Qureos Mentor

University Hospitals

<div><div>Description
A Brief Overview

This position is responsible for receiving, processing, reviewing and maintaining all disability claim information (workers' compensation and short term disability).

What You Will Do
<ul>
<li>Performing claims administration and adjusting of the workers&rsquo; compensation or short term disability claims for UH and its subsidiary and partnership entities. Claims administration includes: reviewing all claim applications and reports; making a decision on approval or rejection of benefits; analyzing data on the application, medical records, supervisor reports and other supporting data; making decisions using industry standards; and, processing and maintaining internal documentation as necessary within corporate and industry guidelines.
</li><li>Performing ongoing management of claims from cradle to grave, which includes: investigating, evaluating and settling claims (settlement applies to workers&rsquo; compensation only); and, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduction in claim losses.
</li><li>Entering/Review claim payments and set reserves within authority level and corporate policy on open claims.
</li><li>Collaborating with WCS clinical case manager to determine the claim allowance and duration of disability fall within industry standards and best practices.
</li><li>Under the direction of the WCS Manager, conferring with the Legal and Human Resources departments on claim issues that fall under FMLA or ADA protection. Partner with Corporate Health, Human Resources and the Legal Department to return employees to transitional duty when possible.
</li><li>Preparing loss run reports as needed.
</li></ul>Additional Responsibilities
<ul>
<li>Performs other duties as assigned.</li>
<li>Complies with all policies and standards.</li>
<li>For specific duties and responsibilities, refer to documentation provided by the department during orientation.</li>
<li>Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.</li>
</ul></div><div>Qualifications
Education<ul><li>
High School Equivalent / GED (Required)
</li><li>Associate's Degree (Preferred)</li></ul>
Work Experience<ul><li>
3+ years of work experience in TPA, Insurance company, paralegal or self-administered employer experience in Ohio self-insured workers&rsquo; compensation and/or non-occupational disability management. (Required)</li><li>
Experience handling compensation for self-insured claims (Preferred)</li></ul>
Knowledge, Skills, &amp; Abilities<ul><li>
Fluent knowledge of BWC rules and regulations. (Required proficiency)</li><li>
Understanding of the hearing and appeal process through the administrative level and into court. (Preferred proficiency)</li><li>
Proficiency with multi-line telecommunications systems, facsimile, and photocopy equipment. (Required proficiency)</li><li>
Proficiency with personal computer (Windows/Microsoft office). (Required proficiency)</li><li>
Ability to work unsupervised, under pressure. (Required proficiency)</li><li>
Ability to handle multiple tasks and projects simultaneously with constant interruptions (Required proficiency)</li><li>
Excellent oral and written communication skills. (Required proficiency)</li><li>
Demonstrated ability to work in team environment. (Required proficiency)</li></ul>
Physical Demands<ul><li>
Standing Occasionally</li><li>
Walking Occasionally</li><li>
Sitting Constantly</li><li>
Lifting Rarely 20 lbs</li><li>
Carrying Rarely 20 lbs</li><li>
Pushing Rarely 20 lbs</li><li>
Pulling Rarely 20 lbs</li><li>
Climbing Rarely 20 lbs</li><li>
Balancing Rarely</li><li>
Stooping Rarely</li><li>
Kneeling Rarely</li><li>
Crouching Rarely</li><li>
Crawling Rarely</li><li>
Reaching Rarely</li><li>
Handling Occasionally</li><li>
Grasping Occasionally</li><li>
Feeling Rarely</li><li>
Talking Constantly</li><li>
Hearing Constantly</li><li>
Repetitive Motions Frequently</li><li>
Eye/Hand/Foot Coordination Frequently</li></ul>
Travel Requirements<ul><li>
10%</li></ul></div></div>

Workers Compensation Claims Administrator - Self Insured/TPA (Hybrid)

<div><div>Description
Position Location: University Hospitals ( Parma), Ohio
 
Position Type: Full-Time Physician
 
Specialty: Pediatrics General 
 
Every day, for more than 150 years, the physicians of University Hospitals have renewed a promise to meeting our patients' health care needs. Our talented team is integral to our rich history of success and critical to our future in a dynamic environment. As stewards of the UH legacy for excellence in patient care, our physicians are guided by an unwavering commitment to our mission: To Heal. To Teach. To Discover.
 
 
The Department of Pediatrics at University Hospitals Parma Medical Center is in search of a Physician to help continue with our excellent patient care. Appointment at the level of Clinical Instructor, Assistant Professor, Associate Professor or full Professor is available commensurate with experience. Compensation is highly competitive. 
 
