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Clinical Recruiter
Remote
Job Locations US-Remote
Requisition ID 2023-86746
# of Openings 1
Job Function Program Management
Job Schedule Regular Full-Time
Job Description Summary
If you are a passionate Talent Acquisition Professional, who, like the rest of our dynamic Recruiting team, does whatever it takes to deliver highly qualified and dedicated clinically credentialed talent, this position is for you! In this position, you will play a part in advancing the Maximus brand across numerous markets and professional communities.
Our leadership team views recruiting as an integral part of their own team, and you will find yourself becoming a true business partner to the operations on a daily basis. We view ourselves as talent acquisition professionals and have an enormous amount of pride in each and every hire we make. We are a diverse and fun bunch who enjoy working (and playing) together.
The Clinical Recruiter recruits qualified physicians for medical staff and assists and coordinates the development of strategic and comprehensive physician recruitment plans in accordance with the needs and goals of the projects. Supports the recruiting of 1099 clinical staff.
Essential Job Duties:
<ul>
<li>Develop and maintain strong relationships with our business leaders. Work together to scope open positions and determine what a successful candidate will look like for their team. Know your business and be prepared to set the stage for a great working relationship and the ability to bring in the best talent. • Be proactive in identifying clinical, operational and medical candidates for the internal stakeholders by utilizing multiple strategies (strong networking, groups affiliations, online databases, social media, Boolean search, complex internet search, etc.).</li>
<li>Efforts will be focused on recruiting highly qualified clinical professionals. Perform a variety of professional and administrative recruiting functions in support of identifying, interviewing, evaluating and selecting qualified candidates to effectively meet the organization’s 1099 staffing requirement. • Recruit for startups which will require high volume recruiting in a fast-paced environment.</li>
<li>Develop a pool of quality candidates for future medical assessment contract work • Think long-term and continually grow a pipeline of qualified candidates. • Share great candidates with other team members or continue to stay in touch regarding future opportunities with our growing and expanding business.</li>
<li>Network to develop and maintain strong working relationships with community organizations and other team members to create a partnership that yields success, predictable results and credibility. • •Engage in the full lifecycle of recruiting (including the scheduling and logistics), ensuring both your candidate and your hiring team are satisfied customers.</li>
<li>Utilize social media to attract “passive” candidates for consideration.</li>
</ul>
Education and Experience Requirements:
<ul>
<li>Bachelor’s degree from an accredited college or university; equivalent experience may be considered in lieu of degree</li>
<li>At least three (3) years of recruiting and sourcing experience required in clinical recruiting</li>
<li>Proven record of meeting the hiring goals in clinical environment; ability to build and maintain a network of medically trained professionals in different settings</li>
<li>Experience sourcing on various job boards including, but not limited to: LinkedIn, CareerBuilder, Indeed</li>
<li>Must be able to demonstrate a high level of professionalism and strong communication (verbal and written) skills to be able to communicate with all levels of management</li>
<li>Ability to effectively respond to and interact with all levels of the organization</li>
<li>Must be a self-motivator and maintain a positive attitude</li>
<li>Negotiation skills to navigate concerns and completing priorities</li>
<li>Confidentiality and professionalism</li>
<li>Exceptional organizational and documentation skills as these positions will require heavy documentation and reporting</li>
<li>Flexibility to respond to urgent client requests or candidate follow-up on evenings and weekends when necessary</li>
<li>Timely and accurate follow-up and follow-through skills</li>
<li>Ability to perform comfortably in a fast-paced, deadline-oriented work environment</li>
<li>Ability to work well as a team member and independently</li>
<li>A high level of computer expertise required, including MS office and applicant tracking systems. Sharepoint</li>
</ul>
Other Requirements:
<ul>
<li>Must be able to work from home and comply with remote working policies and requirements</li>
<li>Must be able to work alternate schedules</li>
</ul>
Job Summary
Essential Duties and Responsibilities:
<ul>
<li>Support project management initiatives in the Application Administration team.</li>
<li>Schedule, plan, and coordinate new projects and build efforts delivered by the application engineering sub team.</li>
<li>Create and maintain project tracking tools and documentation generation.</li>
<li>Support the planning of large installations and maintenance.</li>
<li>Support all phases of the system development life cycle including development, testing, QA and production</li>
<li>Perform other duties as may be assigned by management.</li>
</ul>
Minimum Requirements:
<ul>
<li>Bachelor’s degree with 3+ years of experience.</li>
<li>May have additional training or education in area of specialization.</li>
<li>Develop solutions to a variety of problems of moderate scope &amp; complexity.</li>
<li>General application of concepts &amp; principles.</li>
<li>Contribute to the completion of organizational projects &amp; goals.</li>
<li>Frequent use and general knowledge of industry practices, techniques, and standards.</li>
<li>Apply knowledge and skills to complete a wide range of tasks.</li>
<li>Communicate on complex or sensitive issues or draft responses for supervisor or manager.</li>
</ul>
Pay Transparency
<ul>
<li>Maximus compensation is based on various factors including but not limited to job location, a candidate’s education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.</li>
<li>Annual salary is just one component of Maximus’s total compensation package.</li>
<li>Other rewards may include short- and long-term incentives as well as program-specific awards.</li>
<li>Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off.</li>
<li>Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. 
An applicant’s salary history will not be used in determining compensation.</li>
<li>Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.</li>
</ul>
Posted Max USD $80,000.00/Yr.
Posted Min USD $42,400.00/Yr.

