The Corporate Director of Clinical Utilization Management (UM) provides comprehensive oversight of the Utilization Review process for the self-insured Employee Health Plans, according to the EPO Plan Documents and any other applicable documents.
- Integrates and coordinates services using continuous quality improvement initiatives to promote positive member outcomes.
- Frequent executive level reporting and tracking on department and individual team productivity....
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 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 treatment.
Under minimal direction the “IT Application Analyst - Payroll” will be responsible for the design, build, testing, training and support of the Lawson’s Payroll modules including but not limited to payroll and absence management. The Analyst requires little or no supervision as they build, maintain the system and exercise independent judgment and discretion in carrying out day-to-day support functions. The Analyst performs complex design and analysis tasks related to the hospital business operations. The Analyst will also act as a mentor to other members of the team. Reporting to the IT ERP Manager, this position partners with Payroll Directors at the hospitals and their customers to analyze work process designs, flows, and improvements to leverage...
Under minimal direction and supervision, the Senior Application Analyst (HRIS) will oversee the design, development, testing, training, and support of Infor Lawson HR modules (GHR, TA, PM, ES, and MS). This role requires independent judgment and discretion in maintaining and enhancing the system while providing day-to-day support. Collaborate with HR, IT, and other departments to identify and address system issues, implement upgrades, and provide technical support and training to end-users. Additionally, the Analysts are tasked with generating and maintaining reports, configuring system modules to meet the organization's needs, and ensuring compliance with relevant regulations and standards. The Analyst performs complex design and analysis tasks related to the...
Reporting to the Director of IT & PMO, this IT Application Analyst position partners with HR Directors and their customers to analyze work process design and flow, improve processes and leverage the return on technological capabilities. The HRIS Analyst builds project plans, ensures adherence to project schedules, maintains a systems orientation and can work effectively with peers to set technology priorities and conduct long-term planning. This position is hands- on and requires strong knowledge of Lawson's HR, PA, BN, PR, LP Modules and will serve as a technical point-of-contact for assigned functional area and assists subject matter experts with ensuring data integrity, testing of system changes, report writing and analyzing data flows for process...
This Senior Application Analyst position partners with Finance Directors and their customers to analyze work process design and flow, improve processes and leverage the return on technological capabilities. The Financial Systems Analyst ensures adherence to project schedules, maintains a systems orientation, and can work effectively with peers to meet technology priorities. This position is hands- on and requires strong knowledge of Lawson's Enterprise Financial Management (EFM) and Asset Management (EAM) Modules and will serve as a IT point-of-contact for assigned functional area and assists subject matter experts with ensuring data integrity, testing of system changes, report writing and analyzing data flows for process improvement opportunities. The Financial...
Reporting to the Director of IT & PMO, this IT Application Analyst position partners with Finance Directors and their customers to analyze work process design and flow, improve processes and leverage the return on technological capabilities. The Financial Systems Analyst builds project plans, ensures adherence to project schedules, maintains a systems orientation and can work effectively with peers to set technology priorities and conduct long-term planning. This position is hands- on and requires strong knowledge of Lawson's Enterprise Financial Management (EFM) and Asset Management (EAM) Modules and will serve as a technical point-of-contact for assigned functional area and assists subject matter experts with ensuring data integrity, testing of system...
This Senior Application Analyst position partners with Supply Chain Directors and their customers to analyze work process design and flow, improve processes and leverage the return on technological capabilities. The Sr. Application Analyst ensures adherence to project schedules, maintains a systems orientation and can work effectively with peers to meet technology priorities. This position is hands- on and requires strong knowledge of Lawson's Supply Chain Management (SCM) and Mobile Supply Chain Management Modules (or) Equivalent ERP system and will serve as a IT point-of-contact for assigned functional area and assists subject matter experts with ensuring data integrity, testing of system changes, report writing and analyzing data flows for process 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.
The Environmental Service Technician is responsible for maintaining a high level of cleanliness within the hospital and adjacent buildings, which may require traveling from one facility to another without assistance. Respond to and initiate communication by phone, handheld radios, pagers etc.
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...
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.
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.
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...
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.
The Central Sterile Technician is responsible for decontamination, preparation, sterilization of Central Sterile trays, instruments, equipment, inventory and restocking of supplies, computer data entry and patient charge card batching. Demonstrates knowledge of all department locations within facility and ability to access all departments. Demonstrates excellent verbal and written communication skills. Demonstrates detailed awareness and knowledge of patient supplies and equipment.
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.
This position will be a key team member with the following responsibilities:
1. General oversight of Revenue and Reporting team.
2. Working with Revenue Cycle, Business Office, and Local Hospital Teams in analyzing and monitoring the valuation of patient accounts receivables and credit balances for all hospitals and physician groups.
