66 Healthcare jobs

Certified Medical Assistant
Cascade AIDS Project Portland OR
Jan 11, 2021
Full time
Cascade AIDS Project (CAP), the oldest and largest AIDS Service Organization (ASO) in Oregon and Southwest Washington, is committed to supporting and empowering all people with or affected by HIV, reduce stigma, and provide the LGBTQ+ community with compassionate healthcare. Learn more about us at http://www.capnw.org/.   CAP is excited to announce that we are hiring an experienced full-time Certified Medical Assistant to support providers and provide care to patients at our LGBTQ+ primary health care center, Prism Health, http://www.prismhealth.org. Prism Health offers a safe, affirming, and non-judgmental space where all members of the LGBTQ+ community can obtain compassionate and culturally affirming primary care.   The Certified Medical Assistant (CMA) is a multi-skilled professional who assists health care providers to deliver quality health care to the patient. The CMA serves as a liaison between patients and healthcare providers, ensuring excellent patient care at all times. They are expected to conduct themselves with a high degree of professionalism by treating all patients and guests with respect and courtesy. This person should be educated, certified, and trained to perform both administrative and clinical skills in a medical office environment.   This individual will work at Prism Health, in SE Portland. This is a full-time, 1.0 FTE position, which reports to the Nurse Practitioner. Must be available to work from 10:30am-7:00pm, 2-3 nights per week. This is a non-management, union-represented position.   REQUIRED QUALIFICATIONS: High school diploma or general education degree, required Graduate of an accredited CMA school, required Current CMA (AAMA) certification, and must keep certification current, required Current CPR certification Current phlebotomy certification, and experience with over 100 draws 2-3 years of experience working in a healthcare setting, preferably in primary care Strong office administrative skills including but not limited to: computer proficiency including Microsoft Office and electronic health records (EHR), operation of office equipment, multi-line telephone line operation, ability to communicate (written and verbal) in English Ability to establish and maintain positive, effective working relationships with patients, physicians, employees and the public. Sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, sexual practices, chemical dependency and a demonstrated competence in working with persons of color, and gay/lesbian/bisexual/transgender community. Demonstrated ability to serve all patients, specifically the LGBTQ+ community in a non-judgmental and affirming manner, including respect of personal information and correct name and pronoun usage Ability to work independently, handle interruptions and to manage multiple priorities Strong organizational skills and time management skills High degree of accuracy and attention to detail   PREFERRED QUALIFICATIONS: Experience working with the LGBTQ+ population Verbal and written fluency in Spanish Experience working with people living with HIV/AIDS and/or knowledge of HIV/AIDS prevention issues Experience working with Epic (EHR) Successful experience working with ethnic, racial, economic and sexually diverse populations Experience working in sexual health, STI testing/prevention/education/outreach, and STI treatments Experience working in human/social services Successful experience working with ethnic, racial, economic and sexually diverse populations   Compensation: $19.87/per hour ($41,330 annually); employer-paid health, dental, vision, short-term and long-term disability and life insurance; 401(k) retirement plan with generous employer matching contribution, 125C cafeteria savings plan; generous vacation and health leave benefits.     NOTE: This is a union represented position.     Closing Date: Applications will be reviewed on a continuing basis. Applications will continue being accepted until the position is filled.     To apply for this position, mail, email, fax, or deliver the following documents:   1) A complete cover letter and resume (attached as Word or pdf) that explicitly addresses how you meet all of the required qualifications. 2) A completed CAP Employment application (available at http://www.capnw.org/about/careers/) to:   Cascade AIDS Project Certified Medical Assistant 520 NW Davis St., Suite 215 Portland, Oregon 97209   Fax: 503-223-6437   Or by email to jobs@capnw.org     Cascade AIDS Project is an Equal Employment Opportunity/Affirmative Action Employer People of color, women, LGBTQ+ individuals and people living with HIV are strongly encouraged to apply.      
Licensed Practical Nurse (LPN)
Cascade AIDS Project
Dec 30, 2020
Full time
Cascade AIDS Project (CAP), the oldest and largest AIDS Service Organization (ASO) in Oregon and Southwest Washington, is committed to preventing HIV infections, supporting and empowering people living with or affected by HIV and eliminating HIV-related stigma and health disparities. Learn more about us at https://www.capnw.org/.   CAP is excited to announce that we are hiring an experienced full-time Licensed Practical Nurse to support the team at our LGBTQ+ primary health care center, Prism Health, http://www.prismhealth.org. Prism Health offers a safe, affirming, and non-judgmental space where all members of the LGBTQ+ community can obtain compassionate and culturally affirming primary care.   The Licensed Practical Nurse (LPN) is part of a multidisciplinary team that provides comprehensive medical care to patients at the LGBTQ+ primary health care center, Prism Health. The LPN works in collaboration with a variety of staff to manage patients’ healthcare.  Participation in the development, expansion, and maintenance of Prism Health’s program is expected.  The LPN is an integral part of the clinics medical team and will be involved in collaborating with the team to ensure the very best healthcare for all patients at Prism Health, including helping address workflow opportunities, supporting the providers as well as the Medical Assistants, and other duties as required to ensure Prism’s success. The LPN must be compassionate, self-confident, analytical, personable, and calm under pressure.   This full-time position reports to the RN Team Lead. Responsibilities include administration of medications, administration of vaccinations and rendering treatment to patients. Communicating with providers, support staff, and other medical professionals. Collaborate with clinicians to create a plan of care for each patient, consider the age of the patient and his/her/their emotional stability when determining appropriate treatment. Create and contribute to patients’ medical records as needed, respond to MyChart/EHR inquiries, rooming patients as needed, addressing concerns and complaints from patients and/or their parents or guardians for patients under the age of 18 in person and through the use of MyChart. Performing nurse and lab visits, to include phlebotomy. Tracking and maintaining medical supply inventory along with other staff members. Counseling patients and family members before, during and after treatment. Patient triage, health maintenance, specialty/hospital/urgent care visit charting and record keeping and other tasks as requested by the medical director. This individual will work at Prism Health, in SE Portland. Travel throughout the county as well as evening and weekend work are occasionally required.   Required Qualifications: Current LPN License recognized by the State of Oregon Board of Nursing Basic Life Support card Advanced knowledge of EMRs Willingness to work a flexible schedule and to fill in when needed Excellent bedside manner and communication skills Ability to explain treatments and conditions to patients of all ages and diverse populations Working knowledge of health care laws and regulations Successful experience working with ethnic, racial, economic and sexually diverse populations and strong understanding of issues relevant to PLWHA, gay/bisexual/queer men, transgender individuals, the larger LBGTQ+ community and how those issues affect or influence service delivery. Demonstrated ability to effectively collaborate with colleagues in a professional environment in order to best serve the needs of a client/patient Excellent written and oral communication skills at all levels and professional relationships, including strong interpersonal communication ability. Excellent organizational and time management skills, with a strong attention to detail Demonstrated computer proficiency using Microsoft Office software (Word, Excel, Outlook) and working knowledge of the internet Ability to work independently with accountability and exercise sound judgment, discretion and professionalism at all times   Preferred Qualifications: 3+ years’ nursing experience Experience working in human/social services, preferably in a clinical setting Knowledge of community resources in the Portland metro, including Multnomah, Washington, Clackamas counties Experience working with Epic (EHR) Lived experience of systemic oppression and non-dominant cultures. We encourage applications from Black, Indigenous, and other people of color; transgender, non-binary, and other LGBTQ+ people; and people with disabilities, including HIV.   Compensation: $52,000 annually, based $25.00 per hour; employer-paid health, dental, vision, short-term and long-term disability and life insurance; 401(k) retirement plan with generous employer matching contribution, 125C cafeteria savings plan; generous vacation and health leave benefits.   NOTE:  This is a union represented position   Closing Date:  Open until filled. To apply for this position, mail, email, fax, or deliver the following three documents: 1) a complete cover letter (attached as Word or pdf) that serves as an example of your writing and addresses how you meet all of the required qualifications specific to the position you are applying for, 2) your resume, and 3) a completed CAP Employment application (available at http://www.capnw.org/careers) to:   Cascade AIDS Project Licensed Practical Nurse 520 NW Davis St, Suite 215 Portland, Oregon 97209   Fax: 503-223-6437   Or by email to: jobs@capnw.org Cascade AIDS Project is an Equal Employment Opportunity/Affirmative Action Employer People of color, women, LGBTQ+ individuals and people living with HIV are strongly encouraged to apply.
