senior care specialist

Ensemble Health Partners

<div><p><b>Thank you for considering a career at Ensemble!</b></p><p></p><p>
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.</p><p></p><p>
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!</p><p></p><p>
O.N.E Purpose:</p><ul><li><p><b>
Customer Obsession:</b> Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.</p></li><li><p><b>
Embracing New Ideas:</b> Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.</p></li><li><p><b>
Striving for Excellence:</b> Execute at a high level by demonstrating our &ldquo;Best in KLAS&rdquo; Ensemble Difference Principles and consistently delivering outstanding results.</p></li></ul><p></p><p><b>
The Opportunity:
</b></p><p></p><p><b>CAREER OPPORTUNITY OFFERING:</b></p><ul><li><p>
Bonus Incentives</p></li><li><p>
Paid Certifications</p></li><li><p>
Tuition Reimbursement</p></li><li><p>
Comprehensive Benefits</p></li><li><p>
Career Advancement</p></li><li><p>
This position pays between $18.65 - $19.90/hr based on experience</p></li></ul><p></p><p><b>
***This position is an onsite role, and candidates must be able to work on-site at </b><b>Bon Secours - Harbour View Medical Center</b><b> </b><b>in Suffolk, VA****
</b></p><p></p><p>The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. Additional duties can include training, scheduling, and other senior-level responsibilities. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes that are being performed across the entire organization.</p><p></p><p><b>
Essential Job Functions:</b></p><p></p><ul><li><p>
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions with the appropriate level of compassion. Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.</p></li><li><p>
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.</p></li><li><p>
A Senior Patient Access Specialist is responsible for the development of training materials and programs for new hires to the department, as well as providing continuing education to associates in all areas of the revenue cycle.</p></li><li><p>
A Senior Patient Access Specialist is responsible for the development of staff schedules within the patient access department.</p></li><li><p>
A Senior Patient Access Specialist will have on-call responsibilities for the department, including providing after-hours support and guidance. As part of on-call responsibilities, the Senior Patient Access Specialist may be responsible for working unscheduled times to cover staffing issues.</p></li><li><p>
Senior Patient Access Specialist are responsible for the collection of point of service payments. These activities may be conducted in emergency, outpatient, and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access Leadership. Senior Patient Access Specialists will be held accountable for point of service goals as assigned.</p></li><li><p>
Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness&rsquo;s name. Explains and distributes patient education documents, such as Important Message from Medicare, Observation Forms, Consent forms, and all forms implemented for future services.</p></li><li><p>
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.</p></li><li><p>
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.</p></li><li><p>
Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.</p></li></ul><p></p><p><b>
Job Experience:</b></p><ul><li><p>
1 to 3 Years</p></li><li><p>
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.</p></li></ul><p></p><p><b>
Education Level:</b></p><ul><li><p>
Associate degree or Equivalent Experience</p></li></ul><p></p><p><b>
Other Preferred Knowledge, Skills, and Abilities</b>:</p><p></p><ul><li><p>
Understanding of Revenue Cycle including admission, billing, payments, and denials.</p></li><li><p>
Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.</p></li><li><p>
Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes</p></li></ul><p></p><p><b>
Join an award-winning company</b></p><p></p><p>
Five-time winner of &ldquo;Best in KLAS&rdquo; 2020-2022, 2024-2025</p><p>
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024</p><p>
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024</p><p>
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024</p><p>
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023</p><p>
Energage Top Workplaces USA 2022-2024</p><p>
Fortune Media Best Workplaces in Healthcare 2024</p><p>
Monster Top Workplace for Remote Work 2024</p><p>
Great Place to Work certified 2023-2024</p><ul><li><p>
Innovation</p></li><li><p>
Work-Life Flexibility</p></li><li><p>
Leadership</p></li><li><p>
Purpose + Values</p></li></ul><p></p><p>
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:</p><ul><li><p><b>
Associate Benefits &ndash; </b>We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.</p></li><li><p><b>
Our Culture</b> &ndash; Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
</p></li><li><p><b>Growth &ndash; </b>We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.</p></li><li><p><b>
Recognition &ndash; </b>We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.</p></li></ul><p></p><p>
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.</p><p></p><p>
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.</p><p></p><p>
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role&rsquo;s range.</p><p></p><p>
Employment Disclaimers &ndash; Ensemble</p></div>

