Home



Latest Discussions

Members-only content. Please log in or visit http://www.ASHRM.org/membership to join.

Either the content you're seeking doesn't exist or it requires proper authentication before viewing.

Breaking: Industry News

Recently Shared Files

Members-only content. Please log in or visit http://www.ASHRM.org/membership to join.

Either the content you're seeking doesn't exist or it requires proper authentication before viewing.

enews-ad-4.png

Announcements

Log in to see this information

Either the content you're seeking doesn't exist or it requires proper authentication before viewing.

Career Center

  • Orlando, Florida, Description All the benefits and perks you need for you and your family:  Benefits from Day One Paid Days Off from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Pet Insurance* Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense) Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Schedule:   Full Time/Part Time Shift : Varied Shifts Location: Maitland, FL The community you’ll be caring for: Maitland, FL Faith based & mission driven organization Central Florida’s premier multi-specialty medical group Comprehensive Employee Benefits such as Educational Reimbursement CREATION Health employee wellness and lifestyle programs Positive working climate to support a work life balance The role you’ll contribute: The frontline Representative is responsible for fielding and resolving inquiries via phone, chat, and other potential contact methods within the centralized Consumer Experience Center (CxC). Expectations of this role include providing exceptional customer service, striving to anticipate and meet the needs of AdventHealth consumers, treating all consumers and colleagues with dignity and respect, and working collaboratively with colleagues to achieve quality and performance standards. The frontline Representative reports to the department Supervisor and maintains a working knowledge of AdventHealth service offerings, service workflows, and contact center technologies necessary to perform all job functions.  The value you’ll bring to the team: Demonstrate through behavior AdventHealth’s mission, vision, values and service standards as outlined in the organization’s Whole Care Experience training  Maintain competence and use critical thinking skills to promptly resolve consumer inquiries within assigned functional area(s)  Demonstrates empowerment to successfully resolve customer inquiries  Adhere to all established workflows, scripting, and department greetings  Create delightful customer experience by setting proper expectations and consistently following through with end- users  Thoroughly document all interactions and consistently update consumer records in the relevant technology system(s)  Demonstrates appropriate customer-care skills such as empathy, active listening, courtesy, politeness, helpfulness and other skills as identified to a variety of customers including consumers, clinic staff, physicians, CxC colleagues, and leaders  Achieves individual key department performance objectives such as quality assurance and productivity.  Maintain knowledge of CxC and AdventHealth offerings to provide exceptional services  Handle sensitive matters courteously and with professionalism. When appropriate, escalate with leadership for proper awareness and/or resolution.  Adhere to department policies and procedures and HIPAA regulations  Perform other duties as assigned by department leaders   Qualifications The expertise and experiences you’ll need to succeed: Education and Experience Required :  High-school diploma or equivalent  Knowledge and Skills Required :  Ability to articulate the mission of AH and the CxC  Strong attention to detail and ability to take initiative to resolve inquiries and issues  Demonstrated personal commitment to promoting and providing excelled customer service  Demonstrated interpersonal, customer relations, and communication skills; remains patient while interacting with consumers and colleagues  Exhibits desire to continuously learn, improve service delivery, and work in a team environment  Ability to listen and document notes simultaneously  Ability to read, analyze, and interpret verbal and written instruction  Maintains high energy and positive attitude  Ability to remain calm under pressure  Adapts quickly to change and balances multiple priorities in a fast-paced environment  Demonstrates regular, consistent and punctual attendance  Effective communicator in English, both orally and in writing  Computer Proficiency: Microsoft Office Suite programs and basic keyboard typing skills  Technological aptitude to master additional programs and technologies, including CRM, telephony, electronic health records, and other potential systems  This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