Certified Medical Assistant
Cascade AIDS Project Portland OR
Dec 11, 2020
Full time
Cascade AIDS Project (CAP), the oldest and largest AIDS Service Organization (ASO) in Oregon and Southwest Washington, is committed to supporting and empowering all people with or affected by HIV, reduce stigma, and provide the LGBTQ+ community with compassionate healthcare. Learn more about us at http://www.capnw.org/.   CAP is excited to announce that we are hiring an experienced full-time Certified Medical Assistant to support providers and provide care to patients at our LGBTQ+ primary health care center, Prism Health, http://www.prismhealth.org. Prism Health offers a safe, affirming, and non-judgmental space where all members of the LGBTQ+ community can obtain compassionate and culturally affirming primary care.   The Certified Medical Assistant (CMA) is a multi-skilled professional who assists health care providers to deliver quality health care to the patient. The CMA serves as a liaison between patients and healthcare providers, ensuring excellent patient care at all times. They are expected to conduct themselves with a high degree of professionalism by treating all patients and guests with respect and courtesy. This person should be educated, certified, and trained to perform both administrative and clinical skills in a medical office environment.   This individual will work at Prism Health, in SE Portland. This is a full-time, 1.0 FTE position, which reports to the Nurse Practitioner. Must be available to work from 10:30am-7:00pm, 2-3 nights per week. This is a non-management, union-represented position.   REQUIRED QUALIFICATIONS: High school diploma or general education degree, required Graduate of an accredited CMA school, required Current CMA (AAMA) certification, and must keep certification current, required Current CPR certification Current phlebotomy certification, and experience with over 100 draws 2-3 years of experience working in a healthcare setting, preferably in primary care Strong office administrative skills including but not limited to: computer proficiency including Microsoft Office and electronic health records (EHR), operation of office equipment, multi-line telephone line operation, ability to communicate (written and verbal) in English Ability to establish and maintain positive, effective working relationships with patients, physicians, employees and the public. Sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, sexual practices, chemical dependency and a demonstrated competence in working with persons of color, and gay/lesbian/bisexual/transgender community. Demonstrated ability to serve all patients, specifically the LGBTQ+ community in a non-judgmental and affirming manner, including respect of personal information and correct name and pronoun usage Ability to work independently, handle interruptions and to manage multiple priorities Strong organizational skills and time management skills High degree of accuracy and attention to detail   PREFERRED QUALIFICATIONS: Experience working with the LGBTQ+ population Verbal and written fluency in Spanish Experience working with people living with HIV/AIDS and/or knowledge of HIV/AIDS prevention issues Experience working with Epic (EHR) Successful experience working with ethnic, racial, economic and sexually diverse populations Experience working in sexual health, STI testing/prevention/education/outreach, and STI treatments Experience working in human/social services Successful experience working with ethnic, racial, economic and sexually diverse populations   Compensation: $19.87/per hour ($41,330 annually); employer-paid health, dental, vision, short-term and long-term disability and life insurance; 401(k) retirement plan with generous employer matching contribution, 125C cafeteria savings plan; generous vacation and health leave benefits.     NOTE: This is a union represented position.     Closing Date: Applications will be reviewed on a continuing basis. Applications will continue being accepted until the position is filled.     To apply for this position, mail, email, fax, or deliver the following documents:   1) A complete cover letter and resume (attached as Word or pdf) that explicitly addresses how you meet all of the required qualifications. 2) A completed CAP Employment application (available at http://www.capnw.org/about/careers/) to:   Cascade AIDS Project Certified Medical Assistant 520 NW Davis St., Suite 215 Portland, Oregon 97209   Fax: 503-223-6437   Or by email to: jobs@capnw.org     Cascade AIDS Project is an Equal Employment Opportunity/Affirmative Action Employer People of color, women, LGBTQ+ individuals and people living with HIV are strongly encouraged to apply.
Clinical Research Associate
Mightier Boston, MA
Sep 14, 2020
Full time
About Mightier Mightier is a family-based program developed at Boston Children’s Hospital that empowers children to build emotional strength and supports the caregivers who love them. With Mightier’s innovative game system, players are able to practice keeping their “cool” while playing fun, award-winning mobile games. Three clinical trials at Boston Children’s Hospital, Harvard Medical School, and Mass General have shown Mightier works as well as medications. The program has served over 25,000 families with over 10 million games played. Our mission is to empower  every  child to build emotional strength. Why is this role important? Mightier has kicked off an exciting, NIMH-funded partnership with healthcare payors to prove that digital interventions can bend the curve on mental health expenditures and ultimately help drive access to an important new wave of therapeutic tools. In this role, you’ll be a vital contributor to making this project work: contributing to the design of the project, connecting with families, collecting data, and helping with publications. You’ll have access to some of the world’s finest psychiatrists and psychologists at Boston Children’s Hospital and beyond. If you want your research to make a difference, enjoy being hands on, and looking for a way to help build the future of mental health, this position is for you. Job Description Mightier is hiring a full-time clinical research associate to help execute on NIMH funded research. science priorities during a critical time of growth for the company. You will be working closely with the Lead Scientist on the project and joining the Mightier scientific staff. Unlike other early-career scientific positions, you will have an opportunity to shape and contribute directly to the project. What you will be doing: Assisting in the design of the research project Collecting data from families Guiding families through successful completion of the project Training clinicians Data entry and quality control Data analysis Publication and presentation Specific qualifications we’re looking for: Bachelor’s degree in a social science field (ideally MSW, LPC, ABA, or another counseling degree) Experience with experimental design Experience with statistical methods and software (e.g., SPSS, SAS, R, etc.) A large degree of comfort with data A large degree of comfort with families and other clinicians A working knowledge of the mental health field Comfort in ambiguous situations, start-up environments have shifting goals and deliverables. Excellent communication skills Nice to have: Experience working with populations with ASD Prior history of peer-reviewed publication Experience with R or Python (or both) Experience working with biophysiological signals (e.g., heart rate, EEG) Please send all resumes to c ​ areers@mightier.com
Registered Nurse
APLA Health 5901 W. Olympic Blvd. Los Angeles, CA 90005
Aug 13, 2020
Full time
APLA Health’s mission is to achieve health care equity and promote well-being for the LGBT and other underserved communities and people living with and affected by HIV. We are a nonprofit, federally qualified health center serving more than 14,000 people annually. We provide 20 different services from 15 locations throughout Los Angeles County, including: medical, dental, and behavioral health care; PrEP counseling and management; health education and HIV prevention; and STD screening and treatment. For people living with HIV, we offer housing support; benefits counseling; home health care; and the Vance North Necessities of Life Program food pantries; among several other critically needed services. Additionally, we are leaders in advocating for policy and legislation that positively impacts the LGBT and HIV communities, provide capacity-building assistance to health departments across the country, and conduct community-based research on issues affecting the communities we serve. For more information, please visit us at aplahealth.org . APLA Health is currently seeking a Registered Nurse for to join our team! We offer great benefits, competitive pay, and great working environment!    We offer: Medical Insurance Dental Insurance (no cost for employee) Vision Insurance (no cost for employee) Long Term Disability Group Term Life and AD&D Insurance Employee Assistance Program Flexible Spending Accounts 10 Paid Holidays 3 Personal Days 10 Vacation Days 12 Sick Days Metro reimbursement or free parking Employer Matched 403b Retirement Plan     This is a great opportunity to make a difference!      Registered Nurse (90036) POSITION SUMMARY: Under the supervision of the Clinical Nurse Manager II, the Registered Nurse will provide culturally competent medical, dental and behavioral health services to low-income individuals in Los Angeles County, with a specific focus on the LGBT community.   The Registered Nurse will assure quality and cost-effective care for clinic patients, and will manage a patient’s course of treatment, and coordinate care with providers and other clinical support staff to ensure quality patient outcomes are achieved within established time frames with efficient utilization of resources.  In addition, the Registered Nurse will work closely with the Medical Director and Nursing Supervisor to design, implement and monitor workflow processes throughout all APLA Health sites as it pertains to patient centered medical home (PCMH) implementation.  This position is primarily clinical.                                     ESSENTIAL DUTIES AND RESPONSIBILITIES: Provide clinical support to medical providers before and after primary care visits so as to ensure the timely delivery of quality medical care. Interface with medical assistants to ensure patients receive specialty referrals in a timely manner and are able to follow through so as not to interrupt patient care. Treat patients diagnosed with sexually transmitted infections (STIs) in a timely manner and according to APLAHW clinical STI treatment guidelines. Administer vaccines to patients per APLAHW clinical guidelines. Provide and appropriately document health education to patients. Participate in quality improvement activities as directed by the medical director, e.g. data analysis and measurement of outcomes, document and report the results and accomplishments of quality improvement initiatives. Triage patients who walk in to clinic or call with acute medical concerns. Assist front office staff in making appropriate arrangements for patients who arrive late for appointments or for whom an appointment needs to be rescheduled, by reviewing the medical record and determining how soon and where the patient should be seen. Provide guidance for the clinic LVN and MAs by overseeing the front and back office staff with the aim of maintaining efficiency, professional demeanor and courtesy toward patients.  This may include serving as back up for the front and back office when needed. Assist in the clinic transformation to a patient centered medical home (PCMH), in conjunction with the PCMH coordinator, medical director, chief operating office and clinical nurse manager. Maintain adequate medical supplies and medications for clinical areas by monitoring supplies and ordering supplies as needed.  Ensure that exam rooms are fully stocked and prepared for patient care. Participate in chronic disease management for selected patients with special needs. Communicate lab results to patients. Assist patients in linkage to APLA services: benefits counseling, mental health, case management, dental etc. Serve as first filter to eCW patient portal, answering when appropriate within his or her scope.  Forward to appropriate provider when indicated.                                                                                                       OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.   REQUIREMENTS:   Training and Experience: A valid California Registered Nurse (RN) license issued by the California Board of Registered Nursing (BRN). Current Basic Cardiac Life Support (BCLS) and Cardiopulmonary Resuscitation (CPR) certification.  Clinical experience as a registered nurse in an ambulatory health care clinic, preferably at a federally qualified health center (FQHC).  Experience working in patient-centered care teams preferred.   Must have problem solving and organizational skills in order to ensure a productive work environment and achievement of goals.  Experience in chronic disease management, case management, utilization management and quality improvement projects are preferred. Experience in an HIV medical practice is preferred.    Knowledge of: Knowledge and experience working with electronic health records, Eclinical works preferred.   Ability to: Ability to provide services in a non-judgmental fashion and work effectively with diverse populations is required as is the ability to maintain records and follow clinical guidelines/protocols.  Must be able to work efficiently and complete tasks with a high degree of accuracy; work and solve problems independently; work flexible hours in order to complete tasks and meet client needs.  Ability to be flexible in handling unanticipated client needs is required.   WORKING CONDITIONS/PHYSICAL REQUIREMENTS: This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.     SPECIAL REQUIREMENTS: Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.   Equal Opportunity Employer: minority/female/disability/veteran.       To Apply :   Visit our website at www.aplahealth.org   to apply or click the link below: https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=45539&clientkey=A5559163F67395E0A2585D2135F98806
Referral Coordinator
FHCB Health System Baltimore, MD
Aug 10, 2020
Full time
GENERAL DESCRIPTION Creates a motivating environment and promotes staff loyalty to FHCB and its mission. Exhibits and promotes a standard of excellence in the performance of all duties and interactions with patients, co-workers, and outside contacts. The position is responsible for developing, implementing, and overseeing the patient referral process.  Employee must accurately interpret the guidelines of care as defined in each health plan and is expected to be informed regarding each plan’s requirements affecting FHCB’s referral authorization process.  The Referral Coordinator will provide customer service and facilitate appropriate authorization with various insurance vendors for simple and complex patient cases.  This position provides clerical and clinical support appropriately as a resource person and as an assistant during periods of staffing shortage.    ESSENTIAL JOB DUTIES Makes referral arrangements for all patients per clinicians' request when possible and in compliance with service network and managed care payor agreements. Monitors the appropriate specialists are accessed according to managed care payor guidelines and insurance authorization is obtained as needed. Assists the Practice Manager in adhering to Quality Assurance policies and procedures in accordance with stated managed care payor guidelines and provider guidelines as they relate to the referral process and patient education. Monitor and track all referrals for quality assurance purposes. Coordinates with payor's Member Services and Utilization Management Departments regarding authorization for pre-certified on-site/ off-site services, out-of network, and elective procedures. Oversees patient compliance with specialist evaluation through monthly evaluations of referral log with follow up to lack of referral response for designated specialist groups. Assist the clinical staff in managing complex patient cases through appropriate coordination of multidisciplinary care within the parameters and guidelines of office policies and the patient’s insurance plan. Identifies patient access issues. Troubleshoots and assists patients experiencing difficulties obtaining specialty care appointments.   PERFORMANCE STANDARDS: Must possess the ability to function independently, while maintaining a superior work ethic. Must be culturally sensitive and non-judgmental. Sensitivity to patients and unique needs of special population. Ability to organize and set priorities. Must be detail oriented. Must possess strong interpersonal skills. Proficient and timely completion of reports. Ability to work in a demanding and challenging environment. Must be self-motivated. Adheres to HIPAA Privacy Rules as it relates to use and disclosure of Patient Health Information   EDUCATION/WORK EXPERIENCE Minimum of one-year experience within a health care organization.  Managed Care experience.  Knowledge of medical terminology.  Degree for Medical Assistant/Medical Secretary preferred.  Must be detail-oriented, have excellent communication and interpersonal skills, ability to multi-task and take initiative.  ENVIRONMENT/WORKING CONDITIONS Work is performed in a clinic environment.  Involves frequent contact with staff and the public.  Work may be stressful at times.  Contact may involve dealing with angry or upset people.   PHYSICAL\MENTAL DEMANDS Varied activities including standing, walking, reaching, bending, lifting.  Requires full range of body motion including handling and lifting patients manual and finger dexterity and eye-hand coordination.  Requires standing and walking for extensive periods of time.  Requires corrected vision and hearing to normal range.  Requires working under stressful conditions or working irregular hours.
