Regional Coding Issues Supervisor will contribute towards medical record review and analysis while utilizing the International Classifications of Diseases, Tenth Revision (ICD-10) and Current Procedural Terminology (CPT), Health Care Procedure Coding System (HCPCS) to reconcile coding, enter the coded data and other abstractable data from the medical record into the electronic information system as required for revenue cycle, internal use (such as to support medical care evaluation studies), and mandated reporting requirements. The Regional Coding Issues Supervisor will ensure the completion of coding for all service types in accordance with regulatory agencies and hospital-specific guidelines. The Regional Coding Issues Supervisor will work closely with the facilities’ concerned departments, and corporate and coding services vendors for coding and charge entry completion. The Supervisor will coordinate to ensure optimum process towards maintaining a low DNFB by clarifying any process failure, i.e., clinical documentation deficiencies, coding issues, and late charge entry. IT technical issues, delays in scanning, indexing, analysis, etc. He/She will participate in other chart review projects and other duties as assigned across the MOKAN Region. Additional duties as assigned.

Responsible for assisting physicians with patient care, clerical, environmental and organization tasks. Responsible for appointment scheduling and chart management. Provides Information to patients so they may fully utilize and benefit from the clinic services. Conveys a positive image of organization.

St. Mary’s Medical Center Speech Pathology Department is looking for a dynamic Speech Language Pathologist to join our team. This is a per diem day shiftposition.  This SPLs duties include, but are not limited to: - responsible for the evaluation, treatment planning and implementation of treatment for patients demonstrating disorders of speech, language, cognition, swallowing and other services prescribed by a physician - assists in developing and implementing new and ongoing programs beneficial for the enhancement of the department - the culture of our team is second-to-none!  Please apply if quality patient care and team cameraderie is your goal - there is truly a spirit of friendship and community on our team!

The LVN/LPN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements. In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN/LPN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the MST setting.

The LVN/LPN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements. In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN/LPN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the MST setting.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the Birthplace. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Provides for a safe environment for patients and visitors. Utilizes the chain of command when necessary to ensure patient well-being and appropriateness of care to newborns and mothers during the antepartum and postpartum periods.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the DOU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients.  He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.  Maintains patient privacy and confidentiality.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the DOU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients.  He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.  Maintains patient privacy and confidentiality.

The Unit Secretary is directly accountable to the Director of MST, and indirectly to the Charge Nurse, and / or House Supervisor. The Unit Secretary is an unlicensed person who performs indirect care in the department setting. Facilitates the communication needs of the department. Transcribes physician orders from records (in the absence of CPOE and EMR clinical documentation system) with notation and signature by nursing staff. Prepares and complies records on the Emergency Room. Orders supplies for the unit, prepares and completes each patients chart for necessary forms needed on a daily basis. Able to assist nursing staff for duties involving indirect patient care.

St. Mary’s Medical Center Speech Pathology Department is looking for a dynamic Speech Language Pathologist to join our team. This is a full time day shift position.  This SLPs duties include, but are not limited to: - responsible for the evaluation, treatment planning and implementation of treatment for patients demonstrating disorders of speech, language, cognition, swallowing and other services prescribed by a physician - assists in developing and implementing new and ongoing programs beneficial for the enhancement of the department - the culture of our team is second-to-none!  Please apply if quality patient care and team cameraderie is your goal - there is truly a spirit of friendship and community on our team!

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in Telemetry Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with the physician about changes in the patient's clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.

St. Mary’s Medical Center is looking for a per diem Physical Therapist to be a part of our growing Rehab Team.  As our new Physical Therapist, you will: - provide medically prescribed consultative and therapeutic services, within scope of practice, in order to restore function and prevent disability in patients with musculoskeletal, cardiopulmonary and/or integumentary disorders - perform responsibilities in accordance with department and hospital policies, state, federal and regulatory licensing and accrediting requirements - function according to professional practice as an integral member of the interdisciplinary care team - the culture of our team is second-to-none!  Please apply if quality patient care and team cameraderie is your goal - there is truly a spirit of friendship and community on our team!

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients; He/She communicates with the physician about changes in the patient�s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.