  • Nashville, Tennessee, Description Regional Hospital Compliance Officer JOB SUMMARY: The Compliance Officer works directly with Medical Center assigned entity leadership teams to prevent and detect potential regulatory compliance problems while partnering with leadership to increase overall efficiency and effectiveness of clinical, financial and administrative operations. The Compliance Officer will be responsible for the oversight of and guidance related to federal and state regulatory and payment requirements and private contracting issues relevant to the prevention and/or detection of fraud, waste and abuse by the assigned entity and its employees and agents. KEY RESPONSIBILITIES: Consultation. Represent the compliance function in advice to Medical Center leadership and process improvement analysis Knowledge. Maintain extensive and current knowledge of health care compliance in the areas of Medical Center contracting, processes, systems, documentation and billing Policy Development. Coordinate groups and functions to develop and maintain effective and clear policy and procedure applicable throughout the entity assigned Internal Controls. Review and recommend controls and processes implemented by employees and systems to verify appropriate operations Inquiries. Lead investigations into allegations of errors or process improprieties within the entity Liaison. Serve as a liaison between external regulatory auditors and reviewers and the assigned entity Collaboration. Facilitate communication between the assigned entity employees and other functions of OCCI, such as education and auditing & monitoring, to minimize regulatory risk and maximize clinical, financial and administrative efficiency CORE ACCOUNTABILITIES: Organizational Impact: Delivers projects/assignments that have a direct impact on goals/objectives of the unit/department that the job is in. Problem Solving/ Complexity of work: Conducts extensive analysis of situations or data to resolve numerous, complex issues; may involve the input/work of others. Breadth of Knowledge: Has in-depth level of knowledge within a professional area and working knowledge of other areas. Team Interaction: May lead mid-sized projects; coaches and guides team members. CORE CAPABILITIES: SUPPORTING COLLEAGUES (P4): - Develops Self and Others: Invests time, energy and enthusiasm in developing self/others to help improve performance and gain knowledge in new areas. - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships. - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. DELIVERING EXCELLENT SERVICES (P4): - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them. - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions. - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. ENSURING HIGH QUALITY (P4): - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly. - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. MANAGING RESOURCES EFFECTIVELY (P4): - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure. - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area. - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. FOSTERING INNOVATION (P4): - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches. - Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges. - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.
  • Durham, North Carolina, Duke Primary Care Duke Primary Care Duke Primary Care is a broad network of community-based clinics that offer family medicine, internal medicine, pediatric, and urgent care services. With 400 providers in nearly 50 locations, Duke Primary Care is the largest primary care network in the greater Triangle. Our network saw more than 750,000 patient encounters in fiscal year 2021. Our Duke Primary Care clinics provide personalized care for adults and children, from sick visits to preventive care, health screenings to immunizations, and annual exams to chronic disease management. Select primary care clinics also provide behavioral health, diabetes education, pharmacy, and other population health services. Duke Primary Care clinics are accredited and designated a Primary Care Medical Home by The Joint Commission. Our Duke Urgent Care centers offer evaluation and treatment for minor illnesses and injuries 12 hours a day, seven days a week when a patientâ�™s primary care provider is not available. Services also include certain physical exams and vaccinations. A pediatric specialist is available at select locations. Patients can walk in to one of our nine urgent care centers located throughout the greater Triangle or can schedule a virtual visit to receive care from the comfort of home. Duke Nursing Highlights:   Duke University Health System is designated as a Magnet organization Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance!   Registered Nurse-Clinical Team Lead DPC-Triangle Family Medicine     Summary:   The Ambulatory Care Lead RN is a role developed to work in coordination with the nursing leadership in an assigned clinic/practice to ensure the work is accomplished effectively   The Ambulatory Care Lead RN is the first line support for staff, physicians and other related providers on service- specific clinical issues   The Ambulatory Care Lead RN is generally a long-term role, requiring clinical and interpersonal skills   The Ambulatory Care Lead RN collaborates with the manager on clinical and non-clinical issues (employee relations, individual behaviors, physician relationships, etc.).   Ambulatory Care Lead RN is the support for the clinic/practice when the manager is unavailable.   