Internal Medicine Physician – COVID-19 Team
FHCB Health System Baltimore, MD
Aug 10, 2020
Full time
FHCB COVID-19 Testing Team GENERAL DESCRIPTION FHCB is a Federally Qualified Health Center that has been providing medical care to the Greater Baltimore Metropolitan area since 1978.  Our mission is to provide quality, integrated patient-centered health care services to the communities we serve. In response to the COVID-19 Global Pandemic, FHCB Health System is creating a medical team dedicated to COVID-19 testing.  We are in search of a full time Patient Service Representative, Certified Medical Assistant, Registered Nurse, and Internal Medicine Physician for the team.  The team will be responsible for providing all outpatient care for patients presenting for COVID-19 testing at onsite and mobile locations.  Responsibilities for each team member are listed below.  Interested applications should contact Ms. Domiana Jefferson-Jackson at dojackson@fhcb.org or 410.454-2059 RESPONSIBILITIES: Evaluate patients in COVID-19 Respiratory Clinic Document patient medical information into the Electronic Medical Record Coordinate care with specialty providers and partner hospital Collect COVID-19 samples REQUIREMENTS : Active Medical License in State of Maryland Active DEA and CDS License in State of Maryland Current ACLS certification Insurable- able to obtain malpractice coverage
Medical Assistant – COVID-19 Team
FHCB Health System Baltimore, MD
Aug 10, 2020
Full time
FHCB COVID-19 Testing Team GENERAL DESCRIPTION FHCB is a Federally Qualified Health Center that has been providing medical care to the Greater Baltimore Metropolitan area since 1978.  Our mission is to provide quality, integrated patient-centered health care services to the communities we serve. In response to the COVID-19 Global Pandemic, FHCB Health System is creating a medical team dedicated to COVID-19 testing.  We are in search of a full time Patient Service Representative, Certified Medical Assistant, Registered Nurse, and Internal Medicine Physician for the team.  The team will be responsible for providing all outpatient care for patients presenting for COVID-19 testing at onsite and mobile locations.  Responsibilities for each team member are listed below.  Interested applications should contact Ms. Domiana Jefferson-Jackson at dojackson@fhcb.org or 410.454-2059 RESPONSIBILITIES: Triage Patients Collect and document Vital Signs Assist with Electronic Medical Records as needed REQUIREMENTS: Min of 1 year medical office experience performing patient registration High School Diploma or GED Completion of Certified Medical Assistant Training Spanish Speaking Preferred
Medical Assistant
FHCB Health System Baltimore, MD
Aug 10, 2020
Full time
GENERAL DESCRIPTION Creates a motivating environment and promotes staff   loyalty to FHCB and its mission Exhibits and promotes a standard of excellence in the performance of all duties and interactions with patients, co-workers, and outside contacts. The Medical Assistant assists the physicians and nurses in the assessment and treatment of patients ages infant through the frail elderly during the office health center visit.  The Medical Assistant supports the Patient Service Representative (PSR) as appropriate.  This position also reports to the assigned Practice Manager for compliance, administrative and operational duties. Exhibits and promotes a standard of excellence in the performance of all duties and interactions with patients, co-workers, and outside contacts.   ESSENTIAL JOB DUTIES Manages patient flow and performs associated technical skills including taking vital signs, performing EKGs, and administering treatments such as injections and nebulizer therapy, and assisting provides with exams and procedures throughout the day. Performs phlebotomy skills frequently throughout the day. Documents procedures performed and maintain appropriate logs. Performs telephone duties throughout the day such as prescription call-ins, retrieving messages from the voice mail, and providing patients with education as directed by provider per office standards. Completes Level I referrals for patients, or entire referral process where appropriate. Monitors supply stocks, maintains exam room equipment and lab equipment. Stocks daily and orders from designated supplier weekly. Works with your assigned physician to track lab processes, process incoming results and sorts through incoming correspondence and screens labs for abnormalities. Works closely with the RN, LPN, Doctors and PSR to coordinate telephone messages, faxes and letters as necessary to facilitate patient care. Examples include calling for prior authorization for medications, verify medications as needed with the pharmacy, calling in prescriptions to the pharmacy for physicians when asked to. Facilitate communication with other physicians’ offices as needed to coordinate patient care. Assists with medical records as needed to include pulling and filing of charts and loose notes.     PERFORMANCE STANDARDS Knowledge of the principles of growth and development appropriate to the ages of patients served by their department. Demonstrates competency in applying these principles when providing individualized care to specific patients. Knowledge in the use of computers. Must have excellent telephone demeanor. Must be able to work independently. Must be able to read, write and speak the English language. Possess the ability to make independent decisions when circumstances warrant such action. Possess the ability to communicate and deal tactfully with personnel, visitors, customers, patients and the general public. Must be able to work accurately with alphabetic files. Must be able to demonstrate appropriate universal precautions. Must be able to follow written and oral instructions. Ability to handle multiple tasks and works with a culturally diverse population. Maintain a professional demeanor appropriate to a clinical setting, this includes among other things addressing physicians including residents as “Doctor”, avoiding or minimizing of personal call during clinic hours.   EDUCATION AND WORK EXPERIENCE High school diploma or GED equivalent. (Required) Minimum one-year experience in medical office setting. Completion of Medical Assistant course through an accredited institution. (Required) Valid CPR certification. Certification must be maintained in a current status during FHCB tenure. Medical Assistant Certification must be obtained within 90 days of employment (Required)   ENVIRONMENT/WORKING CONDTIONS Work is performed in a medical center environment.   Involves frequent contact with other staff and the public.  Work may be stressful at times.  Contact may involve dealing with angry and/or upset people.   PHYSICAL\MENTAL DEMANDS Varied activities including standing, walking, reaching, bending, lifting.  Requires full range of body motion including manual and finger dexterity and eye-hand coordination.  Requires standing and walking for extensive periods of time.  Requires corrected vision and hearing to normal range.  Requires working under stressful conditions or working irregular hours.  
Patient Service Representative – COVID-19 Team
FHCB Health System Baltimore, MD
Aug 10, 2020
Full time
GENERAL DESCRIPTION FHCB is a Federally Qualified Health Center that has been providing medical care to the Greater Baltimore Metropolitan area since 1978.  Our mission is to provide quality, integrated patient-centered health care services to the communities we serve. In response to the COVID-19 Global Pandemic, FHCB Health System is creating a medical team dedicated to COVID-19 testing.  We are in search of a full time Patient Service Representative, Certified Medical Assistant, Registered Nurse, and Internal Medicine Physician for the team.  The team will be responsible for providing all outpatient care for patients presenting for COVID-19 testing at onsite and mobile locations.  Responsibilities for each team member are listed below.  Interested applications should contact Ms. Domiana Jefferson-Jackson at dojackson@fhcb.org or 410.454-2059   RESPONSIBILITIES : Schedule patients for appointments Verify insurance and collect payments Overseas patient flow in the waiting area   REQUIREMENTS: Min of 1 year medical office experience performing patient registration High School Diploma or GED Spanish Speaking Preferred
Lead Nurse Practitioner
Oregon Health Authority Salem, OR
Aug 03, 2020
Full time
The Oregon Health Authority has a fantastic opportunity for a Lead Nurse Practitioner with strong Inpatient Psychiatry experience to lead an excellent team and work to advance hospital operations.   This position falls under the Classification Nurse Practitioner.     WHAT YOU WILL DO! As a Lead Nurse Practitioner, you will provide psychiatric and medical services to assigned patients. This will include (but is not limited to) diagnosis, mental status evaluation, pharmacological management, risk assessment, physical examination, laboratory, imaging and other discipline assessments as necessary.   In this role, you will lead the interdisciplinary treatment team. This will include coordination of interdisciplinary clinical formulation and biopsychosocial treatment plan goals, interventions, delivery and outcome assessment.   Additionally, as a Lead Worker, your responsibilities will include: Orienting new psychiatrists and PMHNPs to a complex, high-acuity hospital program that encompasses admission units, a PUI/COVID unit, and treatment beds for patients who require our highest level of care. Assigning and reassigning tasks to accomplish prescribed work efficiently. Giving direction to psychiatrists and PMHNPs concerning work procedures. Transmitting established standards of performance to psychiatrists and PMHNPs. Reviewing work of psychiatrists and PMHNP for conformance to standards and providing informal assessment of their performance to the Supervising Psychiatrist. This position will report to the program Supervising Psychiatrist and the Chief of Psychiatry.     WHAT WE ARE LOOKING FOR: Current licensure (Nurse Practitioner and Registered Nurse) by the Oregon State Board of Nursing. ANCC certification as a PMHNP. Completion of Tier 1 Collaborative Problem-Solving training (at minimum); completion of Tier 2 training or certification preferred. Ability to help psychiatry practitioners use CPS in their daily work. One (1) year or more of formal leadership experience. Three (3) or more years of experience working in a high-acuity inpatient psychiatric hospital setting as a PMHNP. Experience working as a PMHNP in an independent-practice state. Experience in promoting a culturally competent and diverse work environment.   WHAT’S IN IT FOR YOU? We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year plus pension and retirement plans . If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority  is the place for you.
