to use initiative and good judgment and sufficient maturity to handle the confidential aspects of the work. Ability to communicate effectively in the English language, orally and in writing. Ability to establish and maintain effective working relationships with diverse individuals and groups. Ability to always put patients at the center of PHC’s service model and carry out supportive customer service in all duties. Ability to work as a part of a team, proactively seeking out ways to help patients and co-workers alike. Minimum Qualifications An equivalent combination of education and experience may be considered. EDUCATION : Requires high school graduation or GED. EXPERIENCE : Requires one year of face to face customer service experience. SPECIAL REQUIREMENTS : Requires immunizations or proof of immunity to certain infectious diseases and a TB test. New employees will be asked to volunteer vaccination status for required vaccines upon hire and will be offered assistance during hiring to receive necessary immunizations. Employees who have not received the vaccines required for their positions or who are unwilling to voluntarily provide vaccination status for required vaccines will receive a reasonable accommodation where such accommodation does not require an undue hardship or endanger the health or safely of any person. This position is not eligible for remote work. Physical/Environmental Demands The work requires frequent standing; sitting for lengthy periods of time; occasional light lifting and carrying of files or supplies (up to 20 lbs.). Work may include early morning or evening hours. The employee may risk exposure to communicable diseases. This summary outlines the benefit programs; actual benefits may vary depending on bargaining unit and employment status. Missoula County will reward your contributions to our community with competitive compensation and generous benefits, including but not limited to: Excellent Medical Health Benefits – Group health benefits, including dental and vision coverage, are available to eligible County employees. The medical health benefits premium is covered for full-time employees. The County contribution is pro-rated on hours paid for part-time employees. The employee pays the premium portion for dependent coverage. Family health benefits coverage is $258.00 per pay period. Medical deductible is $500 for an individual and $1,000 for a family. Flexible Benefits Plan – Pre-tax out-of-pocket medical expenses and day care expenses. Voluntary Life Insurance Coverage, Long and Short-Term Disability, Critical and Accident Insurance are offered through Mutual ofOmaha. Public Employees Retirement System – Montana public employees of the state, university system, local governments and certain employees of school districts are covered by the Public Employees Retirement System (PERS). New members to the PERS have an opportunity to choose between two retirement plan options: the Defined Benefit Plan or the Defined Contribution Plan. Sheriffs' Retirement System (SRS) – A public pension plan for all Montana Sheriffs hired after July 1, 1974 and Detention Officers hired after July 1, 2005. Public Service Loan Forgiveness - Working for Missoula County may qualify you to receive student loan forgiveness. Look here to learn more and understand whether you may be eligible. Supplemental Retirement Benefits are offered through Valic or Nationwide. Sick Leave – Full-time employees accrue 7.38hours per month and are eligible to use sick leave once you have been an employee for 90 days.The accrual is pro-rated for part-time employees. Vacation Leave – Full-time employees accrue 9.24 hours per month and are eligible to use leave after continuous employment for a period of 6 full months. The accrual is pro-rated for part-time employees. Holidays – The County observes eleven legal holidays in even numbered years and ten legal holidays in odd numbered years. Paid Parental Leave (PPL)- In recognition of the importance of bonding and care of a newborn child or a child placed for adoption, Missoula County 6 continuous weeks of PPL to eligible full-time employees that have been with the county for 180 days. The hours are pro-rated for part-time employees. Tuition Assistance - Because we value the professional and personal development of our employees, Missoula County is proud to offer reimbursement of certain education expenses. Closing Date/Time: Continuous