3. Coordination and collaboration with Managed Care team to price claim sets based on contracts and model financial impact of contract proposals/changes.
4. Development, enhancement, and continuous standardization of the AR valuation models and process, assuring proper controls are in place to accurately estimate AR.
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The Specialist, Billing is the lead responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts.
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.
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.
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 CT Technologist works collaboratively within a multi-disciplinary team and is responsible for providing quality images. The CT Technologist works in support of the Radiologist, providing assistance in the performance of diagnostic and therapeutic procedures. Responsible for processing and transmission of images to PACS.
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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.
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.
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...
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...
To prepare quality food according to established food safety policies in a sanitary environment.
SOCIAL SERVICES 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 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 seeking an MRI Technologist (PRN) internally referred to as an MRI Tech at St Mary’s Medical Center (Blue Springs, MO) a member of Prime Healthcare. The MRI Technologist will operate magnetic resonance imaging (MRI) equipment to capture detailed images of patients' internal organs, tissues, and structures. They play critical role in the diagnostic process by producing high-quality images that help physicians diagnose and treat various medical conditions. This position is on a per diem basis, meaning PRN.
Each individual performs 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 test systems deviate from the laboratory’s established performance specifications, 3)...
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.
We are seeking a Medical Laboratory Technician (MLT), also referred to as a Clinical Laboratory Technician (CLT) at Saint John Hospital a member of Prime Healthcare. The Medical Lab Tech processes specimens, performs routine and specialized tests, and ensures the accuracy of results. They maintain laboratory equipment, adhere to safety protocols, and collaborate with healthcare professionals to support patient diagnosis and treatment. Additionally, MLTs handle record-keeping and troubleshooting within the lab.
The Nurse Assistant in the Med Surg/Telemetry 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.
Promotes the smooth and efficient operation of the Electrocardiology Department through the appropriate utilization and management of all clerical functions within the department document handling and disposition, interpersonal relationships and information gathering and dispersion. Provides diagnostic testing to the patient to help optimize the total care given the patient by the patient’s physician. Performs EEGs, Cardiac Stress Testing and EKGs.
Hiring Full time RN's for our 4th tower Neurological Medical Surgical unit. The Med Surg 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 his/her assigned patients. He / She communicates with physician about changes in the patients clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to...
Hiring Full time RN's for our 4th tower Neurological Medical Surgical unit. The Med Surg 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 his/her assigned patients. He / She communicates with physician about changes in the patients clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to...
Hiring Full time RN's for our Medical Surgical unit. The Med Surg 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 his/her assigned patients. He / She communicates with physician about changes in the patients clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and...
The Nurse Assistant in the Med Surg/Telemetry 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.
The Nurse Assistant in the Med Surg/Telemetry 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.
We are now offering a $5,000 Sign on bonus to all Fulltime Medical Laboratory Technicians.
Medical Laboratory Technician (MLT) can perform waived, highly and moderately complex testing, as stated in CLIA (42 CFR 493.1489). 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...
Provides medically prescribed consultative and therapeutic services in order to restore function and prevent disability in patients with musculoskeletal, cardiopulmonary and/or integumentary disorders. The Physical Therapist I performs responsibilities in accordance with Physical Therapy/Hospital Policy, state and federal regulatory licensing and accrediting requirements.
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 Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. This position will also serve as a liaison and own the coordination with other UR techs in the team while being responsible for coordinating phone calls, data entry, mailing/faxing appeals 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 and scan all related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on all denials while working closely with the Corporate/Facility Utilization review teams, Business Office and...
Each individual performs 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 test systems deviate from the laboratory’s established performance specifications, 3)...
To provide clinical oversight and supervision to ASWs and MFTIs. Assist Director in quality assurance and program development tasks for social services. 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 in all clinical care areas. To complete psychosocial assessments and work as a member of a multidisciplinary team. Complete necessary documentation and maintain clinical record for all social service consults during their length of stay.
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 patient’s clinical condition including results of the diagnostic studies and...
The Registered Nurse provides direct care in the outpatient wound care clinic as well as evaluating inpatient wounds. Communicate with physicians / charge nurse / co � workers, as appropriate regarding changes in the patient�s treatment, clinical condition including results of diagnostic studies. Has the ability to respond quickly and accurately to changes in condition or response to treatment.
Conducts a therapeutic recreation program within the hospital to facilitate rehabilitation of the physically and mentally disabled. The Activity Therapist directs patient participation in selected activities such as games, social activities, sports or music to create an atmosphere of sociability, to provide a means of creative expression and to facilitate the learning skills for recreating during hospitalization and after discharge in the community. Creates an environment that allows the patient to explore his/her own potential, cultivate positive morale and minimize distress of illness.
SOCIAL SERVICES 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 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.