RN Gender Care Coordinator
Cascade AIDS Project Portland, OR
Jul 27, 2020
Full time
Cascade AIDS Project (CAP), the oldest and largest AIDS Service Organization (ASO) in Oregon and Southwest Washington, is committed to preventing HIV infections, supporting and empowering all people with or affected by HIV, reduce stigma, and provide the LGBTQ+ community with compassionate healthcare. Learn more about us at http://www.capnw.org/.   CAP is excited to announce that we are hiring an experienced full-time RN Gender Care Coordinator to support the team at our LGBTQ+ primary health care center, Prism Health, http://www.prismhealth.org. Prism Health offers a safe, affirming, and non-judgmental space where all members of the LGBTQ+ community can obtain compassionate and culturally affirming primary care.   The Registered Nurse (RN) Gender Care Coordinator is part of a multidisciplinary team that provides comprehensive health care to patients at the LGBTQ+ primary health care center, Prism Health.  The RN Gender Care Coordinator is a member of the care team that provides high quality, coordinated care for patients with acute and chronic social, medical, and or mental health needs. The RN is an integral part of the clinic’s quality committee and will be involved in collaborating with the team to ensure the very best healthcare for all patients, including support accessing support resources both within and outside the clinic. The RN must be compassionate, self-confident, analytical, personable, and calm under pressure.   This full-time position reports to the RN Team Lead. This individual will work at Prism Health, in SE Portland. This is a union-represented position. Evening and weekend work are occasionally required.   MINIMUM QUALIFICATIONS: 3+ years’ nursing experience Bachelor’s Degree in Nursing required 2+ years case management experience Basic Life Support card Valid OR nursing license Advanced knowledge of electronic medical records / electronic health records (EMRs / EHRs) Willingness to work a flexible schedule and to fill in when needed Excellent bedside manner and communication skills Working knowledge of health care laws and regulations Successful experience working with ethnic, racial, social, economic and sexually diverse populations and strong understanding of issues relevant to PLWHA, gay/bisexual/queer men, transgender individuals, the larger LBGTQ+ community and how those issues affect or influence service delivery. Demonstrated ability to effectively collaborate with colleagues in a professional environment in order to best serve the needs of a client/patient Excellent written and oral communication skills at all levels and professional relationships, including strong interpersonal communication ability. Excellent organizational and time management skills, with a strong attention to detail Demonstrated computer proficiency using Microsoft Office software (Word, Excel, Outlook) and working knowledge of the internet Ability to work independently with accountability and exercise sound judgment, discretion and professionalism at all times   PREFERRED QUALIFICATIONS: Experience working in human/social services, preferably in a clinical setting Experience in case management and the Chronic Care Model Knowledge of community resources in the Portland metro, including Multnomah, Washington, Clackamas counties Experience working with Epic (EHR)   Compensation: $70,561 annually, employer-paid health, dental, vision, short-term and long-term disability and life insurance; 401(k) retirement plan with generous employer matching contribution, 125C cafeteria savings plan; generous vacation and health leave benefits.   NOTE:  This is a union represented position.                                                              Closing Date:  Open until filled; Applications will first be reviewed starting Wednesday, July 31st.   To apply for this position, mail, email, fax, or deliver the following three documents: 1) a complete cover letter (attached as Word or pdf) that serves as an example of your writing and addresses how you meet all of the required qualifications specific to the position you are applying for, 2) your resume, and 3) a completed CAP Employment application (available at http://www.capnw.org/careers) to:   Cascade AIDS Project RN Gender Care Coordinator Position 520 NW Davis St., Suite 215 Portland, Oregon 97209   Fax: 503-223-6437   Or by email to: jobs@capnw.org   Cascade AIDS Project is an Equal Employment Opportunity/Affirmative Action Employer People of color, women, LGBTQ+ individuals and people living with HIV are strongly encouraged to apply.
Mental Health Therapist, Multicultural Specialist
Gustavus Adolphus College Saint Peter, MN
Jul 06, 2020
Full time
Gustavus Adolphus College is one of the nation’s leading private liberal arts colleges serving over 2,400 students. The College aspires to be a community of persons from diverse backgrounds who respect and affirm the dignity of all people. Known for its strong science, writing, music, athletics, study-away, and service-learning programs, Gustavus is located on a scenic 340-acre hill in St. Peter, Minnesota only 1 hour southwest of the Twin Cities. Position Details:  Gustavus Adolphus College invites applications for a full time, 40 hours per week/ten month per year position in the Gustavus Adolphus College Counseling Center to begin August 17th, 2020. The Mental Health Therapist will have a focus on providing services to students of color and other underrepresented Gustavus students through outreach, programming, and in providing counseling and psychotherapy. Through this work, the aim is to advance intentional efforts to provide services to our increasingly diverse college student population. Institution Information:  Gustavus Adolphus College seeks employees who are committed to and will be resolute in advancing inclusion and equity. We seek candidates whose experience has prepared them to help us realize our college-wide goal of engagement and inclusion of culturally and racially diverse audiences in liberal arts and sciences. The   Gustavus Acts strategic plan  renews our commitment to equip students to lead purposeful lives, and to act on the great challenges of our time by diversifying and expanding the Gustavus community and delivering a distinctive and integrated liberal arts education, both curricular and co-curricular.  Minnesota is home to a vibrant African American community and growing communities of Hmong, Latinx, and Somali peoples, as well as significant numbers of Indigenous people. We believe that representation from all of these groups contributes positively to our student body.   We are committed to developing our staff to better reflect the diversity of our student body and American society. Members of underrepresented groups are strongly encouraged to apply. The Counseling Center’s mission is to provide a safe and inclusive environment which fosters the wellbeing, resiliency, and holistic development of all students. Major/Essential Functions:   Reporting to the Director of the Counseling Center, this position serves an essential role as a direct mental health service provider to all students, with a special focus on underrepresented students.  The successful candidate will have a deep understanding of the impact that inequality, prejudice, and marginalization can have on students from underrepresented populations, including students of color, first generation students, international students, and/or students who identify as LGBTQIA, and have the skills and experience in therapy, consultation and outreach to address/diminish this impact.  The Mental Health Therapist will engage in meaningful outreach activities with appropriate community partners and cultural student groups intended to promote increased access for services.   Additionally, this position requires strong, generalist clinical skills to assess and intervene with a wide range of presenting student concerns within a time-limited treatment model.  The Mental Health Therapist provides initial triage and intake assessments, group and individual counseling, crisis intervention, assessments regarding danger to self or others, referrals, outreach, psychoeducational workshops, and consultation. Prerequisites Minimum Qualifications:        Master’s or Doctoral degree in a counseling related field.        Demonstrated attentiveness to intersectionality and multicultural competency.        Experience providing culturally-proficient clinical services to diverse and underrepresented populations, including students of color and international students.        Clinical experience in psychology/mental health counseling and crisis intervention.        Background and interest in the provision of community/campus-based outreach services.        Licensure (or license-eligibility) in Minnesota as a psychologist, counselor, social worker, or marriage and family therapist. Application Procedures:  To apply, visit   https://gustavus.edu/jobs  and complete the online application. The documents that must be uploaded include the following:        Letter of application that addresses the position qualifications;        Curriculum vitae;        The names and contact information for three professional references (at least one must be able to address therapy experience and effectiveness). For full consideration, applications must be received by July 24th 2020. While applications may be accepted after this date, it is not guaranteed that they will be considered.  Incomplete applications will not be considered by the search committee . Gustavus Adolphus College is an Equal Opportunity and Affirmative Action Employer. The College does not discriminate on the basis of race, color, creed, religion, age, sex, sexual orientation, gender identity, national origin, marital status, disability, or veteran status in its education or employment programs or activities. Posted July 2, 2020 Contact Hannah Godbout |   hgodbout@gustavus.edu   |   507-933-7027 Posted : Thu Jul 2, 2020
FOUNDING DEPARTMENT CHAIR/PROGRAM DIRECTOR
Elon University Elon, NC
Jun 18, 2020
Full time
Elon University, a national university renowned as a model for engaged learning, is seeking a visionary and innovative founding department chair/program director to lead the Department of Nursing. This leader will guide the accreditation and implementation of progressive nursing programs and curricula focused on the reduction of health disparities; community-based, population health; and the utilization of health informatics to optimize healthcare outcomes. The Department of Nursing will be part of the Elon University School of Health Sciences, which also includes the Department of Physical Therapy Education, established in 1998, and the Department of Physician Assistant Studies, established in 2013. Elon offers a salary commensurate with qualifications, an excellent benefits package and generous retirement plan. Purpose Provides the essential leadership necessary to ensure the creation, growth, and development of the Department of Nursing. Participates in various committees within Elon University and at a state and national level that assist in the growth of the nursing profession. Duties and Responsibilities Administrative • Responsible for the organization, administration, continuous review/analysis, and planning and development of the program. Supervises faculty and staff in all activities related directly to the program. • Responsible for all activities related to North Carolina Board of Nursing and Commission on Collegiate Nursing Education accreditation. • Responsible for departmental budgets and ensure adequate funding to meet departmental goals and objectives. • Conducts annual performance appraisals of all staff and annual faculty. • Responsible for assigning and monitoring faculty workload. • Responsible for faculty recruitment and retention within the department. • Assists in student recruitment and admissions. • Serves as spokesperson for the department and participate in public relations/development office activities at the local, state, and national level. • Serves on Elon University committees based on policies described in the Faculty Handbook. • Serves on the School of Health Sciences leadership team, creating shared vision and commitment to strategic planning and institutional priorities. Educational • Provides leadership and support for faculty development. • Creates expectations and opportunities to enhance diversity, equity, and inclusion within the Department of Nursing and the School of Health Sciences. • Coordinates