Senior Patient Access Specialist

Visiting Angels

Visiting Angels of Beaumont is hiring caregivers to serve our treasured clients throughout the local area including Lumberton, Nederland, Vidor, Mauriceville, China, Bevil Oaks, Sour Lake, and many more. Come be part of an office that belongs to the nation's #1 network for at-home care. Make a difference while enjoying a fulfilling career with flexible schedules, competitive wages, and growth opportunities.
<br><br>
As a Visiting Angels Senior Care Provider, you'll play a vital role in enriching the quality of life of clients and supporting their wellness in accordance with their custom care plans. This can include:
<br><br>
<ul>
<li>Helping clients with personal care and hygiene</li>
<li>Assisting clients with light physical exercise or walks</li>
<li>Planning and preparing meals with clients</li>
<li>Handling light housekeeping duties</li>
<li>Reporting health changes or unusual incidents</li>
<li>Providing pleasant, supportive companionship</li>
<li>Responding quickly and responsibly in emergencies</li>
<li>Accompanying and supervise clients during shopping trips</li>
<li>Reminding clients to take prescription medications appropriately</li>
<li>Providing assistance with mobility and ambulation both at home and during appointments/errands</li>
</ul>
Visiting Angels offers opportunities for advanced training in areas like dementia care and/or Alzheimer's care for caregivers seeking to broaden their skills.
<br><br>
<b>Senior Care Provider Job Requirements:</b><br>
<ul>
<li>Possess a high school diploma or equivalent</li>
<li>Possess a Valid Drivers License, Car Insurance, and a Reliable Personal Vehicle to use to transport clients</li>
<li>Strong communication and interpersonal skills are a must</li>
<li>Training in First Aid and emergency response is required (provided if needed)</li>
<li>Have excellent time-management skills and can juggle multiple duties at once</li>
<li>Reliable transportation to get to and from client homes at the times you're scheduled to provide care</li>
<li>Feel confident in your physical endurance when it comes to things like carrying groceries and physically supporting a client</li>
<li>Feel comfortable performing housekeeping and cooking duties while adhering to applicable dietary constraints</li>
<li>Are willing and able to comply with state and office-specific health and safety standards (ex., background check)</li>
<li>Bring compassion, understanding, and a desire to brighten the day of each client to the table</li>
</ul>
Benefits
<br><br>
<ul>
<li>Pay: $10.00-15.00 / hour (Higher hourly rate only for specific shifts)</li>
<li>Health Insurance</li>
<li>Dental Insurance</li>
<li>Vision Insurance</li>
<li>Holiday Pay</li>
<li>Referral Bonuses</li>
<li>Direct Deposit</li>
<li>Weekly Pay</li>
<li>Daily Pay</li>
<li>Continuing Education</li>
<li>Sign on Bonus</li>
</ul>
Shift Options
<br><br>
<ul>
<li>Full Time</li>
<li>Part Time</li>
<li>8 Hour Shifts</li>
<li>10 Hour Shifts</li>
<li>12 Hour Shifts</li>
<li>PRN</li>
<li>Short Shift</li>
<li>NOTE: Hours are not guaranteed.</li>
</ul>


Senior Care Provider

EVA Pharma

<div><p>Join EVA Pharma, a leading pharmaceutical company dedicated to empowering the fight for Health and well-being as a fundamental human right. Recognized and certified as a best place to work, we are committed to fostering a supportive and innovative environment for our team members.<br>
<br>
<b>Job Summary:</b></p><p>
We are seeking a passionate and talented <b>Senior People and Culture Specialist </b>to join our dynamic team.</p><p>
The ideal candidate will contribute to our mission of enhancing human health and well-being, ensuring that we meet the highest standards of excellence in our industry.</p><p><br>
 <b>Key Responsibilities:</b></p><ul><li>
Partner with business leaders to align people strategies with goals; advise on workforce, talent, and succession planning.</li><li>
Hire top talent and drive retention strategies to boost satisfaction and reduce turnover; conduct exit interviews and share insights.</li><li>
Serve as primary contact for employee inquiries, resolving issues swiftly and effectively.</li><li>
Lead employee engagement initiatives to foster collaboration, innovation, and inclusivity.</li><li>
Guide managers on employee relations, including conflict resolution and disciplinary actions.</li><li>
Support performance management aligned to business objectives; coach managers and employees to build capabilities.</li><li>
Identify training needs and collaborate with L&amp;D on targeted development programs.</li><li>
Ensure compliance with labor laws, policies, and regulations; lead or contribute to cross‑functional HR projects aligned with EVA Pharma&rsquo;s goals.</li></ul><br>
<b>
Requirements</b><br>
<ul><li>
Bachelor's degree in Human Resources, Business Administration, or a related discipline is required.</li><li>
2+ years of HR experience, preferably in a business partnering role.</li><li>
Previous experience in the pharmaceutical or healthcare industry is advantageous.</li><li>
HR certification (e.g., SHRM-CP, PHR) is a plus.</li><li>
Proficiency in HRIS and Microsoft Office Suite.</li><li>
Data-driven mindset with strong analytical skills.</li></ul></div>