Clinical Recruiter at Maximus

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Title:&nbsp;Clinical Recruiter- Independent Contract (1099 Role)
Location:&nbsp;Remote
Our Company:
At Cerebral, we’re on a mission to democratize access to high-quality mental health care for all. We believe that everyone everywhere deserves to get the care they need, and are striving to make care convenient and accessible, while tackling the stigmas that surround mental illness.
Since launching in January 2020, we have gone from a team of 5 to over 4,000 across the United States. With support from investors like SoftBank, Silver Lake, Access Industries, Bill Ackman, WestCap, and others, and impactful leaders like you, we’ll continue to democratize mental health care and double down on clinical quality and deliver exceptional client outcomes for years to come. With a heavy focus on clinical quality and safety in all that we do, we’ve accomplished excellent outcomes for hundreds of thousands of clients:
<ul>
<li>82% of clients report an improvement in their anxiety symptoms after using Cerebral.</li>
<li>75% of clients who report improvement in their depression see improvement within 60 days.</li>
<li>50% of clients who initially report suicidal ideation no longer harbor suicidal thoughts after treatment with Cerebral.</li>
</ul>
This is just the beginning for Cerebral, and we won’t stop building, growing, and iterating until everyone, everywhere can access high-quality, evidence-based mental health care without high costs and/or long wait times. We’re looking for mission-driven leaders who share these values, and we need your help as we transform access to high-quality mental health care in the United States and beyond.
*This job can be remote anywhere in the US*
The Role: 
Cerebral is looking for an experienced&nbsp;Clinical Recruiter&nbsp;to join our People Team on a&nbsp;contract&nbsp;basis! This is a&nbsp;remote&nbsp;1099 position with a primary focus on filling clinical positions. You’ll source, screen and coordinate candidates through our interview pipeline and be responsible for the full-cycle of recruiting through a start date.
What You’ll Do:
<ul>
<li>Establish, build and maintain relationships with both hiring managers and candidates</li>
<li>Create a high quality pipeline of candidates by various outreach efforts, including via emails, Indeed, ATS, Linkedin and other employment sources daily</li>
<li>Build a pipeline of candidates utilizing the company’s ATS (Greenhouse) and all other resources</li>
<li>Initiate creative strategies to recruit active and passive candidates</li>
<li>Extend offers and negotiate compensation contracts</li>
<li>Coordinate candidates through the interview pipeline</li>
<li>Multitask in a fast paced environment and manage candidate phone calls, email communication and coordination between candidates and hiring team</li>
<li>Manage tasks within a deadline oriented environment</li>
</ul>
A bit about you:
<ul>
<li>Experience with Greenhouse ATS</li>
<li>2+ years track record of successfully recruiting</li>
<li>Innovative sourcing specialist</li>
<li>Excellent communication skills to interact with prospective and existing candidates to discuss assignment details, pay, and hand holding through joining date</li>
<li>Must have a high sense of urgency and accountability while working in a results-oriented environment</li>
</ul>
Who we are (our company values):
<ul>
<li>Client-first Focus&nbsp;– relentless focus on advancing the quality of care, clinical experience, and patient safety</li>
<li>Ethics &amp; Integrity&nbsp;– do what is right and demonstrate ethical principles, even when no one is watching</li>
<li>Commitment&nbsp;– accountable for fully delivering on commitments to our clients and each other</li>
<li>Impact &amp; Quality&nbsp;– make a positive impact and deliver high quality outcomes, based on data and evidence</li>
<li>Empathy&nbsp;– act compassionately, listen to seek understanding, and cultivate psychological safety with clients and colleagues</li>
<li>Collaboration&nbsp;– achieve our goals together as a united team, strengthened by mutual openness, trust, and diversity of thought</li>
<li>Thoughtful Innovation&nbsp;– continuously evolve our ability to deliver on our mission, prioritizing long-term, strategic bets over short-term gains</li>
</ul>

Clinical Recruiter at Cerebral Care

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Senior Specialist Clinical Quality Assurance
Remote Eligible: Remote Global
Location:&nbsp;Diegem, BE
Additional Locations:&nbsp;Netherlands-Kerkrade; Germany-Dsseldorf
Diversity – Innovation – Caring – Global Collaboration – Winning Spirit – High Performance
At Boston Scientific, we’ll give you the opportunity to harness all that’s within you by working in teams of diverse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we’ll help you in advancing your skills and career. Here, you’ll be supported in progressing whatever your ambitions.
We are seeking an engaging and qualified Senior&nbsp;Clinical Quality Assurance Specialist&nbsp;who is aligned with our core values that define Boston Scientific culture and empower our employees:&nbsp;Caring – Meaningful innovation – High performance – Global collaboration – Diversity – Winning spirit.&nbsp;Because a career with Boston Scientific is more than just a job. It’s personal. We’re committed to solving some of healthcare’s toughest problems united by a deep caring for human life. If you’re a natural problem-solver with the imagination, courage, and spirit to make a meaningful difference in clinical quality, there’s no better place to build your career.
This is a remote position supporting a global Clinical team conducting investigational device trials at global sites. Qualified US and OUS candidates are encouraged to apply.
Your responsibilities will include:
Clinical Compliance – Hands-on partnership with Clinical for clinical quality consultation and inspection readiness:
<ul>
<li>Provides clinical quality representation on clinical trial project teams to always foster and inspire clinical teams towards a state of inspection readiness</li>
<li>Provides support and response to compliance and regulation questions including quality review of clinical study documents and related functional study plans</li>
<li>Supports Inspection Readiness program to include inspection readiness training and coordination/participation in Mock BIMO inspections as well as external inspections</li>
<li>Communicates with global clinical teams and Strategic Sourcing regarding clinical vendors, new clinical vendor requests, current clinical vendor needs, and future needs</li>
</ul>
Independent Auditing:
<ul>
<li>Creates risk-based study audit plans; plans, schedules, and conducts internal clinical quality audits, clinical process audits, investigator site audits, and clinical vendor audits to assure BSC clinical investigational trials and post market studies comply with applicable regulatory requirements, quality and GCP standards, and BSC policies and procedures</li>
<li>Documents and communicates audit observations; evaluates impact and makes recommendations for corrections and/or corrective actions. Evaluates responses to audit findings and ensures that appropriate corrections and corrective actions are timely initiated and completed</li>
<li>Keeps abreast of and interprets current worldwide regulatory requirements; advises various stakeholders regarding possible ramifications of regulatory changes</li>
</ul>
Clinical Quality System: Support to the Clinical organization in meeting BSC Quality system requirements
<ul>
<li>Supports Clinical and QS team during External Regulatory/Notified Body audits</li>
<li>Supports the CAPA program, providing quality input for assessing internal noncompliance and recommending initiation of corrections/CAPAs, working closely with Clinical CAPA team and CAPA owners through to successful closure</li>
<li>Participates on clinical process improvement projects and initiatives</li>
<li>Provides review and comment to relevant BSC procedure revisions</li>
<li>Supports departmental, divisional, and corporate quality goals and priorities</li>
<li>Initiates and/or collaborates on continuous improvement projects related to the BSC Clinical Quality Management System.</li>
</ul>
Acquisition integration:
<ul>
<li>Represents Clinical Quality on clinical acquisition/integration teams for identification, assessment, and mitigation of risks associated with the transfer of sponsorship of clinical studies from acquired entities, supporting development and execution of a clinical integration plan, transfer of quality systems, and compliance to GCP and applicable regulations with aim to ensure subject safety and integrity of study data.</li>
</ul>
What we’re looking for in you:
Minimum Qualifications:
<ul>
<li>Minimum of a bachelor’s degree&nbsp;with minimum of 8 years’ experience in the medical device, pharmaceutical, or other industry in an area regulated by GCP regulations and guidelines; OR in the alternative, a life science or Nursing Associate Degree with active Registered Nurse licensure and at least 12 years of relevant experience</li>
<li>Demonstrated clinical research audit experience or suitability to quickly train into clinical study/investigator site auditing role, with one or more of the following proficiencies: clinical research associate/site monitor, clinical trial primary research coordinator, GCP lead auditor, CAPA leader, research compliance, and clinical research SOP author</li>
<li>Demonstrated experience in Clinical Quality Assurance and/or healthcare research compliance</li>
<li>Working knowledge of regulations, standards, paper and electronic Good Documentation Practices, and privacy/security obligations relevant to conducting IDE Trials, including 21 CFR (50, 54, 56, 812, Part 11), GCP (ISO14155:2020 and/or ICH E6 R2), HIPAA and GDPR</li>
<li>Independent, reliable, professional, collaborative, team player aligned with BSC mission, vision, and culture goals</li>
<li>Demonstrated experience with complex verbal and written communication to a variety of stakeholders, as well as successful conflict resolution skills</li>
<li>Strong electronic system adopter/user with understanding of system user access controls and workflow validations process</li>
<li>Ability to travel domestically and internationally up to 30%</li>
</ul>
Preferred Qualifications:
<ul>
<li>RAQP-GCP/ SoCRA or ACRP certification or equivalent</li>
<li>Experience with maintaining compliance to medical device manufacturer quality system or other clinical quality system requirements</li>
<li>EU CA, Health Canada, PMDA, CFDA, BfArM experience</li>
<li>5 or more years of direct clinical quality (GCP) auditing experience</li>
<li>Knowledge of EU MDR</li>
<li>Non-English language(s) proficiency for reliable verbal and written audit related reviews and communication with EU investigational sites (Germany, Italy, Spain)</li>
<li>Demonstrated experience communicating with all levels of the organization</li>
</ul>
Requisition ID:&nbsp;560425
As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do as a global business and as a global corporate citizen.
So, choosing a career with Boston Scientific (NYSE: BSX) isn’t just business, it’s personal. And if you’re a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!

