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add to favorites Need Workers Comp FCM RN - Per Diem
Case Management is a collaborative process to promote quality cost effective outcomes, which enhance the physical, psycho-social, and vocational health of individuals. This includes assessing, planning, implementing, coordinating, and evaluation of service options. The Case Manager provides technical knowledge and experience to the field of medical case management and strives to eliminate costly mistakes. The goal of the Case Manager is to assist the injured worker in receiving appropriate, cost effective medical care for their injury in a timely manner, and to expedite their return to work.

Work hours: Billable time
Location: Telecommute; local travel when needed

Job Responsibilities:

o Assessment:
- Perform a complete nursing evaluation
- Collect relevant data to the patient’s physical and mental status, functional capability, personal and environmental factors
- Analyze the collected data to determine problems, strengths and needs of the patient
o Planning:
- Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
- Upon authorization, implement this plan of care with patient, physician and health care providers
o Implementation :
- Make regular personal contact to oversee the contracted services in order to maintain quality of care
- Arrange for care/services as needed (home care, procedures, medication, equipment or supplies)
- Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises
- Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved)
o Evaluation:
- Determine the progress and the effectiveness of the care
- Prepare a monthly report of the patient’s progress and specific cost savings
o Professional interaction with EKHS staff, members of the medical community, and all customers of EKHS; both in oral and written forms
o All work is done within the scope of practice for a Registered Nurse in California
o Participate in EKHS Nursing teleconferences and staff meetings as scheduled.
o Adherence to EKHS Employee Handbook
o Other duties as assigned


Job Requirements:

o Graduate of an accredited school of nursing
o Valid California RN license in good standing with no restrictions
o Possesses and can demonstrate the professional and technical skills of a Registered Nurse
o Experience in Field Case Management, Workers' Compensation experience highly preferred, but not required
o Experience in Home Health Care, Occupational Health considered a plus
o Excellent Written and Oral Communication Skills
o Excellent Interpersonal Skills
o Strong Organization Skills
o High comfort level with computers and computer programs (MS Word, MS Excel, Email)
o Ability to work independently with minimal supervision
o Ability to meet deadlines in a high pressure, time sensitive environment
o Ability to lift up to 20 lbs
o Sit (approx. 50-75% of the time), stand (approx. 25-50% of the time), type (25-50% of the time) and do the job with or without reasonable accommodation.
View Original Posting
add to favorites Instructional Designer (Life Sciences or Pharma experience Preferred) 100% Telecommute
We are working with our client in locating exceptional Instructional Designers with strong eLearning backgrounds to interface with various departments across this organization including MD- and PhD-level SME's for the creation of WBT, ILT, and blended learning on pharmaceutical, medical subject, life science, sales, safety, leadership and other technical matter. Qualified candidates will have outstanding writing skills of be very comfortable working with both technical and non-technical subject matter for a variety of audiences. Strong eLearning skills and the ability to create intriguing and engaging training for highly educated audiences.

Job Duties:
* Work with highly technical SME's to develop training related to pharmaceutical and medical subject matter
* Work on non-technical subject matter in the area of sales and leadership.
* Create WBT, ILT and blended learning using mostly Word and to a lesser degree Lectora, Captivate, Adobe Presenter, Articulate, and ProForm. Experience with Lectora and Articulate highly preferred.
* Focus will be on developing engaging eLearning for highly intelligent and educated audiences across a variety of disciplines
Requirement:
* Masters Degree in Instructional Technology, Education or related field preferred
* BS or MS Degree in medical or life science related field a plus
* 10+ years experience in Instructional Design and strong understanding of adult learning principles and competing philosophies on creating effective learning
* 5+ years experience in WBT and blended learning
* 2+ years experience creating medical-related training for pharmaceutical, medical, life sciences and/or biotechnology companies highly preferred
* Exceptional ability to transfer highly technical data into engaging training
* Strong verbal and written communications skills
* Must be able to provide elearning work samples/examples with resume submittal
Start Date: ASAP
Duration: 10 months estimated
Location: Client is located in Southern California but consultant can work offsite (100% telecommute). Must be located on the west coast and preferably in Southern California.

