Qureos Mentor

AdventHealth Celebration

<div>All the benefits and perks you need for you and your family:
<ul><li>Benefits from Day One</li>
<li>Paid Days Off from Day One</li>
<li>Career Development</li>
<li>Whole Person Wellbeing Resources</li>
<li>Mental Health Resources and Support</li>
</ul>Our promise to you:
Joining AdventHealth is about being part of something bigger. Its 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
Shift : Days
Location: 601 East Rollins Street Orlando, FL 32803
The community you'll be caring for: AdventHealth Orlando
<ul><li>Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando</li>
<li>Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America</li>
<li>AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country</li>
<li>We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year</li>
</ul>The role you'll contribute:
As the physician advisor (PA), this role educates, informs, and advises members of the Utilization Management, Health Information Management (HIM), Revenue Cycle, Patient Financial Services, Patient Access, AHS Managed Care departments and applicable medical staff of specific updates, statistical trending and/or changes related to denial prevention measures for our contracted managed care payers. The PA role is responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient care, outpatient care/observation stays and referral services. This position supports and interfaces with the CMO capacities at all facilities within the Central Florida Division South Region by ensuring the delivery of high-quality, efficient healthcare services throughout the continuum of care for the membership served by contracted medical group provider networks. The PA is an important contact for clinicians, external providers, contracted health insurance payers, and regulatory agencies. It also serves as subject matter expert, providing clinical expertise and business direction in support of medical management programs, promoting the delivery of high quality, patient focused and cost-effective medical care. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The value you'll bring to the team:
<ul><li>SCOPE OF RESPONSIBILITY: Responsible for reviewing and authorizing inpatient days and the evaluation of inpatient utilization patterns within service areas to identify areas of improvement, developing specific strategies and criteria addressing areas of need. Collaborates with Senior Medical Officers with contracted managed care payers regarding utilization review management activities and maintain a positive and supportive relationship between the inpatient facilities, health plans and physicians (hospitalist groups and primary care providers). Works in close coordination with the processes of the Utilization Review Management staff for continual process improvement and reporting. Reviews and makes recommendations on appealed provider claims. Provides support, shares administrative call, and maintains collaborative relations with the other medical directors. Advise and educate Utilization Management staff regarding clinical issues. Acts as liaison for and with attending physicians to arrive at most appropriate inpatient/outpatient utilization determinations. Assists in other duties related to utilization review and quality improvement of the network as assigned by the Division CFO/Sr VP, Vice President of Revenue Cycle Operations and/or Executive Director Middle Revenue Cycle/Utilization Management. Reviews data and trends to identify opportunities for utilization improvement to positively influence practice patterns. Conducts regular, ongoing meetings with Utilization Management to ensure continuity and efficiency in the inpatient setting. Develops utilization benchmarking for specialty groups within the Orlando market. Manages specialty-specific quality screens and utilization outliers. Acts as a liaison between contracted Managed Care/Commercial payers related to managed care denials, Utilization Management and the Hospitals Medical Staff to facilitate the accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and risk of mortality, in addition to DRG assignment. Establishes and maintains a presence within the Medical Staff structure and active participation on applicable committees (i.e. JOC/Payer, Revenue Cycle, Finance Committee, etc.).</li>
<li>COMPLIANCE/REGULATORY RESPONSIBILITY: Educates, consults, and advises members of the Medical Staff on regulatory updates and changes related to Care Management and/or Utilization Management. Serves as an active participating member of the Utilization Management (UM) Committee by ensuring committee is actively reviewing and acting upon trends identified through data. Provides trend data of denials to assist in improving payer or care delivery behavior.</li>
<li>OPERATING &amp; CAPITAL BUDGET/FINANCIAL RESPONSIBILITY: Aid in supporting Length of Stay (LOS) strategies (avoidable days) and quality goals. Reviews concurrent payer denials and intervenes with attending and/or consulting physicians and managed care medical directors, as needed, for reconsideration and denial avoidance.</li>
<li>STRATEGIC PLANNING RESPONSIBILITY: Provides input on developing plans for physician education to meet identified needs and provides information to members of the Medical Staff and clinical departments on Utilization Management guidelines and protocols.</li>
</ul>Qualifications
The expertise and experiences you'll need to succeed :
<ul><li>Graduate from medical school and residency program Required</li>
<li>5 Recent clinical practice Required</li>
<li>MD - Physician - State Licensure FL Required</li>
<li>Board certified and eligible for membership on the hospital medical staff Required</li>
</ul>This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Physician Services
Organization: AdventHealth Celebration
Schedule: Full-time
Shift: 1 - Day
Req ID: 25036541
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.</div>

Physician Advisor

<div>Our promise to you:
Joining AdventHealth is about being part of something bigger. Its 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: PRN
Shift : mostly morning 5am and mostly weekends
Location: 400 Celebration Place Celebration, FL 34747
The community you'll be caring for: AdventHealth Celebration
<ul><li>Established in 1997 and now a 203-bed hospital</li>
<li>AdventHealth Celebration Health was designed as a Mediterranean resort-style facility to serve as a cornerstone of health in Disneys planned community of Celebration, Florida</li>
<li>The hospital consistently delivers a state-of-the-art healing environment to residents of Osceola, Orange, Polk and Lake Counties, as well as to visitors from across the United States and the world. All within a 'living laboratory' of groundbreaking, research-driven clinical solutions that integrate mind, body and spirit in the defeat of illness and disease</li>
</ul>The role you'll contribute:
The Laboratory Assistant I performs various laboratory support procedures in assigned areas which may include phlebotomy and/or specimen processing in clinical and anatomical pathology areas. The Laboratory Assistant I must meet the required basic continuing education and department specific requirements. Work customarily involves practical knowledge in various laboratory procedures and support functions.
The value you'll bring to the team:
<ul><li>Performs assigned pre-analytical activities related to laboratory testing, which may include: * Collects patient, physician and test order information in order to create patient accounts. This includes verifying patient identification, insurance information, physician credentials and test order requirements. * Blood specimen collection to include phlebotomy and skin puncture for all age groups * General equipment maintenance, function checks and documentation * Receives, and processes patient specimens which includes separating specimens by centrifugation prior to testing. May include transporting. * Aliquots different sample types, if needed, and either loads preanalytical instruments, which include automated stainers, or delivers them to the testing department * Cytopreparatory staining * Accessioning of surgical cases that requires a knowledge of anatomy. * Receive and set up cultures. Inoculation of different petri dishes for bacterial growth * Blood and/or Blood Component processing, storing, shipping, modifying and selecting compatible products using a validated Transfusion Information System * Performs periodic preventive instrument maintenance and quality assurance procedures as assigned * Cleaning and disinfection of selected or assigned laboratory equipment and spaces, and other pre-analytical activities. * Inventory control and supply stocking</li>
<li>Continually maintains workspaces in a neat, organized, and properly supplied; properly stores documentation and paperwork.</li>
<li>Performs post-analytical activities related to laboratory testing as needed to support assigned department.</li>
<li>Performs various support activities to facilitate operation of assigned department or work area, which may include answering the telephone, clerical and receptionist duties.</li>
</ul>Qualifications
The expertise and experiences you'll need to succeed :
<ul><li>High School Education or equivalent</li>
</ul>This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Laboratory
Organization: AdventHealth Celebration
Schedule: Per Diem
Shift: 1 - Day
Req ID: 25037349
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.</div>

Laboratory Assistant I PRN

Join AdventHealth Celebration and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

AdventHealth Celebration

ABOUT_COMPANY

Physician Advisor

Laboratory Assistant I PRN