Senior Specialist Clinical Quality Assurance at Boston Scientific

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Clinical CC I – RN
Work from Home, United States
req11167
We’re looking for colleagues who are ready to&nbsp;Think Big, Go Fast, Deliver Awe,&nbsp;and&nbsp;Win Together. These core values embody our diverse and inclusive culture and help us live out our mission of “getting people the care they need when they need it.” Over the last 30 years, our company has established itself as the market leader in managed care for the workers’ compensation industry. We are committed to making a positive impact in the lives of the injured workers we serve, and we have fun doing it.
Salary Range:&nbsp;19.04 – 28.56 Hourly 
Salary may vary based on location, years of experience, qualifications, and skill set.
Benefits Summary: 
In return for your commitment to our company’s mission, we offer a vast array of benefits to help support the whole you.
<ul>
<li>Opportunities to work from home</li>
<li>Competitive wages with opportunities to earn annual merit increases</li>
<li>Paid development hours to use for professional and community development!</li>
<li>Generous paid time off, 8 company holidays, and 2 floating holidays per year</li>
<li>$1,000 Colleague Referral Program</li>
<li>Enterprise Recognition Program rewarding colleagues for their extraordinary work</li>
<li>Exclusive discounts on travel, activities, and merchandise via work discount program</li>
<li>Colleague Assistance Program that provides free counseling and financial services</li>
<li>Tuition Reimbursement Program including certifications</li>
<li>Quantum Health: A healthcare navigation platform to help our colleagues make the best, most cost-effective healthcare decisions</li>
<li>Medical, dental, and vision insurance</li>
<li>Pre-Tax FSA and HSA health savings accounts</li>
<li>401(k) matching</li>
<li>Company paid life insurance</li>
<li>Company paid short term and long-term disability</li>
<li>Referral program</li>
<li>Healthcare concierge</li>
<li>The One Call Foundation which aims to help colleagues during unexpected emergencies, from car accidents to natural disasters.</li>
</ul>
<h3>JOB SUMMARY:</h3>
Provides support to the carrier in coordination of workers’ compensation patients until the case is closed by the carrier and/or discharged by the physician.
<h3>Clinical Care Coordinator I</h3>
Entry level role. Basic skills with moderate level of proficiency. Generally performs a high volume of basic inquires about One Call Care Management’s products and services by following standard scripts and procedures. Works under close supervision without latitude for independent judgment. Consults with senior peers and team leads on non-complex issues to learn through experience. Typically requires zero to one year of experience in a call center or customer service-related position in a service industry. Zero- 2 years of experience in the workers compensation industry. Associates will handle one service line or more and will become knowledgeable in these areas before moving into a level II role.
<h3>GENERAL DUTIES &amp; RESPONSIBILITIES:</h3>
· Manages the completion on any portion of process that Care Coordinator was unable to complete, if any.
· Facilitates flow of evaluation(s), orders, and progress notes from provider(s) to Nurse Case Manager or adjuster per One Call Care Management’s nursing department protocol.
· Reviews MD orders, initial assessments/evaluations and progress notes on patient, and communicates with provider and carrier per One Call Care Management’s Nursing department procedure to provide updates and ensure progress of patient.
· Locates provider(s) or contact established provider(s) to arrange additional service for current patient.
· Communicates with Nurse Case Manager/adjuster and/or provider to ensure appropriate physician orders are obtained and followed.
· Contacts Nurse Case Manager or Adjuster to obtain authorization for additional or continued service(s).
· Creates purchase order(s) per One Call Care Management’s nursing department procedure to authorize additional or continuation of service(s) to provider.
· Utilizes appropriate tracking tools, i.e. authorization logs, Outlook Calendar or Task function, to ensure follow-up on critical timelines as outlined in One Call Care Management’s nursing department procedures for obtaining evaluations/notes, tracking authorizations, and contacting carriers.
· Coordinates quality assurance issues or concerns involving patient care, retrieval of evaluations and/or notes, and authorization of services closely with assigned Quality Assurance nurse.
· Maintains thorough, up-to-date documentation on each patient in patient database.
· Closes file per One Call Care Management’s nursing department procedure once Nurse Case Manager or adjuster cease authorization or physician discharges from home care.
· Notifies appropriate One Call Care Management’s department(s) of referrals requiring their expertise.
· Assists in training new associates as requested by Nursing Department Training Leader.
· Performs special projects as assigned and prioritized by management.
<h3>EDUCATIONAL REQUIREMENTS:</h3>
Registered Nursing degree; (R.N., L.P.N., or M.A.) with a minimum of two (2) years of experience in acute setting, home care, or front and back medical office.
<h3>GENERAL KNOWLEDGE, SKILLS &amp; ABILITIES:</h3>
· Knowledge of the company’s products, services and business operations to enable resolution of customer inquiries
· Excellent customer service skills that build high levels of customer satisfaction
· Excellent verbal and written communication skills
· Computer navigation and operation skills
· Demonstrates effective people skills and sensitivities when dealing with others
· Ability to work both independently and in a team environment