the maintenance and review of program curriculum. • Participates in the maintenance and review of all materials on the Elon University Department of Nursing web site, brochures, and student handbooks. • Plans and participates in student orientation. Clinical • Maintains state licensure. Miscellaneous • Maintains record of ongoing scholarly activity. • Participates in community service activities. Supervisor The Department chair/program director reports directly to the Dean of the School of Health Sciences and supervises the faculty and staff. Requirements • Must possess a graduate-level nursing degree. A doctorate level degree is preferred. • Hold a nursing license in North Carolina. • Five years of full-time higher education experience, preferably in a nursing program • Previous successful experience required includes: o academic program administration o classroom/clinical teaching o ability to establish a curriculum which emphasizes engaged learning o exceptional communication skills o experience with budget development and management o successful completion of North Carolina Board of Nursing and Commission on Collegiate Nursing Education accreditation processes o strong support for faculty development o a demonstrated commitment to students Elon University is an equal opportunity employer committed to a diverse faculty, staff and student body and welcomes all applicants. To learn more about Elon, please visit the University web site at www.elon.edu . Interested candidates should submit a cover letter, curriculum vitae, and three (3) professional references. Candidates who have experience working with a diverse range of people, and who can contribute to the climate of inclusivity are encouraged to identify their experiences in their cover letter. Review of applications will begin immediately with a deadline date of August 1, 2020. Anticipated start date is Fall 2020. E-mail application information and direct questions to: Search Committee Chair Paula DiBiasio, PT, DPT, MS Associate Professor of Physical Therapy Education pdibiasio@elon.edu
Health Cost Data Analyst
Oregon Health Authority Portland, OR
Apr 07, 2020
Full time
The Oregon Health Authority has a fantastic opportunity for an experienced Data Analyst with Healthcare experience to join an excellent team, provide top-notch analysis and work to advance agency operations.   This position falls under the Classification Research Analyst 4.     WHAT YOU WILL DO! As a Health Cost Data Analyst, you will play a key role in supporting the ongoing development, maintenance, and administration of the Sustainable Health Care Cost Growth Target Program. You will collect, analyze, and report data from health insurers, hospitals and health care providers and work with summary data from those groups and complex health care claims, encounter, and enrollment data to produce summary statistics, performance measures, and other indicators to track whether targets are met and, if not, potential areas of improvement in controlling cost growth.   In this role, you will oversee data quality and validation efforts, report generation, processing, and fulfillment of data requests, and ad hoc analyses for internal and external stakeholders. You will be responsible for planning and managing key initiatives related to data analysis, validation, and internal process improvement.   Additionally, you will work closely with other analysts in Health Analytics, the Sustainable Health Care Cost Growth Target Program staff in the Office of Health Policy, and work collaboratively with analytic, policy, and program staff across agency divisions, such as the Public Health Division and the Health Systems Division, as well as with staff from other state agencies, such as the Department of Human Services (DHS) and Department of Consumer and Business Services (DCBS).     WHAT WE ARE LOOKING FOR: (a) Five (5) years of research experience using computerized applications to independently gather, compile, and analyze data and prepare narrative or statistical reports; including Two (2) years of experience coordinating complex research projects. OR (b) A Bachelor's Degree or higher in any disciplines that included six-quarter units in statistics or quantitative analysis methods and procedures; AND Three (3) years of experience using computerized applications to independently gather, compile, and analyze data and prepare narrative or statistical reports; including Two (2) years of experience coordinating complex research projects. Graduate-level coursework in health sciences, economics, statistics, informatics, public policy, public health or computer science preferred. At least two years of work experience analyzing health care financial data or claims data preferred. Knowledge of health care claims, encounter, and enrollment data, and health care quality, cost, and utilization measures. Knowledge of statistical software packages, preferably R or SAS, and programming languages, preferably SQL. Demonstrated ability to write scripts/macros in software that automates the process of extracting and compiling data from Excel or flat files. Knowledge of health services research and evaluation design, methods, and analyses. Demonstrated ability to perform statistical and quantitative analyses. Demonstrated ability to effectively present data using text, charts, graphs, and other data visualizations. Demonstrated ability to coordinate multiple competing priorities. Knowledge of state and federal health policy, Medicaid and Medicare programs, and health care reform efforts preferred. Experience with Tableau or other data visualization software. Experience in promoting a culturally competent and diverse work environment.   WHAT’S IN IT FOR YOU? We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year plus pension and retirement plans . If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority  is the place for you.
Program Director – Integrated Care for Kids
Oregon Health Authority Salem, OR
Apr 03, 2020
Full time
The Oregon Health Authority has a fantastic opportunity for an experienced Program Leader with a strong background in Healthcare Delivery Systems to lead an excellent team and work to advance their Integrated Care for Kids Model.   This position is under the classification Principal Executive/Manager F.     WHAT YOU WILL DO! As Program Director for the Integrated Care for Kids (InCK) Model, you will direct and oversee all work related to implementation of Oregon’s InCK Model. You will direct the InCK Model Team and Program by developing policies, procedures, and programs consistent with policy established by the federal government, Oregon statute and administrative rule, Leadership within the Oregon Health Authority (OHA), and the Oregon Health Policy Board.   Oregon’s InCK Model is a priority, federal-state collaborative focused on improving child and youth health outcomes in a five-county target region with a total budget of up to $17 million dollars over seven years.  Funded by the Centers for Medicare and Medicaid Services (CMS) and the Centers for Medicare and Medicaid Innovation (CMMI), the work of the InCK Model aligns with Oregon’s 1115 waiver, Oregon Health Policy Board priorities, CCO 2.0 priorities, the state’s Early Learning Strategic Plan, and the goals of the Governor’s Children’s Cabinet. The InCK Model employs a strong focus on promoting health equity and advancing integrated, family-centered care coordination across physical health, behavioral health and health-related social services. Oregon’s InCK Model goals are to reduce out-of-home placements for children, support family resilience, reduce unnecessary health care costs, and eliminate racial and ethnic disparities in children’s health and health care services.   In this role, you will provide strategic direction to the InCK Model Team, coordinate activities across critical issue areas, and support, guide, and ensure all products reflect a high degree of professionalism. You will ensure that expertise and analysis is distributed appropriately across the InCK Model Team, facilitate teamwork, review and edit all written work products, coach staff on managing meetings and support work with stakeholders.   The InCK Model team is a high performing, highly educated team that will benefit from a leader who helps strengthen existing skills and promotes professional development. You will be responsible for directly managing a core team as well as leading a functional InCK Model team housed across Health Policy and Analytics (HPA), the Office of Equity and Inclusion, the Office of Health Analytics and the Department of Human Services. You will have to demonstrate strong communication and management skills to oversee this cross-office and cross-agency team in addition to sub-awardees and contractors that will play a significant role in the development and implementation of the InCK Model Program. You will also provide a critical link between HPA and OHA’s strategic vision and other key state-level initiatives focused on children’s health; work with the team to ensure awareness and expertise in emerging and evolving priorities; and ensure that the team is able to proactively support the health policy direction of agency leadership and state efforts focused on children’s health and health equity.   Additionally, you and your team must be responsive to federal and legislative directives that relate to health care delivery and the requirements of the federal InCK Model cooperative funding. Your team must also be nimble to respond to emerging federal policy changes and produce comprehensive and accurate reports, presentations or talking points under aggressive deadlines. You must be able to balance ongoing and newly emerging work, help the team prioritize, and be adaptable to managing new incoming assignments with short deadlines.   Issues and recommendations within the purview of your role are highly visible and potentially controversial to the affected public and private health care constituents, state agencies, and the Governor's office. You will work collaboratively with staff from across OHA, as well as InCK sub-awardees, InCK contractors, health insurers, providers, system executives and other stakeholders. You will also consistently treat customers, stakeholders, partners, and co-workers with dignity and respect and will demonstrate recognition of the value of individual and cultural differences.     WHAT WE ARE LOOKING FOR: (a) Four (4) years of management experience in a public or private organization which included responsibility for each of the following: a) development of program rules and policies, b) development of long- and short-range goals and plans, c) program evaluation, and d) budget preparation. OR (b) Three (3) years of management experience in a public or private organization which included responsibility for each of the following: a) development of program rules and policies, b) development of long- and short-range goals and plans, c) program evaluation, and d) budget preparation; AND 45-48 quarter hours (30-32 semester hours) of graduate level coursework in management. A Master’s Degree in Public Health, Public Administration and/or experience with analyzing health care policy options and making recommendations for improvement. Experience with health outcomes research, healthcare delivery systems research or experience using healthcare expenditure, utilization and quality assurance data in developing and presenting reports. Strong working knowledge of Medicaid, Children’s Health Insurance Program, children’s health systems and health care delivery. Experience producing written reports. Familiarity with financial management, budgets, contract management and program management. Extensive knowledge of management principles including planning, organizing, supervision and decision making. Demonstrated experience at a leadership level communicating with a diverse group of stakeholders on complex topics. Ability to ensure the coordination and exchange of clear information between the Oregon Health Policy Board, Office of Health Policy, Office of Health Analytics as well as other OHA staff, external contractors and stakeholders. Leadership-level communication skills and the ability to communicate with diverse groups of stakeholders on complex topics. Experience in promoting a culturally competent and diverse work environment.     WHAT’S IN IT FOR YOU? We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year plus pension and retirement plans . If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority  is the place for you.
