The Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed...
The Patient Care Assistant assists patients with activities of daily living, provides basic nursing care to all patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.
The Patient Care Assistant assists patients with activities of daily living, provides basic nursing care to all patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.
Financial Counselor determines patient liability based on benefits and advises patient of their liability. Prior to scheduled elective procedures notifies patient of financial responsibility. Make arrangements for payment from patient or guarantor by time of discharge. Assists patient with financial arrangements, and refers qualified patients to government assist programs. The incumbent also serves as financial counseling liaison for the department. Maintains effective communication skills, including verbal, written and telephone. Proficient in mathematical skills. Ability to communicate with school age, adolescent, young adult, middle adult and older adults.
Ability to function in a demanding environment by navigating multiple projects simultaneously, and effectively supporting a busy Medical Group. This position is responsible for assigned Medical Staff as assigned by Credentialing Supervisor. Facilitates all aspects of credentialing including applications, reappointments, proctoring and competencies. Interfaces with physicians, management and co-workers in a positive and professional manner.
Provides appropriate patient nutritional care. Assesses the nutritional status of patients, formulates a care plan, coordinates its implementation, and evaluates its impact and effectiveness. Provides nutrition education to patients/families. Approves supplements as appropriate and assists in the development of a hospital formulary appropriate to the patient population.
Assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and / or unit.
Advanced Imaging I use equipment to visualize internal structures, blood flow and obtain measurements. American College of Radiology (ACR) and Intersocietal Accreditation Commission (IAC) are the 2 guiding bodies used in Imaging. In the Radiology settings, ACR is followed. In the Cardio-vascular Ultrasound setting, IAC is followed. Cardio-Vascular Sonographer practice following Protocols and Techniques as per scribed by the Cardio-Vascular Medical Director. Advanced Imaging I, practice following the protocols and techniques as per scribed by Imaging Medical Director. All Advanced Imaging I, will practice their skills within the scope of their credentials and with a valid written physician’s order always. Skill evaluations will be done by the area...
The Admitting Supervisor works closely with the Admitting Director or Manager overseeing department operations and function. Works to ensure patient, family, and Physician satisfaction on a daily basis. Is responsible for all areas within the Admitting department.
Ability to function in a demanding environment by navigating multiple projects simultaneously, and effectively supporting a busy Medical Staff Office. Responsible for assigned Medical Staff Departments as assigned by Director/Manager. Facilitates all aspects of credentialing, including applications, reappointments, proctoring and competencies. Interfaces with physicians and hospital management staff in a positive and professional manner.
SOCIAL SERVICE II: To provide emotional support, crisis intervention and counseling for Pediatrics, Adolescents, Adults, Older Adults and their significant others to cope with a multiplicity of social and emotional problems; information and referral; referrals for financial assistance and supportive services to patients and families with problems that are related to treatment services, 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 an interdisciplinary team, and to coordinate discharge planning. Complete necessary documentation and maintain clinical record for each client during his/her length of stay.
The Patient Care Assistant assists patients with activities of daily living, provides basic nursing care to all patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.
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.
Assesses patients in the emergency room and throughout the house when requested and ensures placement according to their age, identified problems and needs. Acts within the guidelines of LPS Statutes and Patients’ Rights. Provides crisis intervention and appropriate referrals when needed. Works within the multidisciplinary team and communicates effectively with physicians, nurses and staff.
Supervises Rehab Services daily activities. Coordinates and supervises staff and clinical affiliates, treatments and activity schedule. Assists in planning and establishing policies and procedures and development of new programs. Trains and monitors competency of new and current personnel. Assists in staff performance evaluations. Direct patient care including evaluation and treatment as dictated by census with a negative variance. Assists Director in management of department and assumes any delegated assignments.
Performs a variety of patient and non patient food service duties such as preparing and delivering patient trays, servicing the cafeteria, working on tray line, stocking storage areas, preparing nourishments, dishwashing and pot washing, mopping and sweeping of floors and emptying of trash as well as other related tasks.
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.
7:30 AM - 4:00 PM
The Patient Account Registrar interviews the patient or his/her representative to obtain patient demographics. This position also secures insurance information, eligibility, benefits and authorizations as applicable. Works closely with all facets of the Admitting department including PBX operator function and reception areas. Must be able to operate a computer to input and retrieve data. Ability to communicate with the population served, utilizing age specific techniques from neonatal, pediatrics, adolescents, young adults, middle adult to geriatrics. Maintain proficiency in medical terminology. Special projects or other assignments may be given with expectations to be completed in a specified timeframe
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Essential Duties and Responsibilities (includes, but not limited to):
- The Performance Improvement Director develops, manages and integrates a comprehensive Performance Improvement (PI) Program to achieve unprecedented results in quality, efficiency, safety, satisfaction and value with transparency.
- The Managerial oversight responsibility of the Performance Improvement Program is to develop and share best practices for improving performance in quality, safety, perception of care, value and efficiency; to develop/ maintain...
* $15,000 Bonus Available for Full Time *
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....
The Distribution Technician counts and replenishes all par supply areas. Uses the computer system to perform distribution activities. Receives supplies and equipment. Maintains storeroom, delivers supplies to departments.
The Operating Room Tech is responsible for the preparation of sterile supplies and instruments for each assigned procedure, maintaining sterile field during case and providing surgeon with sterile supplies and instruments during assigned procedures.