***Currently Eligible for a Sign-on Bonus*** The Emergency Department (ED) Charge Nurse is responsible and accountable to the Department Director for the quality of nursing staff and the delivery of patient care during his/her shift and assists the Director in the daily operation of the respective unit(s)/department. Here are some Charge Nurse qualities we're looking for on our ER team: - provides direct communication with the Director and/or House Supervisor of unanticipated patient care events and/or risk management activities within patient care unit(s) - utilizes nursing personnel effectively, assisting with required scheduling, staffing and assignments - provides direction, supervision and evaluation of staff and/or staff education as necessary - assists with performance evaluations, progressive discipline of staff and other related HR activities as needed - assesses supplies and equipment availability; ensures their proper use and functionality and assists in the daily maintenance of par levels - collaborates with other department managers/supervisors to ensure smooth coordination of services to patients - enhanced patient flow within the facility and efficient admission/discharge/transfer processes - assesses patient care delivery and quality of care/documentation on a consistent basis - directs staff members to make immediate changes in the plan of care, as appropriate, to ensure patient safety and adherence to regulatory guidelines, hospital policies, procedures, protocols and/or clinical pathways and notifies Department Director, House Supervisor and/or Medical Staff as appropriate utilizing the chain of command - interviews patients/families on admission and during rounds to enhance positive patient experiences, provide comprehensive orientation to the patient care unit and increase patient/family awareness on how to access services and/or the charge nurse, if necessary - the Charge Nurse may perform direct patient care within scope of practice and clinical competency to ensure patient safety and patient/nurse ratios - he/she shall be temporarily relieved of Charge Nurse duties during such times by Director/designee and shall document details of same on patient care assignment record

St. Joseph Medical Center is looking for a per diem, day shift Occupational Therapist to be a part of our growing Rehab Team.  As our new OT, you will: - provide prescribed consultative and therapeutic services in order to restore function and prevent disability for clients or patients with musculoskeletal, neuromuscular and cardiopulmonary disorders - function according to professional practice as an integral member of the interdisciplinary care team - the culture of our team is second-to-none!  Please apply if quality patient care and team cameraderie is your goal - there is truly a spirit of friendship and community on our team! - perform responsibilities in accordance with department and hospital policies, state, federal and regulatory requirements: Title 22 Section 70517, 70519

St. Joseph Medical Center is looking for a per diem day shift Physical Therapist to be a part of our growing Rehab Team.  As our new Physical Therapist I, you will: - provide medically prescribed consultative and therapeutic services, within scope of practice, in order to restore function and prevent disability in patients with musculoskeletal, cardiopulmonary and/or integumentary disorders - perform responsibilities in accordance with department and hospital policies, state, federal and regulatory licensing and accrediting requirements - function according to professional practice as an integral member of the interdisciplinary care team - mostly inpatient, some outpatient therapies - awesome team atmosphere, partners with the nursing team with regards to patient care

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients; He/She communicates with the physician about changes in the patient�s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients; He/She communicates with the physician about changes in the patient�s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.

Performs Diagnostic Radiographic Procedures according to department protocols, HFAP/TJC/local regulatory/CMS, State and Federal Regulations. Functions as the first line interface with customers and is successful in the accomplishment of their imaging needs. Participates in PI/QC activities. Responsible for processing and transmission of images to PACS.

Provides direct patient care to adult and geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Communicates with physician continuously and as needed about patient condition. Assists with the maintenance of equipment and inventory. Assesses procedure room or equipment functioning and readiness. Obtains supplies for individual cases and ensures all appropriate needs of the Cardiovascular Laboratory team are met. Monitors physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. Monitors and records patients condition continuously while in the Cardiovascular lab. Participates in performance improvement and continuous quality improvement activities.

The Licensed Vocational Nurse/Licensed Psychiatric Technician provides direct and indirect patient care services requiring technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care, and meets the communication needs of the patient and family; Performs under the direction and supervision of a Registered Nurse. Demonstrates knowledge of EMTALA Regulations and triage process in the ER setting.