Behavioral Health Policy and Data Analyst
Oregon Health Authority Salem, OR
Apr 01, 2020
Full time
The Oregon Health Authority has a fantastic opportunity for an experienced Data and Operations Analyst with strong SAS/SQL Skills to join an excellent team, provide top-notch analysis and work to advance agency operations.    This position is under the classification Operations and Policy Analyst 3.     WHAT YOU WILL DO! As a Behavioral Health Policy and Data Analyst, you will support behavioral health policy decision-making and strategic planning efforts. This includes data analysis for assessment, prioritization, and monitoring of behavioral health priorities. Together with the Program Analysis and Measurement Manager, you will work collaboratively with staff across the Oregon Health Authority (OHA) to provide programmatic support and project coordination for various aspects of service transformation and integration.   Issues and recommendations within the purview of your role will be highly visible and potentially controversial to the affected health care constituents, state agencies, and Governor's office. You will handle policy issues that often have complex and interdependent technical, political, fiscal, administrative, and other aspects that must be considered and addressed. The scope of details to consider is numerous and often unidentified, requiring an ability to clarify and prioritize tasks in order to effectively navigate a challenging and fast-paced work environment with a broad array of stakeholders.     WHAT WE ARE LOOKING FOR: (a) Seven (7) years of professional-level experience in Data Analysis. OR (b) professional-level experience in Data Analysis. OR (c) A Master’s professional-level experience in Data Analysis. OR (d) A Doctor’ professional-level experience in Data Analysis. Three (3) years of experience with statistical software and programming languages, such as SAS and SQL. Experience with health outcomes research, healthcare delivery systems research, and/or health survey research. Experience using healthcare expenditure, utilization and/or qualify assurance data. Knowledge of and experience with data visualizations tools, such as PowerQuery, Power BI, SharePoint BI and/or Tableau. Experience producing written reports, executive summaries and fact sheets. Quantitative and qualitative problem-solving skills. Experience with medical billing, coding and/or terminology. Experience with Medicaid programs and/or behavioral health treatment services. Experience collecting, analyzing and disseminating granular data on race, ethnicity, language, disability, sexual orientation and/or gender identity. Experience with behavioral health services measurement and/or policy. Experience in advancing health equity, addressing systemic health disparities and collaborating with diverse, vulnerable and underrepresented populations. Experience managing analytical projects that involve groups with diverse and/or opposing views and arriving at mutually acceptable solutions.     WHAT’S IN IT FOR YOU? We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year plus pension and retirement plans . If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority  is the place for you.
Research Analyst – Health Analytics
Oregon Health Authority Portland, OR
Mar 25, 2020
Full time
The Oregon Health Authority has a fantastic opportunity for an experienced Research Analyst with strong SAS and SQL skills to join an excellent team, perform top-notch analysis and work to advance agency operations.    This position is under the classification Research Analyst 4.     WHAT YOU WILL DO! As a Research Analyst, you will be part of the Decision Support and Systems Integration Unit. You will be responsible for designing, developing, implementing and analyzing data related to child and family medical and social complexity, including medical claims, encounters and data from Integrated Client Services’ (ICS) data warehouse in support of Oregon’s Integrated Care for Kids (InCK) Model, the Oregon Health Plan waiver, healthcare policy initiatives, the Metrics Program and other health program operations.   In this role, you will be the lead analyst on major issues related to children’s health. You will work closely with research and program staff in the Health Policy and Analytics (HPA) Division and other divisions, such as Health Systems and Public Health.   Additional responsibilities will include: planning and managing complex analytical and statistical research projects using healthcare claims, enrollment information and system-level data captured through ICS; studying and analyzing tables, graphs, charts and other statistics to arrive at conclusions about the data; writing technical memorabilia about data analysis; summarizing research findings and preparing summary tables, graphs and charts for publications and articles; developing summaries and detailed reports for various stakeholders; researching alternative methodologies and developing clear and well-reasoned recommendations for leadership considerations; coordinating and collaborating actively with colleagues within and outside of HPA including InCk and national experts in child health complexity; and contributing to and/or giving presentations to colleagues, leadership and external stakeholders.     WHAT WE ARE LOOKING FOR: (a) Five (5) years of research experience using computerized applications to independently gather, compile, and analyze data and prepare narrative or statistical reports including Two (2) years coordinating complex research projects. OR (b) A Bachelor's Degree in any disciplines that included six-quarter units in statistics or quantitative analysis methods and procedures; AND Three (3) years of research experience using computerized applications to independently gather, compile, and analyze data and prepare narrative or statistical reports including Two (2) years coordinating complex research projects. Experience with statistical software packages such as SQL Developer and/or SAS. Experience using trends to do analytical research. Experience using statistical software, research methods and data presentation. Quantitative and qualitative problem-solving skills. Experience in the design, operation and data extraction techniques associated with large-scale relational databases and associated servers. Experience with health outcomes research and/or healthcare delivery systems research. Experience using healthcare expenditure, utilization and quality assurance data. Experience producing written reports, executive summaries and fact sheets. Experience manipulating large raw data sets with Unix Scripting. Strong working knowledge of Medicaid and Medicare programs, medical billing, coding and terminology. Experience in advancing health equity, addressing systemic health disparities and collaborating with diverse, vulnerable and underrepresented populations.     WHAT’S IN IT FOR YOU? We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year plus pension and retirement plans . If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority  is the place for you.
Program Integrity Auditor
Oregon Health Authority Keizer, OR
Mar 03, 2020
Full time
The Oregon Health Authority has a fantastic opportunity for an Auditor with Medicaid experience to join an excellent team, perform top-notch audits and work to advance their Medicaid operations.    This position is under the classification Government Auditor 2.     WHAT YOU WILL DO! As a Program Integrity Auditor, you will support the Operations Division and Office of Program Integrity Audit Unit within the Oregon Health Authority (OHA).  The mission of this unit is to assure program integrity of the Medicaid program.    In this role, you will conduct compliance audits of providers participating in Medicaid programs. The audit function is designed to deter medical program fraud and abuse, and to monitor and ensure provider compliance with Federal, State, and Agency rules and regulations.     WHAT WE ARE LOOKING FOR: (a) A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, or computer science; AND Two (2) years of auditing experience. OR (b) Twenty quarter hours of college courses in a business or financial field such business administration, public administration, finance, economics, or computer science; AND Four (4) years of auditing experience. OR (c) A Bachelor's degree in a business-related field, such as business administration, public administration, finance, economics, or computer science; AND Successful completion of the duties and training as an Oregon Governmental Auditor; AND One (1) year of auditing experience. OR (d) Twenty quarter hours of college courses in a business or financial field such business administration, public administration, finance, economics, or computer science; AND Successful completion of the duties and training as an Oregon Governmental Auditor; AND Three (3) years of auditing experience. Extensive knowledge of auditing techniques such as analytical review procedures, statistical sampling and other data mining methodologies. Auditing experience in the healthcare industry. Experience in risk analysis for evaluation of internal and management controls. Experience working with treatment modalities and various practices within the medial provider community. Experience researching, writing and finalizing auditing procedures. Knowledge of agency programs and the medical provide community. Ability to conduct confidential and/or specialized investigations. Outstanding customer service skills for both internal and external customers. Excellent written and verbal communication and presentation skills. Experience in creating and maintaining a work environment that is respectful and accepting of diversity among team members and the people we serve.     WHAT’S IN IT FOR YOU? We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year plus pension and retirement plans . If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority  is the place for you.
Clinical Documentation Manager
3M US, Texas, San Antonio
Feb 19, 2020
Full time
Clinical Documentation Manager Collaborate with Innovative 3Mers Around the World Choosing where to start and grow your career has a major impact on your professional and personal life, so it’s equally important you know that the company that you choose to work at, and its leaders, will support and guide you. With a diversity of people, global locations, technologies and products, 3M is a place where you can collaborate with 93,000 other curious, creative 3Mers. “At 3M, we want to make sure that everyone, from all walks of life, know they can share their opinions, they’re heard, and change is made based on their input.” – Ann Anaya, chief diversity officer at 3M” The Impact You’ll Make in this Role   Responsible for managing a large team of Clinical Documentation Specialists. The role includes leading large scale interdepartmental projects related to customer service and the efficiency of the document collection; Includes establishing department goals for service levels, efficiency, and quality. Responsible for department budget and expenses as well as leadership development and improving team engagement. Interacts within Advantage Center, Finance, IT and Sales organizations As a Clinical Documentation Manager , you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Managing Order Fulfillment, measurement collection, claims preparation and billing process for home care orders Developing and meetinging meets overall 3M customer service, efficiency, and financial goals Working with filed based sales to identify customer needs and implement improvements Organizing and monitors activities related to employee morale to include employee reviews, facilities, incentives, rewards, promotions, training and team building. Partnering with other functional areas within the revenue cycle process to identify trends or issues. Leading improvement in key areas around cycle time, unbilled orders, backlog of orders, write offs (Lost Days). Engaging teams in continuous improvement efforts while maintaining compliance guidelines Compiling, analyzing, and monitoring management reports and provides relevant information to the organization on a regular basis Establishing and managing the department budget Mentoring supervisors, leads and others in the Advantage Center Developing and maintains relationships with internal and external customers. Ensuring overall staffing levels are adequate to meet service and financial goals. Establishing and maintains policies and procedures which support KCI and industry standards Your Skills and Expertise  To set you up for success in this role from day one, 3M is looking for candidates who must have the following qualifications: Possess a Bachelor’s degree (completed and verified prior to start) from an accredited institution Five (5) years leadership experience in a private, public, government, or military environment. Two (2) years healthcare experience in a private, public, government, or military environment. Additional qualifications that could help you succeed even further in this role include: Two (2) or more years of leadership experience at Manager level or above Previous experience with the order to cash process for outpatient medical services for Medicare, Medicaid, Managed Care, Worker's Comp and Private Pay patients Project Management experience Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being  3M offers many programs to help you live your best life – both physically and financially. To ensure competitive pay and benefits, 3M regularly benchmarks with other companies that are comparable in size and scope.  Resources for You  For more details on what happens before, during and after the interview process, check out the Insights for Candidates page at 3M.com/careers.  Learn more about 3M’s creative solutions to the world’s problems at www.3M.com or on Twitter @3M. 3M is an equal opportunity employer.  3M  will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. 3M Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at 3M are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here , select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
Bilingual CAREAssist Case Manager
Oregon Health Authority 800 NE Oregon Street, Portland, OR
Jan 29, 2020
Full time
