12 Health Care jobs

Certified Medical Assistant Licensed Vocational Nurses
WellMed Medical Management San Antonio, TX, USA
Aug 04, 2024
Full time
Clinical tasks Assist physicians during examinations, prepare patients and rooms for exams, draw blood, prepare laboratory specimens, perform basic laboratory tests, administer medications, and more Administrative tasks Interview patients, record medical history, measure vital signs, schedule appointments, update and file medical records, handle financial records, and more Other tasks Maintain inventory of medical and office supplies, perform preventive maintenance on medical equipment, dispose of contaminated supplies, sterilize medical instruments, and more  
HHA, CNA, LPN, RN
Aqua Home Care Tampa, FL, USA
Jul 14, 2024
Full time
Our comprehensive in-home care services encompass a wide range of needs, including personal care, Alzheimer’s and dementia care, live-in care, post-hospitalization support, and more.  
Direct Support Provider
Child and Family Support Services Maricopa County, AZ, USA
Jun 27, 2024
Full time
Direct Support Provider Child & Family Support Services – Phoenix, AZ Child & Family Support Services (CFSS) is accepting applications for Full-time Direct Support Providers in Maricopa County.   Come join us for a rewarding career working with young people by helping them overcome their individual challenges and recognizing their full potential . The Direct Support Specialist is the perfect position for a determined paraprofessional, caregiver, social worker or behavioral health professional looking for an exciting opportunity to make a positive community impact.   Job Responsibilities: A passion for supporting young people with behavioral health challenges to maximize their potential through mentoring, role-modeling, coaching and other individually tailored interventions. Provide one-on-one or small group support to children and adolescents in the community. Implement treatment plans developed by the supervising clinician and provide progress updates. Plan and facilitate fun and engaging activities involving physical and emotional regulation, promoting social skills and positive behaviors. Teach life skills such as communication, problem-solving, decision-making, and self-care. Build positive relationships with children, families, and community partners. Complete documentation, including progress notes, incident reports, and other required paperwork. Ability to work effectively within a team environment. Attend regular supervision and team meetings. Proficient in typing and using a computer as documentation is a very important part of this role Performing other duties related to the position. This position requires afternoon, evening, and weekend work. Adaptability in scheduling, driving throughout the county and working within the homes and communities of the families we support is required. Education/Experience Needed: High school diploma or GED (a related bachelor's degree preferred but not required). At least one year of experience working with children with behavioral and emotional challenges.   Requirements Must be 21 years or older. Valid Arizona Driver's License with an acceptable 39 month driving record Reliable transportation, including proof of Insurance. Candidates are required to submit a negative drug test Obtain an Arizona DPS Level One Fingerprint Clearance Card Complete Adult, Child, and Infant CPR and First Aid training   Compensation:  $18/hr - $20/hr   We offer a full benefits package to all full-time employees, including: Medical insurance Dental insurance Vision insurance Life and disability insurance 401(k) contribution match Paid time off and sick time Paid holidays Cell phone stipend Mileage reimbursement  
Intensive In Home Coordinator
Alexander Youth Network Charlotte, NC 28211, USA
May 26, 2024
Full time
The Intensive In-home Coordinator will assist in the day-to-day coordination of the Intensive In-Home program and will provide brief behavioral and emotional services to children and their families within a community-based model. The coordinator is a member of a 3-person team, with a maximum case load of 12 families in providing such services; conducts skill-building activities, provides parenting education, intervenes during a crisis, provides on-call coverage within the intensive in-home team 24/7/365. Responds appropriately and timely to crisis situations; develops, reviews, and follows individual Person Centered Plans with the Child and Family Teams for each child on their caseload. Provides psycho education to children and families; facilitates effective step-down to less restrictive services and increased reliance on natural supports over time. Collaborates, coordinates and advocates with collateral agencies and natural supports in order to meet family and consumer needs in all domains. Services are provided in the client’s home, school, and community settings, under the direction of the Intensive In-home Therapist. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE This position requires the credentials of Qualified Professional (QP). One year of documented experience with the child/adolescent mental health population is required. Proficiency in Microsoft Office applications. CERTIFICATES, LICENSES, REGISTRATIONS and TRAINING Completion of minimum hours of service definitions training including but not limited to Cognitive Behavior Therapy, Person Centered Planning Instructional Elements, Person Centered Thinking, Introductory to Motivational Interviewing, Crisis Response, System of Care and Intensive In Home Service Definition Training within the appropriate timeframes as defined by the Service Definition; completion of ongoing refresher trainer as described by Service Definition Valid NC or SC Driver's license. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.    
