administrative assistant 2

case manager

court case manager 1

case management assistant

Alaska Regional Hospital

<div><h5 class="jobSectionHeader">Introduction</h5>
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:Case Management AssistantAlaska Regional Hospital<h5 class="jobSectionHeader">
Benefits</h5>
Alaska Regional Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>Consumer discounts through Abenity and Consumer Discounts 
</li><li>Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>Colleague recognition program 
</li><li>Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
We are seeking a(an) Case Management Assistant for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
As a Case Management Assistant you will be joining a collaborative team that is dedicated to serving others in need and also supporting one another. In this role you will:<ul><li>
Coordinate with RN case manager and social worker for support needed. Communicate updates on progress throughout the day. Refer patient questions back to the case manager/social worker.</li><li>
Provide clerical support in multidisciplinary rounds, including updating NATE Tempo at direction of team.</li><li>
Make referrals through the web-based referral system (nH Discharge/other) to the specific post-acute care (PAC) providers requested. Includes sending the appropriate packet of information from the medical record required for the level of care.</li><li>
Monitor patients with PAC referrals and intervene to expedite discharge.</li><li>
Prioritize workload to ensure a timely contact and intervention with PAC providers.</li><li>
Send additional information to PAC provider when requested.</li><li>
Communicate with RN case managers/social workers regarding the status of PAC referrals, bed availability, and other barriers that cannot be resolved.</li><li>
Communicate results of PAC referrals with the patient, including having the Patient Choice letter signed.</li><li>
Monitor Medicare patient&rsquo;s planned discharge dates and deliver the Important Medicare Message (IMM) to the patient per facility policy.</li><li>
Deliver the Beneficiary Notice to patients identified as being in the BPCI-A program (Bundle Payment hospitals only).</li><li>
Obtain physician signature on required Case Management documents and forms.</li><li>
Based on facility practice, set up transportation, send information to Transfer Center, and generate discharge packets for PAC transfers.</li></ul><h6 class="jobSectionHeader">
What qualifications you will need:</h6><ul><li>
Associate Degree preferred</li><li>
Medical knowledge and terminology required</li><li>
Minimum one year of experience in a health care setting required</li><li>
Health care professional (C.N.A., E.M.T.) preferred</li><li>
Ability to establish and maintain collaborative and effective working relationships.</li><li>
Ability to communicate effectively in oral, written and electronic formats.</li><li>
Demonstrates analytical and critical thinking abilities with proactive decision-making and negotiation skills.</li><li>
Ability to be self-motivated, goal-directed, and dependable.</li><li>
Demonstrates computer and typing skills.</li></ul>
HCA Healthcare's Alaska Regional Hospital is known for our expertise, compassion and skills. We are committed to delivering patient-centered care to every patient on every visit for our 250 plus bed facility. Year after year, Alaska Regional receives 5-star ratings for heart attack treatment, bowel obstruction treatment, and colorectal surgery.
Based in Anchorage, Alaska Regional is located in a thriving community offering plenty of opportunities to capitalize on the Alaskan lifestyle. Alaska offers some of the most incredible scenic beauty around the world which draws visitors year-round who come for a vacation and end up making Alaska home.
We are part of the HCA Healthcare network - which includes more than 300 affiliate facilities across the country offering our colleagues the opportunity for travel and relocation. HCA Healthcare and Alaska Regional are inspired by our mission to care for and improve human life to create a positive impact in our community.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder 
If you find this opportunity compelling, we encourage you to apply for our Case Management Assistant opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Case Management Assistant

Alaska Native Tribal Health Consortium

<div>The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.
ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska&rsquo;s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation&rsquo;s largest state.
Our vision: Alaska Native people are the healthiest people in the world. 
 
ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:
<ul><li>Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.
</li></ul><ul><li>Cost-Share Dental and Vision Insurances
</li></ul><ul><li>Discounted Pet Insurance
</li></ul><ul><li>Retirement Contributions with Pre-Tax or Roth options into a 403(b).
</li></ul><ul><li>401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
</li></ul><ul><li>Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
</li></ul><ul><li>Eleven Paid Holidays
</li></ul><ul><li>Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment
</li></ul><ul><li>Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&amp;D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.
</li></ul><ul><li>Flexible Spending Accounts for Healthcare and Dependent Care.
</li></ul><ul><li>Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.
</li></ul><ul><li>On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.
</li></ul><ul><li>Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.
</li></ul><ul><li>Tuition Discounts for you and your eligible dependents at Alaska Pacific University.
</li></ul><ul><li>On-Site Training Courses and Professional Development Opportunities.
</li></ul><ul><li>License and certification reimbursements and occupational insurance for medical staff.
</li></ul><ul><li>Gym Access to Alaska Pacific University includes a salt water pool, rock climbing, workout gym, and steep discounts for outdoor equipment rentals.
</li></ul><ul><li>Emergency Travel Assistance
</li></ul><ul><li>Education Assistance or Education leave eligibility
</li></ul><ul><li>Discount program for travel, gym memberships, amusement parks, and more.
</li></ul><div>Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org. 
 
</div>Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.
Summary: 
 
Under close supervision, supports Case Managers in the department through scheduling, reception, records maintenance, coordination with other hospital clinics, and general assistance.
Assistant Case Manager II employees perform work under minimal supervision at a higher level, and may be assigned to train Assistant Case Manager I employees.
Responsibilities: 
 
All levels
Work under the direction of department leadership.
<div>Patient Care Coordination 
</div><div></div><div>&middot; Ensures all charts and medical records are available for scheduled appointments or as requested.
</div><div>&middot; Coordinates patient referrals, and ensures appropriate follow-up after provider sees patient.
</div><div>&middot; Assists with routine referrals per standard protocol, to include scheduling diagnostic studies, clinic appointments, telemedicine visits, field clinics, and verifies patient travel/housing arrangements.
</div><div>&middot; Assists nursing staff with admissions, lab/radiology order entry, and electronic forms.
</div><div>&middot; Verifies that records of patient treatment are complete, accurate, and properly entered in the chart before forwarding to the Medical Records department.
</div><div>&middot; Utilizes tracking systems for patients in electronic health record and scheduling systems to maintain an appropriate database of patients requiring follow-up.
</div>&middot; Creates new records for patients in electronic health record.
Insurance Verification
&middot; Confirms patient insurance eligibility.
&middot; Updates insurance changes or any changes affecting third party billing in electronic health record.
Clerical Duties
&middot; Provides prompt response to phone calls/messages, mail, faxes, or patient portal messages.
<div>&middot; Assists in maintaining a variety of files, logs and registers.
</div><div>&middot; May maintain fax log for department.
</div><div>&middot; Obtains medical reports or health information from other facilities or providers.
</div><div>&middot; Communicates with other ANMC departments and/or Tribal Health Organizations (THOs) to coordinate with other departments or THOs as needed.
</div><div>&middot; Performs routine referrals in conjunction with medical providers; schedules diagnostic studies, clinic appointments. Confirms complex travel and/or living arrangements for patients.
</div><div>&middot; Screens each referral for previous visits and eligibility status before determining appointment type and tests needed prior to visit.
</div><div>&middot; Schedules same day appointments and ensures all information pertaining to visit is available. Is able to schedule all tests needed prior to appointment using department guidelines and goals.
</div><div>&middot; May assist the department leadership in developing and maintaining Cerner and field schedules.
</div><div>&middot; May order office supplies.
</div>&middot; Adheres to organization and department attendance guidelines.
All levels perform other duties as assigned.
Other information: 
 
