clinical services specialist

American Red Cross

<div><h1 class="jobSectionHeader">Please use Google Chrome or Mozilla Firefox when accessing Candidate Home.</h1><h1 class="jobSectionHeader">
By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human spirit at its best. Are you ready to be part of the world's largest humanitarian network?</h1><h1 class="jobSectionHeader">
Join us&mdash;Where your Career is a Force for Good!</h1>
Job Description:
Joining the American Red Cross is like nothing else &ndash; it&rsquo;s as much something you feel as something you do. You become a vital part of the world&rsquo;s largest humanitarian network. Joining a team of welcoming individuals who are exceptional yet unassuming. Diverse, yet uncompromising in unity. You grow your career within a movement that matters, where success is measured in people helped, communities made whole, and individuals equipped to never stop changing lives and situations for the better.
When you choose to be a force for good, you&rsquo;ll have mentors who empower your growth along a purposeful career path. You align your life&rsquo;s work with an ongoing mission that&rsquo;s bigger than all of us. As you care for others, you&rsquo;re cared for with competitive compensation and benefits. You join a community that respects who you are away from work as much as what you do while at work.
Where Your Career is a Force for Good!
WHAT YOU NEED TO KNOW (Job Overview):
At the American Red Cross, you have a direct impact on a meaningful mission. When you join our team, you can help save lives every day. You&rsquo;ll be part of a like-minded team that shares a passion for making a difference and a work environment that supports growth, learning, and success.
This position is a unique opportunity to provide 1-on-1 care to patients in a specialty area (Therapeutic Apheresis). Our nurses get to work collaboratively with physicians and act as the go-between for the physician and the patient. You will get to travel to different hospitals and Red Cross sites. We do the following procedures: plasma exchange, red cell exchange leukapheresis, stem cell harvests, photopheresis, therapeutic phlebotomies, platelet reductions, and white blood cell depletion.
WHERE YOUR CAREER IS A FORCE FOR GOOD (Key Responsibilities):<ul><li>
You will perform Apheresis procedures autonomously in multiple settings, including critical care, emergency room, and freestanding outpatient centers.</li><li>
Perform venipunctures, access central venous catheters, and access vortex and Bard ports.</li><li>
Perform all phases of therapeutic apheresis procedures (plasma exchange, red cell exchange, platelet, and white cell reduction, photopheresis, and hematopoietic progenitor cell collection), to ensure safe and appropriate care of the patient and explain, as needed, the procedures for patients and their family and other attending healthcare professionals.</li><li>
Act as a consultant to external health care personnel about clinical apheresis.</li><li>
Assess patient status relative to therapeutic apheresis, prior to and during procedures, utilizing the nursing process, laboratory testing results, and other clinically significant procedures.</li><li>
Coordinate closely with physicians and nurses at a variety of hospitals to arrange therapeutic apheresis treatments and facilitate coordinated care.</li><li>
Evaluate patient medication for compatibility and safety of apheresis procedure and determine when to contact the physician.</li><li>
Assemble, restock, QC, and maintain supplies and equipment in a state of readiness to maintain a clean, safe, and efficient work environment.</li></ul>
The American Red Cross will provide all necessary training. No experience is required.
Standard Schedule: Variable 1st shift Monday to Friday- 40 hrs per week - Rotating on calls
WHAT YOU NEED TO SUCCEED (Minimum Qualifications):<ul><li>
Current state licensure as a Registered Nurse and CPR certification is required.</li><li>
Bachelor&rsquo;s degree OR a combination of education and work experience.</li><li>
Two years of experience in medical/surgical or critical care nursing, OR-related experience.
</li><li>Previous apheresis or dialysis experience is beneficial but not required.</li><li>
Good vein selection and venipuncture skills are essential.</li><li>
Good verbal communication skills and the ability to effectively discuss procedures and medical issues with patients, families, and physicians.</li><li>
Customer service experience, effective verbal communication, and public relations skills are preferred.</li><li>
A current, valid driver's license and a good driving record are required.</li></ul>
Apply now! Joining our team will provide you with the opportunity to make a difference every day by delivering lifesaving treatments and being at the forefront of cancer research!
BENEFITS FOR YOU: 
As a mission-based organization, we believe our team needs great support to do great work. Our comprehensive package includes:<ul><li>
Medical, Dental Vision plans</li><li>
Health Spending Accounts &amp; Flexible Spending Accounts</li><li>
PTO + Holidays</li><li>
401K with up to 6% match</li><li>
Paid Family Leave</li><li>
Employee Assistance</li><li>
Disability and Insurance: Short + Long Term</li><li>
Service Awards and recognition.</li></ul> 
Commitment to Your Health &amp; Safety-COVID-19: 
The American Red Cross requires all new hires be vaccinated against COVID-19 as a condition of employment. This means that all individuals working for the organization must be fully vaccinated against COVID-19 by the start of their employment OR have begun the vaccination process prior to their start date. Upon being offered a position, individuals will be required to submit proof of vaccination. If you are unable to be vaccinated due to medical or religious reasons, you may qualify for an exemption. If seeking an exemption, you will be required to submit documentation, and your request must be approved prior to hire.
Physical Requirements
The duties are representative of the essential functions of the position. Operational flexibility is required to meet sudden and unpredictable needs. Required to wear protective clothing such as lab coats, gloves, face shields, etc. when there is exposure to blood and blood products and/or where work location requires. Ability to use a wide variety of lab or medical equipment. Ability to use a personal computer and applicable software for sustained periods of time.
DISCLAIMER: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified.<h2 class="jobSectionHeader">
Apply now! Joining our team will provide you with the opportunity to
</h2><h2 class="jobSectionHeader">make your career a force for good!</h2>
The American Red Cross is an Equal Opportunity 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. 
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, San Diego Fair Chance Ordinance, the California Fair Chance Act and any other applicable state and local laws. 
AmeriCorps, the federal agency that brings people together through service, and its partners &mdash; the Peace Corps, AmeriCorps Alums, National Peace Corps Association, and the Service Year Alliance &mdash; launched Employers of National Service to connect national service alumni with opportunities in the workforce. American Red Cross is proud to be an EONS partner and share our employment opportunities with the network of organizations. 
Interested in Volunteering? Visit redcross.org/volunteertoday to learn more, including our most-needed volunteer positions.
To view the EEOC Summary of Rights, click here: Summary of Rights</div>

Clinical Services Nurse Specialist

Tidelands Health

<div>Employee Type:
Regular
Work Shift:
Day - 8 hour shift (United States of America)
Join Team Tidelands and help people live better lives through better health! 
Clinical Specialist/Physical Therapist Outpatient 
Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. 
 
A Brief Overview 
The Clinical Specialist/Physical Therapist shall be responsible for assisting with the coordination, promotion, assessment, and interventions related to the scope of rehabilitation services. In addition, this individual also provides a full range of discipline specific therapy services including patient assessment, treatment, and treatment planning in an interdisciplinary team environment consistent with the position's qualifications, professional practices, and ethical standards. The specific percentage of work time spent on rehabilitation interventions versus other therapy treatment will be determined through a collaborative effort between the director and clinical specialist based on the service needs of the healthcare environment. The CS/PT will demonstrate accountability for the contribution to program development, quality improvement of clinical competencies, problem solving, and productivity enhancement in a flexible interdisciplinary fashion. The Clinical Specialist/Physical Therapist will conduct staff and community in-services and educational conferences to increase staff and community knowledge of the specialty. The employee may have job functions where they will handle and deliver medications based on the requirements of their job in the assigned work facility. 
 
What you will do<ul><li>
Assist with the coordination, promotion, assessment, and interventions related to the scope of rehabilitation services.</li>
<li>Provides a full range of discipline specific therapy services.</li>
<li>Handle and deliver medications based on the requirements of their job in the assigned work facility.</li>
<li>Conduct staff and community in-services and educational conferences.</li></ul> 

Education Qualifications<ul><li>
Doctoral Degree from an accredited Physical Therapy institution with successfully completed a specific volume of evidence-based pelvic health coursework and training. Must meet the required professional continuing education requirements to maintain the certification of lymphatic studies at all times during employment as a rehabilitation clinical specialist. Required
</li></ul> 
Experience Qualifications<ul><li>
Minimum of two years of experience required in outpatient rehabilitation preferred.
</li></ul> 
Skills and Abilities<ul><li>
Proficiency in public speaking and have ability to communicate knowledge effectively required.
</li></ul> 
Licenses and Certifications<ul><li>
Physical Therapist - South Carolina Department of Labor, Licensing and Regulation Licensed by the state of South Carolina Board of Physical Therapy Examiners Required
</li><li>Basic Life Support Certified - American Heart Association within 30 days or hire and recertification every two (2) years is Required
</li><li>Advanced Cardiovascular Life Support Certified - American Heart Association Preferred
</li></ul> 
Physical Demand 
Medium-Heavy Physical Demand 
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description. Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. 
Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.</div>