For more than 50 years, University Hospitals Parma Medical Center has been serving the health care needs of the residents of Parma, Brooklyn, Seven Hills, North Royalton and surrounding communities. 
 
What Cleveland has to offer:
 
The Greater Cleveland Area is home to 2.8 million people and a wide variety of communities. Cleveland holds a wealth of cultural resources, entertainment options, and leisure activities including a vibrant Lake Erie shoreline and Metro Parks system. The parks are joined by the Cuyahoga Valley National Park with additional 33,000 acres, another 100 miles of trails, and camping sites. The Playhouse Square theatre district in downtown Cleveland is home to nine theatres hosting over 1,000 events each year; it is the country's largest performing arts center outside of New York City. Cleveland is also home to the Cleveland Symphony Orchestra, outstanding museums including Cleveland Museum of Art and Rock and Roll Hall of Fame, and many music venues, as well as professional sports teams (Browns, Cavaliers, Guardians, and Monsters). View our Northeast Ohio Relocation guide for more information.
A Brief Overview
Provides and manages direct medical evaluation, diagnosis, procedures, and care for patients within a recognized area of practice or for a specified patient population.
What You Will Do<ul><li>
Provides and manages direct patient care, including physical examinations, evaluations, assessments, diagnoses and treatment for a specified patient population.</li><li>
Prescribes pharmaceuticals, other medications, and treatment regimens as appropriate to assessed medical conditions.</li><li>
Refers patients to specialists and to relevant patient care components as appropriate.</li><li>
Trains and supervises medical students and residents engaged in specialty activities and procedures, as appropriate.</li><li>
May manage the daily operations of a specific medical program, patient care unit, or research function.</li><li>
Directs and coordinates the patient care activities of nursing and support staff as required.</li><li>
Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.</li><li>
As appropriate to the position, participates in specified health promotion, education and/or prevention programs.</li><li>
Maintain department productivity thresholds.</li><li>
Maintain faculty status in good standing with the CWRU SOM (if applicable).</li><li>
Adhere to core physician obligations as outlined in the Physician Policy Manual.</li><li>
Performs miscellaneous job-related duties as assigned.</li></ul>
Additional Responsibilities<ul><li>
Performs other duties as assigned.</li><li>
Complies with all policies and standards.</li><li>
For specific duties and responsibilities, refer to documentation provided by the department during orientation.</li><li>
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.</li></ul></div><div>
Qualifications
Education<ul><li>
Doctorate Degree Doctor of Medicine or Osteopathy with an unrestricted license (Required)
</li></ul>Work Experience<ul><li>
Fellowship Training in some specialties (Required)</li></ul>
Knowledge, Skills, &amp; Abilities<ul><li>
Knowledge of legal and ethical standards for the delivery of medical care. (Required proficiency)</li><li>
Ability to maintain quality, safety, and/or infection control standards. (Required proficiency)</li><li>
Knowledge of community medical diagnostic and patient care services in area of medical expertise. (Required proficiency)</li><li>
Ability to supervise, advise, and train clinical professionals and/or students in area of expertise. (Required proficiency)</li><li>
Knowledge of relevant drugs and non-pharmaceutical patient care aids and ability to prescribe dosages and instruct patients in correct usage. (Required proficiency)</li><li>
Ability to develop and present educational programs and/or workshops. (Required proficiency)</li><li>
Knowledge of current principles, methods and procedures for the delivery of medical evaluation, diagnosis and treatment in area of expertise. (Required proficiency)</li><li>
Ability to work both independently and in a team environment. (Required proficiency)</li><li>
Knowledge of related accreditation and certification requirements. (Required proficiency)</li><li>
Ability to observe, assess, and record symptoms, reactions, and progress. (Required proficiency)</li><li>
Effective verbal and written communication skills. (Required proficiency)</li><li>
Experience using EPIC (Preferred proficiency)</li></ul>
Licenses and Certifications<ul><li>
State of Ohio and Federal DEA Certification; Medical Specialty License or Certification; Board certified or Board eligible in Specified Area of Medical Specialty. (Required)</li></ul>
Travel Requirements<ul><li>
10%</li></ul></div></div>

