Jobs in Health-Care

Medical Technologist 38
irionline    01-22-2019 United States

Job Details:

Position: Medical Technologist (Full time)

Location: Mobile AL

Pay rate: $17 – $33 (According to experience)

Shift Time: 3:00 pm – 11:30 pm. Schedule is M-F, Rotating weekends

Description:

  • 1 year Clinical experience (high complexity testing) preferred.
  • Minimum of 1 year of clinical laboratory experience in highly complex testing for those with BS/BA in Chemistry or Biology.
  • Prefer ASCP certified, but definitely need to be ASCP eligible.

Special Requirements:

  • Must have the ability to establish work priorities and handle several procedures simultaneously.
  • Must interact with other departments.
  • Contact with clients may be required, good customer service skills are important.
  • Must protect patient confidentiality at all times.

 

Utilization Management Nurse Consultant 3
irionline    01-22-2019 Philadelphia, PA, USA

Job Title: Utilization Management Nurse Consultant

Location:  Philadelphia PA 19103

Pay Rate: $28/HR

Job type (shift time-full and part): 40hrs/week 

Job Description:

Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits in the concurrent review/utilization management setting. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness.

Fundamental Components: Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members in the concurrent review setting Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care Communicates with providers, medical directors and other parties to facilitate medically necessary care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding Effective communication skills, both verbal and written. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer. Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. Typical office working environment with productivity and quality expectations

BACKGROUND/EXPERIENCE:

3-5 years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.

Managed care/utilization review experience preferred Must be proficient with computers and be able to quickly navigate multiple internet applications

EDUCATION:

The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.

LICENSES AND CERTIFICATIONS: Nursing/Registered Nurse is required

ADDITIONAL JOB INFORMATION Become part of an innovative and collaborative team that assists in ensuring that members have access to the care they need at the right time and in the right setting.

Quality Management Nurse Associate 3 3
irionline    01-22-2019 Louisville, KY, USA

Job Title: Quality Management Nurse Associate 3

Duration: 0-5 month(s) Contract

Location: Louisville KY 40223

Pay Rate : $31.50/hr. on W2

 

HEDIS Abstractor (Onsite/Abstraction/Data Entry)

The assignment may encompass medical chart data collection from provider offices, abstraction from medical records received online by a vendor for the HEDIS project and data entry of all assigned medical records into the applicable software system. Training will be provided prior to the start of the assignment. 

Duties Include:

  • Make and confirm site visit appointment (prior to the date of appointment).
  • Timely notification to office of need to cancel/change appointment.
  • Provide patient lists to provider offices via fax.
  • Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter into the applicable software system ALL assigned abstracts.
  • Record onsite appointment schedule and share calendar with your team lead.
  • Meet assignment deadline.
  • Online data abstraction and data entry of the medical information that is needed.
  • Complete assigned abstraction and data entry each day.
  • Perform follow-up to all offices assigned.
  • Attend conference calls as assigned.

Requirements:

  • Medical knowledge/terminology is required.
  • Knowledge of HEDIS and reviewing medical records is required.
  • Ability to read and interpret medical records.
  • Professional demeanor and good work ethic.
  • Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.
  • Excellent verbal and written communication skills – clear, concise and appropriate.
  • Working knowledge and experience may be required with the usage of hand held scanners, iPods, flash drives and laptops (as applicable) in order to collect, save, rename, and transfer confidential information.
  • Computer savvy: Microsoft Word, Excel, email, and Adobe reader (if applicable) required. Know how to save a file to a folder.
  • Must have flexibility to drive within their assigned geographic area; requiring reliable transportation.
  • Must be able to lift 25 lbs.
  • Must dress in business casual attire and maintain a professional appearance.