KNOWLEDGE and SKILLS
All levels
<div>&middot; Knowledge of customer service concepts and practice.
</div><div>&middot; Knowledge of multi-line telephone systems operation.
</div><div>&middot; Knowledge of privacy laws and regulations.
</div><div>&middot; Knowledge of basic medical terminology and clinic systems.
</div><div>&middot; Skill in oral and written communication.
</div><div>&middot; Skill in operating a personal computer utilizing a variety of software applications.
</div><div>&middot; Skill in operating office equipment such as copiers and fax machines.
</div><div>&middot; Skill in maintaining and updating clinical schedules.
</div><div>&middot; Skill in establishing and maintaining cooperative working relationships with others.
</div>&middot; Skill in managing multiple priorities and tasks.
Assistant Case Manager II &amp; III
<div>&middot; Knowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s) and organizations.
</div><div>&middot; Skill in managing multiple priorities and tasks concurrently and meeting deadlines.
</div>&middot; Skill in supervisory communication and management.
MINIMUM EDUCATION QUALIFICATION
A high school diploma or GED equivalent.
MINIMUM EXPERIENCE QUALIFICATION
Non-Supervisory &ndash; A Minimum of 2 years of case management experience. An equivalent combination of relevant education and/or training may be substituted for experience.</div>

Assistant Case Manager II - GI Clinic

<div>The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.
ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska&rsquo;s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation&rsquo;s largest state.
Our vision: Alaska Native people are the healthiest people in the world. 
 
ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:
<ul><li>Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.
</li></ul><ul><li>Cost-Share Dental and Vision Insurances
</li></ul><ul><li>Discounted Pet Insurance
</li></ul><ul><li>Retirement Contributions with Pre-Tax or Roth options into a 403(b).
</li></ul><ul><li>401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
</li></ul><ul><li>Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
</li></ul><ul><li>Eleven Paid Holidays
</li></ul><ul><li>Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment
</li></ul><ul><li>Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&amp;D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.
</li></ul><ul><li>Flexible Spending Accounts for Healthcare and Dependent Care.
</li></ul><ul><li>Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.
</li></ul><ul><li>On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.
</li></ul><ul><li>Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.
</li></ul><ul><li>Tuition Discounts for you and your eligible dependents at Alaska Pacific University.
</li></ul><ul><li>On-Site Training Courses and Professional Development Opportunities.
</li></ul><ul><li>License and certification reimbursements and occupational insurance for medical staff.
</li></ul><ul><li>Gym Access to Alaska Pacific University includes a salt water pool, rock climbing, workout gym, and steep discounts for outdoor equipment rentals.
</li></ul><ul><li>Emergency Travel Assistance
</li></ul><ul><li>Education Assistance or Education leave eligibility
</li></ul><ul><li>Discount program for travel, gym memberships, amusement parks, and more.
</li></ul><div>Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org. 
 
</div>Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.
Summary: 
 
Under close supervision responsible for assisting providers in delivering quality health care to customer- owners and their families.
Level III employees perform high level, complex, and responsible tasks within this position, train lower level employees, and generally work with minimum supervision and follow-up from their supervisor.
Responsibilities: 
 
Creates, develops, and nurtures culturally appropriate interactions. Applies customer service guidelines appropriate for the situation.
Assists providers in the delivery of quality health care. Performs basic medical procedures before and after examination including taking of vital signs, rooming the patient, performing phlebotomy, specimen collection, dressing changes, medication administration, scheduling patient appointments and procedures, documentation of care in the healthcare record which may include documentation assistance as a scribe, proposing orders, performing specialty specific care with appropriate training; assisting in ensuring smooth patient flow; and assisting provider and case manager in managing patients.
Maintains a clean work environment, reporting defective or missing equipment and safety hazards. Assists in disaster planning and activities.
Provides feedback on the, and assists in the improvement of, quality of care being delivered to ensure that Joint Commission and other regulatory standards are met as they apply to the department.
Ensures availability of drug stock supply, other supplies, and equipment by completing daily inventories of various medical items and submitting supply requests for replacement. Perform equipment inventory and maintenance. Completes daily quality control testing and documentation of blood glucose meters where applicable.
Establishes and maintains cooperative working relationships with other employees.
Procurement, Clean/Organize office.
Act as a mentor or train for the CMA team.
Work with department leadership to provide input on process improvement opportunities and support implementing change process.
<div>May have CMA lead responsibilities to include:
</div><ul><li>M ay Act as a backup for timekeeper.
</li></ul><div>Performs other duties as assigned . 
</div>Other information: 
 