Physician.Pediatrics (Parma) UHMP-66543

<div><div>Description
Position Location: University Hospitals ( St. John Medical Center), Ohio
Position Type: Full-Time Physician
Specialty: Pediatrics General
Every day, for more than 150 years, the physicians of University Hospitals have renewed a promise to meeting our patients' health care needs. Our talented team is integral to our rich history of success and critical to our future in a dynamic environment. As stewards of the UH legacy for excellence in patient care, our physicians are guided by an unwavering commitment to our mission: To Heal. To Teach. To Discover.
The Department of Pediatrics at University Hospitals St. John Medical Center is in search of a Physician to help continue with our excellent patient care. Appointment at the level of Clinical Instructor, Assistant Professor, Associate Professor or full Professor is available commensurate with experience. Compensation is highly competitive.
About St. John Medical Center
Since opening in 1981, University Hospitals St. John Medical Center has remained committed to providing the residents of western Cuyahoga and eastern Lorain counties with excellent health care in a faith-based Catholic hospital setting. This non-profit, acute care hospital in Westlake, Ohio, is a 204-bed full-service facility, offering comprehensive medical and surgical care for children and adults.
Services include a 24-hour emergency room, urology care, orthopedics, neurology and a family birth center. We also offers onsite diagnostic imaging and lab services, and a range of other services for our patients, families and visitors.
Today, UH St. John Medical Center is one of the largest employers in the City of Westlake with more than 1,200 employees, including more than 500 medical staff. UH St. John Medical Center is a teaching hospital and maintains an affiliation with the Ohio University Heritage College of Osteopathic Medicine. Also, the medical center is affiliated with Westshore Primary Care, Inc., a consortium of more than 50 physicians who range in specialties from family practice to obstetrics<div>
A Brief Overview</div>
Provides and manages direct medical evaluation, diagnosis, procedures, and care for patients within a recognized area of practice or for a specified patient population.
What You Will Do<ul><li>
Provides and manages direct patient care, including physical examinations, evaluations, assessments, diagnoses and treatment for a specified patient population.</li><li>
Prescribes pharmaceuticals, other medications, and treatment regimens as appropriate to assessed medical conditions.</li><li>
Refers patients to specialists and to relevant patient care components as appropriate.</li><li>
Trains and supervises medical students and residents engaged in specialty activities and procedures, as appropriate.</li><li>
May manage the daily operations of a specific medical program, patient care unit, or research function.</li><li>
Directs and coordinates the patient care activities of nursing and support staff as required.</li><li>
Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.</li><li>
As appropriate to the position, participates in specified health promotion, education and/or prevention programs.</li><li>
Maintain department productivity thresholds.</li><li>
Maintain faculty status in good standing with the CWRU SOM (if applicable).</li><li>
Adhere to core physician obligations as outlined in the Physician Policy Manual.</li><li>
Performs miscellaneous job-related duties as assigned.
</li></ul>Additional Responsibilities<ul><li>
Performs other duties as assigned.</li><li>
Complies with all policies and standards.</li><li>
For specific duties and responsibilities, refer to documentation provided by the department during orientation.</li><li>
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.</li></ul></div><div>
Qualifications
Education
Doctorate Degree Doctor of Medicine or Osteopathy with an unrestricted license (Required) 
<ul><li>
</li></ul>Work Experience<ul><li>
Fellowship Training in some specialties (Required)</li></ul>
Knowledge, Skills, &amp; Abilities<ul><li>
Knowledge of legal and ethical standards for the delivery of medical care. (Required proficiency)</li><li>
Ability to maintain quality, safety, and/or infection control standards. (Required proficiency)</li><li>
Knowledge of community medical diagnostic and patient care services in area of medical expertise. (Required proficiency)</li><li>
Ability to supervise, advise, and train clinical professionals and/or students in area of expertise. (Required proficiency)</li><li>
Knowledge of relevant drugs and non-pharmaceutical patient care aids and ability to prescribe dosages and instruct patients in correct usage. (Required proficiency)</li><li>
Ability to develop and present educational programs and/or workshops. (Required proficiency)</li><li>
Knowledge of current principles, methods and procedures for the delivery of medical evaluation, diagnosis and treatment in area of expertise. (Required proficiency)</li><li>
Ability to work both independently and in a team environment. (Required proficiency)</li><li>
Knowledge of related accreditation and certification requirements. (Required proficiency)</li><li>
Ability to observe, assess, and record symptoms, reactions, and progress. (Required proficiency)</li><li>
Effective verbal and written communication skills. (Required proficiency)</li><li>
Experience using EPIC (Preferred proficiency)</li></ul>
Licenses and Certifications<ul><li>
State of Ohio and Federal DEA Certification; Medical Specialty License or Certification; Board certified or Board eligible in Specified Area of Medical Specialty. (Required)</li></ul>
Travel Requirements<ul><li>
10%</li></ul></div></div>