 Critical Requirements:

  • Must commit to duration of the project with the understanding that work hours can be varied. Due to proprietary information, must inform employer if they are planning to accept employment with another MCO.
  • Be flexible and work under pressure (awareness of and ability to meet deadlines).
  • Must keep all information collected in a safe, organized and confidential manner.
  • Proven organizational and time management skills.
  • Candidate must commit to attend the training for the project.
  • Candidate must return all equipment that is supplied to them in good working condition and in a timely manner at the end of the project.
Utilization Management Nurse Associate 3
irionline    01-22-2019 Linthicum Heights, MD, USA

Job Title: Utilization Management Nurse Associate

Location: Linthicum MD 21090

Pay Rate: $27.00/hr. on W2

Job type (shift time-full and part): 40hrs/week

 

Job Details:

POSITION SUMMARY

  • Utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations.
  • Requires LPN/LVN with unrestricted active license.
  • Fundamental Components:
  • Promotes/supports quality effectiveness of Healthcare Services and benefit utilization
  • Utilizes clinical skills to support coordination, documentation and communication of medical services and/or benefit administration
  • Collects information to support the process of rendering appropriate medical necessity/benefit determinations
  • Identifies members for referral opportunities to integrate with other products, services and/or programs
  • Utilizes clinical experience, criteria/guidelines, policies and procedures in support of making timely and accurate medical necessity/benefit determinations
  • Works well as part of a team
  • Participates in rounds

 

BACKGROUND/EXPERIENCE desired:

  • 2+ years managed care experience.
  • 2+ years clinical experience required
  • LPN with current unrestricted state licensure require

 

EDUCATION

The minimum level of education desired for candidates in this position is an Associate's degree or equivalent experience.

 

LICENSES AND CERTIFICATIONS: LPN with current unrestricted state licensure required.

 

FUNCTIONAL EXPERIENCES

Communications/ is desired

  • Information Management/ is desired
  • Managed Care/ is desired
  • Medical Management/ is desired
  • Functional - Medical Management/Medical Management - Clinical coverage and policies/
  • Functional - Medical Management/Medical Management - Precertification/
  • Functional - Information Management/Microsoft Internet Explorer/
  • Functional - Learning//

 

TECHNOLOGY EXPERIENCES

  • Technical - Desktop Tools/Microsoft Outlook//
  • Technical - Desktop Tools/Microsoft SharePoint//

 

REQUIRED SKILLS

  • Leadership/Collaborating for Results/FOUNDATION
  • Benefits Management/Maximizing Healthcare Quality/FOUNDATION
  • Technology/Leveraging Technology/FOUNDATION

 

Telework Specifications: Option for part time telework will be evaluated after a certain period of employment

 

ADDITIONAL JOB INFORMATION

Looking for energetic person interested in helping build a high performing UM culture and contribute to the growth of a start up

  • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
  • Effective communication skills, both verbal and written.
  • Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
  • Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
  • Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
  • Typical office working environment with productivity and quality expectations
  • Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
  • We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
  • Together we will empower people to live healthier lives.

Client  is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with.

Utilization Management Nurse Associate 4
irionline    01-22-2019 New Albany, OH 43054, USA

Job Title: Utilization Management Nurse Associate

Location: New Albany OH 43054

Pay Rate: $27.00/hr.

Duration: 12-14 month(s)

 

Job Description:

The UM Nurse Associate performs medical necessity review in response to requests for prior authorization of outpatient services. The UM Nurse Associate may also receive incoming calls from Providers submitting requests for prior authorization of services, and make outbound calls to providers as necessary. Utilizes clinical skills to support coordination, documentation and communication of medical services and/or benefit administration. Collects information to support the process of rendering appropriate medical necessity/benefit and determinations. Identifies members for referral opportunities to integrate with other products, services and/or programs Utilizes clinical experience, criteria/guidelines, policies and procedures in support of making timely and accurate medical necessity/benefit determinations.         

QA Architect 16
Axius Technologies Inc.    01-22-2019 Thousand Oaks, CA, USA

Description

Need healthcare experience.

