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The Provider Relations Representative serves as a primary point of contact for providers, acting as a liaison between the Prime Healthcare Employee Health Plan and medical providers. The representative is responsible for maintaining and strengthening provider relationships by communicating health plan updates, ensuring contract information/practice information remains current, and addressing claim inquiries, benefit questions, and member issues.
This position requires proficiency in utilizing multiple communication channels, strong attention to detail, problem-solving skills, and meticulous documentation to ensure accurate, timely, and efficient assistance is provided.
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The Business Analyst I reports to the Director of Shared Services and provides comprehensive analytical and data enablement support across multiple business domains and data needs. This role manages and leads multiple concurrent projects while delivering new, data-driven insights that shape strategic business decisions through a blend of technical, analytical, and professional skills. In this capacity, the Business Analyst I develops a working understanding of key business systems and data sources, performs ETL-related activities by extracting data from disparate systems, cleansing and transforming it as needed, and validating data quality to ensure it is reliable and fit for purpose. The role produces actionable reports, forecasts, and analyses; designs and...
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- Answer and route incoming calls to the appropriate hospital departments, physicians, or staff promptly and courteously
- Assist visitors and callers by providing information or directing them to the appropriate contacts, and promptly handle emergency calls by connecting them to response teams or on-call personnel
- Monitor and maintain the telephone system by reporting malfunctions to technical support and keeping accurate call logs and messages for staff and departments
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Mental Health Worker Inpatient: Under the direction and supervision of the RN, LVN or Charge RN assist the licensed nursing staff in providing and documenting patient care including assistance with activities of daily living. Supports the unit functions and maintains a safe and clean environment for patients, visitors and co-workers; functions as an integral part of the interdisciplinary care team and communicates pertinent patient information to the supervising RN. Performs some clerical duties as assigned and provides basic nursing care for the adult and geriatric patients. Performs responsibilities within the guidelines of the Nursing Structure Standards, Hospital/Nursing Policy and state regulatory and accrediting requirements.
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The Contracts Analyst originates and maintains physicians and providers contract packets, Letter of Agreements (LOA), tracks submission and approval process, maintains and updates contact files and amends contracts as appropriate for the self-funded medical plan (EPO). Requires a high level of responsibility, confidentiality, judgment and discretion in applying department policies, procedures and handling confidential information. Communicate effectively, in writing, verbally and via telephone. Expand our network of providers, and make recommendation for management for lacking or contracted providers within Prime network. Performs special projects as assigned by the Corporate Director of Employee Health (EPO).
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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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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. They communicate 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...
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Responsible for assisting providers with patient care, clerical, insurance verification and prior authorizations, 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. All clinical tasks performed by MA II’s must occur under the direct supervision of a licensed clinician (MD, DO, APN, PA) who is physically present in the facility and immediately available.
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Each individual performs only 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: 1) adhere to the laboratorys procedures for the collection, processing, analysis, and reporting of patient test results. 2) follow the laboratorys established quality control policies and procedures in documenting all corrective actions taken when test systems deviate from the laboratorys established performance specifications. 3) be capable of identifying problems that may adversely affect test performance and either correct the problem or immediately notify...
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Each individual performs only those waived, moderate, or highly complex tests authorized by, CA, Bus. & Prof. Code (Sections §1206.5 (a)(b)(c), §1261, §1210, §1269, §1260.3, 17 CFR 1031 (b) (1-5), 17 CFR 1032.5) 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...
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The Licensed Practical Nurse 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.
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Staff RN is directly accountable to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of direct and indirect patient care in the peri-operative setting through the nursing process of assessment, planning, implementation, and evaluation for neonates, pediatrics, adolescents, adults and older adults. The Registered Nurse coordinates the care of the patient with the surgeon and anesthesiologist, directs and guides the OR Technician and other personnel while maintaining standards of professional nursing. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and...
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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. They communicate 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 and/or...
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Assists the Pharmacist, under his or her supervision, in the daily operation of the Pharmacy.
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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.
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The Clinical Documentation Specialist (CDS) is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records. These reviews are to evaluate whether the clinical documentation is reflective of the quality-of-care outcomes and reimbursement compliance for acute care services provided. The CDS works closely with the medical staff to facilitate appropriate clinical documentation of patient care. Other responsibilities include conducting documentation for inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions and documenting findings. He/She will perform other duties as assigned or required.
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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
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Under the direction and supervision of the Physical Therapist, provides medically prescribed therapeutic services in order to restore function and prevent disability in patients with musculoskeletal, neuromuscular, cardiopulmonary and/or integumentary disorders. Performs responsibilities in accordance with Physical Therapy, state and federal regulatory, licensing and accrediting requirements.
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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 Med/Surg/Telemetry Unit. The Registered Nurse is directly responsible and accountable for the care given to their assigned patients. They communicate 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...
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The Talent Acquisition Specialist is a results-driven professional experienced in full-cycle recruitment within fast-paced healthcare environments. Under the direction of a Talent Acquisition Manager or Lead, they leverage advanced sourcing strategies, ATS and CRM systems, LinkedIn Recruiter, Indeed tools, and Boolean search techniques to identify and engage top clinical and non-clinical talent. Partnering closely with hiring leaders, they execute strategic workforce plans to meet immediate staffing needs and long-term organizational goals while maintaining a strong, metrics-driven focus.