KNOWLEDGE and SKILLS
&middot; Knowledge of safety factors and medical terminology.
&middot; Knowledge of communication skills, both oral and written to interact with patients and families.
&middot; Knowledge of anatomy, pathology, and treatment. 
&middot; Skill in providing and maintaining accurate documentation in the patient&rsquo;s health record.
&middot; Skill in operating a personal computer utilizing a variety of software applications.
&middot; Skill in learning the computer system, applying the knowledge to accurately schedule patient appointments and tests.
&middot; Skill in setting up, maintaining, and interpreting data from a wide variety of medical equipment and monitoring devices.
&middot; Skill in the application of basic first aid.
&middot; Skill in injections, vital signs, and phlebotomy.
&middot; Skill in setting up medical devices. 
MINIMUM EDUCATION QUALIFICATION
A certification from an accredited certified medical assistant program.
MINIMUM EXPERIENCE QUALIFICATION
Non-supervisory - A minimum of 4 years of Certified Medical Assistant experience. An equivalent combination of relevant education and/or training may be substituted for experience.
MINIMUM CERTIFICATION QUALIFICATION
&middot; Certification in Basic Life Support required.
Certified Medical Assistant (CMA) certification from any of the following: National Center for Competency Testing (NCCT) or American Association of Medical Assistants (AAMA) or Certified Clinical Medical Assistant (CCMA) from National Healthcare Association (NHA) or American Medical Certification Association (AMCA).</div>

Certified Medical Assistant III - Surgery Clinic

State of Alaska

JOB
 This Individual Position is Exempt from the Hiring Freeze. Qualified Applicants are Encouraged to Apply.Welcome to the Department of Health.We'd be delighted to have you join our team.If you envision yourself in this role and are ready to start an exciting career with us, apply today.This Position is Open to Alaskan Residents Only.Please check the definition below to determine if you qualify.This position is currently located in our Anchorage Therapeutic Courts office in the Boney Courthouse.What you will be doing: In this position, you will provide ongoing case management and community supervision of Superior and/or District Court Felony and Misdemeanor offenders who participate in any of the state's Therapeutic Court programs. These court programs are in Anchorage, Palmer, Fairbanks, and Juneau and consist of Wellness Courts, Veterans Courts, Coordinated Resource (CRP) or Mental Health Court program, and Family Care Courts.Performs the initial intake/risk assessment upon initial opt-in to the therapeutic court program. Meets with offenders/participants regularly to monitor, process, and track compliance with court-ordered requirements, conduct routine field visits, curfew checks, and alcohol and drug screenings. Participates in court hearings and prepares written reports for all status hearings.Serve as a liaison between the Therapeutic Court participant and professionals in the justice system and local social service agencies. Work with the Therapeutic Courts in ensuring the Therapeutic Courts' continued adherence to the National Drug Court Institutes (NDCI) standards.This Position May Require Travel within the State of Alaska. Our organization, mission, and culture: The mission of the Division of Behavioral Health is to manage an integrated and comprehensive behavioral health system based on sound policy, effective practices, and partnerships.Our Values: Honesty, Dignity, Innovation, Diversity, CollaborationThe benefits of joining our team: We offer challenging and exciting work that has a positive impact on the lives of Alaskans. The Division is guided by our belief that every employee is a change agent and that ideas, values, and beliefs are respected and enrich our overall team environment.The working environment you can expect: Anchorage Therapeutic Court Office: Conveniently located in the Boney Courthouse in Downtown Anchorage at 303 K Street, Anchorage, Alaska 99501. It is within walking distance to Simon & Seaforts, Snow City Café, and Coastal Trail. This position is in a fast-paced and fun office environment.Who we are looking for: The ideal candidate will possess some or all of the following competencies in addition to meeting the minimum qualifications listed below: Accountability: Holds self and others accountable for measurable, high-quality, timely, and cost-effective results. Determines objectives, sets priorities, and delegates work. Accepts responsibility for own actions and decisions—Complies with established control systems and rules.Analytical Thinking/Problem Solving: uses a logical, systematic, sequential approach to address problems or opportunities or manage a situation by drawing on one’s knowledge and experience base and calling on other references and resources as necessary.Attention to Detail: Is thorough when performing work and conscientious about attending to detail.Compliance: Knowledge of procedures for assessing, evaluating, and monitoring programs or projects for compliance with Federal laws, regulations, and guidance.Planning and Evaluating: Organizes work, sets priorities, and determines resource requirements; determines short-or long-term goals and strategies to achieve them; coordinates with other organizations or parts of the organization to accomplish goals; monitors progress and evaluates outcomes.Special Notice: Requires a Valid and Current Alaska Driver’s License.Requires use of the Alaska Public Safety Information Network (ASPIN), which includes passing a background investigation, including fingerprinting.May require travel within the State when coverage is needed in other locations.To view the general description and example of duties for this job class, please go to the following link and search for Adult Probation Officer 2, Alcohol Safety Action Program (ASAP): https://www.governmentjobs.com/careers/Alaska/classspecs
 