To be considered for this project, please reply to BrendaM@clarityconsultants.com with the following and include #3024 in the subject line of the email:
1. Word version of your resume
2. In the body of the email respond to each bullet points listed under *Requirements* with your relevant skills and experience.
3. If you have worked for a pharmaceutical or medical company before, please include *Pharma* or *Med* in the subject line of your return email.

About Us:
Clarity Consultants represents top tier talent in corporate Training and Development. When Fortune 500 firms have Training & Development needs, they call us first! We get new opportunities daily. If the above opportunity is not for you and you are a Learning and Development professional, please send us your resume by going to our website! We're Clarity Consultants and we represent a world of opportunities to the best and the brightest Training and Development consultants in the United States. For more info and to register with us please visit our website at www.clarityconsultants.com.
Pacific Netsoft
Web: http://www.pacificnetsoft.com
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View Original Posting
add to favorites Sr. Project Manager - Healthcare - Atlanta, GA
Project Manager - Senior PMP

Location: Atlanta, GA
Duration: 10 months

Description/Required Skills:
- Experience with Client, the health insurance industry, and web based projects preferred

- Assist in implementation and/or conversion projects.
- Interface with management, training and documentation with the primary responsibility to support the customers.
- Manage all aspects of in the installation process through project management.
- 10+ years experience in the development and/or implementation of complex business oriented computer systems.
- Comprehensive experience with on-line processing systems.
- Supervisory skills and previous experience mandatory.
- Excellent communication skills with the ability to interface at all personnel levels, both written and verbal.
- Must be a self-starter.
- Good organizational skills, attention to detail, and ability to choose priorities required.
- Project Manager Certification required.
.
General Business Skills:
- PMP Certification.
- Project Life Cycle Methodologies...........10+ years.
View Original Posting
add to favorites Healthcare Project Manager ( (Telecommute) - Thousand Oaks, CA
Project Manager ( 5 position)

Location: Thousand Oaks, CA (Telecommute option)
Duration: 9+ months

Description/Required Skills:
- Healthcare background or experience with Claims, Eligibility, Benefits a plus.
- Has pharmacy or client experience preferred.
- Utilizes tools such as Planview.
- Assist in implementation and/or conversion projects.
- Interface with management, training and documentation with the primary responsibility to support the customers.
- Manage all aspects of in the installation process through project management.
- 10+ years experience in the development and/or implementation of complex business oriented computer systems.
- Comprehensive experience with on-line processing systems.
- Supervisory skills and previous experience mandatory.
- Excellent communication skills with the ability to interface at all personnel levels, both written and verbal.
- Must be a self-starter.
- Good organizational skills, attention to detail, and ability to choose priorities required.
- Project Manager Certification required.
- Provide project management for pharmacy program and lead a specifc migration track.
- Coordinates efforts with client program management, pharmacy business teams, and other IT team members.
- Needs to work in a fast paced environment, good communication skills, and ability to work nights and weekends as requirement by the tasks.
- Healthcare background or experience with Claims, Eligibility, Benefits a plus.
- Has pharmacy or client experience preferred.
- Utilizes tools such as Planview.

General Business Skills:
- Project Life Cycle Methodologies...........6+ years.
- Project Management............6+ years.
View Original Posting
add to favorites Mgr Business Analysis
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.

We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.

As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.

Duties Include:

Positions in this function conduct root cause analysis and oversee implementation of process improvements. They are responsible for researching, reviewing and presenting information for operational and business planning to multiple levels of leadership

They support short and long term operational and strategic business activities by developing, enhancing and maintaining operational information and process models.

They will establish and maintain intimate knowledge of the CAS reporting processes and procedures and will be instrumental in the development and advancement of those tools.

They also develop and implement effective/strategic business solutions through research and analysis of data and business processes.

Ultimately they will manage and be accountable for professional employees and/or supervisors.

Impact of work is most often at the national level

Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.


Job Requirements

Location: Ideal candidate will be located near a UnitedHealth Group office with the opportunity to telecommute.