Selenium/Automation

BDD; Cucumber

 

Job Functions / Responsibilities

  • Develop QA Automation, Performance & Agile Implementation Strategy for Software Quality at IT.
  • Provide Quality Assurance leadership for software development projects
  • Provide coaching and mentoring on quality assurance best practices to team members, colleagues and peers
  • Develop and implement improvements to quality control practices Qualifications
  • Demonstrated creative and analytical problem solving and decision making skills
  • A working knowledge of programing languages, database design, and Program Management skills.

Maintained high level of quality while working under pressure and deadlines

Travel Nurse 30
Metasense    01-11-2019 Morristown, NJ 07960, USA

RN Pacu 

Has competent knowledge of all the normal stages of growth and development from Pediatric to Geriatric and delivers patient care appropriately. Performs thorough assessments that are systematic, comprehensive and accurate

Clinical Skills. Consistently demonstrates competent clinical skills. Performs direct patient care activities in support of patient care delivery and team concept. Provides competent and appropriate nursing care to the population of the unit. Demonstrates knowledge and skill of emergency equipment and procedures.

Full-Time Speech - Language Pathologist 102
Credentialed Clinical Placement and Consulting    11-16-2018 Lenox, MA 01240, USA

Credentialed Clinical Placement is now hiring a Speech Language Pathologist to provide rehabilitation services in one or more of our services locations!

The Speech Language Pathologist is responsible for organizing and providing speech-language services to facilitate rehabilitation.

Primary Job Responsibilities:

  1. Develop and implement individualized therapy programs designed to restore, reinforce and enhance performance.
  2. Facilitate the learning of those skills and functions essential for communication and swallowing, to diminish or remediate disorders of deficits.
  3. Directs activities to promote and maintain health, within the scope of practice and consistent with the Code of Ethics of the profession.
  4. Identify need for and make referral to other disciplines to address the comprehensive needs of the patient.
  5. As necessary or applicable, supervises CFY temporary licensees, students and support personnel in accordance with state licensure requirements and professional standards.

Visit our website www.ccplacement.com for other locations.

Full-Time Speech - Language Pathologist 88
Credentialed Clinical Placement and Consulting    11-16-2018 Rawlins, WY 82301, USA

Credentialed Clinical Placement is now hiring a Speech Language Pathologist to provide rehabilitation services in one or more of our services locations!

The Speech Language Pathologist is responsible for organizing and providing speech-language services to facilitate rehabilitation.

Primary Job Responsibilities:

  • Develop and implement individualized therapy programs designed to restore, reinforce and enhance performance.
  • Facilitate the learning of those skills and functions essential for communication and swallowing, to diminish or remediate disorders of deficits.
  • Directs activities to promote and maintain health, within the scope of practice and consistent with the Code of Ethics of the profession.
  • Identify need for and make referral to other disciplines to address the comprehensive needs of the patient.
  • As necessary or applicable, supervises CFY temporary licensees, students and support personnel in accordance with state licensure requirements and professional standards.

Visit our website www.ccplacement.com for other locations.

Full-Time Speech - Language Pathologist 66
Credentialed Clinical Placement and Consulting    11-16-2018 La Grande, OR 97850, USA

Credentialed Clinical Placement is now hiring a Speech Language Pathologist to provide rehabilitation services in one or more of our services locations!

The Speech Language Pathologist is responsible for organizing and providing speech-language services to facilitate rehabilitation.

Primary Job Responsibilities:

  • Develop and implement individualized therapy programs designed to restore, reinforce and enhance performance.
  • Facilitate the learning of those skills and functions essential for communication and swallowing, to diminish or remediate disorders of deficits.
  • Directs activities to promote and maintain health, within the scope of practice and consistent with the Code of Ethics of the profession.
  • Identify need for and make referral to other disciplines to address the comprehensive needs of the patient.
  • As necessary or applicable, supervises CFY temporary licensees, students and support personnel in accordance with state licensure requirements and professional standards.

Visit our website www.ccplacement.com for other locations.

Advanced Search