Senior People & Culture Specialist -KSA

UPMC

<div><div><p><b>UPMC In Home Services is hiring a Full-Time Certified Registered Nurse Practitioner to help support UPMC Your Care.</b></p><p><b>
Hours:</b> Monday-Friday daylight with 1 evening call per week and 1 weekend call per month<br>
<b>Location:</b> All visits with patients are conducted in patients' home<br>
<b>Position Specifics:</b> The CRNP will provide care to UPMC Health Plan members in their own home. There are weekly in person meetings at UPMC Harbor Gardens.
<br>
<b>Department Details:</b> This is a fairly new program. This gives someone the opportunity to be on the innovative and cutting-edge side of Health Care and get experience in an IDFS structure from a provider perspective.
</p><p>See what being an Advanced Practice Provider can do for UPMC and what UPMC can do for Advanced Practice Providers &ndash; it&rsquo;s more than just a job!</p><p><b>
What Can You Bring to UPMC?</b></p><ul><li>
Contribute to UPMC&rsquo;s mission of Life Changing Medicine</li><li>
Set the standards for the level and quality of care for the care delivery team</li><li>
Provide patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members.</li><li>
Establish and maintain collaborative relationships with physicians, other health care providers, patients, and their families, to achieve desired patient outcomes throughout the continuum of care.</li><li>
Demonstrate a commitment to the community and to your health care profession</li></ul><p><b>
What Can UPMC Do for You?</b></p><ul><li>
A career path that provides you with the right experience to be successful in the position you want to obtain now and, in the future</li><li>
Health and welfare benefits like medical, vision, dental, and life and disability, and an exceptional retirement program</li><li>
Work life balance to help manage other important aspects of your life such as: PTO, wellness programs, paid parental leave</li><li>
Competitive pay for the work that you do &ndash; base pay, merit, and premium pay</li></ul><p></p><p><b>
Staff/Senior Level:</b><br>
The Staff or Senior Advanced Practice Provider (APP) is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care delivery team. The APP is responsible to set the standards for the level and quality of care. The APP has responsibility, authority, and accountability for the provision of care through supervision by and collaboration with a physician. The APP manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members. The role of the APP encompasses the beginnings of leadership, partnership, collaboration, and supervision. The APP establishes and maintains collaborative relationships with physicians, other health care providers, patients, and their families, to achieve desired patient outcomes throughout the continuum of care. The APP begins to demonstrate a commitment to the community and to their healthcare profession.</p><p><i>
The successful candidate will be placed according to years and months of experience for employment purposes. The posted salary range is for the Senior level which requires three (3) or more years of APP experience.</i></p><p></p><p><b>
Responsibilities:</b></p><ul><li>
Applies basic professional practice knowledge and skills appropriate for practice setting. Communicates effectively, both verbally and in documentation. Demonstrates critical thinking in all areas of professional practice. Learns to incorporate acceptable standards of professional practice as well as business unit and health system's goals to improve patient safety, quality, and satisfaction. Formulates a plan of care that considers individual patient needs. Demonstrates initiative and seeks formal and informal opportunities to improve clinical practice. Seeks guidance and asks questions to continuously improve professional practice. Builds relationships with patients, families, and colleagues. Identifies ethical situations within patient care or within the workplace and seeks assistance. Professionally accepts assignments that gradually increase patient load and complexity.</li><li>
Actively engages in clinical development of all members of the healthcare team. Requests opportunities to learn advanced professional practice techniques from senior healthcare team members. Seeks, accepts, and utilizes performance feedback from peers, preceptors, and unit/department Leaders as a learning opportunity and to improve practice. Demonstrates enthusiasm for continuous learning and identifies and creates a plan for the continuation of learning and development. Identifies patient and family needs for education and provides basic education to support the episode of care. Seeks professional development and involvement through membership in a professional organization and/or reading professional literature on a regular basis.</li><li>
Demonstrates a basic knowledge of research, how it affects practice and who/what resources are available to assist with evidence-based practice by asking questions, demonstrating interest, participating in journal clubs. Clinical practice demonstrates knowledge of how quality and innovation impacts patient satisfaction, safety, and clinical quality outcomes. Identifies opportunities for improvement in the clinical area.</li><li>
Demonstrates the ability to communicate clearly and effectively with all members of the health care team. Begins to demonstrate awareness of cultural diversity, horizontal violence, and impairment in the health professions. Cares for patients and self by supporting safety in the workplace.</li><li>
Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care. Makes recommendations for the improvement of clinical care and the health of the workplace and welcomes and participates in change initiatives. Leads by investing and building healthy relationships among colleagues and other disciplines. Shows the ability to set priorities. Begins to serve as an engaged member of a team supporting colleagues in service to patients and families and may participate in task forces or other initiatives.</li></ul></div><div><ul><li>
Demonstrate the knowledge and skills necessary to provide care and/or interact appropriately with the patients served as specified below</li><li>
Demonstrate knowledge of the principles of growth and development over the life span</li><li>
Possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs</li><li>
Provide the care needs as described in the department policy and procedures</li></ul><p></p><p><b>
Special Skills and Abilities Required</b></p><ul><li>
Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families</li><li>
Ability to work productively and effectively within a complex environment</li><li>
Handle multiple/changing priorities and specialized equipment</li><li>
Critical thinking, analytical and problem-solving abilities required as related to various aspects of patient care</li><li>
Good clinical judgment</li><li>
Critical thinking skills necessary to exercise and lead others in application of acceptable standards of practice</li><li>
Mobility and visual manual dexterity</li><li>
Physical stamina for frequent walking, standing, lifting, and positioning of patients</li></ul><p>
This position is dependent upon successful attainment and maintenance of hospital privileges, if applicable to the Business Unit practice.</p><p></p><p><b>
Licensure, Education, Certifications, and Clearances</b></p><p><b>
Certified Registered Nurse Practitioner (</b><b>CRNP):</b></p><ul><li>
The successful completion of an approved nurse practitioner program is required</li><li>
BSN, MSN is preferred</li><li>
Professional nursing experience and/or nurse practitioner experience is preferred</li><li>
Current state RN license and CRNP certification are required</li><li>
National certification, eligible for licensure by Pennsylvania board of nursing, eligible for certification as a CRNP by Pennsylvania state board of nursing</li><li>
Current CPR certification is required</li><li>
Act 34 Clearance required</li><li>
Automotive Insurance</li><li>
Driver's License</li></ul><p></p><p><b>
UPMC is an Equal Opportunity Employer/Disability/Veteran</b></p></div></div>