- 2+ years of health care experience
- 2+ years of business analysis experience
- 5+ years management experience
- Experience with reporting and analysis
- Proficient in data management technology and business software
- Detail oriented
- Strong customer service skills
- Ability to multi-task and meet multiple deadlines
- Problem solver and ability to perform root cause analysis
- Good communication skills, both written and verbal.
View Original Posting
add to favorites Reimbursement Coding Analyst- Inpatient - Saint Cloud, MN
St. Cloud Hospital is a 489-bed, Catholic, non-profit facility with a rich tradition of caring for the people of Central Minnesota. Our exceptional care has earned national recognition: seven-time Thomson Reuters Top 100 Hospital, Thomson Reuters “Everest Award for National Benchmarks", Magnet Award for Excellence in Nursing, and U.S. News & World Report “America’s Best Hospitals." While national awards affirm our quality, compassionate care remains our hallmark.



As the largest health care facility and employer in the region (more than 4,500 employees), St. Cloud Hospital offers a full spectrum of inpatient and outpatient services. From state-of-the-art care for heart disease and cancer to preventive health screenings and behavioral health counseling, our caring, skilled professionals are committed to quality.


Enjoy a progressive culture, competitive pay, exceptional benefits and significant career growth opportunities! To learn more about our culture, please view our St. Cloud Hospital Career Videos at: http://www.centracare.com/career/videos/index.html.

**Upon completion of training, option to telecommute is available.**


Reviews medical record documentation for completeness and accuracy. Assigns diagnostic and procedural codes for inpatient populations. Abstracts data elements from the medical record for billing purposes, governing agency requirements, and hospital specific reporting elements. Implements and abides by Customer Service Standards, St. Cloud Hospital and Health Information Management Coding Compliance Plan.
Requirements

High school diploma or equivalent required. Minimum of an Associates degree from an accredited school of Health Information Technology required.

One year experience and extensive working knowledge of the ICD-9-CM, MS-DRG, coding systems; and knowledge of disease processes, surgical procedures and pharmacology required. Computer knowledge and keyboard skills required.

RHIT or RHIA required or obtained within 6 months of hire. Advanced pathophysiology knowledge. Excellent verbal and written communication skills. Thorough knowledge of clinical documentation requirements for inpatient health records. Thorough knowledge of HIM workflow and revenue cycle processing workflow. Ability to know when to query a physician for additional documentation (information required to accurately assign and/or sequence diagnosis/procedure codes).


To learn more about the St. Cloud Hospital, CentraCare Health System and career opportunities, visit: http://www.centracare.com/


To learn more this opportunity and to apply for immediate consideration, visit our web site today at: http://www.centracare.com/career/index.html


Or call the St. Cloud Hospital Employment department at 800-835-6608.
View Original Posting
add to favorites Work at Home Pharmacists for Night Watch Pharmacy Service
Night WatchTM Pharmacy Service is seeking licensed pharmacists for both day and night positions. You must be clinically oriented, have significant hospital experience, and be willing to seek licensure in multiple states.
This is a full-time work from home position. Shifts are 7 on/7 off (day and night). Salary is competitive. Great health benefits, 401K, and profit sharing.
View Original Posting
add to favorites MEDICAL WRITER / MEDICAL DIRECTOR
UBC-Envision Group, a stable and growing company, is seeking medical writers and medical directors to join our outstanding team. Our clients are among the top pharmaceutical companies in the world. We have medical communication offices in Fairfield, CT; Philadelphia, PA; San Francisco, CA; and Horsham, and Hammersmith, United Kingdom (UK).



WHAT WE OFFER

* Team-based and scientifically exciting environment
* Easily accessible by train and highway
* Medical and dental insurance
* Flexible Spending Accounts – health and dependent care
* Short- and long-term disability insurance
* 401(k) plan with immediate vesting of employer contribution
* 24 days off plus 7 holidays; time off is immediately available
* Company-provided laptop; you may occasionally telecommute
* One of the Top 3 Best Places to Work in CT: 2007, 2008, 2009





JOB DUTIES

* Work with pharmaceutical clients, authors, and key opinion leaders
* Write/edit medical communications and publications including manuscripts, posters, slide kits, and product monographs
* Work with an account manager to coordinate activities with client and internal teams
* Help implement publication planning strategy and implementation
* Ensure your writing/editing is medically and scientifically accurate and meets client objectives, timelines and budgets
* Develop and edit content at authors’ direction/guidance
* Assist with reference gathering and literature searches
* Combine review comments into subsequent revisions
* Circulate drafts for further review/finalization