Being part of our Crtical Care Registered Nurse Float Pool, your love for variety will be satisfied by floating among our ICU and ER Floors at Providence Medical Center.  We are looking for RN’s who are independent, flexible and confident of their skills. We provide an awesome orientation, advanced training and strong leadership/mentors; An excellent opportunity to enhance your skills. You will also be part of a close, very collaborative and supportive Nursing Team. As if all the above wasn’t enough, we also provide a verycompetitive compensation rate.   #registerednurse  #RN #nursing #floatpool  #LI-AM5 #RegisteredNurse  #Floatnurse  #RN #LI-AM5

The Senior Contract Analyst, CDM will support Prime Healthcare’s Contract Analytics and Revenue Integrity functions. The Senior Contract Analyst, CDM will also collaborate with other stakeholders and process owners to ensure that the contract analytics are scaled to support other operations such as Patient Access, CDM, RIT, HIM, Coding, PFS and Denial Management. The Senior Contract Analyst, CDM will set up and maintain the contract matrix and rate levels for all hospitals, support the implementation & maintenance of the Contract Management Tool, oversee the implementation & maintenance of the internal expected reimbursement tool and collaborate with the patient access department to optimize the front-end collections workflow. The Senior Contract Analyst, CDM will ensure compliance with CMS Price Transparency Rule of posting hospital’s contracted reimbursement rates. #LI-ER2

The Manager of Contract Analytics, CDM will support Prime Healthcare’s Contract Analytics and Revenue Integrity functions. The Manager of Contract Analytics, CDM will also collaborate with other stakeholders and process owners to ensure that the Contract Analytics are scaled to support other operations such as Patient Access, CDM, RIT, HIM, Coding, PFS and Denial Management. The Manager will set up and maintain the contract matrix and rate levels for all hospitals, support the implementation & maintenance of the Contract Management Tool, oversee the implementation & maintenance of the internal expected reimbursement tool, and collaborate with the patient access department to optimize the front-end collections workflow. The Manager of Contract Analytics, CDM will also be responsible for ensuring compliance with CMS Price Transparency Rule of posting hospital’s contracted reimbursement rates. #LI-ER2

Responsible for the quality and resource management of all authorizations and referrals with the Prime Healthcare Employee EPO. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive review of the medical record for the medical necessity, intensity of service and severity of illness.

The Senior Medicare-Medicaid Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare-Medicaid. This includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable and responsible for billing through account closure. #LI-BF3

The Director of Medical Staff ensures that the hospital meets all regulatory and hospital requirements related to credentialing.  - Provides management support and coordination for all medical staff, medical education and continuing education services. - Maintains productive, professional relationships with all levels of staff. - Develops departmental plans, budgets and directs staff as appropriate. - Maintains knowledge of the medical staff and medical education standards as related to deemed agencies, state law, and other regulations to assure compliance. The ideal candidate will have strong knowledge in Joint Commission and other regulatory standards. 

The Facilities Administrative Assistant is responsible for the day to day operations of the dept. on a daily, routine basis. The Facilities Administrative Assistant works with the department director/manager, administrative team members and department heads to ensure compliance with goals and objectives established by the hospital corporation. Communicate effectively, in writing, verbally, and via telephone, with all levels of personnel and visitors. Input and retrieve computerized data.

Performs security services, including electronic surveillance, and systematic manual Security Officers rounds. Coordinates facility response to various potential problems for patients, employees, and visitors. Enforces policy & procedure, ensuring equitable enforcement. Follows guidelines and perpetual monitoring techniques, towards establishing a safe workplace for employees and a safe environment of care. Works with the Environment of Care committee to ensure a multi-disciplinary approach to security and safety. Participates in employee awareness and education. . Driving as needed for company business.

Float to Telemetry, Med Surg and Behavioral Health as needed. The Registered Nurse (RN) is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. The Float RN can be assigned to two (2) or more units based on need and will maintain competency to practice in all units. Provides direct patient care within the scope of practice. The RN also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care. The RN is directly responsible and accountable for the care given to assigned patients on an assigned unit. She/he/them communicates with the physician about the changes in the patients clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Maintains patient privacy and confidentiality.

Float to Telemetry, Med Surg and Behavioral Health as needed. The Registered Nurse (RN) is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. The Float RN can be assigned to two (2) or more units based on need and will maintain competency to practice in all units. Provides direct patient care within the scope of practice. The RN also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care. The RN is directly responsible and accountable for the care given to assigned patients on an assigned unit. She/he/them communicates with the physician about the changes in the patients clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Maintains patient privacy and confidentiality.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients; He/She communicates with the physician about changes in the patients clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.