Clinical Team Leader is responsible for supervising, directing, coaching and mentoring their assigned core group of staff   Work Performed: duties and responsibilities include all those required of the ACN IV as well as plan and coordinate clinical requirements for staff and ensure that all CBO and C BE requirements for staff are current   Plan and assist with coordination of staff schedules and submit for manager approval   Coordinate clinical requirements with staff regarding equipment and supplies.   Consult with preceptors and orientees on a regular basis to provide support and determine how          orientation should proceed on an individual basis   Collaborate with the manager for issue resolutions and projects to improve work flow processes throughout the department utilizing a proactive approach.   Collaborate with different departments (pharmacy, radiology, lab, registration) to resolve issues and improve work flow processes throughout the department   Collaborate with the nurse managers in the interview process for new applicants   Mentor/coach staff to enhance their professional development   Assesses the performance of assigned new hires and orientees including entry level nurses ,nursing care assistants and health unit coordinators; provides ongoing feedback and coaching   Understand and communicate potential clinical equipment or supply issues to appropriate team members   .Mentor and monitor the preceptors for all new employees   Provide clinical/education updates and skill check-offs to entire staff on a regular basis.   Provides immediate support and education on policy, procedures, equipment and supplies.   Responsible for learning, implementing and teaching new technology/procedures   Demonstrates awareness of current problems and basic plan for all patients with in assigned area.   Provides clinical consultation and guidance as needed to facilitate patient care   Gives assistance and/or direction to staff to facilitate quality patient flow   Assess staffing needs according to workload and staff competency   Re-assigns and adjusts staffing based upon patient care needs   Delegates responsibilities within the scope of practice and validated competencies in order to meet the workload demands of the shift    Facilitates assignments that support learning for the orientee or nurse learner.   Promotes an atmosphere of open communication that facilitates staffing put into decision-making, resolution of conflict ,and collegiality among all health team members   Communicates in an effective, professional manner   Facilitates staff performance audits related to attitude, team performance   The Joint Commission, DFS Standards and SCIP initiatives   Reviews and comments on forwarded SRSs related to their team   Facilitates and encourages staff participation in departmental and entity committee and council meetings   Attends departmental and entity committee meetings as assigned   Coordinates, facilitates, participates and directs departmental projects with follow- through and appropriate follow-up   Other projects and duties as directed by the department managers   Knowledge, Skills and Abilities:   Knowledge of scope of the registered nurse, licensed practical nurse Competent in BLS and/or other specialized life support requirements and their families Knowledge of and appropriate application of the nursing process Ability to assess nursing needs of acute and chronically ill patients Knowledge of professional theory, practice and procedure designated by work area Ability to establish and maintain effective working relationships, healthcare team, physicians, administrators, leadership and others move or lift at least fifty pounds Able to communicate clearly with patients, families, visitors Working knowledge of procedures and techniques involved in administering Able to use sensory and cognitive functions to process and prioritize nursing care assistant and medical assistant Able to independently seek out resource s and work collaboratively Able to teach patients and families in accordance with the nursing plan of care information, treatment, and follow-up Able to use fine motor skills Able to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Able to use computer and learn new software programs Able to navigate the entity to provide clinical care for patients Able to withstand prolonged standing and walking with the ability to Able to remain focused and organized routine and special treatments to patients Minimum Qualifications Education Bachelor of Science degree in Nursing required. Experience Three years of experience in nursing practice. Selected candidates must meet the Clinical Ladder requirements for CN III within one year of appointment. Degrees, Licensures, Certifications Must have current or compact RN license in the State of North Carolina. BCLS certification is required.       Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.   Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.   Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.  
