Qureos Mentor

Advocate Health Care

<div>
 
 
 Major Responsibilities:
 
 
 
 
 <ul>
 <li>
 Adheres to Medical Assistant scope of practice, follows all policies and procedures, and maintains training and competency based on area of specialty when providing patient care.
 </li>
 <li>
 Performs rooming/visit tasks such as vital signs, medication reconciliation, medical history, health maintenance, allergy review, and screenings (depression, suicide, falls, social drivers of health, etc.).
 </li>
 <li>
 Assists provider with or performs procedures as ordered.
 </li>
 <li>
 Performs lab related duties such as venipuncture, specimen collection/labeling/packing, preparation of lab orders/requisitions, and results tracking. Point of Care testing (POCT) per standing order/provider order. Completes Clinical Laboratory Improvement Amendments (CLIA) approved waived laboratory tests and practice-specific diagnostic testing in adherence to CLIA standards.
 </li>
 <li>
 Administers medications and vaccines safely following the rights of medication administration.
 </li>
 <li>
 Performs other duties as assigned such as medication refills, insurance authorizations, safety/regulatory log completion, patient messaging, medication/supply ordering, appointment scheduling, and referrals.
 </li>
 <li>
 Demonstrates effective and timely communication, teamwork, and appropriate escalation.
 </li>
 <li>
 Maintains a clean work environment ensuring instruments and equipment are cleaned appropriately. Ensures equipment and supplies are in working order, and areas are appropriately stocked.
 </li>
 <li>
 May assist with training and onboarding of other teammates.
 </li>
 <li>
 May serve as a role champion or on a committee.
 </li>
 <li>
 Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.
 
 
 </li>
 </ul>
 
 
 Minimum Job Requirements
 
 
 
 
 
 Education
 
 
 
 
 Greater Charlotte:
 
 
 
 <ul>
 <li>
 High School Diploma or GED required.
 </li>
 <li>
 Completion of an accredited Medical Assistant program or may have completed structured military training which is clinical in nature per DD214 in lieu of a formal medical assistant program or EMT.
 
 
 </li>
 </ul>
 
 IL/WI Divisions:
 
 
 
 <ul>
 <li>
 High School Diploma or GED required.
 </li>
 <li>
 Completion of an accredited or approved program in Medical Assistant, or 2 years of verifiable full-time experience as a Medical Assistant within the last 5 years.
 
 
 </li>
 </ul>
 
 Wake Forest:
 
 
 
 <ul>
 <li>
 High School Diploma or GED required.
 </li>
 <li>
 Completion of an accredited Medical Assistant program or may have completed structured military training which is clinical in nature per DD214 in lieu of a formal medical assistant program or EMT.
 
 
 </li>
 </ul>
 
 Floyd &amp; Navicent:
 
 
 
 <ul>
 <li>
 High School Diploma or GED required.
 </li>
 <li>
 Completion of an accredited or approved program in Medical Assistant, or 2 years of verifiable full-time experience as a Medical Assistant within the last 5 years.
 
 
 </li>
 </ul>
 
 Certification / License
 
 
 
 
 Greater Charlotte:
 
 
 
 <ul>
 <li>
 Current American Heart Association (AHA) BLS certification required.
 </li>
 <li>
 Successful completion of Atrium Health&rsquo;s competency assessment.
 </li>
 <li>
 Recognized or certified as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), National Health Career Association (NHA), National Healthcare Worker's Association (NHCWA), National Center for Competency Testing (NCCT), American Registry of Medical Assistants (ARMA) American Medical Technologists (AMT), National Association for Health Professionals (NAHP), National Registry of Medical Assistants (NRMA).
 </li>
 <li>
 Successful completion of system approved program to become a primary trainer for new teammates.
 
 
 </li>
 </ul>
 
 IL/WI Divisions:
 
 
 
 <ul>
 <li>
 Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 45 days unless department leader has determined it is not required.
 </li>
 <li>
 Certified or registered as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), Certified Clinical Medical Assistant (CCMA) certification issued by the National Health Career Association (NHA), RMA certification issued by the American Medical Technologists (AMT), Medical Assistant (NCMA) certification issued by the National Center for Competency Testing (NCCT), Clinical Medical Assistant Certification (CMAC), or American Medical Certification Association (AMCA).
 