Requirements

REQUIREMENTS/MUST HAVES

* PhD in biology, pharmacology, biochemistry, biomedicine, or medically related field (MD or PharmD)
* Medical writing experience directed to scientists and/or physicians
* Experience working with pharmaceutical clients, thought leaders, and authors
* Superlative communications skills
* Ability to meet deadlines
* Team player
* Excellent project management skills
* Familiarity with writing and publication guidelines, journal requirements, and other publications’ standards
* Knowledge of American Medical Association (AMA) guidelines and Good Publication Practice (GPP) for pharmaceutical companies
View Original Posting
add to favorites RN-Community Health--Weekend Incentive New Castle
Christiana Care VNA is seeking an experienced RN (minimum one year of med/surg exp) to work three out of four weekends providing skilled home care nursing visits in New Castle County.
A home care career with Christiana Care VNA provides:
State of the Art Technology-Paperless documentation and Home Telemonitoring.
Work Life Balance-Telecommute-Successfully work from home with a supportive administrative team.
Provide Quality, Individualized Patient Care- through evidence-based disease management strategies with a focus on health, wellness and improved clinical outcomes.
We strongly encourage experienced home care nurses to check out our unique opportunities. You will be pleasantly surprised at the difference Christiana Care VNA can make in your quality of life and career growth.
Weekend Incentive Pay-up to $40.85 an hour. Full time benefits available including $5,000 tuition reimbursement.


Job Requirements
See job description for more details.


We find that it is by realizing and respecting differences that we are best able to understand and respond to our patients' needs as well as our employees' goals, creating a more inclusive, team-driven path toward future system success. As a respected member of our team, you'll enjoy an exceptionally supportive environment, access to teaching hospital resources, opportunity to use and develop valuable new skills, and to receive continuing education to further your career.

We offer outstanding family benefits for full and part-time employees, competitive salaries and multiple opportunities for career growth.
View Original Posting
add to favorites Bilingual Care Coordinator - Geriatric Exp Required - Field-base
Job Description

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Evercare is part of the family of companies that UnitedHealth Group one of the leaders across most major segments of the US health care system.

When you use your skills, talent and energy for the patients of Evercare, you'll be able to do more and do it better.

By tapping into our extensive knowledge base to manage care plans for elderly, disabled, and chronically ill people, you'll ensure that their unique needs are fully understood by all care givers. In short, you'll help make a huge health care system work like a personalized health care team.

The Care Coordinator will manage the care of members in their homes or other community settings telephonically, focusing on disease management and keeping members healthy and independent.

Primary responsibilities:

* Engaging members telephonically to coordinate services, community resources, and treatment needs.
* Delivering a holistic approach to coordinated care based on the enrollee needs
* Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file.
* Creating, reviewing and revising Plan of Care plans and focusing on disease management.
* Functioning as an advocate for members and decreasing unnecessary hospitalizations.
* Collaborating with the member's PCP to deliver and coordinate necessary services.
* Building relationships with members and their families; assisting them with proper health choices
* Ensuring cases are documented in a timely manner.

This is a field-based/telecommuting position.

**We have 3 openings; 1 position will be covering Orlando; 1 in Osceola County; 1 in Daytona**

Discover how fulfilling it is to work among more than 75,000 people who are as committed, driven, intelligent and passionate as you. Put your heart into a career with Evercare.


Job Requirements

Qualifications:

* Social service experience
* Geriatric population experience
* Bachelor's degree - social work, psychology, sociology, or human services-related field
* 2+ years of field experience with geriatric population
* Bilingual (Spanish/English)
* Case management experience - preferred



Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
View Original Posting
add to favorites Six Sigma Consultant- Telecommuting Opportunity
Job Description

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

When you work with UnitedHealthcare, what you do matters. It's that simple…and it's that challenging.

In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.

Health Services is focused on driving measurable and meaningful improvement in the use of evidence-based medicine, patient safety, practice variation and affordability. Members of the Health Services team are partnered with our network of physicians, hospitals and other health care professionals to achieve these goals. We are committed to our mission of helping people live healthier lives.