REQ-26403 Close date: 2/3/2020 Salary: $3569 - $5197  Location: Portland, OR NOTE: Additional salary differential offered for fluency in Spanish The Oregon Health Authority (OHA), Public Health Division (PHD), HIV, STD and TB Section is recruiting for a bilingual CAREAssist Case Worker position, which provides technical assistance to individuals and/or health professionals to allow persons living with HIV access to medical care and treatment resources.  CAREAssist supports access to HIV care and treatment through direct assistance with out-of-pocket medical expenses. The goal of the HIV, STD and TB Section is to educate Oregonians about the impact of HIV, STD and TB infections; to assist in the development of local and national public policy related to the prevention and care of these infections; and to coordinate with and inform other agencies of the services available to persons affected by these diseases. What will you do? As the CAREAssist Case Worker , you will assist clients in the application process and determine their eligibility for the program in accordance with state and federal requirements. In collaboration with community partners, you will provide individualized client level care coordination services and other assistance to maintain access to medical care and HIV treatment through the AIDS Drug Assistance Program. This includes the provision of benefits counseling and direct assistance with applications for public and private insurance and other financial assistance programs. Utilizing your experience with clients, you will also provide information for improvements to program policies and procedures. What's in it for you? You will work with a team of public health professionals who are passionate about the work they do to improve the health of HIV+ Oregon residents. Do you have experience in case management? Do you have experience determining program eligibility and facilitating access to services and benefits? Have you worked with vulnerable populations? If so, we want to connect with you!   What are we looking for? Minimum requirements: A bachelor's degree in business or public administration, behavioral or social sciences, or a degree related to the agency program that demonstrates the capacity for the knowledge and skills; OR any combination of experience or education equivalent to three years technical-level experience that typically supports the knowledge and skill requirements listed for the classification. Bilingual English/Spanish Experience and/or training as a case manager. Experience in assessing needs, determining program eligibility and facilitating access to services and benefits through direct service provision or information and referral. Experience and/or training as a Certified Application Counselor in Oregon. Experience and/or training in Medicare, Medicaid, and/or private insurance enrollment and navigation. Experience working with vulnerable populations. Knowledge of the Ryan White program and services. Ability to work in a team, with a high level of emotional intelligence and personal awareness to contribute to a culture of feedback in the office and with external partners. Experience promoting a culturally competent and diverse work environment. To Apply Please submit your online application at the following link: https://oregon.wd5.myworkdayjobs.com/en-US/SOR_External_Career_Site/job/Portland--Oregon-Street---OHA/Bilingual-CAREAssist-Case-Worker--Program-Analyst-1-_REQ-26403 State of Oregon employees must be signed into their Workday account to apply. Contact Information Cyndi Phipps-Roman 503-945-6377
RN Care Coordinator
Moda Health Portland, OR
Jan 16, 2020
Full time
Let’s do great things, together   Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. We are seeking a Care Coordinator RN to perform care coordination within the boundaries of the company’s policies and procedures to ensure appropriate care is delivered in a timely manner and within the appropriate setting for members.  Interact with the member, family and care providers to develop, coordinate and monitor the member’s treatment plan. Primary Functions: 01.    Investigates opportunities for health care alternatives and prepares cost effective plans to offer patients, families, and providers. 02.    Identifies health services vendors to use in Care Coordination and coordinates with providers for member’s benefits as well as identifies and utilizes community resources that may be available to member. 03.    Works closely with members, families, and providers, typically by telephone in order to outline a clear, proactive plan of care with patient goals and objectives and measurements to attain the same. 04.    Effectively use the company’s internal systems to accurately determine eligibility, benefit plan, physician networks associated with the member’s plan. Documents accurate, readable, narrative notes related to cases and identifies and researches any problems and offers reasonable solutions. 05.    Maintains an acceptable caseload within the guidelines outlined within the department’s policies and procedures and works assigned schedule to maintain phone coverage between the hours of 7am – 5:30pm, this includes closing cases in appropriate timeframe per department standards and maintain RN audit scores at or above the 90% benchmark. 06.    Applies clinical expertise and judgment to ensure compliance with medical policy and criteria of for accepted standards of care while performing Utilization Review and Service Authorizations for members of assigned employer groups. 07.    Consults with physician advisors to ensure clinically appropriate determinations. 08.    Refers appropriate cases to Case Manager RNs for assessment. 09.    Provides approvals and denials of requests in a professional and positive manner. 10.    Reports on any case entered on the High Dollar Report in Rounds meetings. 11.    Develops professional relationships with internal departments, including effectively communicating with support staff and customer service staff. 12.    Contributes to the ongoing efforts of the department to foster a collaborative and team approach to case load. 13.    Performs other duties as assigned.  Are you ready to be a betterist?   If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.   Together, we can be more. We can be better. Please apply directly here:  https://ejob.bz/ATS/PortalViewRequirement.do?reqGK=27362672 Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. Required Skills 1. Graduate of accredited school of nursing, two, three or four year program, or a Masters Degree in Social Work. 2. Holds current unrestricted Oregon Registered Nurse license. 3. Must have 3 years recent hospital, home health, or acute care experience. 4. Type a minimum of 35 wpm on a computer keyboard and be proficient with Microsoft Office applications. 5. Strong analytical, problem solving, memory retention, organizational and detail oriented skills. 6. Excellent communication skills with the ability to interact with all levels of staff, members and providers as needed. 7. Ability to be a self starter and identify training needs of department. 8. Ability to defuse difficult/angry calls and work towards a positive resolution. 9. Ability to work well under pressure with constantly shifting priorities. 10. Ability to maintain confidentiality and project a professional business image.
CAREAssist Case Manager
Oregon Health Authority 800 NE Oregon Street, Portland, OR
Jan 15, 2020
Full time
REQ-26408 Close date: 2/3/2020 Salary: $3569 - $5197  Location: Portland, OR The Oregon Health Authority (OHA), Public Health Division (PHD), HIV, STD and TB Section is recruiting for a CAREAssist Case Worker position, which provides technical assistance to individuals and/or health professionals to allow persons living with HIV access to medical care and treatment resources.  CAREAssist supports access to HIV care and treatment through direct assistance with out-of-pocket medical expenses. The goal of the HIV, STD and TB Section is to educate Oregonians about the impact of HIV, STD and TB infections; to assist in the development of local and national public policy related to the prevention and care of these infections; and to coordinate with and inform other agencies of the services available to persons affected by these diseases. What will you do? As the CAREAssist Case Worker , you will assist clients in the application process and determine their eligibility for the program in accordance with state and federal requirements. In collaboration with community partners, you will provide individualized client level care coordination services and other assistance to maintain access to medical care and HIV treatment through the AIDS Drug Assistance Program. This includes the provision of benefits counseling and direct assistance with applications for public and private insurance and other financial assistance programs. Utilizing your experience with clients, you will also provide information for improvements to program policies and procedures. What's in it for you? You will work with a team of public health professionals who are passionate about the work they do to improve the health of HIV+ Oregon residents. Do you have experience in case management? Do you have experience determining program eligibility and facilitating access to services and benefits? Have you worked with vulnerable populations? If so, we want to connect with you! What are we looking for? Minimum requirements: A bachelor's degree in business or public administration, behavioral or social sciences, or a degree related to the agency program that demonstrates the capacity for the knowledge and skills; OR any combination of experience or education equivalent to three years technical-level experience that typically supports the knowledge and skill requirements listed for the classification. Experience and/or training as a case manager. Experience in assessing needs, determining program eligibility and facilitating access to services and benefits through direct service provision or information and referral. Experience and/or training as a Certified Application Counselor in Oregon. Experience and/or training in Medicare, Medicaid, and/or private insurance enrollment and navigation. Experience working with vulnerable populations. Knowledge of the Ryan White program and services. Ability to work in a team, with a high level of emotional intelligence and personal awareness to contribute to a culture of feedback in the office and with external partners. Experience promoting a culturally competent and diverse work environment. To Apply Please submit your online application at the following link: https://oregon.wd5.myworkdayjobs.com/en-US/SOR_External_Career_Site/job/Portland--Oregon-Street---OHA/CAREAssist-Case-Manager--Program-Analyst-1-_REQ-26408 Contact Information Cyndi Phipps-Roman 503-945-6377
Bilingual CAREAssist Case Manager
Oregon Health Authority 800 NE Oregon Street, Portland, OR
Jan 15, 2020
Full time
REQ-26403 Close date: 2/3/2020 Salary: $3569 - $5197  Location: Portland, OR NOTE: Additional salary differential offered for fluency in Spanish The Oregon Health Authority (OHA), Public Health Division (PHD), HIV, STD and TB Section is recruiting for a bilingual CAREAssist Case Worker position, which provides technical assistance to individuals and/or health professionals to allow persons living with HIV access to medical care and treatment resources.  CAREAssist supports access to HIV care and treatment through direct assistance with out-of-pocket medical expenses. The goal of the HIV, STD and TB Section is to educate Oregonians about the impact of HIV, STD and TB infections; to assist in the development of local and national public policy related to the prevention and care of these infections; and to coordinate with and inform other agencies of the services available to persons affected by these diseases. What will you do? As the CAREAssist Case Worker , you will assist clients in the application process and determine their eligibility for the program in accordance with state and federal requirements. In collaboration with community partners, you will provide individualized client level care coordination services and other assistance to maintain access to medical care and HIV treatment through the AIDS Drug Assistance Program. This includes the provision of benefits counseling and direct assistance with applications for public and private insurance and other financial assistance programs. Utilizing your experience with clients, you will also provide information for improvements to program policies and procedures. What's in it for you? You will work with a team of public health professionals who are passionate about the work they do to improve the health of HIV+ Oregon residents. Do you have experience in case management? Do you have experience determining program eligibility and facilitating access to services and benefits? Have you worked with vulnerable populations? If so, we want to connect with you!   What are we looking for? Minimum requirements: A bachelor's degree in business or public administration, behavioral or social sciences, or a degree related to the agency program that demonstrates the capacity for the knowledge and skills; OR any combination of experience or education equivalent to three years technical-level experience that typically supports the knowledge and skill requirements listed for the classification. Bilingual English/Spanish Experience and/or training as a case manager. Experience in assessing needs, determining program eligibility and facilitating access to services and benefits through direct service provision or information and referral. Experience and/or training as a Certified Application Counselor in Oregon. Experience and/or training in Medicare, Medicaid, and/or private insurance enrollment and navigation. Experience working with vulnerable populations. Knowledge of the Ryan White program and services. Ability to work in a team, with a high level of emotional intelligence and personal awareness to contribute to a culture of feedback in the office and with external partners. Experience promoting a culturally competent and diverse work environment. To Apply Please submit your online application at the following link: https://oregon.wd5.myworkdayjobs.com/en-US/SOR_External_Career_Site/job/Portland--Oregon-Street---OHA/Bilingual-CAREAssist-Case-Worker--Program-Analyst-1-_REQ-26403 Contact Information Cyndi Phipps-Roman 503-945-6377
Actuarial Analyst - Individual Pricing
Moda Health Portland, OR
Jan 03, 2020
Full time
Let’s do great things, together   Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.  Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Moda Health is seeking an Actuarial Analyst who will provide actuarial services to support Individual lines of business. We are seeking an entry level candidate that has passed 1 - 3 actuarial exams. Primary Functions : 01.    Collaborates with other actuarial staff to determine appropriate rate actions to maintain profitability of Individual products; including Medicare Advantage, Medicare Supplement, ACA major medical, short-term medical, and dental. 02.    Assists in rate filing process and other compliance activities required by State and Federal law. 03.    Produces and distributes a variety of regular monthly, quarterly, and annual reports. 04.    Conducts formula reviews and other peer reviews of analysis and reports produced by teammates. 05.    Communicates rate actions to other departments within Moda Health. 06.    Compiles and verifies data, prepare reports and provide various levels of analysis and modeling work. 07.    Provides guidance and advice regarding rates, benefits and related matters for insurance products. 08.    Perform other duties as assigned. Are you ready to be a betterist?   If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible. Please apply directly here:  https://j.brt.mv/ATS/jb.do?reqGK=27366534&refresh=true   Together, we can be more. We can be better.   Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. Required Skills 01. Bachelor degree or higher in Actuarial Science, Mathematics, Statistics, Economics, Finance, or other closely related field. 02. 0 - 2 years of experience in actuarial role or health insurance industry. 03. Passed 1 -3 actuarial exams administered by SOA, actively pursuing ASA designation. 04. Strong knowledge of accounting principles and financial analysis concepts. 05. Strong skills in Excel, SQL, SAS, and/or R. 06. Strong analytical and communication skills. 07. Ability to manage multiple tasks and deadlines with constantly changing priorities. 08. Ability to set priorities and manage a workload with limited supervision. 09. Project a professional image and maintain complete confidentiality.