Clinical Registered Nurse at One Call Care Management

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Location:&nbsp; US Locations, must live in Mountain Time; 100% Remote
Compassion. It’s the starting point for health care providers like you and it’s what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you’re also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing&nbsp;your life’s best work.SM
This Position is in MST and the Work Hours are from: 8 am to 5 pm MST ( You must live in the&nbsp;MT time zone)
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing&nbsp;your life’s best work.(sm)
The&nbsp;Home Health Care Coordinator (HHCC) is responsible for the management of authorization requests for home health services in accordance with CMS and nationally recognized standards. As a member of the Home Health team, the HHCC reviews clinical documentation from home health providers and evaluates the medical necessity of requests for services by utilizing InterQual or internally developed clinical criteria. As necessary, the HHCC collaborates with naviHealth Medical Directors and/or health plan care management staff to determine the most appropriate course of action for a member based on clinical factors.
You will enjoy the flexibility to telecommute* as you take on some tough challenges.
<h3>Primary Responsibilities:</h3>
<ul>
<li>Document requests for authorization for home health into naviHealth’s clinical documentation system</li>
<li>Review OASIS documentation and clinical notes from providers and utilize InterQual criteria to determine medical necessity and appropriate authorization for home health services</li>
<li>Understand and apply CMS Chapter 7 guidelines for home health</li>
<li>Follow up with providers as necessary for clarification of clinical documentation of patients’ status</li>
<li>Collaborate with intake team, home health team, appeals/denials teams, and Medical Directors to ensure efficient processing of home health authorization requests in accordance with mandated turnaround times and quality metrics</li>
<li>Notify the health care provider of denials reviewed by the Medical Director • Participate in the regular review of departmental reports on key quality metrics and identify opportunities for systemic improvement</li>
<li>Maintain active clinical licensure in state of residence and knowledge of nationally recognized utilization management, CMS home health regulations, NCQA and URAC standards of practice</li>
<li>Attend naviHealth meetings as requested</li>
<li>Adhere to organizational, departmental, and regulatory policies and procedures</li>
<li>Promote a positive attitude and work environment</li>
<li>Complete cross-training and maintain knowledge of multiple contracts/clients to support coverage needs across the business.</li>
<li>Perform other duties and responsibilities as required, assigned, or requested</li>
</ul>
What are the reasons to consider working for UnitedHealth Group?&nbsp;&nbsp; Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.&nbsp;Some of our offerings include:
<ul>
<li>Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays</li>
<li>Medical Plan options along with participation in a Health Spending Account or a Health Saving account</li>
<li>Dental, Vision, Life&amp; AD&amp;D Insurance along with Short-term disability and Long-Term Disability coverage</li>
<li>401(k) Savings Plan, Employee Stock Purchase Plan</li>
<li>Education Reimbursement</li>
<li>Employee Discounts</li>
<li>Employee Assistance Program</li>
<li>Employee Referral Bonus Program</li>
<li>Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)</li>
<li>More information can be downloaded at:&nbsp;<a href="http://uhg.hr/uhgbenefits">http://uhg.hr/uhgbenefits</a></li>
</ul>
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
<h3>Required Qualifications:</h3>
<ul style="font-weight: 400">
<li>Active, unrestricted registered clinical license in state of residence – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist</li>
<li>1+ years of experience in geriatric care management in a home health setting</li>
<li>Intermediate proficiency&nbsp;with Microsoft Office applications including Outlook, Word, Excel and PowerPoint</li>
</ul>
<h3>Preferred Qualifications:</h3>
<ul style="font-weight: 400">
<li>2+ years of recent experience in utilization management role</li>
<li>2+ years of experience in an acute care setting</li>
<li>2+ years of Wound care experience</li>
<li>Knowledgeable of ICD-10 coding</li>
<li>Knowledgeable with NCQA and URAC standards</li>
<li>Proficient in medical terminology</li>
</ul>
<h3>Soft Skills:</h3>
<ul style="font-weight: 400">
<li>Proven documentation skills</li>
<li>Proven ability to use various office equipment, such as e-fax and telephone system</li>
<li>Independent problem identification/resolution and decision-making skills</li>
<li>Proven excellent written skills and oral communication skills to complete the role telephonically</li>
<li>Demonstrated ability to be detail oriented and able to prioritize, plan, and handle multiple tasks/demands simultaneously</li>
</ul>
<h3>Work Conditions and Physical Requirements:</h3>
<ul style="font-weight: 400">
<li>Ability to establish a home office workspace</li>
<li>Ability to manipulate laptop computer (or similar hardware) between office and site settings</li>
<li>Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time</li>
<li>Ability to communicate with clients and team members including use of cellular phone or comparable communication device</li>
<li>Ability to remain stationary for extended time periods (1 – 2 hours)</li>
</ul>
To protect the health and safety of our workforce, patients, and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state, and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
Careers with Optum.&nbsp;Here’s the idea. We built an entire organization around one giant objective; make health care work better for everyone. So, when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do&nbsp;your life’s best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Colorado, Connecticut or Nevada Residents Only:&nbsp;The salary range for Colorado residents is $31.78 to $56.88. The salary range for Connecticut / Nevada residents is $35.00&nbsp;to $62.45. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives&nbsp;&nbsp;
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group&nbsp;is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