Responsibilities:

* As part of the Health Services team, you will play a pivotal role in developing and implementing initiatives that drive better cost and quality outcomes.
* Collaborating with our Clinical Analytics Team, many business partners and other Six Sigma-certified professionals in the planning, designing, and accomplishing of key projects and programs.
* Managing projects that reduce medical costs savings, improve quality and drive operational efficiency.
* Managing cross functional project teams in a highly matrixed organization.
* Developing timelines, assigning resources, monitoring roadblocks and maintaining project budgets.
* Delivering presentations summarizing project findings to the Health Services Senior Leadership team and other executive audiences.


Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.


Job Requirements

* Undergraduate degree
* A minimum of 5 years of experience with at least 2 years of black belt experience
* Six Sigma Black Belt certification required
* Strong cross functional leadership skills
* Strong software skills in Microsoft Word, Excel, PowerPoint, Visio and Project
* Minitab experience strongly preferred
* Strong written and verbal communication skills.
* Ability to work independently and as well as in a team environment.
* Healthcare and/or insurance industry experience preferred
* Experience developing process improvements
* Experience creating & developing reports.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
View Original Posting

Healthcare Project ...
Project Manager ( 5 position) Location: Thousand Oaks, CA (Telecommute option) Duration: 9+ months Description/Required Skills: - Healthcare background or experience with Claims, Eligibility, Benefits a plus. - Has pharmacy or client experience preferred. - Utilizes tools such as Planview. - Assist in implementation and/or conversion projects. - Interface with management, training and documentation with the primary responsibility to support the customers. - Manage all aspects of in the installation process through project management. - 10+ years experience in the development and/or implementation of complex business oriented computer systems. - Comprehensive experience with on-line processing systems. - Supervisory skills and previous experience mandatory. - Excellent communication skills with the ability to interface at all personnel levels, both written and verbal. - Must be a self-starter. - Good organizational skills, attention to detail, and ability to choose priorities required. - Project Manager Certification required. - Provide project management for pharmacy program and lead a specifc migration track. - Coordinates efforts with client program management, pharmacy business teams, and other IT team members. - Needs to work in a fast paced environment, good communication skills, and ability to work nights and weekends as requirement by the tasks. - Healthcare background or experience with Claims, Eligibility, Benefits a plus. - Has pharmacy or client experience preferred. - Utilizes tools such as Planview. General Business Skills: - Project Life Cycle Methodologies...........6+ years. - Project Management............6+ years.
Created: 2010-02-28
Instructional Designer ...
We are working with our client in locating exceptional Instructional Designers with strong eLearning backgrounds to interface with various departments across this organization including MD- and PhD-level SME's for the creation of WBT, ILT, and blended learning on pharmaceutical, medical subject, life science, sales, safety, leadership and other technical matter. Qualified candidates will have outstanding writing skills of be very comfortable working with both technical and non-technical subject matter for a variety of audiences. Strong eLearning skills and the ability to create intriguing and engaging training for highly educated audiences. Job Duties: * Work with highly technical SME's to develop training related to pharmaceutical and medical subject matter * Work on non-technical subject matter in the area of sales and leadership. * Create WBT, ILT and blended learning using mostly Word and to a lesser degree Lectora, Captivate, Adobe Presenter, Articulate, and ProForm. Experience with Lectora and Articulate highly preferred. * Focus will be on developing engaging eLearning for highly intelligent and educated audiences across a variety of disciplines Requirement: * Masters Degree in Instructional Technology, Education or related field preferred * BS or MS Degree in medical or life science related field a plus * 10+ years experience in Instructional Design and strong understanding of adult learning principles and competing philosophies on creating effective learning * 5+ years experience in WBT and blended learning * 2+ years experience creating medical-related training for pharmaceutical, medical, life sciences and/or biotechnology companies highly preferred * Exceptional ability to transfer highly technical data into engaging training * Strong verbal and written communications skills * Must be able to provide elearning work samples/examples with resume submittal Start Date: ASAP Duration: 10 months estimated Location: Client is located in Southern California but consultant can work offsite (100% telecommute). Must be located on the west coast and preferably in Southern California. To be considered for this project, please reply to BrendaM@clarityconsultants.com with the following and include #3024 in the subject line of the email: 1. Word version of your resume 2. In the body of the email respond to each bullet points listed under *Requirements* with your relevant skills and experience. 