Qureos Mentor

Marshfield Clinic Health System

<div><div>Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!</div><div></div><div>
Job Title:</div>
Revenue Management Educator (Remote Option within SHP Service Area)<div></div><div>
Cost Center:</div>
682891390 SHP-Strategic Finance<div></div><div>
Scheduled Weekly Hours:</div>
40<div></div><div>
Employee Type:</div>
Regular<div></div><div>
Work Shift:</div>
Mon-Fri; day shifts (United States of America)<div></div><div>
Job Description:</div><div>
JOB SUMMARY</div><div>
The Security Health Plan Revenue Management Educator is accountable for the successful development, implementation and delivery of educational and training resource materials to assist providers in coding accuracy. The Educator develops and implements strategic action, quality improvement and risk management plans. The Educator provides overall educational support and coding quality assurance activities to both internal and external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the accuracy and integrity of risk adjustment data submitted to the Centers for Medicare &amp; Medicaid Services (CMS) and the Department of Health Services (DHS).</div><div></div><div>
JOB QUALIFICATIONS</div><div></div><div>
EDUCATION</div><div><i>
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.</i></div><div>
Minimum Required: Bachelor&rsquo;s degree with an emphasis in a business or medical field, or a registered nurse degree. Completion of courses in Current Procedural Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category (HCC) coding.</div><div></div><div>
Preferred/Optional: Bachelor of Science in Nursing.</div><div></div><div>
EXPERIENCE</div><div>
Minimum Required: Three years&rsquo; experience in a health insurance, nursing,</div><div>
compliance, or auditing related position. Knowledge of CPT coding rules, ICD‐9 and ICD‐10</div><div>
codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding, use of modifiers, documentation guidelines, CMS Policy requirements, and other reimbursement guidelines. Demonstrated knowledge of anatomy/physiology, medical terminology, Word, Excel, Power Point and Access.</div><div></div><div>
Preferred/Optional: Adult education/training and curriculum development.</div><div></div><div>
CERTIFICATIONS/LICENSES</div><div><i>
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.</i></div><div>
Minimum Required: Certified Professional Coder certification awarded by American Academy of Professional Coders required within one year. State of Wisconsin Registered Nurse license (if applicable).</div><div></div><div>
Preferred/Optional: Certified Risk Adjustment Coder awarded by American Academy of Professional Coders.</div><div></div><div>
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.</div><div></div><div>
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System&rsquo;s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.</div><div></div><div>
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.</div></div>

Revenue Management Educator (Remote Option within SHP Service Area)

<div><div>Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!</div><div></div><div>
Job Title:</div>
Registered Nurse - Nail Care<div></div><div>
Cost Center:</div>
301351253 Mfld-Podiatry<div></div><div>
Scheduled Weekly Hours:</div>
36<div></div><div>
Employee Type:</div>
Regular<div></div><div>
Work Shift:</div>
Mon-Fri; day shifts (United States of America)<div></div><div>
Job Description:</div><div></div><div>
JOB SUMMARY</div><div>
The Registered Nurse &ndash; Nail Care functions as a vital member of the healthcare team who contributes to the success of Marshfield Clinic Health System by demonstrating customer/patient focus, effective communication, professionalism and self-development, and teamwork. This individual utilizes the nursing process to assess, plan, implement, and evaluate comprehensive care provided to selected patient populations and their families. The RN &ndash; Nail Care demonstrates excellent clinical, problem-solving, interpersonal, and leadership skills, and makes decisions consistent with Marshfield Clinic Health System policies, department protocols/guidelines, and the Wisconsin Nurse Practice Act.</div><div></div><div>
JOB QUALIFICATIONS</div><div></div><div>
EDUCATION</div><div><i>
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.</i></div><div>
Minimum Required: Bachelor's in Nursing.</div><div></div><div>
Preferred/Optional: None</div><div></div><div>
EXPERIENCE</div><div>
Minimum Required: None</div><div></div><div>
Preferred/Optional: Experience as Certified Wound Ostomy Care Nurse/Nail Care RN.</div><div></div><div>
CERTIFICATIONS/LICENSES</div><div><i>
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.</i></div><div>
Minimum Required: Current State of Wisconsin Registered Nurse License or Nurse Compact License.</div><ul><li><div>
Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) within three months of hire.</div></li><li><div>
Wound Ostomy and Continence Nursing Certification Board (WOCNCB).</div></li></ul><div></div><div>
Preferred/Optional:</div><ul><li><div>
Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) at time of hire.</div></li></ul><ul><li><div>
Certified Wound Care Nurse (CWCN) and Certified Ostomy Care Nurse (COCN) offered by the Wound Ostomy and Continence Nursing Certification Board (WOCNCB), (CFCN) Certified Foot Care Nurse.</div></li></ul><div></div><div>
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.</div><div></div><div>
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System&rsquo;s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.</div><div></div><div>
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.</div></div>

Registered Nurse - Nail Care

<div><div>Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!</div><div></div><div>
Job Title:</div>
RN Case Manager - Hospital<div></div><div>
Cost Center:</div>
301081552 Care Delivery-Cross Region Utilization Management<div></div><div>
Scheduled Weekly Hours:</div>
40<div></div><div>
Employee Type:</div>
Regular<div></div><div>
Work Shift:</div>
Mon-Fri; day shifts (United States of America)<div></div><div>
Job Description:</div><div>
JOB SUMMARY</div><div>
The RN Case Manager serves as part of the collaborative care team, addressing the patient&rsquo;s plan of care and expected outcomes with special attention being given to progression towards discharge. The RN Case Manager serves as a resource to the care team with regards to discharge planning and provides review of medical utilization to third party payers to obtain certification for the hospital stay.</div><div></div><div>
Position available for remote in Wisconsin.</div><div></div><div>
JOB QUALIFICATIONS</div><div></div><div>
EDUCATION</div><div><i>
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.</i></div><div>
Minimum Required: Diploma or degree in nursing.</div><div></div><div>
Preferred/Optional: Bachelor&rsquo;s degree in nursing.</div><div></div><div>
EXPERIENCE</div><div>
Minimum Required: One year of healthcare experience.</div><div></div><div>
Preferred/Optional: Discharge Planning, Utilization Review or Case Management experience in a clinic/hospital setting.</div><div></div><div>
CERTIFICATIONS/LICENSES</div><div><i>
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.</i></div><div>
Minimum Required: Current State of Wisconsin Registered Nurse license or Nurse Compact License. Additional department-specific certifications, licenses, or memberships may be required (varies by department/location).</div><div></div><div>
Preferred/Optional: None</div><div></div><div>
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.</div><div></div><div>
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System&rsquo;s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.</div><div></div><div>
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.</div></div>

RN Case Manager - Hospital

Join Marshfield Clinic Health System and explore 3   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.

Marshfield Clinic Health System

About Company

Revenue Management Educator (Remote Option within SHP Service Area)

Registered Nurse - Nail Care

RN Case Manager - Hospital