Health
Legacy Home Health Agency San Antonio, Texas 78213, USA
Apr 11, 2024
Full time
We are hiring PAS Field Supervisors to conduct supervisory visits for our clients in their homes.   Legacy Home Health Agency is proud of our continuous service to our South Texas families for more than 20 years. Our compassionate care is built by the strong support from our exceptional staff. We need you to join our team!   Pay: $20.00 - $25.00/hour   Apply if you:      *Enjoy Patient Interaction      *Want a non-traditional work environment      *Seek growth opportunities   Benefits: Medical, Dental, Vision, and Life Insurance 401(k)  GENEROUS PTO Policy (including 6 paid holidays per year) Tuition Reimbursement Company tablet and phone provided for visits Paid Training and Free Company Scrubsafter 90 days!   Education/Experience: You must qualify in  one  of the following categories:   be a licensed nurse (LVN) have completed 60 college credit hours at an accredited college or university Have one year experience in a supervisory role in a medical setting and 30 college credit hours Have two years’ experience in a supervisory role in a medical setting   You must have reliable transportation and be able to use your personal vehicle to conduct field visits;  Mileage reimbursement is provided. Language requirements for this position are English/Spanish.   Duties and Responsibilities: Conduct in-person supervisory visits in our clients residence. Start your day in the office, then complete assigned schedule of visits received. End your day in the field! Keep accurate and timely documentation. Ensure services are provided to all clients in accordance with the established service plan. Assist with the handling and investigation of grievances and complaints.   Hours: Monday - Friday  8:00am - 5:00pm (some flexibility expected for later end time) Rotating PAID on-call weekend schedule (once every 6 weeks)     ¿Habla Español? ¡Aplica ya!  
Healthcare Claims Director - Tampa
Imagenet LLC Tampa, Carrollwood, FL 33618, USA
Apr 09, 2024
Full time
Imagenet LLC is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. Our core business is helping our clients reduce costs and increase productivity by providing efficient document imaging, data validation, adjudication and on demand retrieval of documents and data. JOB OVERVIEW  We are seeking an experienced Healthcare Claims Director to oversee our claims processing operations and drive data-driven process improvements. This leadership role will manage a team of claims managers and analysts, ensure compliance, and leverage data analytics to enhance claims performance.  RESPONSIBILITIES Provide strategic direction and operational oversight for healthcare claims processing across multiple lines of business Manage a team of claims managers, analysts and supporting staff across multiple locations Develop and implement policies, procedures and workflows for efficient claims adjudication Monitor performance metrics and identify opportunities for process optimization Leverage data analytics tools to analyze claims data, identify trends and generate actionable insights Develop reporting dashboards and visualizations to share key metrics with leadership Ensure adherence to regulatory compliance, coding guidelines and revenue cycle best practices Collaborate with IT, clinical, and business teams on systems improvements and integrations Manage relationships and resolve escalated issues with healthcare providers and payers Mentor, coach and provide professional development for team members Technical Skills/Knowledge Bachelor's degree in healthcare administration, business or related field 7+ years of management experience in healthcare claims processing Deep understanding of claims operations, revenue cycle management and compliance Strong data analytics skills and experience using tools like Tableau, SQL, PowerBI Proven ability to analyze data, synthesize insights and drive process improvements Excellent communication, presentation and leadership abilities Motivated team player with a customer-focused mindset   Job Type: Full-time Experience: claims or claims processing, managing: 7+ years (Required) Work authorization: United States (Required) Job Type: Full-time Pay $90,000-$100,000 per year Benefits: We offer a competitive compensation and benefits package commensurate with experience as well as PTO. This is an office-based position Schedule: 8 hour shift Day shift Monday to Friday Ability to commute/relocate: Tampa, FL 33618: Reliably commute or planning to relocate before starting work (Required) Experience: 7+ years of management experience in healthcare claims processing Deep understanding of claims operations, revenue cycle management and compliance Strong data analytics skills and experience using tools like Tableau, SQL, PowerBI Work Location: In person
Healthcare Claims Adjudicator/Tampa with Possibility of Remote Work
Imagenet LLC Tampa, Carrollwood, FL 33618, USA
Apr 08, 2024
Full time
