Patient Support Center Representative

75219 Dallas, Texas UnitedHealth Group

Posted 1 day ago

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_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
This position is full time, (40 hours / week), Any day of the week. Employees are required to work any of our 8-hour shift schedules during our normal business hours 8:30a-5:00pm Pacific (Department is 24 / 7). It may be necessary, given the business need, to work year - round, occasional overtime, weekends, and holidays. Working hours must be PST Time Zone.
We offer 6 weeks of paid on-the-job training. The hours of training will be 8:00 AM - 4:30 PM PST.
**Primary Responsibilities:**
+ Meet the performance goals established for the position in the areas of patient satisfaction, accuracy, quality, and attendance.
+ Meet department standards to adherence metric.
+ Adherence metric is evaluated daily.
+ Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care, and concern with every internal and external customer.
+ Multi - task utilizing double monitors for data entry, phone etiquette, and use of resources while maintaining proper guidelines.
+ Provides services to internal and external customers involving the exchange of complex and sensitive information while acting as patient advocate.
+ Assists other Patient Support Center Representatives and Supervisors with daily paperwork load as needed to resolve and / or document patient issues.
+ Recognizes financial, medical, and legal risks based on data collected during customer interactions and follows appropriate procedures.
+ Utilizes Optum systems to resolve customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, appeals, TARs.
+ Translates oral information into concise and accurate written documentation per guidelines.
+ Assists new or potential members in the choice of PCP and supplies general information about medical group.
+ Pages clinicians and assists Telehealth Nurses as necessary (e.g., arranging DME, transportation and HH).
+ Data enters PCP changes into the system and processes paperwork as necessary.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED OR equivalent experience
+ Must be 18 years of age OR older
+ 2+ years of experience with working in a customer service - based role
+ Ability to demonstrate proficiency with using Microsoft suite and other systems to include navigating multiple chat channels within Microsoft Teams
+ Ability to type at the speed of 40+ WPM
+ Ability to work any of our full time (40 hours / week), 8-hour shift schedules during our normal business hours 8:30a-5:00pm Pacific (Department is 24 / 7), including the flexibility to work year - round, occasional overtime, weekends, and holidays based on business need. Working hours must be PST Time Zone.
**Preferred Qualifications:**
+ 1+ years of experience with working in a healthcare setting
+ Bilingual fluency in English and Spanish
+ Experience with working in a virtual environment
+ Experience in working with multiple computer screens while speaking to customer
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 - $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
#RPO
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Rehab Patient Support Tech - Day

75219 Dallas, Texas Select Medical

Posted 15 days ago

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Job Description

**Overview**
**Baylor Scott & White Institute for Rehabilitation - Neuro Transitional Rehabilitation**
Dallas, TX
**Neuro Rehab Coach**
**(Rehab Support Tech, Therapy Aide, Caregiver, CNA, PCT)**
**Hours: 6:45 a.m. - 7:15 p.m.**
**Full Time**
**Compensation depends upon candidate's years of experience.**
**Minimum Hourly Pay: $18.00 per hour**
**Benefits of becoming a Neuro Rehab Coach with us:**
Westrive to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
+ Health, Dental, and Vision insurance; Life insurance; Prescription coverage.
+ Paid Time Off (PTO) and Extended Illness Days (EID).
+ A 401(k) retirement plan with company match.
+ Short and Long Term Disability.
+ Personal and Family Medical Leave.
+ Tuition Assistance
+ Student Loan Assistance
+ ***Eligibility and effective dates vary**
**Responsibilities**
This position functions under the direction of rehabilitation therapists and nurses to help individuals with a brain injury or spinal cord injury, regain their independence and return home.In this position you will be part of the therapy and nursing team and you will have a key role in helping patients re-learn to walk, talk, dress, cook, and manage their own medical needs. You will not do it for them.
An ideal candidate has a passion for serving and helping others, previous experience in the healthcare field as a technician or direct care provider or in school pursuing a degree in related field
**On a daily basis:**
+ Help patients with day to day living activities such as bathing, grooming, dressing, eating, cooking, washing clothes, make their bed, loading the dishwasher, cleaning their suite, etc.
+ Driving patients into the community for medical appointments, community activities
+ Assisting the rehabilitation therapists with patient activities
+ Assisting patients with nurse delegated tasks after completing the training we provide to ensure your competency. These tasks may include taking vital signs, medication administration, and peg tube feedings
+ Additional tasks as needed
**Qualifications**
**Minimum Qualifications**
+ Education: High School diploma or equivalent required
+ Current State Driver's License in good standing required
+ Certified BLS completion required; for new hires, see CPR Requirement Guidelines for New Hires
**Preferred Experience**
+ Previous Neuro Transitional Rehab experience preferred
+ Therapy or Rehab Aide Preferred
+ Certified Nurse Assistant (CNA) or Certified Medication aide preferred
**Additional Data**
_Equal Opportunity Employer including Disabled/Veterans_
Apply for this job ( this job
**Job ID** _ _
**Experience (Years)** _2_
**Category** _Health Technologist/Technicians - Health Technologists and Technicians_
**Street Address** _3504 Swiss Avenue_
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Patient Support Medical Biller/Claims Processing Representative (Home-Based)