Each individual performs those waived, moderate, or highly complex tests authorized by CLIA, Bus. & Prof. Code Section 1204, and must possess a degree of skill commensurate with individuals education, training or experience and technical abilities. Each individual performing the above procedures must: - Adhere to the laboratory's procedures for the collection, processing, analysis, and reporting of patient test results - Follow the laboratory's established quality control policies and procedures in documenting all corrective actions taken when test systems deviate from the laboratory's established performance specifications - Be capable of identifying problems that may adversely affect test performance and either correct the problem or immediately notify your immediate supervisor, Director, or Medical Director - Perform a wide variety of laboratory procedures requiring independent judgment using both manual and automated methods in Hematology, Blood Bank, Chemistry, Urinalysis, Coagulation, Microbiology, Immunology, and any other discipline as introduced into the laboratory - Perform and document maintenance daily, weekly, monthly, or as needed on instruments and equipment as appropriate - Review the accuracy of patient results prior to releasing or reporting - Recognize age specific differences in expected results for newborns to geriatrics - Ensure that the testing of proficiency testing samples are tested in the same manner as patient samples and that collaboration with other laboratories is prohibited prior to the reporting of proficiency testing results to the appropriate agencies - May be required to perform venipuncture or capillary puncture on various age groups from newborn to geriatrics - Assist in the development and maintenance of laboratory policies and procedures

The Biomed Technician II provides medical equipment services under close supervision of BSI management. The Biomed Tech II is a front-line employee who is visible to the clinician utilizing the patient care equipment included in the Medical Equipment Management Program. He/she is skilled in performing preventative maintenance, installing, testing, calibrating, and repairing biomedical equipment, while maintaining safe operations. Will regularly need to be available to work after hours and be scheduled for on call rotating schedule. This individual also, ensures that the biomedical equipment is in compliance with applicable regulatory requirements and quality control standards. Often times will assist and train technicians and staff on medical equipment. Relies on experience and judgement to plan and accomplish goals.

The Biomed Technician I perform maintenance and repair duties under close supervision of BSI management. The Biomed Tech I is the front-line employee who is most visible to the clinician utilizing the patient care equipment included in the Medical Equipment Management Program. He/she supports patient diagnosing and treatment by installing, testing, calibrating, and repairing biomedical equipment, while maintaining safe operations. Will regularly need to be available to work after hours and be scheduled for on call rotating schedule. This individual also, ensures that the biomedical equipment is in compliance with applicable regulatory requirements and quality control standards. Relies on limited experience and judgment to plan and accomplish goals.

Legal Fellow position gets trained to eventually provide off-shore legal support services across various functions, including conducting legal research, drafting correspondence, reviewing pertinent documents, and offering recommendations and analysis to the supervising attorney. This position presents an excellent opportunity to gain valuable experience in healthcare law and healthcare revenue cycle management.

The Field Service Specialist – Imaging provides specialty medical equipment services on various Imaging equipment. Primary duties include, but are not limited to, performing preventive maintenance inspections, installation support, testing, calibration, troubleshooting and maintenance on specialty imaging equipment (CT or Cath Lab or Digital X-ray or C-arm or MRI or Nuclear Medicine or Ultrasound or Contrast Injectors).   This individual shall be competent in the use of all applicable test equipment and tools required in the performance of the duties and be able to teach and coach others as needed. The Field Service Specialist will ensure compliance with changes in regulations, policies and procedures set by national and state regulatory bodies.   Responsible to ensure that all scheduled work is accomplished on time, customer needs are met, and the day-to-day operations impacting revenue are communicated as needed and appropriate resources are utilized to minimize any service interruptions. The position also has service support scheduling and vendor management responsibility. Individual shall be required to provide regional technical support for resolving difficult equipment issues.   This individual contributes to department improvement and collaborates and maintains positive relationships with customers. Pride and professionalism, as well as technical expertise, must be exhibited at all times for the success of all concerned. Maintains a department "culture" that is patient-focused and participates in teamwork, quality, integrity and professional growth upholding the Prime Healthcare Mission and Vision at all times.  