Imagenet is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. We are looking for Claims Examiners to join our rapidly growing team in Tampa. Experience is preferred but not necessary. Candidates with the right aptitude and desire to learn will be given the required training to be successful. We are excited for this limited opportunity to train candidates that have a phenomenal work ethic and want to learn a new trade. You will receive in-depth training on industry standards, coding, and metrics. Please apply if you exhibit the focus and desire to do great things! We offer great benefits, flexible hours, and the opportunity for remote work for self-disciplined candidates who can perform well under limited supervision. Imagenet offers unlimited opportunities for candidates looking for upward mobility. Our leaders are always promoted from within and there is not a minimum employment time frame if you qualify for promotions. We appreciate referrals and always look to reward employees who help us grow. MUST BE LOCAL TO TAMPA Do not apply if you are not local to Tampa This position is based in our Tampa office. However, employees who consistently meet performance metrics are eligible for a flexible work arrangement that allows working from home. To qualify, employees must: Consistently meet or exceed all productivity and quality metrics for their role over a 3-month period Demonstrate the ability to collaborate effectively and maintain strong communication with team members while working remotely Have no active performance improvement plans or disciplinary issues Once the above criteria are met, the employee may submit a request to work from home up to 2 days per week. Approval will be at the manager's discretion based on business needs and the employee's proven performance. Any decrease in productivity or engagement may result in the flexible arrangement being discontinued. We strive to provide flexibility where possible to employees who have demonstrated success in their role. This policy is subject to ongoing review and may be updated or discontinued based on business requirements. Job Description Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria Review different lines of business to include Medicare, Medicaid and Commercial services adherence to the contracts and timeliness guidelines Authorize claim payments within established limits; otherwise forward to Claims Manager Potentially process refunds appeals, disputes and adjustments (when applicable) Identify process improvement opportunities within the claim department and recommend system enhancements Handles any additional responsibility which may be assigned Education :  High School Diploma or equivalent required Experience : Preference for minimum of one-year experience working closely with healthcare claims or in a claims processing/adjudication environment Open to training candidates without experience Technical Skills / Knowledge: Understanding of health claims processing/adjudication Ability to perform basic to intermediate mathematical computation routines Medical terminology strongly preferred Understanding of ICD-9 & ICD-10 Basic MS office computer skills Ability to work independently or within a team Time management skills Written and verbal communication skills Attention to detail Must be able to demonstrate sound decision-making skills Salary: $15.00 - $18.00 per hour based on experience. Job Type: Full-time Benefits: Dental insurance Health insurance Vision insurance Performance Bonus Referral Bonus PTO   Schedule: 8 hour shift Monday to Friday Flexible schedule Work Location: Hybrid remote in Tampa, FL 33618   Ability to commute/relocate: Tampa, FL 33618: Reliably commute or planning to relocate before starting work (Required)
Quality Manager, Claims Processing - Tampa
Imagenet LLC Tampa, Carrollwood, FL 33618, USA
Apr 08, 2024
Full time
Imagenet, LLC is seeking an experienced Quality Manager, Claims Processing to join our team. In this role, you will be responsible for overseeing the performance and quality of our claims processing department.   Responsibilities: Develop and implement quality assurance policies, procedures, and standards for claims processing. Monitor claims processing metrics such as productivity, accuracy, turnaround times, and customer satisfaction Identify areas for improvement in claims processing and develop solutions Conduct audits on a sample of processed claims to ensure adherence to regulations, guidelines, and quality standards Analyze performance data, identify trends and root causes of defects, and suggest process improvements Coach and mentor claims processing staff on performance, compliance, and career development Create and manage quality assurance training programs for claims staff Track quality standards and report on quality goals and progress to senior management Requirements: Previous claims processing quality management or related field preferred 5+ years of experience in claims processing, including 3+ years in a quality assurance role Expert knowledge of claims processing procedures, quality standards, and regulatory requirements Strong analytical and problem-solving skills Ability to interpret data and generate detailed reports (daily/weekly/monthly) in graphs & presentations Experience developing and conducting quality audits Leadership skills with the ability to influence outcomes and drive change Excellent communication and presentation abilities This is an opportunity to oversee quality for a growing claims processing provider . If you have the required claims processing and quality assurance experience, please apply with your resume.  