 
 </li>
 </ul>
 
 Wake Forest:
 
 
 
 <ul>
 <li>
 Current American Heart Association (AHA) BLS certification required
 </li>
 <li>
 American Association of Medical Assistants (AAMA), American Medical Technologists (AMT), American Allied Health (AAH), National Healthcare Worker's Association (NHCWA), National Health Career Association (NHA), (MCMA), National Association for Health Professionals (NAHP), National Registry of Medical Assistants (NRMA),
 </li>
 <li>
 Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) may be required within 1 year in select areas.
 </li>
 <li>
 Successful completion of Atrium Health&rsquo;s competency assessment.
 </li>
 <li>
 Demonstrates professional practice advancement through professional governance, safety coach, super-user, vaccine coordinator, SPICE or OSHA/IP certificate holder for unit
 </li>
 <li>
 Achieves 6 points from the list of additional market responsibilities
 
 
 </li>
 </ul>
 
 Floyd &amp; Navicent:
 
 
 
 <ul>
 <li>
 Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 45 days unless department leader has determined it is not required.
 </li>
 <li>
 Certified or registered as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), Certified Clinical Medical Assistant (CCMA) certification issued by the National Health Career Association (NHA), RMA certification issued by the American Medical Technologists (AMT), Medical Assistant (NCMA) certification issued by the National Center for Competency Testing (NCCT), Clinical Medical Assistant Certification (CMAC), or American Medical Certification Association (AMCA).
 
 
 </li>
 </ul>
 
 
 Experience
 
 
 
 
 <ul>
 <li>
 Two years of experience in a clinical practice setting as a Medical Assistant.
 
 
 </li>
 </ul>
 
 
 Knowledge / Skills / Abilities
 
 
 
 
 <ul>
 <li>
 Ability to perform routine and complex technical skills, within the Medical Assistant scope of practice after demonstrated competency.
 </li>
 <li>
 Excellent communication and interpersonal skills; ability to develop rapport and maintain positive, professional relationships with a variety of patients, team members and physicians.
 </li>
 <li>
 Proficient computer skills including keyboarding, navigation within a windows operating system, and use of electronic mail with exposure to electronic medical records systems.
 </li>
 <li>
 Demonstrates customer service skills that support a positive patient experience.
 
 
 </li>
 </ul>
 
 
 Physical Requirements And Working Conditions
 
 
 
 
 <ul>
 <li>
 Must sit, stand, walk, lift, squat, bend, twist, crawl, kneel, climb, and reach above shoulders throughout the workday.
 </li>
 <li>
 Ability to lift 35 pounds without assistance. For patient lifts over 35 pounds, or when patient is unable to assist with lift, patient handling equipment is expected to be used, with at least one other team member, when available.
 </li>
 <li>
 Unique patient lifting/movement situations will be assessed on a case- by -case basis.
 </li>
 <li>
 Must have functional speech, vision, hearing, and touch with ability to use fine-hand manipulation skills.
 </li>
 <li>
 Will be exposed to the following hazards on a frequent basis: mechanical, electrical, chemical, blood and body fluids. Will be required to wear protective clothing and equipment as needed.
 </li>
 <li>
 Operates all equipment necessary to perform the job.
 
 
 </li>
 </ul>
 
 This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
 
</div>

Medical Assistant

<div>
 
 Major Responsibilities
 
 
 
 <ul>
 <li>
 Complete insurance verification and eligibility checks.
 </li>
 <li>
 Collect and accurately document initial pre-certification/authorization information if available. Initiates the process of obtaining a required referral/authorization if not obtained.
 </li>
 <li>
 Work assigned Epic work queue, following the department&rsquo;s workflow process on appropriately transferring, deferring, or removing orders from the work queue.
 </li>
 <li>
 Proactively communicate issues involving customer service and process improvement opportunities to management.
 </li>
 <li>
 Maintains excellent public relations with patients, patients&rsquo; families and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information.
 </li>
 <li>
 Maintains knowledge of and reference materials for Medicare, Medicaid and third-party payer requirements guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans.
 </li>
 <li>
 Update the patient, physician's office, and any necessary parties, through multiple methods as appropriate (including telephone, in-basket messaging, and electronic medical record), regarding responses and outcomes of the prior authorizations.
 </li>
 <li>
 Act as a liaison between physician's office, patient, and pharmacy benefit manager to initiate and resolve appeals, as needed.
 </li>
 <li>
 May identify and assist patients with access to internal and external financial assistance programs.
 </li>
 <li>
 May communicate to the patient and/or physician's office when authorization is not obtained, or services are not covered, and explains the potential financial responsibility. Coordinates with patient, clinical team, and assistance programs to secure reimbursement or alternative covered options.
 </li>
 <li>
 Manages incoming and outgoing calls, which may include other Advocate team members, departments, patients, insurance plans and/or copay foundation/assistance programs.
 