Remote Home Health Clinical Review Coordinator (Mountain Time) at United Health Group

Location:&nbsp; US Locations Pacific Time Zone; 100% Remote
Compassion. It’s the starting point for health care providers like you and it’s what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you’re also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing&nbsp;your life’s best work.SM
This Position is in PST and the Work Hours are from: 8 am to 5 pm PST ( You must live in the&nbsp;PT time zone)
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing&nbsp;your life’s best work.(sm)&nbsp;
The&nbsp;Home Health Care Coordinator (HHCC) is responsible for the management of authorization requests for home health services in accordance with CMS and nationally recognized standards. As a member of the Home Health team, the HHCC reviews clinical documentation from home health providers and evaluates the medical necessity of requests for services by utilizing InterQual or internally developed clinical criteria. As necessary, the HHCC collaborates with naviHealth Medical Directors and/or health plan care management staff to determine the most appropriate course of action for a member based on clinical factors.
You will enjoy the flexibility to telecommute* as you take on some tough challenges.
<h3>Primary Responsibilities:</h3>
<ul>
<li>Document requests for authorization for home health into naviHealth’s clinical documentation system</li>
<li>Review OASIS documentation and clinical notes from providers and utilize InterQual criteria to determine medical necessity and appropriate authorization for home health services</li>
<li>Understand and apply CMS Chapter 7 guidelines for home health</li>
<li>Follow up with providers as necessary for clarification of clinical documentation of patients’ status</li>
<li>Collaborate with intake team, home health team, appeals/denials teams, and Medical Directors to ensure efficient processing of home health authorization requests in accordance with mandated turnaround times and quality metrics</li>
<li>Notify the health care provider of denials reviewed by the Medical Director • Participate in the regular review of departmental reports on key quality metrics and identify opportunities for systemic improvement</li>
<li>Maintain active clinical licensure in state of residence and knowledge of nationally recognized utilization management, CMS home health regulations, NCQA and URAC standards of practice</li>
<li>Attend naviHealth meetings as requested</li>
<li>Adhere to organizational, departmental, and regulatory policies and procedures</li>
<li>Promote a positive attitude and work environment</li>
<li>Complete cross-training and maintain knowledge of multiple contracts/clients to support coverage needs across the business.</li>
<li>Perform other duties and responsibilities as required, assigned, or requested</li>
</ul>
What are the reasons to consider working for UnitedHealth Group?&nbsp;&nbsp; Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.&nbsp;Some of our offerings include:
<ul>
<li>Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays</li>
<li>Medical Plan options along with participation in a Health Spending Account or a Health Saving account</li>
<li>Dental, Vision, Life&amp; AD&amp;D Insurance along with Short-term disability and Long-Term Disability coverage</li>
<li>401(k) Savings Plan, Employee Stock Purchase Plan</li>
<li>Education Reimbursement</li>
<li>Employee Discounts</li>
<li>Employee Assistance Program</li>
<li>Employee Referral Bonus Program</li>
<li>Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)</li>
<li>More information can be downloaded at:&nbsp;<a href="http://uhg.hr/uhgbenefits">http://uhg.hr/uhgbenefits</a></li>
</ul>
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
<h3>Required Qualifications:</h3>
<ul style="font-weight: 400">
<li>Active, unrestricted registered clinical license in state of residence – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist</li>
<li>1+ years of experience in geriatric care management in a home health setting</li>
<li>Intermediate proficiency&nbsp;with Microsoft Office applications including Outlook, Word, Excel and PowerPoint</li>
</ul>
<h3>Preferred Qualifications:</h3>
<ul style="font-weight: 400">
<li>2+ years of recent experience in utilization management role</li>
<li>2+ years of experience in an acute care setting</li>
<li>2+ years of Wound care experience</li>
<li>Knowledgeable of ICD-10 coding</li>
<li>Knowledgeable with NCQA and URAC standards</li>
<li>Proficient in medical terminology</li>
</ul>
<h3>Soft Skills:</h3>
<ul style="font-weight: 400">
<li>Proven documentation skills</li>
<li>Proven ability to use various office equipment, such as e-fax and telephone system</li>
<li>Independent problem identification/resolution and decision-making skills</li>
<li>Proven excellent written skills and oral communication skills to complete the role telephonically</li>
<li>Demonstrated ability to be detail oriented and able to prioritize, plan, and handle multiple tasks/demands simultaneously</li>
</ul>
<h3>Work Conditions and Physical Requirements:</h3>
<ul style="font-weight: 400">
<li>Ability to establish a home office workspace</li>
<li>Ability to manipulate laptop computer (or similar hardware) between office and site settings</li>
<li>Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time</li>
<li>Ability to communicate with clients and team members including use of cellular phone or comparable communication device</li>
<li>Ability to remain stationary for extended time periods (1 – 2 hours)</li>
</ul>
To protect the health and safety of our workforce, patients, and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state, and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
Careers with Optum.&nbsp;Here’s the idea. We built an entire organization around one giant objective; make health care work better for everyone. So, when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do&nbsp;your life’s best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Colorado, Connecticut or Nevada Residents Only:&nbsp;The salary range for Colorado residents is $31.78 to $56.88. The salary range for Connecticut / Nevada residents is $35.00&nbsp;to $62.45. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives&nbsp;
&nbsp;
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Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group&nbsp;is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

Remote Home Health Clinical Review Coordinator (Pacific Time) at United Health Group