EXAMPLE OF DUTIES
 A bachelor's degree from an accredited college in any fieldANDOne year of entry level professional experience in probation, parole, criminal justice, juvenile justice, social services, corrections, criminal investigation, public safety or law enforcement, mental health, substance abuse treatment, rehabilitation, or case management.Substitution: Four years in any combination of post secondary education from an accredited college and/or paraprofessional experience in probation, parole, criminal justice, juvenile justice, social services, corrections, criminal investigation, public safety or law enforcement, mental health, substance abuse treatment, rehabilitation, case management, or similar work experience will substitute for the required degree.Special Note: For both levels, a criminal record check will be performed at the time of hire to identify any convictions for felony or misdemeanor crimes; and the applicant must meet the requirements for Alaska Public Safety Information Network (APSIN) access as defined by the Alaska Department of Public Safety.
 
SUPPLEMENTAL INFORMATION
 For specific information in reference to the position, feel free to contact the hiring manager at: Stacy Schamber, Program Coordinator 2Phone: (907) 264-0776Email: stacy.schamber@alaska.gov

Adult Probation Officer 2, Alcohol Safety Action Program (ASAP) (PCN 062352)

Southcentral Foundation

<div>Community Case Manager:

Hiring Range $30.14 to $40.18

Summary of Job Responsibilities:

SCF programs are established to serve a primary population comprised of Alaska Native people who are affiliated with Cook Inlet Region, Inc. (CIRI) and Alaska Native and American Indian people within SCF&rsquo;s geographical service area. Employees should have a thorough understanding of the cultures and the needs of this population. Such knowledge is critical to ensure the achievement of SCF&rsquo;s vision of a Native Community that enjoys physical, mental, emotional, and spiritual wellness, and mission of working together with the Native Community to achieve wellness through health and related services:The Southcentral Foundation (SCF) Community Case Manager is responsible for providing support services for the customer-owner including assistance with community resources and developing; and executing a customer-owner&rsquo;s service plan to enhance daily life healthy functioning.

The Southcentral Foundation (SCF) Community Case Manager is responsible for providing support services for the customer-owner including assistance with community resources and developing; and executing a customer-owner&rsquo;s service plan to enhance daily life healthy functioning.

Requires providing customer-owner support services in the customer owner&rsquo;s home for Community Case Manager positions within Child and Family Outpatient Services West &ndash; Intensive Home-Based Treatment.