75215 Park Cities, Texas IQVIA INC (US10)

Posted 3 days ago

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Job Description

Patient Support Medical Claims Processing Representative
 

Contract Remote Role – Location (Open to Remote US)

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally.  Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them.  We help customers gain insight and access to their markets and ultimately demonstrate their product’s value to payers, physicians, and patients.  A significant part of our business is providing patient support programs on the behalf of our customers.  With the right experience, you can help provide support to patients in need of available therapies.

IQVIA has the world’s largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products.  With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.

We are excited to announce that currently we are looking for a 100% remote (work from home—WFH) contact Patient Support Medical Claims Processing Representative to join our team.  In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Patient Support Call Center Representative is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected.  This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

Job Responsibilities:

  • Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected
  • Exceptional organizational skills are required
  • May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center
  • Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary
  • Ability to work 40 hours per week (shifts available: 8:00am - 5:00pm EST or, 9:00am - 6:00pm EST or, 10:00am - 7:00pm ET or, 11:00am - 8:00pm EST) under moderate supervision

Minimum Education & Experience:

  • High School Diploma or equivalent
  • Experience in claim processing required
  • Medical Billing Certification required
  • Coding Certification required
  • Ability to interpret Explanation of Benefits (EOB)
  • HIPPA certified
  • Customer Service Experience preferred
  • Pharmacy Technician experience preferred
  • Bi-lingual (English/Spanish) preferred

The pay range for this role is $23.00 per hour. To be eligible for this position, you must reside in the same country where the job is located.

IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere.  This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

#LI-CES

#LI-REMOTE

#LI-DNP

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at 

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law.

The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
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Patient Support Medical Biller/Claims Processing Representative (Home-Based)

75215 Park Cities, Texas IQVIA

Posted 3 days ago

Job Viewed

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Job Description

Patient Support Medical Claims Processing ?Representative

Contract Remote Role - Location (Open to Remote US)

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies.

IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contact Patient Support Medical Claims Processing Representative to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Patient Support Call Center Representative is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

Job Responsibilities:

  • Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected

  • Exceptional organizational skills are required

  • May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center

  • Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary

  • Ability to work 40 hours per week (shifts available: 8:00am - 5:00pm EST or, 9:00am - 6:00pm EST or, 10:00am - 7:00pm ET or, 11:00am - 8:00pm EST) under moderate supervision

Minimum Education & Experience:

  • High School Diploma or equivalent

  • Experience in claim processing required

  • Medical Billing Certification required

  • Coding Certification required

  • Ability to interpret Explanation of Benefits (EOB)

  • HIPPA certified

  • Customer Service Experience preferred

  • Pharmacy Technician experience preferred

  • Bi-lingual (English/Spanish) preferred

The pay range for this role is $23.00 per hour. To be eligible for this position, you must reside in the same country where the job is located.

IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

#LI-CES

#LI-REMOTE

#LI-DNP

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law.

The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide.

To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us.

EEO Minorities/Females/Protected Veterans/Disabled

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Patient Support Medical Biller/Claims Processing Representative (Home-Based)

75219 Dallas, Texas IQVIA

Posted 15 days ago

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Job Description

**Patient Support Medical Claims Processing Representative**
_Contract Remote Role - Location (Open to Remote US)_
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies.
IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.
We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The **Patient Support Call Center Representative** is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
**Job Responsibilities:**
+ Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected
+ Exceptional organizational skills are required
+ May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center
+ Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary
+ Ability to work 40 hours per week (shifts available: 8:00am - 5:00pm EST or, 9:00am - 6:00pm EST or, 10:00am - 7:00pm ET or, 11:00am - 8:00pm EST) under moderate supervision
**Minimum Education & Experience:**
+ High School Diploma or equivalent
+ Experience in claim processing required
+ Medical Billing Certification required
+ Coding Certification required
+ Ability to interpret Explanation of Benefits (EOB)
+ HIPPA certified
+ Customer Service Experience preferred
+ Pharmacy Technician experience preferred
+ Bi-lingual (English/Spanish) preferred
**The pay range for this role is $23.00 per hour. To be eligible for this position, you must reside in the same country where the job is located.**
**IQVIA** is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
#LI-CES
#LI-REMOTE
#LI-DNP
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide.
To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us.
EEO Minorities/Females/Protected Veterans/Disabled
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LPN Clinical Care Coordinator - Advanced Illness Management

75086 Fairview, Texas Illumia

Posted 3 days ago

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Job Description

Overview:

We are looking for a Clinical Coordinator-LVN for our Advanced Illness Management (AIM) Program in Addison, TX .  In this role you will report directly to the Clinical Manager AIM. The AIM Clinical Coordinator will coordinate and manage all day to day business affairs and other clinical activities related to the administration of the Advanced Illness Management (AIM) and Palliative Care department by performing the following duties personally, including scheduling and managing frequency adherence, clinical coordination, medical record maintenance function, and marketing function.