Clinical Specialist – Lymphedema

Elara Caring

<div>At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place.
Job Description:
Engage Clinical Care Specialist
Full Time Remote
The Engage Clinical Care Specialist is part of the ElaraConnect suite of patient engagement programs that aims to improve patient outcomes on-service. The Engage Clinical Care Specialist supports the PCS Engage and PCS Branches, acting as a liaison for patients to ensure the patient&rsquo;s needs are appropriately addressed. Engage Clinical Care Specialist are responsible for following up on change in condition responses from PCS caregivers, coordinating care with patient/caregiver/physician, working with insurance providers to ensure adequate Plan of Care is in place, educating patient/caregivers r/t change in condition and referring to appropriate service lines as needed. Engage Clinical Care Specialist are assigned a market territory to support and assist potential patients. Engage Patient Care Specialists conduct remote assessments and coordinate care in collaboration with PCS caregivers and PCS branch staff
At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there&rsquo;s no place like home, and that&rsquo;s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Clinical Care Specialist by providing quality care. Being a part of something this great starts by carrying out our mission every day through your true calling: being an outstanding Clinical Care Specialist.
To continue to be an industry pioneer delivering unparalleled care, we need a Clinical Care Specialist with commitment and compassion. Are you one of them? If so, apply today!
As an Elara Caring Clinical Care Specialist, you&rsquo;ll contribute to our success in the following ways:<ul><li>
Receives and maintains program referrals for assigned market (states or branch groups) identified by ElaraConnect program(s), ensuring appropriate and adequate documentation for reporting and compliance needs</li><li>
Reviews all available patient notes and summaries to ensure personalized customer service and care coordination.</li><li>
Suggests revisions to the plan of care in response to identified patient care issues and notifies the Insurance plan and local PCS Branch team as appropriate.</li><li>
Implements all available actions to prevent avoidable hospitalizations and ER visits.</li></ul>
Why Join the Elara Caring mission?<ul><li>
Work autonomy and flexible schedules</li><li>
1:1 patient care</li><li>
Supportive and collaborative environment</li><li>
Competitive compensation package</li><li>
Tuition reimbursement for full-time staff and continuing education opportunities for all employees</li><li>
Comprehensive insurance plans for medical, dental, and vision benefits</li><li>
401(K) with employer match</li><li>
Paid time off, paid holidays, family and pet bereavement</li><li>
Pet insurance</li></ul>
What is Required?<ul><li>
Graduate of an accredited school of professional nursing</li><li>
Current Certified Licensed Vocational/Practical Nurse (LVN/LPN)</li><li>
Minimum of two (2) years of active experience as a Licensed Practical Nurse</li><li>
Experience in Medicare/Medicaid home health care benefits, policies and procedures preferred.</li><li>
Reliable transportation for in-office meetings or other reasonable requests to be in office for daily tasks</li><li>
Advanced nursing skills as defined by accepted nursing standards, including ability to manage patient needs, knowledge of medical terminology, clinical evaluations, and recommendation for appropriate care</li><li>
Advanced time management, planning and organizational skills &ndash; Ability to set timeframes, match resources to tasks, and plan ahead</li><li>
Advanced customer service skills &ndash; Ability to seek patient feedback, advocate for patient, understanding of patient needs, and managing patient expectations</li></ul>
You will report to the Clinical Program Supervisor.
This is not a comprehensive list of all job responsibilities; a full job description will be provided.
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.
Equal Employment Opportunity: We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com.
Pay &amp; Benefit Information: Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits
EVerify: Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.</div>

Engage Clinical Care Specialist

Abbott

<div>Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries.
Clinical Specialist I, CPT - Austin, TX
Working at Abbott
At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You&rsquo;ll also have access to:<ul><li>
Career development with an international company where you can grow the career you dream of.</li><li>
Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year</li><li>
An excellent retirement savings plan with high employer contribution</li><li>
Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor&rsquo;s degree.</li><li>
A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.</li><li>
A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.</li></ul>
Neuromodulation
Our Neuromodulation business includes implantable devices compatible with mobile technology to help people who suffer from chronic pain and movement disorders. These non-opioid therapies allow us to provide interventional pain therapy to patients throughout the pain continuum.
The Opportunity
Our team is actively recruiting for a Clinical Specialist I, CPT in Austin, TX. As a member of the clinical support team, is responsible for providing technical clinical expertise and support of the sales process to colleagues, current customers and/or potential customers. Works under general direction with clinical and sales teammates to identify and capitalize on sales opportunities by creating competency, comfort, and expertise with all Abbott Chronic Pain Therapies among physicians, support staff and customers within assigned geography. Performs work that involves a high degree of independence. Exercises independent judgment in planning, organizing, and performing work. Seeks to continually improve territory efficiency.
What You&rsquo;ll Work On<ul><li>
Provides technical, clinical, and programming assistance, primarily in support of 1-2 Territory Manager(s).</li><li>
Assist Territory Managers in after-hours call support and activities.</li><li>
Integrates into all accounts, builds trust and relationships, and establishes strong rapport with customers.</li><li>
Proficient in complex programming, case support.</li><li>
Works seamlessly with Territory Manager(s) allowing them increased selling time.</li><li>
Will foster high trust relationships with customers, including the regional team members.</li><li>
Will begin to conduct PCP work and educational in services, as directed.</li><li>
As directed by sales manager, contacts, visits, and engages clients and potential clients in the Company&rsquo;s products and addresses any client questions and concerns.</li><li>
Provides medical professionals with sales support, information, and training on the use of Company products and with staff education, in-services, and technical troubleshooting.</li><li>
Develop and maintain an in-depth knowledge of assigned accounts and customers to include competitor activity.</li><li>
Conducts evaluations and develops sales strategies for capital equipment opportunities within accounts.</li><li>
Collects and studies information about new and existing products and monitors competitor sales, prices, and products.</li><li>
Provide feedback to providers both within operating room setting and outside operating room setting on the directions for use specific to implantable devices.</li><li>
May attend trade shows where new products and technologies are showcased and conferences to meet other sales representatives and clients and discuss new product developments.</li><li>
Uses clinical expertise to identify customer training and in-service needs with the goal of increasing customer usage, comfort and understating of all Abbott Chronic Pain Therapies product line.</li><li>
Complies with U.S. Food and Drug Administration (FDA) regulations, other regulatory requirements, Company policies, operating procedures, processes, and task assignments.</li><li>
Provides sales support, clinical in-services, training, and guidance to current or potential customers.</li><li>
Maintains positive and cooperative communications and collaboration with all levels of employees, customers, contractors, and vendors.</li><li>
Performs other related duties and responsibilities, on occasion, as assigned.</li><li>
Ability to travel 25% within assigned region and/or outside assigned region.</li></ul> 
Required Qualifications<ul><li>
Associates Degree or technical certification; preferred Bachelor&rsquo;s Degree.</li><li>
1 - 2 years&rsquo; work experience, strong preference collaborating with patients in clinical setting.</li><li>
The ability to communicate, understand and educate clinical data in the Chronic Pain Therapies space.</li><li>
Strong clinical skills.</li><li>
Excellent organizational, time management and prioritizing skills.</li><li>
Excellent interpersonal verbal, written and presentation skills with ability to effectively communicate at multiple levels and to large groups within and outside the organization.</li><li>
Capable of building strong working relationships with internal/external customers.</li><li>
Capable of working unpredictable schedule that may occasionally change on short notice due to operating room schedule changes and or delays.</li><li>
Accustomed to tight deadlines and managing multiple tasks.</li><li>
Strong sense of urgency.</li><li>
Ability to work in a highly matrixed and geographically diverse business environment.</li><li>
Ability to work within a team and as an individual contributor in a fast-paced, changing environment.</li><li>
Ability to leverage and/or engage others to accomplish projects.</li><li>
Strong verbal and written communications with ability to effectively communicate at multiple levels in the organization.</li><li>
Multitasks, prioritizes, and meets deadlines in timely manner.</li><li>
Capable of engaging customers in selling conversations as needed and as directed by Territory Manager.</li></ul>
Preferred Qualifications<ul><li>
Patient interaction experience within health care related environment (Physical Therapy, medical product sales, RN, LPN).</li><li>
Experience working in a broader enterprise/cross-division business unit model preferred.</li><li>
1-3 years&rsquo; experience with Abbott, or in similar spinal cord stimulation (SCS) setting or with another implantable medical device company.</li></ul>
Apply Now
Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com
Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.
Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott, and on Twitter @AbbottNews. 
The base pay for this position is $61,300.00 &ndash; $122,700.00. In specific locations, the pay range may vary from the range posted.</div>