Qualifications:
<div>
<ul><li>BA/BS degree in a social services field of study AND one (1) year of work experience providing direct customer-owner care in a behavioral health setting; OR an equivalent combination of education and experience.</li></ul>
<ul><li>One (1) additional year of professional and supervised social service or related work experience; OR equivalent combination of education and experience; OR demonstrated proficiency as a Clinical Associate II at SCF.</li></ul>
<ul><li>Must meet the following conditions to qualify as an approved SCF driver:</li></ul>
</div><ul><li>Valid Alaska driver&rsquo;s license that meets State of Alaska Division of Motor Vehicles (DMV) license requirements to include:
<ul><li>May drive in Alaska for up to 90 days with a valid out-of-State license, then must obtain an Alaska driver&rsquo;s license.</li>
<li>For Commercial driver licenses, you must obtain an Alaska CDL within 30 days of becoming a resident.</li>
</ul></li><li>No more than three (3) moving traffic violations (as defined by Alaska Statutes Title 28); OR two (2) at-fault traffic accidents in the previous three (3) years.</li>
<li>The driver must not have had &lsquo;Driving Under the Influence&rsquo; (DUI); OR &lsquo;Driving While Intoxicated&rsquo; (DWI); OR &lsquo;Operating Under the Influence&rsquo; (OUI) violations as follows:
<ul><li>Zero (0) violations in the past five (5) years.</li>
<li>No more than two (2) violations in the past ten (10) years.</li>
</ul></li><li>Drivers must be at least 18 years of age. Drivers 18 through 20 years of age may only transport equipment, materials, and employees. Drivers who transport customers must be 21 years of age or older and must have completed the probationary period of license requirements for Alaska.</li>
<li>Prior to hire date, must provide current copy no more than 60 days old of driving record from issuing State.</li>
</ul>
Native Preference:

Under P.L. 93-638, as amended, the company pursues a policy of Native preference in hiring, contracting and training. SCF Human Resources must receive certification before applicants receive preference.

Employee Health Requirements:

Compliance with our Employee Health procedure is a condition of SCF employment. You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment. Jobs designated as a Health Care Personnel (HCP) position, requires that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles, Mumps, and Rubella), Varicella (Chicken Pox), Hepatitis B, Influenza, and T-dap (Tetanus - Diphtheria - Pertussis) and COVID-19.</div>

Community Case Manager (Wednesday-Saturday 10am-8pm) - Intensive Case Management

<div>Community Case Manager:

Hiring Range $30.14 to 40.18

Summary of Job Responsibilities:

SCF programs are established to serve a primary population comprised of Alaska Native people who are affiliated with Cook Inlet Region, Inc. (CIRI) and Alaska Native and American Indian people within SCF&rsquo;s geographical service area. Employees should have a thorough understanding of the cultures and the needs of this population. Such knowledge is critical to ensure the achievement of SCF&rsquo;s vision of a Native Community that enjoys physical, mental, emotional, and spiritual wellness, and mission of working together with the Native Community to achieve wellness through health and related services: The Southcentral Foundation (SCF) Community Case Manager is responsible for providing support services for the customer-owner including assistance with community resources and developing; and executing a customer-owner&rsquo;s service plan to enhance daily life healthy functioning.

The Southcentral Foundation (SCF) Community Case Manager is responsible for providing support services for the customer-owner including assistance with community resources and developing; and executing a customer-owner&rsquo;s service plan to enhance daily life healthy functioning.

Requires providing customer-owner support services in the customer owner&rsquo;s home for Community Case Manager positions within Child and Family Outpatient Services West &ndash; Intensive Home-Based Treatment.

Qualifications:
<div>
<ul><li>BA/BS degree in a social services field of study AND one (1) year of work experience providing direct customer-owner care in a behavioral health setting; OR an equivalent combination of education and experience.</li></ul>
<ul><li>One (1) additional year of professional and supervised social service or related work experience; OR equivalent combination of education and experience; OR demonstrated proficiency as a Clinical Associate II at SCF.</li></ul>
<ul><li>Must meet the following conditions to qualify as an approved SCF driver:</li></ul>
</div><ul><li><div><ul><li>Valid Alaska driver&rsquo;s license that meets State of Alaska Division of Motor Vehicles (DMV) license requirements to include:
<ul><li>May drive in Alaska for up to 90 days with a valid out-of-State license, then must obtain an Alaska driver&rsquo;s license.</li>
<li>For Commercial driver licenses, you must obtain an Alaska CDL within 30 days of becoming a resident.</li>
</ul></li><li>No more than three (3) moving traffic violations (as defined by Alaska Statutes Title 28); OR two (2) at-fault traffic accidents in the previous three (3) years.</li>
<li>The driver must not have had &lsquo;Driving Under the Influence&rsquo; (DUI); OR &lsquo;Driving While Intoxicated&rsquo; (DWI); OR &lsquo;Operating Under the Influence&rsquo; (OUI) violations as follows:
<ul><li>Zero (0) violations in the past five (5) years.</li>
<li>No more than two (2) violations in the past ten (10) years.</li>
</ul></li><li>Drivers must be at least 18 years of age. Drivers 18 through 20 years of age may only transport equipment, materials, and employees. Drivers who transport customers must be 21 years of age or older and must have completed the probationary period of license requirements for Alaska.</li>
<li>Prior to hire date, must provide current copy no more than 60 days old of driving record from issuing State.</li>
</ul>
</div></li></ul>Native Preference:

Under P.L. 93-638, as amended, the company pursues a policy of Native preference in hiring, contracting and training. SCF Human Resources must receive certification before applicants receive preference.

Employee Health Requirements:

Compliance with our Employee Health procedure is a condition of SCF employment. You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment. Jobs designated as a Health Care Personnel (HCP) position, requires that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles, Mumps, and Rubella), Varicella (Chicken Pox), Hepatitis B, Influenza, and T-dap (Tetanus - Diphtheria - Pertussis) and COVID-19.</div>

Community Case Manager - Behavioral Health Intensive Case Management

Tanaq Health

<div>
 
 Description
 
 
 
 
 Overview
 
 
 
 Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TSS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders.
 
 
 
 About The Role
 
 
 
 We are seeking a
 
 Clinical Appeals Reviewer
 
 to support a contract with our federal client. The Clinical Appeals Professional performs complex (senior-level) work. Provides dissatisfied parties with the opportunity to present documentation to demonstrate why an appeal should be allowed. Provides an independent second level determination based on the documentation, facts, laws, regulations, and guidelines. Works under general supervision, with moderate latitude for the use of initiative and independent judgment. Qualified candidates must be licensed health care professionals capable of rendering independent clinical judgment, including but not limited to Registered Nurses (RN), Physical Therapists (PT), Occupational Therapists (OT), and Respiratory Therapists (RT).
 
 
 This is a remote position that can be based anywhere in the United States. Must be able to work on a rotating schedule on weekends and holidays.
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Reviews medical records/case files, writes reconsideration decision letters that are clear, concise, and impartial, and support the determination made, and documents the review.
 </li>
 <li>
 Makes sound, independent decisions based on medical evidence in accordance with statutes, regulations, rulings, and policy.
 </li>
 <li>
 Responds to and ensures that all appeal issues raised by the beneficiary/patient, representative, and provider/supplier have been addressed.
 </li>
 <li>
 Provides a fair and impartial decision based on current evidence, regulations, policies, and procedures.
 </li>
 <li>
 Conducts research using online federal regulations, contract policy, standards of medical practice, contract manuals, coverage issues manuals, medical literature, and other related resources to complete an accurate and well-supported decision.
 </li>
 <li>
 Stays abreast of changes in regulations, medical and healthcare practices, policies, and procedures.
 </li>
 <li>
 Participates in case-specific verbal discussions.
 </li>
 <li>
 Conducts reviews of appeals/disputes with multiple beneficiaries/services in one case.
 </li>
 <li>
 Plans responses to statistical analysis challenges with assistance from statisticians.
 </li>
 <li>
 Attends meetings and participates in workgroups at management's direction.
 </li>
 <li>
 Conducts quality reviews, as needed.
 </li>
 <li>
 Serves as a subject matter expert.
 </li>
 <li>
 Mentors and/or trains staff.
 </li>
 <li>
 May conduct quality reviews and audits.
 </li>
 <li>
 Participates in special projects and performs other duties as assigned.
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 
 Required Skills and Experience
 
 
 