  • Irving, Texas, Description Summary: The Manager Accreditation will play a critical role in leading the full lifecycle of accreditation for CHRISTUS Health Plan (CHP), particularly National Committee for Quality Assurance (NCQA) Health Plan Accreditation. This role will be responsible for and facilitate all aspects of the NCQA accreditation process including guiding projects and business owners to ensure timelines are met, collaborating with a cross-functional team, and managing performance improvement projects. The Manager is responsible for providing leadership and direction to the team responsible for the many aspects associated with NCQA HP Accreditation. This position will report to Director Health Plan Corporate Services and this position will have two direct reports.  Overall responsibility to assure that CHRISTUS Health Plan is accredited by NCQA Develop and oversee all aspects of NCQA accreditation, including applications, survey submission, document maintenance, ongoing monitoring and audits, standards update and reporting Perform current state and gap assessment of organization's performance against standard and develop performance improvement plans to close gaps Represent CHP and serve as subject matter expert during NCQA audits and site visits Leads the development of policies and procedures to support NCQA compliant operations Collaborate with the Business Intelligence team to develop customized gap and scoring reports Leveraging the gap and scoring reports, develop risk mitigation plans and responsible for communicating status and findings to business owners and leadership Lead and facilitate working ideation sessions with multiple internal stakeholders to develop CHP's NCQA strategy Facilitate the completion of accreditation surveys Collaborate with the finance team for resource needs and planning Manage team of NCQA support staff and collaborate with cross-functional teams Lead education on NCQA standards, communicate updates and ensure readiness with cross-functional teams Identify, develop, and implement cross-functional, cross-departmental work processes across various departments and or the overall health plan(s) to develop standardized processes and support quality improvement initiatives Guide the project management team to develop annual project plans that encompasses details of the accreditation lifecycle Identify internal deficiencies or obstacles with data, systems and processes, and implements enhancements interventions for the area Coordinate compliance of standards across the health plan departments and lines of business Requirements: Bachelor's degree Graduate Degree in Healthcare or Business preferred Solid knowledge of NCQA Health Plan accreditation standards or experience with performance or quality improvement Understanding of healthcare landscape business models Demonstrates ability to lead collaborative teams Highly proficient in Word products 6+ years of healthcare experiences, health plan experience preferred 3+ years NCQA experience with demonstrated ability to guide accreditation activities Experience developing, documenting, and implementing compliant processes and standards Work Type:  Full Time
  • Tacoma, Washington, The reasons to work at MultiCare are as unique as the people who do. Join us for the professional challenges you seek. In the settings you prefer. With schedules that fit your life. Learn more at www.multicarejobs.org Position Summary: The System Vice President for the Oncology Service Line reports directly to the System VP-Services Lines and serves as the system leader in the development of, quality, service line performance, clinical advancement, system program development and growth in Oncology services for MultiCare Health System. This role covers both strategic and clinical development across the organization and oversees the performance standards of the service line; identifying opportunities for growth and improvement across the system; recommending and implementing system-wide solutions and serves as a subject-matter expert and collaborative support advisor to regional leaders, physicians, ancillary support services, and population health teams for clinical expertise, quality improvement, growth, strategic expansion and service line integration and development. The VP for Oncology is responsible for establishing the enterprise-wide key performance indicators and sets system goals in Oncology services, with input from regions, to support the growth and population health goals of the organization. This role also contributes to the development of enterprise-wide clinical pathways in partnership with the Physician Executive for System Service Lines and in collaboration with regional clinical leaders. The System VP for Oncology also has oversight over the strategic direction of Oncology services for MultiCare Health System (to include, oncology medicine and surgery, radiation oncology, infusion services, nutrition and education, integrative services, tumor boards and registry development/management, nurse navigation, genetics and genomics, community programs, applications and patient education programs. Minimum Requirements: Ten (10) years of experience in a managerial capacity to drive and achieve system performance metrics. Consideration may be given to internal candidates not meeting the minimum qualifications Education/Licenses/Certifications: Master?s degree in in a clinical discipline, genetics, hospital administration, public health, or business administration Position Type: Full-Time Regular Full Time Employee: Yes Primary Shift: Day Work Schedule: Per Position Requirements

Most Active Members