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NOC Specialist (Clinical Support)
Location: Remote
Company Description
Amwell is a leading telehealth platform in the United States and globally, connecting and enabling providers, insurers, patients, and innovators to deliver greater access to more affordable, higher quality care. Amwell believes that digital care delivery will transform healthcare. We offer a single, comprehensive platform to support all telehealth needs from urgent to acute and post-acute care, as well as chronic care management and healthy living. With over a decade of experience, Amwell powers telehealth solutions for over 150 health systems comprised of 2,000 hospitals and 55 health plan partners with over 36,000 employers, covering over 80 million lives.
Brief Overview:
As a Network Operations Center Specialist within the Clinical Support Team, you will play a key role in the day to day operations of the Online Care Group, including 24/7/365 physician support, escalation resolution, and handling a high volume of clinical support calls. We are looking for full time employees who have flexible schedules and can work either overnight, evening or weekend hours.
Core Responsibilities:
<ul>
<li>Manage support escalations in conjunction with other team members</li>
<li>Acts as the main point of contact for all provider-related support questions and issues via phone, email and live chat</li>
<li>Answer incoming support phone calls and complete case documentation appropriately</li>
<li>Uses critical thinking skills to prioritize and problem solve escalations</li>
<li>Act as the liaison between the patient and patient’s pharmacy and/or treating physician to resolve open support requests</li>
<li>Triage cases to the Technical Support team as needed for troubleshooting</li>
<li>Upholds tracking of all support escalations utilizing Salesforce tools</li>
<li>Works in collaboration with other NOC pods and departments within American Well to provide the best support possible to our patients and providers</li>
</ul>
Qualifications:
<ul>
<li>Robust interpersonal and communications ability, including strong written and verbal communication skills</li>
<li>Adaptability in a fast-paced start up environment</li>
<li>Fast learner, ready to jump right in with little direction</li>
<li>Ability to effectively communicate via phone, video-conference, and written communication such as live agent chat and email</li>
<li>Keen attention to detail and the ability to multi-task</li>
<li>Proficient in all basic computer functions and programs, including Microsoft Office Suite</li>
<li>Strong customer service orientation and the ability to interact with diverse groups</li>
<li>A proven track record of exercising good judgment and handling constantly changing priorities in a positive, professional environment</li>
<li>Experience resolving issues live on the phone in a call center environment; ability to maintain control of a phone call in tough situations</li>
<li>Associate Degree or Bachelor Degree preferred</li>
<li>1-2 years related experience preferred</li>
</ul>
Additional information
Your Team:
Should you join Amwell and the Clinical Services team, you will support the Online Care Group:
The Online Care Group (OCG) is a physician-owned and operated medical practice. OCG is dedicated to the practice of telehealth, delivering high quality healthcare to patients on a secure, HIPAA compliant, video-based platform. In addition to urgent care, OCG also manages a national behavioral health practice, which includes therapy and psychiatry, as well as a nutrition practice staffed by registered dieticians and a Breastfeeding support practice. The Online Care Group practices across all 50 states – 24 hours/day, 365 days/year.
Working at Amwell:
Amwell is changing how care is delivered through online and mobile technology. We strive to make the hard work of healthcare look easy. In order to make this a reality, we look for people with a fast-paced, mission-driven mentality. We’re a culture that prides itself on quality, efficiency, smarts, initiative, creative thinking, and a strong work ethic.
Our Core Values include One Team, Customer First, and Deliver Awesome. Customer First and Deliver Awesome are all about our product and services and how we strive to serve. As part of One Team, we operate the Amwell Cares program, which brings needed assistance to our communities, whether that be free healthcare for the underserved or for people affected by natural disasters, support for equality, honoring doctors and nurses, or annual Amwell-matched donations to food banks. Amwell aims to be a force for good for our employees, our clients, and our communities.
Amwell cares deeply about and supports Diversity, Equity and Inclusion. These initiatives are highlighted and reflected within our Three DE&amp;I Pillars – our Workplace, our Workforce and our Community.
Amwell is a “virtual first” workplace, which means you can work from anywhere, coming together physically for ideation, collaboration and client meetings. We enable our employees with the tools, resources and opportunities to do their jobs effectively wherever they are! Amwell has collaboration spaces in Boston, Tysons Corner, Portland, Woodland Hills, and Seattle.
<ul>
<li>Unlimited Personal Time Off (Vacation time)</li>
<li>401K match</li>
<li>Competitive healthcare, dental and vision insurance plans</li>
<li>Paid Parental Leave (Maternity and Paternity leave)</li>
<li>Employee Stock Purchase Program</li>
<li>Free access to Amwell’s Telehealth Services, SilverCloud and The Clinic by Cleveland Clinic’s second opinion program</li>
<li>Free Subscription to the Calm App</li>
<li>Tuition Assistance Program</li>
<li>Pet Insurance</li>
</ul>

NOC Specialist Clinical Support at Amwell

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Recruiter – Nursing (Limited Tenure) – Remote
Job ID 191674BR
<ul>
<li>Rochester, Minnesota</li>
<li>Full Time</li>
<li>Human Resources</li>
</ul>
Why Mayo Clinic 
Mayo Clinic is the nation’s best hospital (U.S. News &amp; World Report, 2022-2023) and ranked #1 in more specialties than any other care provider. We have a vast array of opportunities ranging from Nursing, Clinical, to Finance, IT, Administrative, Research and Support Services to name a few. Across all locations, you’ll find career opportunities that support diversity, equity and inclusion. At Mayo Clinic, we invest in you with opportunities for growth and development and our benefits and compensation package are highly competitive. We invite you to be a part of our team where you’ll discover a culture of teamwork, professionalism, mutual respect, and most importantly, a life-changing career!
Mayo Clinic offers a variety of employee benefits. For additional information please visit Mayo Clinic Benefits. Eligibility may vary.
Position description 
The HR Recruiter is responsible for facilitating recruitment to open positions, attract and hire diverse, top talent. Partners with assigned departments and other areas of Human Resources to design and implement effective and creative recruitment plans to meet current and future needs. Recruitment services are delivered by working closely with hiring managers to understand their business, proactively address their staffing needs, and providing recruitment to meet those needs. Individual will align closely with HR Advisor to ensure service line recruitment needs are fulfilled. Implements recruiting tools such as print and electronic media. Provides recruitment services in a positive, timely, service oriented, cost efficient and effective manner. Positively represents the Mayo brand to candidates and promotes a quality candidate experience.
Qualifications 
Bachelor’s degree in a Human Resources, Business Administration or related field required or 5 years recruitment experience preferably with one year in a hospital setting.
Additional qualifications 
Prefer the following certifications: Professional in Human Resources (PHR); Senior Professional in Human Resources (SPHR); Global Professional in Human Resources (GPHR); Society for Human Resource Management Certified Professional (SHRM-CP); Society for Human Resource Management Senior Certified Professional (SHRM-SCP); Recruiter Academy Certified Recruiter (RACR); Association of Staff Physician Recruiter (ASPR); or certifications issued by Human Capital Institute (HCI).
Exemption status 
Exempt
Compensation Detail 
$61,027 – $96,845 / year
Benefits eligible 
Yes
Schedule 
Full Time
Hours / Pay period 
80
Schedule details 
M-F, 8am-5pm. This position may work remotely from any location within the U.S. This is a limited tenure position, with an anticipated end date of December 2023; end date subject to change.
Weekend schedule 
Occasional weekend coverage for recruitment event participation.
Remote 
Yes
International Assignment 
No
Site description 
Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.
Recruiter 
Maggie Kramer
EOE 
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.