 <ul>
 <li>
 Three (3) years of experience in medical dispute resolution, Medicare appeals, medical review, clinical work, or related healthcare roles.
 </li>
 <li>
 Healthcare Professional with experience in Nursing, Physical Therapy, Respiratory Therapy, or Occupational Therapy experience.
 </li>
 <li>
 Demonstrated experience writing or making medical necessity decisions.
 </li>
 <li>
 Proficiency in research techniques, medical terminology, and analyzing and interpreting policies, along with knowledge of state and federal laws and regulations.
 </li>
 <li>
 Must have experience and working knowledge of the Medicare program, including coverage and payment rules.
 </li>
 <li>
 Experience with Medicare regulations, claims processing, and the medical review process, as well as applicable laws, rules, and regulations.
 </li>
 <li>
 Prioritize and organize work tasks to handle multitasking and meet deadlines.
 </li>
 <li>
 Ability to prepare correspondence and documents using correct spelling, grammar, and punctuation; proofreading and reviewing documents for clarity and consistency.
 </li>
 <li>
 Practice logic and reasoning to identify problems, verify facts, and reach valid conclusions.
 </li>
 <li>
 Experience in making decisions that support business objectives and goals.
 </li>
 <li>
 Ability to identify and resolve problems or refer issues appropriately.
 </li>
 <li>
 Communicate effectively verbally and in writing.
 </li>
 <li>
 Adapt to the needs of internal and external customers.
 </li>
 <li>
 Show integrity and ethical behavior, respect confidentiality, business ethics, and organizational standards.
 </li>
 <li>
 Ensure compliance with company policies, procedures, and guidelines, including cybersecurity, regulatory, contractual, and accreditation entities.
 </li>
 <li>
 Experience directly relevant to Medicare managed care appeals or utilization management activities, preferred.
 </li>
 <li>
 Must have resided in the United States for a minimum of three (3) years out of the last five (5) years. This is a contractual requirement.
 </li>
 <li>
 Must possess a valid driver's license with a clear and satisfactory driving record.
 </li>
 <li>
 Ability to obtain and maintain public trust clearance and customer approval.
 </li>
 <li>
 Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.
 
 
 </li>
 </ul>
 
 Education and Training
 
 
 
 <ul>
 <li>
 Associate's degree or 60 or more credit hours towards a Bachelor&rsquo;s degree from an accredited college or university in healthcare or related discipline.
 </li>
 <li>
 Additional experience in Medicare appeals, medical review, clinical, or other related experience in a healthcare setting may be substituted for an Associate&rsquo;s degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.)
 
 
 </li>
 </ul>
 
 Physical Requirements And Work Environment
 
 
 
 <ul>
 <li>
 Requires working in an office/cubicle environment; sitting, standing, walking, bending, twisting, and/or reaching.
 </li>
 <li>
 Prolonged periods of sitting at a desk and working on a computer. May need to lift 25 pounds occasionally.
 </li>
 <li>
 May require the ability to operate a motor vehicle and travel by motor vehicle and commercial airline. May require overnight travel. Travel may be less than 5% annually.
 
 
 </li>
 </ul>
 
 Who We Are
 
 
 
 Tanaq Management Services (TMS) is a public health contractor, certified 8(a) business, owned by St. George Tanaq Corporation, an Alaska Native Corporation. (ANC). We listen to our stakeholders and leverage our science, technology, communication, and program expertise to understand and provide feedback as we develop solutions.
 
 
 
 Our Commitment to Non-Discrimination
 
 
 
 Tanaq is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to disability, status as a protected veteran or any other status protected by applicable federal, state, or local law. Tanaq complies with the Drug-free Workplace Act of 1988 and E-Verify.
 
 
 If you are an individual with a disability and need assistance completing any part of the application process, please email accommodation@tanaq.com to request a reasonable accommodation. This email is for accommodation requests only and cannot be used to inquire about the status of applications.
 
 
 
 Notice on Candidate AI Usage
 
 
 
 Tanaq is committed to ensuring a fair and competitive interview process for all candidates based on their experience, skills and education. To ensure the integrity of the interview process, the use of artificial intelligence (AI) tools to generate or assist with responses during phone, in person and virtual interviews is not allowed. However, candidates who require a reasonable accommodation that may involve AI are required to contact us prior to their interview at accommodation@tanaq.com.
 
 
 
 To Apply For This Positions, Visit
 
 
 
 https://recruiting.paylocity.com/Recruiting/Jobs/Details/4071254
</div>

Clinical Appeals Reviewer (Licensed Healthcare Professional)

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