CRNP, Senior - UPMC Your Care

Caring Senior Service

<div><h2 class="jobSectionHeader"><b>Caring Senior Service of Georgetown | Community Outreach &amp; Referral Specialist</b></h2>
<h3 class="jobSectionHeader"><b>Build Relationships. Drive GroCaringwth. Change Lives.</b></h3>
<p>Are you a relationship-driven professional who thrives in the community and wants your work to truly matter?</p>
<p>At <b>Caring Senior Service of Georgetown</b>, we help seniors remain independent, safe, and comfortable at home. As we continue to grow across <b>Georgetown, Killeen, Belton, and Temple</b>, we're looking for a high-energy <b>Community Outreach &amp; Referral Specialist</b> to expand our local presence and build trusted referral partnerships.</p>
<p>This is more than a sales role &mdash; it's an opportunity to become a recognized leader and connector in the senior care community.</p>
<h2 class="jobSectionHeader"><b>Why This Role Is Different:</b></h2>
 <ul><li>You're not selling a product &mdash; you're offering peace of mind to families</li><li>
You'll have autonomy to build and execute your outreach strategy</li><li>
You'll be backed by a compassionate, mission-driven care team</li><li>
You'll represent a respected, nationally recognized home care brand</li></ul>
<h2 class="jobSectionHeader"><b>What You'll Do:</b></h2>
<p>As the face of our agency in the community, you will:</p>
<ul><li>Develop and execute strategic outreach plans that generate consistent, high-quality referrals</li><li>
Build strong relationships with hospitals, rehab facilities, physician offices, senior centers, assisted living communities, and local organizations</li><li>
Represent the agency at networking events, health fairs, and community engagements</li><li>
Track referral activity and growth metrics in our CRM</li><li>
Collaborate with our care team to ensure a seamless, exceptional client experience</li><li>
Meet and exceed referral and growth goals</li></ul>
<h2 class="jobSectionHeader"><b>Who Thrives in This Role:</b></h2>
<p>This position is ideal for someone who:</p>
<ul><li><b>Has experience in healthcare sales, home health, hospice, senior living, or medical outreach</b></li><li>
Enjoys face-to-face networking and relationship-based business development</li><li>
Is confident, polished, and highly professional</li><li>
Is self-motivated and results-driven</li><li>
Wants to be part of a growing organization with leadership opportunities</li></ul>
<h2 class="jobSectionHeader"><b>Requirements:</b></h2>
<ul><li><b>Experience in healthcare sales, outreach, business development, or community relations</b></li><li>
Valid Texas driver's license and clean driving record</li><li>
Willingness to travel throughout Georgetown, Killeen, Belton, and Temple</li><li>
Strong organizational skills and follow-through</li></ul>
<h2 class="jobSectionHeader"><b>Compensation &amp; Benefits:</b></h2>
<ul><li><b>Competitive base salary + commission</b></li><li>
Company vehicle provided for local travel</li><li>
Ongoing training and professional development</li><li>
Career advancement opportunities within a growing organization</li><li>
Meaningful, purpose-driven work that directly impacts families</li></ul>
<h3 class="jobSectionHeader"><b>Ready to Make a Real Impact?</b></h3>
<p>If you're passionate about community engagement, relationship-building, and helping seniors stay healthy, happy, and at home &mdash; we'd love to connect with you.</p>
<p>Apply today and join our Caring team!</p></div>

Community Outreach & Referral Specialist - In-Home Care Agency

Nahdi

<div><p>Serve as a Consultant in the Dermatology department, Diagnose and treat injuries or illnesses. Responsible to examine patients; take medical histories; prescribe medications; and order, perform, and interpret diagnostic tests. Responsible to counsel patients on diet, hygiene, and preventive healthcare whenever it is related to their individual cases. Provide second opinion and coaching for specialist and senior specialist physicians. Support the top management with recommendations and ideas for improving the services provided and the staff in the clinic either on the short or the long term.
</p><p>Accountabilities