The Payroll Coordinator is responsible for timely, accurate processing and reconciliation of payroll checks. Effectively interacts with the Human Resources department, managers and group staff regarding payroll issues. Input and retrieve payroll data from the computerized system. The Payroll Coordinator works with timekeeping system to ensure accurate time keeping. Has the ability to communicate with adolescence, adulthood, late adulthood to geriatrics.
To prepare quality food according to established food safety policies in a sanitary environment.
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Ultrasound Technologist demonstrates competency in performing all ultrasound exams, ensuring proficiency in producing technical and diagnostic scans for interpretation. Positions patient and equipment and produce an appropriate recording. The Ultrasound Technician is responsible for processing and transmission of Images to PACS.
The Registered Nurse is directly responsible and accountable for the care given to his/her Telemetry assigned patients. He / She communicates with 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.
Ultrasound Technologist demonstrates competency in performing all ultrasound exams, ensuring proficiency in producing technical and diagnostic scans for interpretation. Positions patient and equipment and produce an appropriate recording. The Ultrasound Technician is responsible for processing and transmission of Images to PACS.
The Certified Nursing Assistant in the Behavioral Health department is a licensed assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.
Performs a variety of direct and indirect patient care duties throughout the organization for pediatric, adolescent, adult, and geriatric patients. Performs a variety of other duties (clerical, transport, and messenger) in order to facilitate safe and effective patient care services
The Patient Account Registrar interviews the patient or his/her representative to obtain patient demographics. This position also secures insurance information, eligibility, benefits and authorizations as applicable. Works closely with all facets of the Admitting department including PBX operator function and reception areas. Must be able to operate a computer to input and retrieve data. Ability to communicate with the population served, utilizing age specific techniques from neonatal, pediatrics, adolescents, young adults, middle adult to geriatrics. Maintain proficiency in medical terminology. Special projects or other assignments may be given with expectations to be completed in a specified timeframe.
Under the general direction of the physician (Cardiologist/Radiologist), will assist by scrubbing procedures or monitoring physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. Ensures procedure room is adequately prepared for the procedure. Monitors par level of all instruments and supplies. Participates in departmental staff meetings and performance improvement activities and the training of new staff. Assists in all aspects of invasive and noninvasive cardiac procedures
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry and tracking data from various insurance providers and health plans regarding authorization, expedited reviews and appeals. Document and track all communication attempts with insurance providers and health plans. Utilization review tech will follow up on all denials while working closely with the Corporate/Facility Utilization review teams, Business Office and Case Managers. The Utilization review tech will also serve as the primary contact and coordinate the work to maintain integrity of tracking government review audits (RAC, MAC, CERT,...
The HR Assistant processes new hire paperwork, background checks, coordinates drug screens and completes the I9/E-Verify. Will process status changes, term paperwork, promotions, and all other changes and get all appropriate approvals before processing in the HRIS. Keeps personnel records up to date. Assists with hospital recognition programs and assists employees with general Human Resources questions.
The CNA in the MST department is a certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.
Essential Duties and Responsibilities (includes, but not limited to):
Under the supervision of the Director of Pharmacy, coordinates the activities of the pharmacy department to provide the highest quality of pharmaceutical care to all patients served by the hospital, while ensuring patient safety. The scope of patient care provided may include: General Medicine/Surgical, Intensive Care Services, Obstetrics & Gynecology, Pediatrics, Emergency Care, Oncology, Peri-operative, Geriatrics and Outpatient Services.
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 professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition...
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 medical surgical setting.
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...
The Operating Room Tech is responsible for the preparation of sterile supplies and instruments for each assigned procedure, maintaining sterile field during case and providing surgeon with sterile supplies and instruments during assigned procedures.
** You must have experience in the Cath Lab, Interventional Radiology, ICU or ER, to move forward in this position. You will not work in the Cath Lab Department but will be working in our Cardiac Rehab Department.
Essential Duties and Responsibilities (includes, but not limited to):
- Patient Assessment: Evaluate...
- 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 telemetry setting.
The Clinical Educator provides educational services for areas of clinical expertise and patient care services to attain the Hospital’s objectives, mission and values established by corporate administration. Supports corporate-wide programs, policies and procedures are developed to assess, evaluate, and meet the needs of the patient. Assists with development and implementation of education plans for providing training in clinical settings. The Clinical Educator provides hands on training for clinical staff to support the educational goals for the hospital. Implements an effective, ongoing training program to measure, assess and improve the quality of care, treatment and services delivered to all patients. The Clinical Educator shall work...
Each individual performs only those waived, moderate, or highly complex tests authorized by CLIA, responsibilities listed under CFR § 493.1425, § 493.1495 and § 493.1463 and must possess a degree of skill commensurate with individual’s education, training or experience and technical abilities. Each individual performing the above procedures must:
1) adhere to the laboratory’s procedures for the collection, processing, analysis, and reporting of patient test results.
2) follow the laboratory’s established quality control policies and procedures in documenting all corrective actions taken when test systems deviate from the laboratory’s...
Essential Duties and Responsibilities (includes, but not limited to):
Essential Duties and Responsibilities (includes, but not limited to):
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...
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...
Essential Duties and Responsibilities (includes, but not limited to):
The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing. 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 neonates from post delivery stabilization through discharge. NICU- Provides direct patient care within the scope of...
Claims Examiner processes routine and non-routine claims using established claim standards, and departmental policies and procedures. To accurately evaluate and adjudicate claims in a timely manner and according to set standards. �