3. If you have worked for a pharmaceutical or medical company before, please include *Pharma* or *Med* in the subject line of your return email. About Us: Clarity Consultants represents top tier talent in corporate Training and Development. When Fortune 500 firms have Training & Development needs, they call us first! We get new opportunities daily. If the above opportunity is not for you and you are a Learning and Development professional, please send us your resume by going to our website! We're Clarity Consultants and we represent a world of opportunities to the best and the brightest Training and Development consultants in the United States. For more info and to register with us please visit our website at www.clarityconsultants.com. Pacific Netsoft Web: http://www.pacificnetsoft.com Rate Job * Positive * Neutral * Negative * Misrepresented job * Pays below market level * Not a real job * Position no longer available * Other Please Provide an Explanation (400 character limit) Security For security purposes, please enter the characters seen to the left in the text field below before submitting. Report Job
Created: 2010-03-04
Bilingual Care ...
Job Description UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Evercare is part of the family of companies that UnitedHealth Group one of the leaders across most major segments of the US health care system. When you use your skills, talent and energy for the patients of Evercare, you'll be able to do more and do it better. By tapping into our extensive knowledge base to manage care plans for elderly, disabled, and chronically ill people, you'll ensure that their unique needs are fully understood by all care givers. In short, you'll help make a huge health care system work like a personalized health care team. The Care Coordinator will manage the care of members in their homes or other community settings telephonically, focusing on disease management and keeping members healthy and independent. Primary responsibilities: * Engaging members telephonically to coordinate services, community resources, and treatment needs. * Delivering a holistic approach to coordinated care based on the enrollee needs * Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file. * Creating, reviewing and revising Plan of Care plans and focusing on disease management. * Functioning as an advocate for members and decreasing unnecessary hospitalizations. * Collaborating with the member's PCP to deliver and coordinate necessary services. * Building relationships with members and their families; assisting them with proper health choices * Ensuring cases are documented in a timely manner. This is a field-based/telecommuting position. **We have 3 openings; 1 position will be covering Orlando; 1 in Osceola County; 1 in Daytona** Discover how fulfilling it is to work among more than 75,000 people who are as committed, driven, intelligent and passionate as you. Put your heart into a career with Evercare. Job Requirements Qualifications: * Social service experience * Geriatric population experience * Bachelor's degree - social work, psychology, sociology, or human services-related field * 2+ years of field experience with geriatric population * Bilingual (Spanish/English) * Case management experience - preferred Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Created: 2010-02-24
Reimbursement Coding ...
St. Cloud Hospital is a 489-bed, Catholic, non-profit facility with a rich tradition of caring for the people of Central Minnesota. Our exceptional care has earned national recognition: seven-time Thomson Reuters Top 100 Hospital, Thomson Reuters “Everest Award for National Benchmarks", Magnet Award for Excellence in Nursing, and U.S. News & World Report “America’s Best Hospitals." While national awards affirm our quality, compassionate care remains our hallmark. As the largest health care facility and employer in the region (more than 4,500 employees), St. Cloud Hospital offers a full spectrum of inpatient and outpatient services. From state-of-the-art care for heart disease and cancer to preventive health screenings and behavioral health counseling, our caring, skilled professionals are committed to quality. Enjoy a progressive culture, competitive pay, exceptional benefits and significant career growth opportunities! To learn more about our culture, please view our St. Cloud Hospital Career Videos at: http://www.centracare.com/career/videos/index.html. **Upon completion of training, option to telecommute is available.** Reviews medical record documentation for completeness and accuracy. Assigns diagnostic and procedural codes for inpatient populations. Abstracts data elements from the medical record for billing purposes, governing agency requirements, and hospital specific reporting elements. Implements and abides by Customer Service Standards, St. Cloud Hospital and Health Information Management Coding Compliance Plan. Requirements High school diploma or equivalent required. Minimum of an Associates degree from an accredited school of Health Information Technology required. One year experience and extensive working knowledge of the ICD-9-CM, MS-DRG, coding systems; and knowledge of disease processes, surgical procedures and pharmacology required. Computer knowledge and keyboard skills required. RHIT or RHIA required or obtained within 6 months of hire. Advanced pathophysiology knowledge. Excellent verbal and written communication skills. Thorough knowledge of clinical documentation requirements for inpatient health records. Thorough knowledge of HIM workflow and revenue cycle processing workflow. Ability to know when to query a physician for additional documentation (information required to accurately assign and/or sequence diagnosis/procedure codes). To learn more about the St. Cloud Hospital, CentraCare Health System and career opportunities, visit: http://www.centracare.com/ To learn more this opportunity and to apply for immediate consideration, visit our web site today at: http://www.centracare.com/career/index.html Or call the St. Cloud Hospital Employment department at 800-835-6608.