</p><ul><li>Assess patients and document findings.
</li><li>Designs and executes the patient&rsquo;s plan of care.
</li><li>Educates patients on their health condition, investigations required, treatment options and medication use.
</li><li>Educates patients on health promotion and disease prevention.
</li><li>Orders and reviews result of patients&rsquo; investigations.
</li><li>Prescribe medications for patients.
</li><li>Fulfills his/her obligations related to Patient Records.
</li><li>Prescribe medications for patients.
</li><li>Performs other job related duties and responsibilities as assigned.
</li><li>Adherent to all Nahdi Care Clinics (NCC) Policies and Procedures (P&amp;P), Bylaws Strategic Plan, Rules &amp; Regulation.
</li><li>Adherent to the mission, vision goals and practice guidelines in NCC.
</li><li>Actively participate in all NCC Committees and Task Forces that he/she are assigned to.
</li><li>Adherent to the CBAHI standards of care.
</li><li>Establish and maintain effective and cooperative working relationships with other departments of the NCC, other local agencies, vendors, patients, their families and other interested parties.
</li><li>Completes fire safety requirements.
</li><li>Complies with clinical &amp; departmental structure standards, including attendance.
</li><li>Participates in continuous quality improvement / program evaluation activities and observe measures to ensure Clinical, MOH and CBAHI quality Standards and Regulations are met.
</li><li>Participate in continuous professional development of all junior staff .
</li><li>Evidence base oriented.
</li><li>Integrate the population factors of heritage, environment, and disease prevalence into a patient's care.
</li><li>Develops, participate and supports an active Continuing Medical Education program for the Section, Department or Clinical assigned by the chairman which may include rounds, conferences, lectures, and journal clubs and other educational activities.
</li></ul><p><b>Specialty Tasks:
</b></p><ul><li>Specific privileges based on his training, experience, skills and in the guidelines of the Saudi health council.
</li><li>Performs additional tasks based on specialty and their Clinical Privileges.
</li></ul><p><b>Coaching &amp; Knowledge Sharing:
</b></p><ul><li>Provide second opinion for specialists and senior specialist if needed to ensure sharing knowledge across the team as well as adherence to guidelines and best practices.
</li>Support the Medical Director (if needed) in the performance management process with the specialist and senior specialists by providing objective evaluation for their performance and potential.<br>
<li>
</li></ul><p></p><p>The employee&rsquo;s duties are not limited to the above-mentioned accountabilities. The manager can assign other duties based on the business need.<br>
</p><p></p><p>Work Environment
</p><ul><li>Indoors : 100%
</li><li>Outdoors : 0%
</li><li>Working Days : 6 Working Days
</li><li>Days off : 1 Days Off
</li>Working Hours : 8 net working hours according to shift schedule approved by head of department.<br>
<li>
</li></ul><p></p><p>Job Requirements
</p><div><div><div><div><div><p><b>Education<br>
</b></p></div><div><ul><li>Bachelor&rsquo;s degree in medicine and surgery from recognized universities.
</li><li>Master&rsquo;s degree in (related specialty) from recognized universities.
</li>Fellowship\Board or Medical Doctor &ldquo;MD&rdquo;<br>
<li>
</li></ul></div></div><br>
<div><div><p><b>Experience<br>
</b></p></div><div>5 years of clinical experience following Medical Doctor &ldquo;MD&rdquo; in the specialty OR 3 year of clinical experience following Fellowship in the specialty.<br>
<ul><li>
</li></ul></div></div><br>
<div><div><p><b>SCFHS License<br>
</b></p></div><div>Licensed as Consultant in (related specialty) from Saudi Commission for Health Specialties.<br>
<ul><li>
</li></ul></div></div><br>
<div><div><p><b>Computer Skills<br>
</b></p></div><div>Office &amp; Health Information Systems<br>
<ul><li>
</li></ul></div></div><br>
<div><div><p><b>Languages<br>
</b></p></div><div><ul><li>English and Arabic (fluent speaking and writing)</li></ul></div></div></div></div></div></div><p></p>

