5 Avera Health jobs in Chamberlain

**Location:**
Avera St Mary's Hospital
**Worker Type:**
Regular
**Work Shift:**
Primarily days with possible weekends/evenings/holidays (United States of America)
**Pay Range:**
_The pay range for this position is listed below. Actual pay rate dependent upon experience._
$18.75 - $24.50
**Position Highlights**
1-3 years experience preferred.
**You Belong at Avera**
**Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.**
**A Brief Overview**
Performs duties to provide physical and psychological care to patients under the direct supervision of a registered nurse. Performs clinical patient care duties and assist nursing staff to perform diagnostic procedures, transport of patients to other services, manages and maintains equipment, supplies and orients new employees. Assists with scheduling and in formal and informal staff education. Will be expected to be a member or lead various committees throughout the hospital focused on improving patient care and be accountable for project management.
**What you will do**
+ Collaborates with the Clinical Nurse Educator and Leaders to develop, coordinate and validate Patient Care Technician staff competencies, orientation and education.
+ Assists with staff education, development of competencies and new employee orientation and may assist with PCT candidate selection.
+ Demonstrates good rapport and cooperative working relationship with employees, physician staff, all hospital departments, coworkers and other pertinent staff.
+ Provides timely information to the manager regarding the PCT work flow, staffing and customer service.
+ Identifies issues and recommends alternative solutions.
+ Assists with the collection and maintenance of records as needed by the Quality Assurance department, Joint Commission Accreditation and OSHA guidelines as may be required by law.
+ Provides input and assists in development of operational policies and procedures and assists in disseminating information to staff.
+ Demonstrates willingness to complete special assigned projects in a quality driven and timely manner.
+ Maintains competency in order to serve as a resource for Patient Care Technician personnel within the department.
+ Participates in staff assignments as needed to maintain efficiency.
**Essential Qualifications**
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
**Required Education, License/Certification, or Work Experience:**
+ 1-3 years experience as CNA/Patient Care Technician or related direct patient care position
**Preferred Education, License/Certification, or Work Experience:**
+ High School or GED Equivalent
**Minimum Age Requirements**
16
**Expectations and Standards**
+ Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.
+ Promote Avera's values of compassion, hospitality, and stewardship.
+ Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
+ Maintain confidentiality.
+ Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
+ Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.
**Benefits You Need & Then Some**
Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.
+ PTO available day 1 for eligible hires.
+ Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan
+ Up to 5% employer matching contribution for retirement
+ Career development guided by hands-on training and mentorship
_Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to_ _._
At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.
The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at .
Additional Notices:
For TTY, dial 711
Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.

**Together, we can get life-changing therapies to patients who need them-faster.**

**_What Individualized Care contributes to Cardinal Health_**

Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers.

Individualized Care provides care that is planned to meet the particular needs of an individual patient.

**_Job Summary_**

The Nurse, Individualized Care promotes high-quality patient care and treatment through patient education. With a focus on the products and treatments of a small number of pharmaceutical clients, the Nurse receives inbound calls from patients and schedules outbound calls for patients who have begun treatment with one or more of the client's products. The Nurse educates patients on their treatments and disease states, refers patients to a variety of additional services, and reports adverse events in accordance with FDA and client requirements.

**_Responsibilities_**

+ Educates patients during outbound and inbound calls with patients on the treatments that they are receiving as well as their disease states. Counsels patients on standard treatment information, disease symptoms, potential treatment side effects, and what they should expect during visits to patient care facilities. During initial welcome calls, answers patients' initial questions regarding their treatment programs and establishes rapport for future conversations.

+ Refers patients to additional services in order to improve their treatment experiences, based on lists of referral organizations approved by each client. Assists patients in accessing services such as funding, transportation, lodging, and support groups by placing calls to organizations or providing information to patients.

+ In accordance with FDA regulations and client requirements, records adverse events for treatments and answers patient questions regarding the events. Completes documentation using internal systems and submits it to the client's Drug Safety department.

+ Schedules outbound welcome calls and follow-up calls to patients, and leaves voicemail messages when patients are unavailable. Effectively manages both scheduled outbound calls and inbound call queue.

+ Meets regularly with Clinical Supervisor and/or Senior Nurse, Individualized Care to discuss feedback from call monitoring and quality reviews of adverse event documentation. Discusses progress on productivity and quality goals including number of calls completed, call quality, document quality, and time requirements.

+ Upon the client's introduction of new treatments, participates in trainings in order to gain an understanding of the treatments.