The Field Service Specialist III-MR/Nuclear Medicine provides specialty medical equipment services under minimal supervision of BSI management. This individual is fundamentally skilled as a logical thinker and problem solver, primary duties include, but are not limited to, performing preventive maintenance inspections, installation support, testing, calibration, troubleshooting and maintenance on specialty imaging equipment. Secondary duties include providing equipment maintenance support on general medical equipment, as needed. This individual shall be competent in the use of all applicable test equipment and tools required in the performance of the duties and have a strong mechanical ability to be able to teach and coach others. The FSS III- MR Nuc Med will ensure compliance with changes in regulations, policies and procedures set by national and state regulatory bodies to the team. Substantial background in performing risk assessments, inventory control and escalated customer issues. Responsible to ensure that all scheduled work is accomplished on time, customer needs are met, and the day-to-day operations impacting revenue are communicated as needed and appropriate resources are utilized to minimize any service interruptions. This individual contributes to department improvement and collaborates and maintains positive relationships with customers. Pride and professionalism, as well as technical expertise, must be exhibited at all times for the success of all concerned. Maintains a department culture that is patient-focused and participates in teamwork, quality, integrity and professional growth upholding the Prime Healthcare Mission and Vision at all times

The Contracts Analyst develops analytical assessments of managed care rate reimbursement and contract language variances utilizing intermediate skills in Excel and Word. Must be able to capture and summarize key contract concerns and identify patterns across markets. Requires a high level of responsibility, confidentiality, judgment and discretion in applying departmental policies, procedures and handling confidential information. Must be able to communicate effectively in writing, verbally and via telephone. This position performs special projects in support of the Health Plan Operation's Directors and Vice President. #LI-ER2

Corporate Benefits Manager responsible for administration of employee benefits in all company operations.  Provides special guidance, education, training and assistance to all company locations on various employee benefit plans.  Develops annual Open Enrollment strategy and timeline, coordination and roll out at facility level: benefit fairs, employee communication, electronic/on-line enrollment programming and testing, update rates/deductions/payroll schedules, ID card distribution, carrier interfaces, implementation of newly approved or modified employee benefit policies. Oversee dependent audit process. Supervises daily administration of existing benefits, including execution of new policies and carrier billing to all company locations. Develops and executes written Policy and Procedure guidelines. Understanding of Self-funding, Stoploss, Pharmacy Benefit Management, ERISA guidelines, Affordable Care Act, Section 125, HIPAA and PHI. Oversees annual reporting and filings, ensures accuracy of data and meets appropriate deadlines for 5500 / SAR, Creditable Coverage and Medicare Part D CMS disclosures, CMS demand letters, Healthcare Exchange Appeals, Covered California Appeals, 1095-C, PCORI, Form 720 and Non-Discrimination Testing.  Updates and maintains electronic postings to the SharePoint benefits section: Plan Documents and Amendments, Summary of Material Modifications, Company Memos, Benefit Summaries and all other benefits related material.  Ability to review, interpret and edit all Plan Documents and Contracts as applied to employer sponsored benefit policies.  25% travel required in and outside California.   #LI-RK1

The Corporate Director of Staffing and Productivity is a Registered Nurse (RN) who oversees the staffing applications and productivity metrics that are utilized throughout the enterprise. Provides leadership to local facilities to reach organizational staffing goals including cost, productivity, clinical and operational goals, and helps implement best practices for staffing levels based on acuity, state regulations, and mandated ratios. Provides guidance to local facilities on how to leverage/optimize their staffing resources. Works with local teams to train on new applications and staffing strategies. Supports all special projects related to staffing. Monitors staffing, financial and productivity metrics. Familiar with collective bargaining agreements and guidelines outlined in the agreements that impact staffing. Supports Corporate, Regional and Local teams to reach staffing goals.   #LI-RK1

Reporting to the Chief Revenue Officer, the Vice President of Revenue Cycle has system-level responsibility for strategic planning and execution, ongoing process improvement and optimization of revenue cycle operations management systemwide. Analyzes revenue cycle metrics and provides regular reports to senior leadership on financial performance, trends, and areas for improvement and effectively implements financial improvement strategies. Maintains a high-level expertise of healthcare finance, government and commercial reimbursement programs, managed care as well as state and local reimbursement programs. The VP of Revenue Cycle collaborates with all levels of the health system, including financial leaders, executive management, local RCM leaders as well as offshore resources and vendors to ensure financial and operational goals are met within a cost-effective, efficient manner.   #LI-RK1