Clinical Specialist I, CPT - Austin, TX

Empirx Health

<div>Clinical Operations Specialist 
EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results. 
We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health solution delivers tailored strategies for our clients. Leveraging our newly launched, AI-powered pharmacy care platform, Clinically&trade;, EmpiRx Health&rsquo;s pharmacists and client experience teams provide the highest quality pharmacy care to our clients and their members. This enables benefits plan sponsors to keep their members healthy, happy, and productive, while substantially reducing prescription drug spending, which has been on an explosive growth trajectory in recent years. 
The Clinical Operations (Clin Ops) team is accountable for proficiency with the adjudication platform, understanding claim processing, and clinical review support. Clin Ops staff must operate effectively for client/members overrides and clinical reviews in a timely manner to ensure members are receiving white glove service. ClinOps will closely and collaboratively work with call center, clinical pharmacists, and other internal EmpiRx Health teams. 
If you are a highly motivated Clinical Operations Specialist with robust administrative support experience related to pharmacy adjudication processes and clinical review procedures and are eager to make a meaningful impact in the healthcare industry, we encourage you to apply. 
Key Responsibilities:<ul><li>
Deliver white-glove service excellence by making sure caseload is handled in a timely manner</li><li>
Serve as an account support to clinical pharmacist for adjudication related matters (e.g., clinical overrides)</li><li>
Serve as an account support to call center for adjudication related matters (e.g., non-clinical overrides)and clinical review related matters (e.g., clinical review requests by prescriber, pharmacy, or member)</li><li>
Serve as an account support to Client Management for related overrides needed (e.g., ancillary bypass, vacation bypass, etc.)</li><li>
Serve as an account support to other Care Management teams (MCA, CPT, CARS, CAE) for related overrides needed (e.g., DUR, high cost, clinical review approval overrides, etc.)</li><li>
Ensure daily process/protocols are being followed for daily management</li><li>
Ensure day-to-day clinical review processes are supporting (e.g., PA intake, documentation, and communication oversight)</li><li>
Ensure escalation requests are handled in a timely manner, following defined practices and within targeted 2-hour turnaround time</li><li>
Complete assigned worklists in timely manner to meet our KPI standards</li><li>
Perform under the supervision of ClinOps Manager and clinical pharmacists</li><li>
Utilize internal tools and reporting to effectively perform job duties (e.g. Tredium, JMT)</li><li>
Serve as experts on adjudication system (e.g., claims processing, clinical review support)</li><li>
Collaboratively work with other internal EmpiRx Health teams for needed support (e.g., Client Management and Call Center)</li></ul>
Required Qualifications &amp; Experience:<ul><li>
Minimum 5 years of pharmacy experience</li><li>
Certified Pharmacy Technician</li><li>
Strong customer service orientation and commitment to delivering concierge-level service</li><li>
Ability to work in a fast-paced environment</li><li>
Time management skills with ability to meet tight deadlines</li><li>
Excellent verbal and written communication skills</li><li>
Proficient in Microsoft Office Suite</li></ul>
Preferred Qualifications: (not needed if internal)<ul><li>
College Degree Preferred</li></ul>
 SHIFT IS M-F 10:30am - 7pm
Work Environment: Remote
Total earnings may also include various incentive options. Actual pay will be adjusted based on experience, education, geographic location, and other job-related factors as permitted by law. Subject to program eligibility, this position qualifies for a robust suite of benefits including: Paid Time Off, a 401(k) program, Health Insurance including Dental &amp; Vision coverage, Tuition Reimbursement, Health Savings Account, and an Employee Assistance Program.
EmpiRx Health is an Equal Opportunity Employer
At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're on a mission to build a team as diverse as the world we serve, where everyone is welcome and celebrated. We're not just breaking down barriers; we're actively erasing them to create an environment where opportunity knows no bounds. In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together.</div>

Clinical Operations Specialist

Compassus

<div>Company:
Providence at Home with Compassus 
Position Summary
The Clinical Quality Specialist is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Clinical Quality Specialist is primarily responsible for ensuring the accurate entry of all Start of Episode and OASIS forms for patient charts. S/he processes Home Health Director of Clinical Services workflows. 
Position Specific Responsibilities<ul><li>
Completes or reviews all client medical records regarding OASIS.</li><li>
Executes all OASIS reviews on a timely basis.</li><li>
Assures compliance with OASIS time frames as required by law.</li><li>
Completes OASIS activities as appropriate in conjunction with field staff.</li><li>
Reviews and processes the Home Health Director of Clinical Services workflow as assigned, including tasks related to start and resumption of episode, OASIS review and utilization.</li><li>
Performs other duties as assigned.</li></ul> 
Education and/or Experience<ul><li>
Associate or bachelor's degree in nursing required.</li><li>
One (1) year experience in home health care required.</li><li>
QA experience in home health care preferred.</li><li>
Prior experience with electronic medical records preferred.</li></ul> 
Skills<ul><li>
Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.</li><li>
Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.</li><li>
Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy.</li></ul> 
Certifications, Licenses, and Registrations<ul><li>
Active and unencumbered Multistate Compact Registered Nurse license required.</li><li>
Current COS-C certification required at the time of hire or must be obtained within 90 days of hire.</li></ul> 
Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization. 
 