Created: 2010-02-28
MEDICAL WRITER / MEDICAL ...
UBC-Envision Group, a stable and growing company, is seeking medical writers and medical directors to join our outstanding team. Our clients are among the top pharmaceutical companies in the world. We have medical communication offices in Fairfield, CT; Philadelphia, PA; San Francisco, CA; and Horsham, and Hammersmith, United Kingdom (UK). WHAT WE OFFER * Team-based and scientifically exciting environment * Easily accessible by train and highway * Medical and dental insurance * Flexible Spending Accounts – health and dependent care * Short- and long-term disability insurance * 401(k) plan with immediate vesting of employer contribution * 24 days off plus 7 holidays; time off is immediately available * Company-provided laptop; you may occasionally telecommute * One of the Top 3 Best Places to Work in CT: 2007, 2008, 2009 JOB DUTIES * Work with pharmaceutical clients, authors, and key opinion leaders * Write/edit medical communications and publications including manuscripts, posters, slide kits, and product monographs * Work with an account manager to coordinate activities with client and internal teams * Help implement publication planning strategy and implementation * Ensure your writing/editing is medically and scientifically accurate and meets client objectives, timelines and budgets * Develop and edit content at authors’ direction/guidance * Assist with reference gathering and literature searches * Combine review comments into subsequent revisions * Circulate drafts for further review/finalization Requirements REQUIREMENTS/MUST HAVES * PhD in biology, pharmacology, biochemistry, biomedicine, or medically related field (MD or PharmD) * Medical writing experience directed to scientists and/or physicians * Experience working with pharmaceutical clients, thought leaders, and authors * Superlative communications skills * Ability to meet deadlines * Team player * Excellent project management skills * Familiarity with writing and publication guidelines, journal requirements, and other publications’ standards * Knowledge of American Medical Association (AMA) guidelines and Good Publication Practice (GPP) for pharmaceutical companies
Created: 2010-02-25
Mgr Business Analysis
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix. We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services. As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group. Duties Include: Positions in this function conduct root cause analysis and oversee implementation of process improvements. They are responsible for researching, reviewing and presenting information for operational and business planning to multiple levels of leadership They support short and long term operational and strategic business activities by developing, enhancing and maintaining operational information and process models. They will establish and maintain intimate knowledge of the CAS reporting processes and procedures and will be instrumental in the development and advancement of those tools. They also develop and implement effective/strategic business solutions through research and analysis of data and business processes. Ultimately they will manage and be accountable for professional employees and/or supervisors. Impact of work is most often at the national level Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. Job Requirements Location: Ideal candidate will be located near a UnitedHealth Group office with the opportunity to telecommute. - 2+ years of health care experience - 2+ years of business analysis experience - 5+ years management experience - Experience with reporting and analysis - Proficient in data management technology and business software - Detail oriented - Strong customer service skills - Ability to multi-task and meet multiple deadlines - Problem solver and ability to perform root cause analysis - Good communication skills, both written and verbal.
Created: 2010-02-28
Six Sigma Consultant- ...
Job Description UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. When you work with UnitedHealthcare, what you do matters. It's that simple…and it's that challenging. In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Health Services is focused on driving measurable and meaningful improvement in the use of evidence-based medicine, patient safety, practice variation and affordability. Members of the Health Services team are partnered with our network of physicians, hospitals and other health care professionals to achieve these goals. We are committed to our mission of helping people live healthier lives. Responsibilities: * As part of the Health Services team, you will play a pivotal role in developing and implementing initiatives that drive better cost and quality outcomes. * Collaborating with our Clinical Analytics Team, many business partners and other Six Sigma-certified professionals in the planning, designing, and accomplishing of key projects and programs. * Managing projects that reduce medical costs savings, improve quality and drive operational efficiency. * Managing cross functional project teams in a highly matrixed organization. * Developing timelines, assigning resources, monitoring roadblocks and maintaining project budgets. * Delivering presentations summarizing project findings to the Health Services Senior Leadership team and other executive audiences. Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career. Job Requirements * Undergraduate degree * A minimum of 5 years of experience with at least 2 years of black belt experience * Six Sigma Black Belt certification required * Strong cross functional leadership skills * Strong software skills in Microsoft Word, Excel, PowerPoint, Visio and Project * Minitab experience strongly preferred * Strong written and verbal communication skills. * Ability to work independently and as well as in a team environment. * Healthcare and/or insurance industry experience preferred * Experience developing process improvements * Experience creating & developing reports. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Created: 2010-02-24
RN-Community ...
Christiana Care VNA is seeking an experienced RN (minimum one year of med/surg exp) to work three out of four weekends providing skilled home care nursing visits in New Castle County. A home care career with Christiana Care VNA provides: State of the Art Technology-Paperless documentation and Home Telemonitoring. Work Life Balance-Telecommute-Successfully work from home with a supportive administrative team. Provide Quality, Individualized Patient Care- through evidence-based disease management strategies with a focus on health, wellness and improved clinical outcomes. We strongly encourage experienced home care nurses to check out our unique opportunities. You will be pleasantly surprised at the difference Christiana Care VNA can make in your quality of life and career growth. Weekend Incentive Pay-up to $40.85 an hour. Full time benefits available including $5,000 tuition reimbursement. Job Requirements See job description for more details. We find that it is by realizing and respecting differences that we are best able to understand and respond to our patients' needs as well as our employees' goals, creating a more inclusive, team-driven path toward future system success. As a respected member of our team, you'll enjoy an exceptionally supportive environment, access to teaching hospital resources, opportunity to use and develop valuable new skills, and to receive continuing education to further your career. We offer outstanding family benefits for full and part-time employees, competitive salaries and multiple opportunities for career growth.
Created: 2010-02-25
Need Workers Comp FCM RN - ...
Case Management is a collaborative process to promote quality cost effective outcomes, which enhance the physical, psycho-social, and vocational health of individuals. This includes assessing, planning, implementing, coordinating, and evaluation of service options. The Case Manager provides technical knowledge and experience to the field of medical case management and strives to eliminate costly mistakes. The goal of the Case Manager is to assist the injured worker in receiving appropriate, cost effective medical care for their injury in a timely manner, and to expedite their return to work. Work hours: Billable time Location: Telecommute; local travel when needed Job Responsibilities: o Assessment: - Perform a complete nursing evaluation - Collect relevant data to the patient’s physical and mental status, functional capability, personal and environmental factors - Analyze the collected data to determine problems, strengths and needs of the patient o Planning: - Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation - Upon authorization, implement this plan of care with patient, physician and health care providers o Implementation : - Make regular personal contact to oversee the contracted services in order to maintain quality of care - Arrange for care/services as needed (home care, procedures, medication, equipment or supplies) - Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises - Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved) o Evaluation: - Determine the progress and the effectiveness of the care - Prepare a monthly report of the patient’s progress and specific cost savings o Professional interaction with EKHS staff, members of the medical community, and all customers of EKHS; both in oral and written forms o All work is done within the scope of practice for a Registered Nurse in California o Participate in EKHS Nursing teleconferences and staff meetings as scheduled. o Adherence to EKHS Employee Handbook o Other duties as assigned Job Requirements: o Graduate of an accredited school of nursing o Valid California RN license in good standing with no restrictions o Possesses and can demonstrate the professional and technical skills of a Registered Nurse o Experience in Field Case Management, Workers' Compensation experience highly preferred, but not required o Experience in Home Health Care, Occupational Health considered a plus o Excellent Written and Oral Communication Skills o Excellent Interpersonal Skills o Strong Organization Skills o High comfort level with computers and computer programs (MS Word, MS Excel, Email) o Ability to work independently with minimal supervision o Ability to meet deadlines in a high pressure, time sensitive environment o Ability to lift up to 20 lbs o Sit (approx. 50-75% of the time), stand (approx. 25-50% of the time), type (25-50% of the time) and do the job with or without reasonable accommodation.
Created: 2010-03-06



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