Recruiter at Mayo Clinic

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Clinical Operations Manager
Remote
The Clinic Operations Manager, in conjunction with the VP of Clinic Operations, will play a key role in ensuring the overall efficiency of the organization. The Clinic Operations Manager will be responsible for supporting organizational day-to-day needs of operations, and staff. The Clinic Operations Manager will develop, execute and oversee aspects of service delivery, quality assurance, governmental regulations, licensing, regulatory compliance, program policies and practices, assess and address various needs, and issues as they arise. The position will be hands-on, interacting and coordinating with management, staff and clients.
Duties:
<ul>
<li>Ensures policies and procedures are current and make appropriate updates</li>
<li>Continually assesses patient flow for increased efficiencies</li>
<li>Assists in the support and management of medical records ensuring compliance with all applicable laws and regulations.</li>
<li>Coordinates staff to ensure operational efficiency</li>
<li>Ensures appropriate staff training</li>
<li>Works with TA on staffing needs</li>
<li>Organizes and tracks incoming and discharging patients</li>
<li>Weekly organization of incoming patients for clinical discussion</li>
<li>Ownership of CE staff training process</li>
<li>Scheduling, obtaining required documentation, securing, and communicating CE, and assuring the required documentation is received</li>
<li>Maintains staff training library</li>
<li>Combs channels for information and update recurring elements of weekly newsletter</li>
<li>Assure all coverage for clinical staff has been communicated</li>
<li>Develop processes and systems, with guidance and input from CCO</li>
<li>Admin support, e., scheduling meetings, sending invitations, providing zoom links, completing forms, applying for CE’s, formatting patient emails</li>
<li>Ensures completed documentation at the end of a patient’s stay, i.e., aftercare plan and discharge form are sent, MDS is sent to staff, and all signatures are obtained</li>
<li>Supports nurses, continuity managers, program managers</li>
<li>Assists with end of month reports</li>
<li>Assists in clearing the cases for admissions</li>
<li>Manages and updates matrix</li>
<li>Effectively communicate waitlist states and timelines to biz dev and admissions</li>
<li>Manage and track clinical leads and therapist case availability</li>
</ul>
Qualifications:
<ul>
<li>Minimum of 3 years management experience or equivalent.</li>
<li>At least 1 year experience in working with Eating Disorders or in the Healthcare field.</li>
<li>Excellent leadership, organizational and communication skills</li>
<li>Commitment to providing nonjudgmental quality health care</li>
<li>Commitment to working with diverse communities</li>
<li>Detail oriented</li>
<li>Ability to prioritize operational tasks</li>
<li>Project management experience</li>
<li>Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data</li>
<li>Professionalism, punctuality, flexibility, and reliability</li>
<li>Excellent verbal, written, and interpersonal skills</li>
<li>Integrity to handle sensitive information in a confidential manner</li>
<li>Action oriented</li>
<li>Strong problem-solving skills</li>
<li>Excellent organization skills and ability to multitask and juggle multiple priorities</li>
<li>Outstanding ability to follow-through with tasks</li>
<li>Ability to work cooperatively and effectively as part of a team and independently</li>
<li>Strong initiative and enthusiasm and willingness to pitch in whenever needed</li>
</ul>
Pay Range: $70k – $75k/Year

Clinical Operations Manager at Within Health

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Virtual Clinical Intake/Triage Nurse
REMOTE
Atlanta, Georgia, United States
Clinical
Full time
<h3>Description</h3>
Ria Health is on a mission to bring effective evidence-based treatment for alcohol use disorder to all Americans. Our team consists of empathetic mission-driven professionals coming together to support the quality and availability of our national telehealth alcohol treatment program. We are seeking an Enrollment Counselor to join our rapidly growing team. Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $18 million in Series A led by SV Health Investors, LLC. The investment will further the momentum of commercial partnerships that include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health.
JOIN THE RIA HEALTH TEAM!
Join the team that integrates medical care, behavioral support, and technology tools to help members achieve their personal goals in treating alcohol misuse. Ria Health is a Center of Excellence that delivers a Joint Commission accredited program that leverages evidence-based pharmacotherapy, psychosocial support, and an engaging care delivery platform to help members achieve lasting improvements in their quality of life. Ria’s published outcomes data set the standard for effectiveness in alcohol treatment. The Ria program is delivered through telehealth and by a care team of Physicians, Nurse Practitioners, and Coaches with clinical expertise to manage care and outcomes for Ria Health members.
WORK AT RIA HEALTH AS A VIRTUAL CLINICAL INTAKE/TRIAGE NURSE
Our Clinical Intake/ Triage Nurse works in collaboration with both enrollment and clinical teams to support positive patient onboarding outcomes to the Ria Health program.
<ul>
<li>Welcomes patients to our program/complete screening for AUD and determines if appropriate for the program as according to CIWA-AR screening.</li>
<li>Prompt the patient to download the Ria app and sign in to Zoom</li>
<li>Educates patients on breathalyzer use and frequency</li>
<li>Educates patients on Ria Health Medication Formulary and use of Anti-Craving medications, expectations/side effects.</li>
<li>Completes Initial Medical Intake and enters data into Ria Health EMR for clinicians to review.</li>
<li>Completes scheduling of First Medical Appointment.</li>
</ul>
<h3>Requirements</h3>
Education/Experience:
<ul>
<li>RN, Preference will be given to candidates who have all (or close to) 50 state licenses.</li>
<li>3-5 years of experience related to the clinical scope.</li>
<li>Preferred telemedicine experience of at least one year.</li>
<li>Tech-savvy and understands the importance of data security.</li>
<li>Provide excellent medicare care and enjoy communicating with patients through video, messaging, and phone calls.</li>
</ul>
<h3>Other Qualifications:</h3>
Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. Must be able to work well with others. Strong verbal and written communication skills are required. Must be detail-oriented and organized. High integrity, including maintenance of confidential information. Must be able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency.
<h3>Benefits</h3>
Make an impact at a critical time
The pandemic has caused a global crisis; there has been a tremendous increase in anxiety, trauma, and stress for millions of people, increasing the misuse of alcohol. As a result, Ria Health has experienced a 500% increase in demand from patients seeking a specialized treatment program for alcohol misuse. We seek team members motivated to provide high-quality, patient-centered, evidence-based care through telemedicine that improves the health and wellbeing of the people we support.
ENJOY RIA HEALTH BENEFITS
<ul>
<li>Join a team of Mission driven professionals dedicated to offering a next-generation solution in the treatment of heavy alcohol use and addiction</li>
<li>Experience professional growth within a rapidly expanding tech-healthcare company</li>
<li>*Work remotely anywhere in the United States</li>
<li>Career opportunities include full-time, part-time, and on a contract basis</li>
<li>Competitive compensation</li>
<li>Telehealth training and development</li>
<li>Unlimited PTO for full-time team members</li>
</ul>
EQUAL EMPLOYMENT OPPORTUNITY
Ria Health provides equal employment opportunities to all employees and applicants for employment. It prohibits discrimination and harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Ria Health Vision:
A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.
Ria Health Mission:
We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.
Ria Health Values:
Compassion we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.
Integrity We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.
Teamwork working together, we will achieve great things.
Embrace Change we work to drive improvement over perfection, measuring and questioning the status quo to make progress and enhancement.
Always Learning We celebrate curiosity and discovery through development and research.