 
 </li>
 </ul>
 
 Licensure, Registration, And/or Certification Required
 
 
 
 <ul>
 <li>
 None Required
 
 
 </li>
 </ul>
 
 Education Required
 
 
 
 <ul>
 <li>
 High School Graduate
 
 
 </li>
 </ul>
 
 Experience Required
 
 
 
 <ul>
 <li>
 Typically requires 1 year of experience in health care, insurance industry, pharmacy, or medical background
 
 
 </li>
 </ul>
 
 Knowledge, Skills &amp; Abilities Required
 
 
 
 <ul>
 <li>
 Demonstrate ability to identify and understand issues and problems. Examines data and draws logical conclusions based on information available
 </li>
 <li>
 Ability to problem solve in a high profile and high stress area
 </li>
 <li>
 Mathematical aptitude, effective communication, and critical thinking skills
 </li>
 <li>
 Ability to prioritize and organize workload
 </li>
 <li>
 Excellent Verbal and written communication skills
 </li>
 <li>
 Demonstrated technical proficiency including experience with insurance authorization/eligibility tools, EPIC, Microsoft Office, Internet browser and telephony systems
 
 
 </li>
 </ul>
 
 Physical Requirements And Working Conditions
 
 
 
 <ul>
 <li>
 Operates all equipment necessary to perform the job
 </li>
 <li>
 Exposed to normal office environment areas, or remote work area
 </li>
 <li>
 Must have the ability to lift to 10 lbs. occasionally
 </li>
 <li>
 Uses a computer continuously throughout the workday
 </li>
 <li>
 Must be able to sit for extended periods of time
 
 
 </li>
 </ul>
 
 Preferred Job Requirements
 
 
 
 
 Preferred Education
 
 
 
 <ul>
 <li>
 No additional education is required
 
 
 </li>
 </ul>
 
 Preferred Experience
 
 
 
 <ul>
 <li>
 No additional experience necessary
 
 
 </li>
 </ul>
 
 Preferred Knowledge/Skills/Abilities
 
 
 
 <ul>
 <li>
 Knowledge of medical terminology
 
 
 </li>
 </ul>
 
 This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
 
</div>

Pharmacy Prior Authorization Agent-Specialty

<div>
 
 This position is eligible for a $2500 sign on bonus, payable after 90 days of hire (Internals not included)
 
 
 
 
 Benefits for review:
 
 
 https://careers.aah.org/benefits/
 
 
 
 
 Job Summary
 
 
 
 The Medical Assistant is a key member of the patient care team by supporting physicians and other clinicians in the delivery of high-quality health care to ambulatory patients. Medical Assistants are vital to the effective operations of a fast-paced medical practice. Medical Assistants help patients transition from the outside world into the provider&rsquo;s office.
 
 
 
 The Medical Assistant performs a variety of important tasks to promote optimal health for our patients, including:
 
 
 
 <ul>
 <li>
 Assist physicians and other clinicians with important clinical duties including but not limited to taking medical histories and assisting in physical examinations
 </li>
 <li>
 Act as a liaison between patients, physicians and other clinicians.
 </li>
 <li>
 Measure patient&rsquo;s vital signs
 </li>
 <li>
 Prepare and administer vaccines/medications
 </li>
 <li>
 Document patient information into the electronic health record
 </li>
 <li>
 Collect specimens for testing
 
 
 </li>
 </ul>
 
 Required Qualifications
 
 
 
 <ul>
 <li>
 High School Diploma or GED
 </li>
 <li>
 Graduate of a medical assistant program or at least two years of medical assistant within the last five years.
 </li>
 <li>
 Good communications skills. Experience using a keyboard and computers.
 </li>
 <li>
 Familiarity with equipment used in ambulatory care.
 </li>
 <li>
 Current AHA CPR certification.
 </li>
 <li>
 Ability to travel locally to multiple sites as needed.
 </li>
 <li>
 Ability to work in stressful conditions and difficult situations.
 </li>
 <li>
 Resilient and flexible in a changing environment.
 </li>
 <li>
 Ability to cooperate and work with others.
 </li>
 <li>
 Ability to make sound and timely decisions and ability to work rotating shifts any day of the week.
 </li>
 <li>
 Ability to perform lifting/transfer activities related to patients as needed, ability to stoop/bend.
 