+ Be a champion for each patient and consented care partner(s)

+ Establish an ongoing relationship with each assigned patient, starting with Welcome, onboarding, treatment initiation, continuation, and ongoing interactions

**_Qualifications_**

+ 2-4 years of experience, preferred

+ Current, unrestricted Registered Nurse license, required

+ Bachelor's degree in related field, or equivalent work experience, preferred

+ Previous medical experience is preferred

+ Demonstrate effective, empathetic and professional communication

+ Must communicate clearly and effectively in both a written and verbal format

+ Ability to work with high volume production teams with an emphasis on quality

+ Able to thrive in a competitive and dynamic environment

+ Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and preferred Excel capabilities

**_What is expected of you and others at this level_**

+ Applies working knowledge in the application of concepts, principles and technical capabilities to perform varied tasks

+ Works on projects of moderate scope and complexity

+ Identifies possible solutions to a variety of technical problems and takes action to resolve

+ Applies judgment within defined parameters

+ Receives general guidance and may receive more detailed instruction on new projects

+ Work reviewed for sound reasoning and accuracy

**TRAINING AND WORK SCHEDULES** : Your new hire training will take place 8:00am-5:00pm CST the first week of employment, mandatory attendance is required.

This position is full-time (40 hours/week). **Employees are required to have flexibility to work a scheduled shift of M-F, 8am- 5pm CST.**

**REMOTE DETAILS: All U.S. residents are eligible to apply to this position.** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:

+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.**

+ Download speed of 15Mbps (megabyte per second)

+ Upload speed of 5Mbps (megabyte per second)

+ Ping Rate Maximum of 30ms (milliseconds)

+ Hardwired to the router.

+ Surge protector with Network Line Protection for CAH issued equipment.

**Anticipated salary range:** $67,500 - $101,220

**Bonus eligible:** No

**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

+ Medical, dental and vision coverage

+ Paid time off plan

+ Health savings account (HSA)

+ 401k savings plan

+ Access to wages before pay day with myFlexPay

+ Flexible spending accounts (FSAs)

+ Short- and long-term disability coverage

+ Work-Life resources

+ Paid parental leave

+ Healthy lifestyle programs

**Application window anticipated to close:** 11/22/2025 * if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._

_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._

_To read and review this privacy notice click_ here (

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_What Individualized Care contributes to Cardinal Health_**
Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers.
Individualized Care provides care that is planned to meet the particular needs of an individual patient.
**_Job Summary_**
The Nurse, Individualized Care promotes high-quality patient care and treatment through patient education. With a focus on the products and treatments of a small number of pharmaceutical clients, the Nurse receives inbound calls from patients and schedules outbound calls for patients who have begun treatment with one or more of the client's products. The Nurse educates patients on their treatments and disease states, refers patients to a variety of additional services, and reports adverse events in accordance with FDA and client requirements.
**_Responsibilities_**
+ Educates patients during outbound and inbound calls with patients on the treatments that they are receiving as well as their disease states. Counsels patients on standard treatment information, disease symptoms, potential treatment side effects, and what they should expect during visits to patient care facilities. During initial welcome calls, answers patients' initial questions regarding their treatment programs and establishes rapport for future conversations.
+ Refers patients to additional services in order to improve their treatment experiences, based on lists of referral organizations approved by each client. Assists patients in accessing services such as funding, transportation, lodging, and support groups by placing calls to organizations or providing information to patients.
+ In accordance with FDA regulations and client requirements, records adverse events for treatments and answers patient questions regarding the events. Completes documentation using internal systems and submits it to the client's Drug Safety department.
+ Schedules outbound welcome calls and follow-up calls to patients, and leaves voicemail messages when patients are unavailable. Effectively manages both scheduled outbound calls and inbound call queue.
+ Meets regularly with Clinical Supervisor and/or Senior Nurse, Individualized Care to discuss feedback from call monitoring and quality reviews of adverse event documentation. Discusses progress on productivity and quality goals including number of calls completed, call quality, document quality, and time requirements.
+ Upon the client's introduction of new treatments, participates in trainings in order to gain an understanding of the treatments.
+ Be a champion for each patient and consented care partner(s)
+ Establish an ongoing relationship with each assigned patient, starting with Welcome, onboarding, treatment initiation, continuation, and ongoing interactions
**_Qualifications_**
+ 2-4 years of experience, preferred
+ Current, unrestricted Registered Nurse license, required
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ Previous medical experience is preferred
+ Demonstrate effective, empathetic and professional communication
+ Must communicate clearly and effectively in both a written and verbal format
+ Ability to work with high volume production teams with an emphasis on quality
+ Able to thrive in a competitive and dynamic environment
+ Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and preferred Excel capabilities
**_What is expected of you and others at this level_**
+ Applies working knowledge in the application of concepts, principles and technical capabilities to perform varied tasks
+ Works on projects of moderate scope and complexity
+ Identifies possible solutions to a variety of technical problems and takes action to resolve
+ Applies judgment within defined parameters
+ Receives general guidance and may receive more detailed instruction on new projects
+ Work reviewed for sound reasoning and accuracy
**TRAINING AND WORK SCHEDULES** : Your new hire training will take place 8:00am-5:00pm CST the first week of employment, mandatory attendance is required.
This position is full-time (40 hours/week). **Employees are required to have flexibility to work a scheduled shift of M-F, 8am- 5pm CST.**
**REMOTE DETAILS: All U.S. residents are eligible to apply to this position.** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.**
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router.
+ Surge protector with Network Line Protection for CAH issued equipment.
**Anticipated salary range:** $67,500 - $101,220
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with myFlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 11/22/2025 * if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (