Qureos Mentor

Avera Health

<div><div><div><div><div><div><div><div>Location:
</div></div></div></div></div></div></div>Avera Medical Group Flandreau
Worker Type:
Regular
Work Shift:
Primarily days with rotating weekends and holidays (United States of America)
Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$22.50 - $41.25
Position Highlights
80 hours/2 weeks - 8 hour Day (8-5) including rotating Sat (8am-12pm) &amp; Mon (5-7p) LPN Wage: $22.50 - 31.50 RN Wage: 27.75 - 41.25
**This position may be eligible for $8000 sign-on bonus**
*** : We are seeking a detail-oriented, patient-focused RN or LPN to work closely with a new physician in our clinic. In this role, you&rsquo;ll coordinate patient care, support clinical workflows, and help ensure timely, accurate communication among the physician, patients, and the care team. Your contributions will help us deliver exceptional outcomes and an outstanding patient experience.
<ul><li>Opportunity to provide quality care to patients in a rural setting.
</li><li>Opportunity to care for patients across the lifespan from pediatrics to geriatrics.
</li><li>Faith and family focused care to patients. 
</li></ul> 
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. 
 
A Brief Overview
 
 
Provides for the delivery of professional nursing care under the direction of the provider.
 
 
What you will do 
 
 
<ul><li>Performs general nursing care to patients. Administers prescribed medications and treatments in accordance with nursing standards. Coordinates the patient care activities for the clinic.
</li><li>Prepares equipment and assists provider during procedures, treatments, examinations, and testing of patients.
</li><li>Observes, records, and reports patient&rsquo;s condition and reactions to drugs and treatments to provider.
</li><li>Oversees appointment scheduling and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients.
</li><li>Greets patients and prepares them for physical examination. Screens patients for appropriate information including obtaining the health history, and taking vitals. Documents obtained information in patient chart. Instructs patient in collection of samples and tests.
</li><li>Responds to patient phone calls in a timely manner with appropriate input from the physician.
</li><li>Educates patients and families about diagnostic process, medications, nutrition, and maintenance of health and wellness.
</li><li>Suggests solutions to patient care crisis problems and complaints.
</li><li>Maintains exam rooms with necessary supplies and materials. Ensures cleanliness. Prepares list of medical supplies needed.
</li><li>Assures appropriate labeling of pathology specimens according to lab protocol as needed. Performs quality control and maintains records on all lab testing.
</li></ul> 
Essential Qualifications
 
 
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
 
 
Required Education, License/Certification, or Work Experience: 
 
 
<ul><li>Licensed Practical Nurse (LPN) - Board of Nursing An active license in the state of practice Upon Hire
</li></ul> 
Expectations and Standards 
 
 
<ul><li>Commitment to the daily application of Avera&rsquo;s mission, vision, core values, and social principles to serve patients, their families, and our community.
</li><li>Promote Avera&rsquo;s values of compassion, hospitality, and stewardship.
</li><li>Uphold Avera&rsquo;s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
</li><li>Maintain confidentiality.
</li><li>Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
</li>Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. 
<li>
</li></ul> 
Benefits You Need &amp; Then Some
Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.
<ul><li>PTO available day 1 for eligible hires.
</li><li>Up to 5% employer matching contribution for retirement
</li><li>Career development guided by hands-on training and mentorship
</li></ul>Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .</div>

Registered Nurse (RN)|Licensed Practical Nurse (LPN)|FMC Flandreau Clinic

<div><div><div><div><div><div><div><div>Location:
</div></div></div></div></div></div></div>Avera Health Plans
Worker Type:
Regular
Work Shift:
Primarily days with possible weekends/evenings/holidays (United States of America)
Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$24.00 - $32.25
Position Highlights 
 
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. 
 
A Brief Overview
 
 
The Lead &ndash; Credentialing Operations Specialist plays an integral role on the Avera Health Plan team by supporting the operations and management of Avera Health Plans Provider Credentialing. This role serves as the subject matter expert related to Avera Health Plans provider credentialing for internal and external clients and functions as a resource for credentialing coordinators, Avera Health Plans personnel, vendors and providers.
 
 
What you will do 
 
 
<ul><li>Oversees daily credentialing operations, ensuring compliance, quality, and timely turnaround of credentialing activities.
</li><li>Monitors quality of work by conducting regular audits and tracking results.
</li><li>Resource for provider credentialing coordinators on department procedures using advanced knowledge of credentialing, NCQA requirements, State and Federal Credentialing laws and system configuration within the credentialing software system.
</li><li>Provides guidance, resolves interdepartmental issues, and serves as credentialing subject matter expert for internal and external departments.
</li><li>Monitor shared inboxes and respond within required timeframes.
</li><li>Support departmental projects and accreditation activities, including NCQA audits.
</li><li>Develops and maintains standard operating procedures, job aids and training materials for internal staff and providers completing credentialing.
</li><li>Review credentialing files and prepare Level 2 credentialing files for Credentialing Committee meetings.
</li><li>Prepares credentialing packets and works with physician Medical Directors for review. Ensures decision process is completed within set time-frames.
</li><li>Monitors monthly metrics and aging reports, meeting with other departments to make to make necessary improvements when key performance indicators are not meeting goals.
</li></ul> 
Essential Qualifications
 
 
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
 
 
Required Education, License/Certification, or Work Experience: 
 
 
<ul><li>Bachelor's Healthcare Administration, Business, Health Information or a related field or equivalent years of related experience.
</li><li>Certified Provider Credentialing Specialist (CPCS) - National Association of Medical Staff Services (NAMSS) or
</li><li>Certified Professional Medical Services Management (CPMSM) - National Association of Medical Staff Services (NAMSS)
</li><li>4-6 years Experience in credentialing within a hospital, insurance or managed care environment.
</li><li>In-depth knowledge of provider credentialing processes, regulatory requirements, and industry best practices.
</li></ul> 
Preferred Education, License/Certification, or Work Experience: 
 
 
<ul><li>Strong analytical abilities with proficiency in data analysis and KPIs (Key Performance Indicators) development.
</li><li>Proven ability to enhance operational efficiency in fast-paced settings.
</li><li>Ability to drive continuous process improvements in a fast-paced environment.
</li><li>Experience with the following software: Outlook, Microsoft, Excel, CACTUS/Provider, Epic/Tapestry, Health Trio and Maccess.
</li></ul> 
Expectations and Standards 
 
 
<ul><li>Commitment to the daily application of Avera&rsquo;s mission, vision, core values, and social principles to serve patients, their families, and our community.
</li><li>Promote Avera&rsquo;s values of compassion, hospitality, and stewardship.
</li><li>Uphold Avera&rsquo;s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
</li><li>Maintain confidentiality.
</li><li>Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
</li>Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. 
<li>
</li></ul> 
Benefits You Need &amp; Then Some
Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.
<ul><li>PTO available day 1 for eligible hires.
</li><li>Up to 5% employer matching contribution for retirement
</li><li>Career development guided by hands-on training and mentorship
</li></ul>Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .</div>

Lead - Credentialing Operations Specialist

Join Avera Health 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.

Avera Health

ABOUT_COMPANY

Registered Nurse (RN)|Licensed Practical Nurse (LPN)|FMC Flandreau Clinic

Lead - Credentialing Operations Specialist