Physician.Pediatrics ( St. John Med Center) UHMP-66544

<div><div>Description
A Brief Overview
The HR Shared Service Specialist will work as part of a team providing support employees, leaders and other HR functions in providing knowledgeable and efficient solutions that drive operational excellence and business results.
What You Will Do<ul><li>
Acts as first level support for employees in the resolution of a variety of HR-related topics. Administers support through call center operations, email and case management technology within established timeframes. Researching and resolving technical and functional issues.</li><li>
Escalates complex issues to internal Total Rewards team members, appropriate HR functions and business partners, Payroll, IT, HRIS or external vendors to ensure appropriate and efficient resolution of inquiries.</li><li>
Maintains employee data by updating employee records in Oracle and managing employee files.</li><li>
Monitors the HR Shared Services and HR Benefits shared e-mail boxes, cases submitted through the HR Benefits Portal, submitted by IT and voice mails and follows up for completion.</li><li>
Collaborates with the Manager, HR Shared Services and benefits team to support annual open enrollment, benefit updates and/or employee wellness initiatives. This includes but is not limited to assisting with new benefit plan implementations, preparing communications, and providing education to customers.</li><li>
Creates badges for New Hires/Transfers and Vendors.</li><li>
Educates employees on employment status changes, general benefit plan offerings and electronic benefit enrollment procedures.</li><li>
Provides reporting and analytical support for weekly and annual audits, case management and error resolution activities.</li><li>
Assists and encourages users to make effective use of HR self-service technology, outside vendors or other resources as appropriate.</li><li>
Works with vendors to address escalated concerns and inquiries from employees and managers.</li><li>
Participates in process improvement initiatives, including testing and documentation of change efforts.</li></ul>
Additional Responsibilities<ul><li>
Performs other duties as assigned.</li><li>
Complies with all policies and standards.</li><li>
For specific duties and responsibilities, refer to documentation provided by the department during orientation.</li><li>
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.</li></ul></div><div>
Qualifications
Education<ul><li>
High School Equivalent / GED (Required)
</li><li>Bachelor's Degree (Preferred)</li></ul>
Work Experience<ul><li>
1+ years of experience in a fast-paced, high volume, customer-focused environment. (Required)</li><li>
Work experience in a health care or HR setting (Preferred)</li></ul>
Knowledge, Skills, &amp; Abilities<ul><li>
Handles sensitive &amp; confidential matters with discretion. (Required proficiency)</li><li>
Detail-oriented and organized, with the ability to prioritize &amp; complete work with a high level of accuracy. (Required proficiency)</li><li>
Demonstrated analytical and problem solving skills. (Required proficiency)</li><li>
Drives efficiency and manages scale without jeopardizing the employee experience. (Required proficiency)</li><li>
Ability to function independently and collaborate as a team player to accomplish goals. (Required proficiency)</li><li>
Must have strong written and verbal communication skills. (Required proficiency)</li><li>
Proficient in Microsoft Office suite (Word, Excel, PowerPoint &amp; Outlook). (Required proficiency)</li></ul>
Physical Demands<ul><li>
Standing Occasionally</li><li>
Walking Occasionally</li><li>
Sitting Constantly</li><li>
Lifting Rarely 20 lbs</li><li>
Carrying Rarely 20 lbs</li><li>
Pushing Rarely 20 lbs</li><li>
Pulling Rarely 20 lbs</li><li>
Climbing Rarely 20 lbs</li><li>
Balancing Rarely</li><li>
Stooping Rarely</li><li>
Kneeling Rarely</li><li>
Crouching Rarely</li><li>
Crawling Rarely</li><li>
Reaching Rarely</li><li>
Handling Occasionally</li><li>
Grasping Occasionally</li><li>
Feeling Rarely</li><li>
Talking Constantly</li><li>
Hearing Constantly</li><li>
Repetitive Motions Frequently</li><li>
Eye/Hand/Foot Coordination Frequently</li></ul>
Travel Requirements<ul><li>
10%</li></ul></div></div>

HR Shared Services Specialist

Join University Hospitals 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.

University Hospitals

ABOUT_COMPANY

Workers Compensation Claims Administrator - Self Insured/TPA (Hybrid)

Physician.Pediatrics (Parma) UHMP-66543

Physician.Pediatrics ( St. John Med Center) UHMP-66544

HR Shared Services Specialist