Health Plan Medical Claims Auditor - Hybrid
Imagenet LLC Tampa, Carrollwood, FL 33618, USA
Apr 08, 2024
Full time
We are seeking a detail-oriented and experienced Medical Claims Auditor to join our team. As a Medical Claims Auditor, you will be responsible for reviewing and auditing medical claims to ensure accuracy, compliance with regulations, and adherence to company policies and procedures. You will work closely with the claims processing team to identify discrepancies, resolve issues, and improve overall claims accuracy. Key Responsibilities   Conduct audits of medical claims to verify accuracy, completeness, and compliance with regulatory requirements. Review claim documentation, including medical records and billing codes, to ensure proper coding and billing practices. Identify errors, discrepancies, and potential fraud or abuse in claims submissions. Investigate and resolve discrepancies through communication with internal departments, and clients. Collaborate with the claims processing team to implement process improvements and ensure consistent adherence to company policies and procedures. Prepare audit reports detailing findings, recommendations, and corrective actions taken. Stay current with industry regulations, coding guidelines, and best practices related to medical claims processing and auditing.   Qualifications   Bachelor's degree or equivalent experience in healthcare administration, business administration, or a related field. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification preferred. Minimum of 5 years of experience in medical claims processing, billing, or auditing. Strong understanding of medical terminology, ICD-10, CPT, and HCPCS coding systems. Knowledge of healthcare regulations, including HIPAA, Medicare, and Medicaid guidelines. Excellent analytical and problem-solving skills with a keen attention to detail. Effective communication skills, both verbal and written, with the ability to communicate complex information clearly and concisely. Proficiency in Microsoft Office applications, especially Excel, and experience with claims processing software preferred.    
Medical Claims Manger - Tampa
Imagenet LLC Tampa, Carrollwood, FL 33618, USA
Apr 08, 2024
Full time
Imagenet LLC is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. Our core business is helping our clients reduce costs and increase productivity by providing efficient document imaging, data validation, adjudication and on demand retrieval of documents and data. JOB OVERVIEW Ensure compliance will all corporate and departmental standards. Meet with employees on a regular basis to discuss performance and quality. Report on Key Performance Metrics (KPIs) to the Executive Director of Claims and the Director of Operations to ensure adequate resources and technology are in place. Develop and implement departmental standards and expectations. Analyze and process a variety of claim files to ensure the execution of standardized claim protocol and claim handling. RESPONSIBILITIES Oversee the claims adjudication process to assure that the examiners are following all CMS rules and regulations in conjunction with the insurance company guidelines Ensure that the department practices meet or exceed the client’s processing standards, procedures and service level agreements Responsible for new Claims Analyst training and auditing of trainee claim processing Review Medicare services for appropriateness of charges and will apply pre-existing guidelines during claims processing; Pend claims and order Medical records for review and investigation of possible gross misrepresentation Authorize claim payments within established limits; otherwise forward to Claims Analyst 2 Oversee and provide secondary review of pending cases and Medical Records ordered by Claims Analyst 1 for appropriate processing; Process refunds and letters of dual coverage (when applicable); Must be knowledgeable in CPT-4, ICD-9 and be familiar with medical terminology; Identify process improvement opportunities within the claim department and recommend system enhancements Handles any additional responsibility which may be assigned Technical Skills/Knowledge Health claims processing Basic to intermediate math Medical terminology; ICD-9 & ICD-10 MS Office Ability to work independently or within a team Time management Written and verbal communication Attention to detail Must be able to demonstrate sound decision-making Must be local to Tampa area and work out of the Tampa office Job Type: Full-time Experience: claims or claims processing, managing: 3 years (Required) Work authorization: United States (Required) Job Type: Full-time Pay: $60,000.00 - $80,000.00 per year Benefits: Disability insurance Schedule: 8 hour shift Day shift Monday to Friday Ability to commute/relocate: Tampa, FL 33618: Reliably commute or planning to relocate before starting work (Required) Experience: Medical billing: 5 years (Required) Management: 5 years (Required) Work Location: In person
Long Term Care Services Specialist
Senior Connection Center, Inc. Tampa, FL 33619, USA
Apr 01, 2024
Full time