Responsible for administration of employee benefits in all company operations. As needed, provides special guidance and assistance to all company locations on various employee benefit plans. Develops, recommends, and installs approved, new, or modified plans and employee benefit policies, and supervises administration of existing plans. Develops cost control procedures to assure maximum coverage at the least possible cost to company and employee. Director is familiar with contracts including provider and vendor contracts as applied to employee benefits.   #LI-RK

The Vice President of Health Plan Claims and Operations is responsible for the development and execution of Claim Operations strategies, end-to-end Claim process automation, optimization and management, identifying and leveraging technology and data to improve the quality and minimize process cost of Claims for all Prime Healthcare’s self-insured Employee Health Plans. Through in-depth audit and review of Claims data, the VP will identify financial savings across all aspects of the Employee Health Plans.   The VP of Health Plan Claims and Operations will provide strategic leadership and development of the Claims Department and its employees, as well as collaborate with Network Development, Provider Affiliation and Member Relations, Contracting, and Benefits Administration to ensure data integrity and to drive financial and operational value across Employee Health Plans to maximize benefit coverage while containing cost.   The VP of Health Plan Claims and Operations will partner with local C-Suites and Hospital Administration to execute goals and plans of the Employee Health Plans. Through inter-professional collaboration, The VP will ensure that TPA and Health Plan are notified in a timely fashion of any changes in process or procedures which would impact their functions.   #LI-RK1

The ADA Specialist II handles the complete cycle of the interactive process and accommodation in ADA leave cases, including return to work for these cases for non-occupational and occupational cases. The ADA Specialist serves as the primary contact for employee’s seeking reasonable accommodations through the interactive process. Ensures the interactive process and procedures are effectively executed and managed in accordance with federal, state and local regulations. The ADA Specialist will collaborate with key stakeholders to facilitate the interactive process and determine eligibility. #LI-AS1 #hybrid

To provide emotional support, crisis intervention and counseling; information and referral; referrals for financial assistance and supportive services to patients and families with problems that are related to hospitalization, illness, disability or trauma. To provide case management & milieu management, complete psychosocial assessments, assist in the development and re-evaluation of Treatment Plans and work as a member of a multidisciplinary team, and to coordinate discharge planning. Complete necessary documentation and maintain clinical record for each client during his/her length of stay.

 We are looking for a Director of Case Management.  In this position you will be responsible for the following:   - Leading and meeting the length of stay intitiatives and metrics. - Frequent communication with hospitalists, intensivists, and community physicians regarding length of stay and discharge planning. - Communication with nursing managers, etc length of stay, discharge planning and patient status. - Manage bundled payment improvements. - Perform concurrent daily review and audit of case management and discharge planning documentation. - Assist in appeal process on any insurance denial when requested. - Participate in education for Case Managers, Social Workers, nursing and medical staff regarding care coordination.    

The Leave Case Manager II is the liaison between Prime employees and management. This role provides support of all aspects of leave of absence while ensuring compliance with related leave and disability laws including Pregnancy Disability Leave, Family and Medical Leave, Americans with Disabilities Act, California Fair Employment and Housing Act, and other related federal and/or state regulations. Including research and resolution of complex case escalations, including direct employee, manager, and vendor interactions. Partners with other members of the HR, Benefits and Payroll teams to provide guidance and excellent customer service to employees and managers regarding the leave process. #LI-AS1

Performs Diagnostic Radiographic, Cat Scan, Mammography, Bone Density, Ultra Sound or Special Procedures according to department protocols. Functions as the first line interface with customers and is successful in the accomplishment of their imaging needs. Participates in PI/ QC activities. Assists in Maintaining Performance Improvement Program. Oversees radiology area and/or staff in Manager's / Director's absence. Maintains department supplies. Promotes teamwork and good customer service. . Does scheduling for assigned sub departments and maintains supplies and equipment for assigned sub department. Responsible for Processing and transmission of Images to PACS.

The Leave Case Manager I is the liaison between Prime employees and management. This role provides support of all aspects of leave of absence while ensuring compliance with related leave and disability laws including Pregnancy Disability Leave, Family and Medical Leave, Americans with Disabilities Act, California Fair Employment and Housing Act, and other related federal and/or state regulations. Partners with other members of the HR, Benefits and Payroll teams to provide guidance and excellent customer service to employees and managers regarding the leave process. #LI-AS1