 
 </li>
 </ul>
 Ability to lift to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis
</div>

Medical Assistant - Immediate Care

<div>
 
 Major Responsibilities
 
 
 
 Clinical responsibilities:
 
 
 Assesses, diagnoses, and determines/alters treatment and management plans appropriate for age, acuity and clinical condition. This includes ordering, performing, and interpreting appropriate diagnostic studies and prescription of pharmacologic and non-pharmacologic interventions and therapies.
 
 
 Manages conditions based on clinical indication, evidence-based care, cost effectiveness, and assessment of risks/benefits and alternatives.
 
 
 Provides health promotion, disease prevention and disease management counseling and education of patients and families.
 
 
 Manages patients as part of an interdisciplinary team and within scope of practice. Seeks physician or other healthcare team member consultation or referrals as appropriate. Escalates need for more emergent or specialized care when necessary.
 
 
 Maintains accurate, complete, concise, and timely documentation in the electronic medical record. Substantiates and submits professional services consistent with compliant coding and billing practices.
 
 
 Facilitates consistent, coordinated care and clear communication among all members of the healthcare team and/or health or community agencies.
 
 
 Performs office or hospital procedures in accordance with specialty practice, competency and granted privileges (where applicable).
 
 
 
 Other Responsibilities
 
 
 
 Participates in quality, safety, and peer review initiatives/performance activities, organizational and/or departmental meetings and committees, peer review, and workgroups as necessary.
 
 
 Participates in education and/or onboarding of new team members, students, and other health care professionals.
 
 
 Seeks experiences to maintain and develop clinical and professional skills and advance the profession within and outside of the organization.
 
 
 Maintains standards of productivity, access, face-to-face time, and quality metrics to ensure optimal, safe and timely patient care delivery.
 
 
 Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.
 
 
 
 License/Registration/Certification Required
 
 
 
 
 MINIMUM EDUCATION AND EXPERIENCE REQUIRED
 
 
 
 Active RN, and APRN/APRN-FPA/APNP or other APRN license(s) in state(s) of practice, AND
 
 
 Active national board certification in area of clinical practice and populations served, AND
 
 
 Active DEA registration prior to hire, AND
 
 
 If Illinois practice: active Illinois Controlled Substance License prior to hire, AND
 
 
 Active BLS and/or ACLS, PALS, NRP as required by clinical practice prior to or within 6 months of hire
 
 
 Education Required: Master&rsquo;s Degree in Nursing
 
 
 Experience Required: Yes, in Pediatrics or Urgent Care
 
 
 
 Knowledge, Skills, And Abilities Required
 
 
 
 Demonstrated high level of clinical proficiency, and excellent decision-making skills.
 
 
 Demonstrated ability to work independently and as an effective member of a health care team.
 
 
 Demonstrated ability to adapt to evolving technology and proficiency with the electronic medical record.
 
 
 Excellent communication skills. Ability to effectively collaborate with and establish/build relationships with others.
 
 
 Proven organizational skills and ability to prioritize effectively.
 
 
 
 Physical Requirements And Working Conditions
 
 
 
 Must be able to stand, walk, bend, stoop, and twist continuously throughout the workday.
 
 
 Must have functional speech, vision, touch, and hearing.
 
 
 
 Must Be Able To
 
 
 
 Lift up to 50 lbs from floor to waist.
 
 
 Lift up to 20 lbs over the head.
 
 
 Carry up to 40 lbs a reasonable distance.
 
 
 Operate all equipment necessary to perform the job.
 
 
 This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
</div>

Pediatric Urgent Care, Advanced Practice Provider, APP, Wilmette - Full Time

Join Advocate Health Care and explore 4   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.

Advocate Health Care

About Company

Medical Assistant

Pharmacy Prior Authorization Agent-Specialty

Medical Assistant - Immediate Care

Pediatric Urgent Care, Advanced Practice Provider, APP, Wilmette - Full Time