RFP Supervisor
Moda Health Portland, OR
Dec 09, 2019
Full time
Let’s do great things, together   Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Moda is seeking a Request for Proposal (RFP) Supervisor. This position will be responsible for supervising and directing the sales & service request for proposal (RFP’s) functions and support staff.  This includes providing day to day leadership, training and support to the RFP Specialists. Coordinates communication to internal staff, including executives, on 200+ quotes both in house and externally. In addition, this individual assists with the presentation of quotes regardless of size.. Primary Functions : 01.    Supervise and direct RFP’s for new potential sales & service and in force groups. 02.    Manage the RFP process associated with new quotes/layouts we haven’t seen before from the agencies we work with. 03.    Lead project manager on special projects as assigned. 04.    Lead sales and service proposal communication initiative/strategies internally and externally. 05.    Responsible for new and ongoing departmental training and documentation around the quoting process. 06.    Coach and motivate staff to provide exceptional service to all clients (internal and external). 07.    Lead projects and facilitate communication between internal departments (and external clients if appropriate) to ensure productivity standards are exceeded and deadlines are met.   08.    Provide management support in the absence of other sales and service management staff.    09.    Work with the sales & service management teams to set proposal objectives and develop an annual marketing plan to meet those objectives. 10.    Responsible for the review and developing our quoting literature. 11.    Provide back-up support.  12.    Perform other duties as assigned. Job Conditions: Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need. Please apply directly here:  https://j.brt.mv/ATS/jb.do?reqGK=27358401&refresh=true Are you ready to be a betterist?   If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.   Together, we can be more. We can be better.   Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. Required Skills 01. Bachelor degree or equivalent, and 3-5 years marketing/sales/supervisory experience in the health insurance industry, specifically in the RFP arena. 02. Strong verbal, written, and interpersonal communication skills. 03. Strong statistical, analytical, problem solving, organizational, and detail orientation skills. 04. Strong project management and organization skills. 05. Strong creativity and vision. 06. Ability to lead, motivate and develop staff. 07. Ability to present internally. 08. Knowledge of Medical, Dental, Vision and Pharmacy insurance business as it relates to each specific 200+ quote. 09. Maintain confidentiality and project a professional business image. 10. Ability to work well under pressure; work with frequent interruptions, and shifting priorities. 11. Computer proficiency preferably with Microsoft Word, Excel, and PowerPoint. 12. Ability to work long, extended hours. At times may need to work through the night.
RN Case Manager
Moda Health Portland, OR
Dec 09, 2019
Full time
Let’s do great things, together   Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Moda Health is seeking a Case Manger RN to perform case management within the boundaries of accreditation organization standards to ensure appropriate care is delivered timely and within the appropriate setting for Moda members; interacts with the member, family and care providers to develop, coordinate and monitor the member’s treatment plan. Primary Functions: •    Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation.  •    Assessment: collection of in-depth information about a member’s situation and functioning to identify individual needs.  •    Planning: identification of specific objectives, goals, and actions designed to meet the member’s needs as identified in the assessment. •    Implementation: execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan. •    Coordination: organization, securing, integrating and modifying resources.  •    Monitoring: gathering sufficient information to determine the plan’s effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes.  Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care.  Utilizes evidence-based criteria that incorporates current and validated clinical research findings.  Practices within the scope of their license. •    Consults with physician advisers to ensure clinically appropriate determinations. •    Serves as a resource to internal and external customers. •    Applies clinical expertise and judgment to ensure compliance with medical policy and criteria of for accepted standards of care while performing Utilization Review and Service Authorizations for members of all books of business. •    Collaborates with other departments to resolve claims, quality of care, member or provider issues.  •    Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts. •    Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues. •    Provides consistent, accurate and timely documentation. •    Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines •    Other duties and responsibilities as assigned Working Condition: - Work is performed in office setting at Moda Tower in Downtown Portland, Oregon - Work week is Monday through Friday - Work in excess of standard work week to meet business needs may occur - Prolonged amount of sitting and working on PC with extensive keyboard and telephonic work daily - Occasional travel for meeting outside of the office - Ergonomic Assessment is provided for each employee upon hire and as needed ensuring work station is ergonomically correct and user-friendly Please apply directly here:  https://j.brt.mv/ATS/jb.do?reqGK=27362725&refresh=true Are you ready to be a betterist?   If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.   Together, we can be more. We can be better.   Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. Required Skills 1. Graduate of accredited school of nursing; two, three or four-year program. 2. Requires current unrestricted Oregon Nursing license as a registered nurse or current Mental Health license or equivalent in Social Service. 3. Certification in case management or utilization review/management required or ability to obtain within 24 months of hire. 4. Must have 3 years recent hospital, home health or acute care experience. 5. Proficient with Microsoft Office applications and type a minimum of 35 wpm on a computer keyboard. 6. Strong analytical, problem solving, memory retention, organizational and detail orientation skills. 7. Exceptional verbal and interpersonal communication skills including management of the angry customer. 8. Ability to work well under pressure. 9. Project a professional business image telephonically and in person. 10. Ability to come in to work on time and on daily basis.
Director, Health Plan Provider Contracting
Moda Health Portland, OR
Dec 09, 2019
Full time
Let’s do great things, together Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Moda Health is seeking a Director of Medical Provider Relations.  This position is responsible for all aspects of provider contracting and network development for the Moda Health provider networks, including medical HMO, PPO, POS, Medicare and Medicaid in Oregon and Alaska; oversees the provider and hospital contracting process and leads network development for new networks; supports development of value based care network models, including risk based contracts and alternate payment models. Primary Functions : 1.    Works with the Vice President of Provider Strategy and Services to develop contracting and network strategies 2.    Directs provider contracting with health systems, hospitals, IPA’s, individual physicians, clinics, ancillary providers, mental health, and chemical dependency providers for all Moda Health and Eastern Oregon CCO networks 3.    Directs the development of new provider networks and maintenance of existing provider networks of physicians, hospitals and other providers with a focus on the development of Alaska provider networks. 4.    Develops contracting strategies related to provider risk models and value based care models  5.    Directs development of unit cost goals, including individual targets, and manages performance against unit cost budget, including implementation of cost containment initiatives 6.    Works with Provider Analytics team to ensure provider contracts meet financial targets 7.    Responsible for regulatory compliance (Medicare, Medicaid, and Commercial programs), related to provider contracts, including oversight for First Tier and delegated entities. 8.    Responsible for representing Provider Contracting in internal projects and working with internal staff to resolve Provider Contracting  issues and impacts, including coordinating departmental contracting and or network strategies with other departments. 9.    Oversees provider rental networks and vendor relationships 10.    Meets regularly with major providers to maintain ongoing provider relations. 11.    Supports Value Based Care activities with providers, including interpreting risk settlements, clinical, and financial reporting related to contract models, and developing and tracking action plans to improve performance and outcomes 12.    Performs other duties as assigned by the VP of Provider Strategy and Services.  Please apply directly here:  https://j.brt.mv/ATS/jb.do?reqGK=27070133&refresh=true ​ Are you ready to be a betterist? If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. Required Skills 1. Bachelor degree in Business, Finance, or Health Care Administration or related field and 8 years of health insurance industry and supervisory experience. 2. At least 5 years of provider contracting experience in a management role 3. Understanding of physician, hospital, and ancillary provider contracts and reimbursement mechanisms, including risk mechanisms, capitation, and alternate payment models. 4. Experience with coordinated care models, ACOs, and Medicare innovation models 5. Deep understanding of provider revenue cycle 6. Ability to work well under pressure, work with frequent interruptions and handle shifting priorities. 7. Strong verbal, written and interpersonal communication skills. 8. Ability to lead, develop and motivate staff 9. Strong problem solving skills