- Manage full-cycle recruitment for clinical and non-clinical healthcare positions
- Utilize iCIMS ATS and CRM systems to maintain candidate...
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This position is accountable for assuming leadership in the area of educational design, planning, implementation and evaluation for Patient Care and Clinical Ancillary Services. As such, position responsibilities focus on accomplishing goals within the domain of professional development and teaching/learning.
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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. They communicate 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...
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Maintains responsibility to sit with and observe the patient and his/her surrounding environment to promote safety and prevent possible injuries. The One to One Patient Observer assists the Registered Nurse in non-nursing tasks within the scope of training and experience.
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Rumford Community Home Corporation offers competitive compensation and a reasonable compensation estimate for this role is $18.00 to $21.75. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs,...
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Rumford Community Home Corporation offers competitive compensation and a reasonable compensation estimate for this role is $18.00 to $21.75. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs,...
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Coordinates and completes the clinical reviews for all patient medical records while working closely with CMO (Chief Medical Officer). Actively participates in the Case management and UR meetings. Serves as on-going educator to all departments. Responsible for reviewing patient charts in order to assess whether the clinical criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from payers/fiscal intermediary etc.; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary...
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Essential Duties and Responsibilities (includes, but not limited to):
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Essential Duties and Responsibilities (includes, but not limited to):
- Staff Coordination: assign nursing staff to patients based on patient acuity, nurse experience, and...
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Essential Duties and Responsibilities (includes, but not limited to):
- Deliver high-quality care to patients with varying levels of illness and injury.
- Triage and quickly assess situations, make decisions, and solve problems efficiently in high-pressure environments.
- Cooperation with doctors, nurses, and other healthcare professionals to deliver comprehensive patient care.
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Delivers decisive, high-acuity patient care while closely monitoring patients, and care coordination for optimal patient outcomes.
- Monitor patients' cardiac status, vital signs, and telemetry data to detect any changes or abnormalities, which is crucial for patients recovering from cardiac procedures, heart attacks, or other cardiac conditions
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Delivers decisive, high-acuity patient care while closely monitoring patients, and care coordination for optimal patient outcomes.
- Monitor patients' cardiac status, vital signs, and telemetry data to detect any changes or abnormalities, which is crucial for patients recovering from cardiac procedures, heart attacks, or other cardiac conditions
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Essential Duties and Responsibilities (includes, but not limited to):
- Deliver high-quality care to critically ill patients by performing detailed assessments, developing care plans, and implementing complex nursing interventions
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Essential Duties and Responsibilities (includes, but are not limited to):
- Deliver high-quality care to patients with varying levels of illness and injury.
- Triage and quickly assess situations, make decisions, and solve problems efficiently in high-pressure environments.
- Cooperation with doctors, nurses, and other healthcare professionals to deliver comprehensive patient care.
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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.
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- Conduct thorough initial assessments and ongoing evaluations of patients' physical, emotional, and mental health
- Monitor vital signs, intake/output, and other clinical indicators to detect changes in patient conditions
- Recognize and act on warning signs of deterioration, such as changes in heart rate, respiratory rate, or mental status
- Safely administer prescribed medications (oral, IV,...
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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.
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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.
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The centralized scheduler is directly accountable to the Admitting Leadership the Centralized Scheduler routinely schedules tests/procedure cases for all patients where services occur as a scheduled event.
This may include, but is not limited to; Clinic visits, Surgery, G.I. Lab, Cardiac Cath Lab, Radiology, Respiratory Therapy, Nutritional Services, Infusion units or any other location where scheduling of a test or procedure may occur. Coordinates with departments as necessary. Ensures that accurate, complete and thorough patient demographics are entered into the computer system, including insurance and authorizations if applicable. Notifies departments as necessary of various services that may require, equipment, instrumentation and supplies from outside...
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Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice and emotional support to patients’ and/or family members, running therapeutic groups, psychiatric crisis intervention, seclusion and restraint of patients. RNs record patients’ medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, diet and exercise programs, and self-administration of medication and physical therapy. Other related duties.
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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.
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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.
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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.
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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.
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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.
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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 emergency care setting.
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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...
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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
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The Technician in the Emergency Department is an unlicensed non-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.
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Mental Health Worker Inpatient: Under the direction and supervision of the RN, LVN or Charge RN assist the licensed nursing staff in providing and documenting patient care including assistance with activities of daily living. Supports the unit functions and maintains a safe and clean environment for patients, visitors and co-workers; functions as an integral part of the interdisciplinary care team and communicates pertinent patient information to the supervising RN. Performs some clerical duties as assigned and provides basic nursing care for the adult and geriatric patients. Performs responsibilities within the guidelines of the Nursing Structure Standards, Hospital/Nursing Policy and state regulatory and accrediting requirements.
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Under the direction and authorization of the medical director and cardiopulmonary director or manager, the Respiratory Care Practitioner II (RCP II) is responsible for performing respiratory therapeutic and pulmonary diagnostic procedures as ordered by the ordering provider. Emphasis will be toward the assessment, planning, implementation, and documentation of care, with consideration of age and population specific needs and requirements of the patient. May on occasion be assigned/identified as Lead RCP, having responsibility for the section or department during their shift.