Virtual Clinical Intake-Triage Nurse at Ria Health

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Clinical Documentation Coder- Remote position
Full time
job requisition id R040576
Building Location: Business Service Center
Department: 46290 Clinical Documentation
Job Description:
Responsible for auditing diagnosis codes within the medical record documentation for completeness, to capture the accurate level of patient acuity and to cross reference with information on Problem Lists and Claim Forms to ensure appropriate and proactive care management and to ensure severity level is reflected in the reimbursement level. This position will also be responsible for identifying coding trends and behaviors and educating providers on better documentation and diagnosis code selection. Responsibilities include cross referencing assigned enrollees under applicable contracts and ensuring that all enrollment information is accurately entered into the EPIC registry. Responsible for initiating enrollee communication, including heath information and ensuring regular provider visits.
Experience:
<ul>
<li>Minimum of 4 years experience with review and interpretation of provider medical record documentation.</li>
</ul>
Education Qualifications:
<ul>
<li>Associate degree required with a preference in business, medical coding, nursing or related field.</li>
</ul>
Licensure/Certification Qualifications:
For Department 46290 – Clinical Documentation only
RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC-H (Certified Professional Coder – Hospital) or CPC (Certified Professional Coder) required upon hire.

Clinical Documentation Coder at Essentia Health

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Senior Clinical Data Manager – REMOTE
Location: Remote
Why consider joining us? As a member of our thriving team, you have the opportunity to work alongside clinical research colleagues who understand the patients’ mindset and their disease experiences. We help translate science into success for trials with a strategic and targeted, patient-centric approach. We are specialists who find solutions for novel trial challenges in our detailed approach throughout every study phase. From the beginning, we have nurtured an employee-centric company culture that focuses on patients’ needs. Precision’s team-focused culture ensures that team members will thrive and learn. These important key elements result in high quality work output while still having fun and giving back to the patient community.
We invite you to explore joining our team who are dedicated to helping our clients, so that ultimately patients can receive much-needed treatments whether it is oncology, rare disease or COVID-19.
About You:
<ul>
<li>Want to do a good job, help others and have a passion for making a difference.</li>
<li>Care about patients and understand the importance of quality data leading to successful outcomes.</li>
<li>Are highly experienced in clinical data management and have keen attention to detail, clear communication abilities and organizational skills.</li>
<li>Foster and value client and internal team collaboration.</li>
<li>Have a strong belief that all team members are valuable and appreciated.</li>
<li>Enjoy working alongside teammates and having project-specific data management and managerial support.</li>
<li>Excited about exercising your data management knowledge and expertise.</li>
<li>Look forward to opportunities to be involved in innovative data management technology initiatives and training.</li>
</ul>
A glimpse into the day to day:
<ul>
<li>Lead all aspects of the clinical trial data management process from pre-study start up to post database lock for assigned projects.</li>
<li>Collaborate with clients and team members to develop Case Report Forms (CRFs) and methodical data cleaning strategies to support protocol endpoints.</li>
<li>Be involved in the Electronic Data Capture (EDC) clinical database development and user acceptance testing (UAT).</li>
<li>Actively cleaning data, managing CRF and query trends and data reporting to ensure a clean database lock ready for analysis.</li>
<li>Work alongside key functional areas (such as Project Management, Biostatistics, Medical, Clinical, Safety, Quality Assurance, etc.).</li>
<li>Standard Operating Procedures / Work Flow Tools (SOPs/WFTs); regulatory directives; study specific plans and guidelines will be followed.</li>
</ul>
Qualifications:
Minimum Required: Bachelor’s degree or in country local equivalent or equivalent related experience
Other Required:
<ul>
<li>Minimum 5 years of Clinical Data Management experience utilizing various clinical database management systems</li>
<li>Broad knowledge of drug, device and/or biologic development and effective data management practices</li>
<li>Proficiency in Microsoft Office: Word, Excel, PowerPoint, Outlook</li>
<li>Excellent organizational, interpersonal &amp; leadership skills</li>
<li>Professional use of the English language; both written and oral</li>
</ul>
Preferred:
<ul>
<li>Experience in a clinical, scientific or healthcare discipline. Understanding of CDISC standards (CDASH, SDTM, etc.).</li>
<li>Academic concentration in one or more of the following, or related discipline; life sciences, computer science, or engineering.</li>
<li>Advanced degree in clinical data management, health informatics, biometrics or similar.</li>
</ul>
Precision medicine is revolutionizing the attack on cancer and rare diseases and we are passionate about helping you harness its power. We strike tumors on a molecular level using biomarkers to link specific mutations to specific treatments. We combine deep science with deep data from advanced technological platforms, then layer on specialized expertise in the design and execution of targeted, adaptive clinical trials. Ultimately, we deliver robust insights that inform real-time decisions and optimize the oncology development pathway.
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Precision Medicine Group is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law. 2020 Precision Medicine Group, LLC
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at QuestionForHR@precisionmedicinegrp.com.

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