Dermatology Consultant (207730)

Onco360

<div><div><b>Are you someone looking for professional career growth? </b>Onco360 Pharmacy is looking for <b>Senior </b><b>Pharmacy Benefit Verification Specialist </b>for our Pharmacy located in Louisville, KY<b>.</b> Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.
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<div></div><div><b>Current shift available: 10:30am-7:00pm EST</b></div>
<div></div><div><b>**Starting salary at $26/HR and up**</b></div>
<div></div><div><div>We offer a great benefits including:</div>
<ul><li>Medical; Dental; Vision</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Company paid benefits &ndash; life; and short and long-term disability</li>
</ul></div><div><div><b>Senior Pharmacy </b><b>Benefit Verification</b><b> Specialist Major Responsibilities:</b></div>
<div>The Senior Benefit Verification Specialist will work closely with the Senior Manager, Patient Benefits to ensure completion of challenging cases and escalations in their designated vertical. Senior Benefits Verification Specialists will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders. They may also assist with training employees, and other duties as assigned.</div>
<ul><li>Works and resolve difficult or escalated cases to assist in processing prescription orders</li>
<li>Participates in the orientation and training of benefit verification specialists within workflow vertical</li>
<li>Escalates workflow/process improvement ideas to leadership</li>
<li>Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests</li>
<li>Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information</li>
<li>Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information</li>
<li>Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile</li>
<li>Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy</li>
<li>Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims</li>
<li>Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws</li>
<li>Contributes to team effort by accomplishing related tasks as needed and other duties as assigned</li>
<li>Conducts job responsibilities in accordance with the standards set out in the Company&rsquo;s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.<br>
</li></ul><div><b>Senior Pharmacy </b><b>Benefit Verification</b><b> Specialist Qualifications:</b></div>
</div><ul><li>Education/Learning Experience
<ul><li>Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification</li>
<li>Desired: Associates or Bachelor&rsquo;s Degree, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience</li>
</ul></li><li>Work Experience
<ul><li>Required: 2+ years pharmacy or benefit verification experience</li>
<li>Desired: 3+ years pharmacy or benefit verification experience</li>
</ul></li><li>Skills/Knowledge:
<ul><li>Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.<br>
Desired: Specialty pharmacy experience, leadership skills</li>
</ul></li><li>Licenses/Certifications
<ul><li>Required: Registration with Board of Pharmacy as required by state law</li>
<li>Desired: Certified Pharmacy Technician (PTCB)</li>
</ul></li><li>Behavior Competencies
<ul><li>Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills</li></ul></li></ul></div>

Senior Pharmacy Benefit Verification Specialist

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