At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Compensation range: $80,000 - $90,000 
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities 
Compassus offers a comprehensive benefits package including, Medical, Dental, Vision, 401k and much more.
#LI-AV1
Build a Rewarding Career with Compassus 
At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.
Your Career Journey Matters 
We&rsquo;re dedicated to helping you grow and succeed. Whether you&rsquo;re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.<div>
The Compassus Advantage 
<ul><li>Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.</li><li>Career Development: Access leadership pathways, mentorship, and personalized professional development.</li><li>Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.</li><li>Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.</li><li>Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.</li><li>A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.</li></ul></div>
Ready to Join? 
At Compassus, your career is more than a job&mdash;it&rsquo;s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.</div>

Clinical Quality Specialist

Jamison Pediatrics and Express Care

Job Overview We are seeking a dynamic and detail-oriented Clinical Utilization Specialist to join our healthcare team. In this vital role, you will be responsible for optimizing patient care through comprehensive utilization review, medical documentation review, and case management activities. Your expertise will support clinical decision-making, ensure compliance with healthcare standards, and facilitate efficient resource utilization across inpatient, outpatient, and specialized care settings. This position offers an exciting opportunity to impact patient outcomes positively while working within a collaborative, fast-paced environment dedicated to excellence in healthcare delivery.Responsibilities<ul><li>Conduct thorough utilization reviews for inpatient and outpatient cases, ensuring appropriate level of care based on clinical documentation and established criteria such as NCQA standards and CMS guidelines.</li><li>Review medical records, clinical documentation, and coding (ICD-9, ICD-10, CPT) to verify accuracy, completeness, and compliance with HIPAA regulations.</li><li>Collaborate with physicians, nurses, case managers, and other healthcare professionals to facilitate discharge planning and coordinate patient care transitions across settings such as hospitals, nursing homes, hospice care, or home health agencies.</li><li>Utilize EMR (Electronic Medical Record) systems like Cerner, Epic, Athenahealth, or eClinicalWorks to document findings and support medical management decisions.</li><li>Perform medical coding tasks including ICD coding and DRG assignment to support billing processes and ensure proper reimbursement.</li><li>Participate in clinical documentation improvement initiatives to enhance the accuracy of medical records and optimize reimbursement while maintaining compliance with accreditation standards like NCQA.</li><li>Support utilization management activities by analyzing patient data related to ICU experience, trauma center criteria (Level I &amp; II), pediatrics (PICU), emergency medicine, or primary care cases to promote appropriate resource use.</li></ul>Requirements<ul><li>Proven experience in managed care environments with a strong understanding of Medicare, Medicaid, or commercial insurance protocols.</li><li>LMSW (preferred) Master- Level Non licensed will be considered based off prior experience. </li><li>Critical care experience in settings such as ICU or trauma centers is highly desirable.</li><li>Knowledge of medical terminology, anatomy, physiology, and clinical documentation practices is essential.</li><li>Familiarity with EMR/EHR systems including Cerner, Epic, Athenahealth or similar platforms is required.</li><li>Experience with medical coding (ICD-9/10, CPT), DRG assignment, and utilization review processes is necessary.</li><li>Strong background in hospital or outpatient clinic settings; nursing home or hospice care experience is a plus.</li><li>Ability to interpret complex medical records and ensure compliance with HIPAA regulations.</li><li>Excellent communication skills for collaborating with multidisciplinary teams and explaining clinical findings clearly.</li><li>Certifications such as CCM (Case Management Certification), RHIT/RHIA (Registered Health Information Technician/Administrator), or equivalent are preferred. Join our team to make a meaningful difference in patient care through expert utilization management! We value proactive professionals who thrive in collaborative environments dedicated to healthcare excellence and continuous improvement.</li></ul>Pay: $20.00 - $28.00 per hourWork Location: Hybrid remote in Columbia, SC 29223

Clinical Utilization Specialist

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