General Description   This is a responsible non-exempt position on the staff of Senior Connection Center where exercising good judgment in evaluating situations and making decisions is very important.  Adept at interpreting and explaining complex information about Long Term Care (LTC), this professional position shall perform Long Term Care Medicaid service related activities which include intake, screening, potentially eligible individuals for enrollment and/or triage duties which inform eligible or potentially eligible individuals, their families and/or educating community partners about Medicaid covered services and how to obtain them.   Staff position is 100 percent (100%) Medicaid related and shall perform some or all of the following Aging and Disability Resource Center (ADRC) activities:   Responsibilities   Accepts referrals from the Elder Helpline, as well as other resources for intake and screening as assigned by the Long Term Care Services (LTCS) Coordinator and/or Manager. Refers individuals in need of community resource assistance to the Elder Helpline. Determines the individual’s needs and screen for potential eligibility for Medicaid-related services utilizing a standardized screening instrument. Provides efficient, timely and consumer friendly services to facilitate the eligibility application and review process; Verifies an individual’s current Medicaid eligibility status for purposes of the Medicaid eligibility process. Explains Medicaid eligibility rules and the Medicaid eligibility process to prospective applicants. Conducts comprehensive screening on Medicaid probable individuals on the Assessed Priority Consumer List (APCL) Inputs client assessments into CIRTS (Client Information and Registration Tracking System). Posts information in the enrollment and termination screens of CIRTS to update the APCL as needed. Provides necessary forms and package all forms in preparation for Medicaid eligibility determination. Gathers information related to the application and eligibility determination for an individual, including resource information and third party liability information, as a prelude to submitting a formal Medicaid application. Assists individual in collecting and gathering required information and documents for the Medicaid application, this assistance may be provided in the individual’s home. The activity includes assisting the potential applicant, as a secondary resource to family members and care providers, in gathering information and completing an application for Medicaid benefits. Refers the individual to the local (or ADRC collocated) Department of Children and Families/Automated Community Connection to Economic Self-Sufficiency (DCF/ACCESS) staff to make application for Medicaid benefits. Coordinate with these staff regarding eligibility matters for Medicaid eligible or potentially eligible individuals. Assists in obtaining the Physical Referral form (3008) for Medicaid Waiver probable individuals and coordinate with CARES (Comprehensive Assessment and Review for Long Term Care Services) staff for determination of functional eligibility. Collects, reviews and maintains accurate Medicaid eligibility determination tracking data to ensure completeness, accuracy and timeline. Tracks Medicaid applications through the eligibility process. Contacts individuals on the APCL as required to update information and screen for Medicaid eligibility. Participates in meetings with DCF, CARES and other entities as appropriate to facilitate and enhance the Medicaid eligibility determination process. Acts as a consumer advocate by coordinating with CARES and DCF/ACCESS staff to resolve in a timely manner any eligibly issues that arise during the Medicaid eligibility determination process. Standardizes and makes consistent outreach efforts to ensure public awareness of Medicaid programs and services and how to access them. Develops, compiles and distributes materials to inform individuals about the Medicaid programs, as well as how and where to obtain those benefits. Note: This activity does not include compiling information already available through the Medicaid agency or Department of Elder Affairs. Builds relationships with and educate service providers, professional entities and other professionals, such as hospital discharge planners and nursing home social workers, to facilitate referrals and increase awareness of Medicaid resources. Regularly meets with and training ADRC access points to increase awareness of Medicaid resources to individuals and target populations. Performs other Medicaid-related duties as assigned; which may include counseling disaster victims about Medicaid programs options and the eligibility process. Performs other related duties as required.   Minimum Education and Experience   Minimum education and related experience: Bachelor’s Degree; or Associate’s Degree and two (2) years of experience; or High School Graduate or Equivalent and four (4) years of experience Successful completion of applicable background screening required. Any exceptions to the minimum requirements must be approved by the President and CEO.   Required Skills and Knowledge   Ability to communicate well, orally and in writing. Ability to research topics related to services for older adults (funding, program design, etc.), analyze data and provide written and/or oral reports as required. Ability to establish and maintain effective working relationships with others. Basic skill level and knowledge of MS Office Suite including MS Word, Excel, PowerPoint and database creation and maintenance either in Excel or Access.   Physical Requirements   Ability to work under stressful situations. Pleasant and clearly understandable telephone voice. Ability to lift and carry at least 10 pounds. Ability to operate a computer and other office equipment. Ability to sit at a desk for more than one hour at a time. Ability to bend and stoop in order to file and shelve.