  • Schedule and manage frequency adherence, clinical coordination, medical record maintenance function, and marketing function.
  • Field incoming calls from partners and patients
  • Manage Visit Freq compliance, scheduling PRN visits, post hospitalization follow up with patient/family-expediting discharge home with AIM communication with partners, schedule post hospitalization visits.
  • Order labs, DME, imaging. Coordinate results with NPs, enter telephone encounters in partner EMR, enter routine visit med reconciliation in partner EMR.
  • Ensure transitions to HSP referrals to CTC for care type.
  • Assist in appropriate identification of HSP eligible pts. identifying HH providers that can accept HH referrals from PCC.
  • Identify and communicate local partner office for lab drop off.

Schedule:  Monday-Friday, 8-5, in our Addison, TX branch

About You:
  • Bachelor degree in Health Care administration, nursing or related degree preferred
  • Licensed Practical Nurse (LVN) required - State of Texas LVN Licensure
  • Minimum of three years health care delivery or related business experience required; experience in Part B billing setting preferred.
  • Experience with Computer applications and Electronic Medical Records.
We Offer:

Benefits for All Associates (Full-Time, Part-Time & Per Diem):

  • Competitive Pay
  • 401(k) with Company Match
  • Career Advancement Opportunities
  • National & Local Recognition Programs
  • Teammate Assistance Fund

Additional Full-Time Benefits:

  • Medical, Dental, Vision Insurance
  • Mileage Reimbursement or Fleet Vehicle Program
  • Generous Paid Time Off + 7 Paid Holidays
  • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
  • Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
  • Free Continuing Education Units (CEUs)
  • Company-paid Life & Long-Term Disability Insurance
  • Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

Keywords for Search Optimization:
LPN jobs, LVN jobs, Clinical Coordinator, Palliative Care Nurse, Advanced Illness Management, Healthcare Coordinator, EMR, Home Health, Hospice, Patient Care Coordinator, Nurse Scheduler, Care Management, Clinical Support, Medical Records, DME, PRN scheduling

Legalese:
  • This is a safety-sensitive position
  • Employee must meet minimum requirements to be eligible for benefits
  • Where applicable, employee must meet stage specific requirements
  • We are proud to be an EEO employer
  • We maintain a drug-free workplace
Location: Illumia Our Company:

At Illumia, part of Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us - from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

  • Hospice care:  Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
  • Palliative care:  Empatia Palliative Care, Emerald Coast Palliative Care
  • Home health care:  Heartland Home Health
  • Advanced illness management:  Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized - and kindness is celebrated.

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Clinical Care Transition Specialist / Registered Nurse - Dallas, TX

New
75201 Dallas, Texas Option Care Health

Posted today

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Job Description

Extraordinary Careers. Endless Possibilities.

With the nation's largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.

As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as unique as the patients and communities we serve. Join a company that is taking action to develop a culture that is inclusive, respectful, engaging and rewarding for all team members. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary:

The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to sell Option Care products and services to discharging patients. They are responsible for educating patients, their families and the facility staff about how the services and products will be facilitated at an alternative site. Clinical Transition Specialists ensure proper placement of patients within the Home Health Care setting by assessing patients, gathering preadmission information, collaborating with internal (intake) and external (case managers, discharge planners) partners to ensure quality of service and implementation of an effective treatment plan. Clinical Transition Specialists are also responsible for proactively building strong relationships with referral sources and partnering with Account Managers to grow referral rates and achieve sales goals.

Job Description:

JOB RESPONSIBILITIES

* Proactively maintains and grows relationships with referrals sources to increase sales and patient starts. Serves as key point of contact and representative of Option Care to provide education, assistance, and service to referral sources.
* Interacts with area service providers on a daily basis to sell Option Care services that could assist in the care for discharging patients. Conducts assessment of patients selected by the hospital to ensure patient is a viable candidate for alternative site care.
* Uses sales techniques to educate patients, their families and the facility staff about the services and products provided by Option Care.
* Provides hands on, in person education to patients and their caregivers with the goal of timely discharge and therapy independence.
* Effectively communicates with agency staff, medical team, patients and family throughout the discharge process to implement an effective treatment plan.
* Responsible for collecting, reviewing and completing pre-admission information and securing related signoff.
* Partners with Account Manager and Regional Sales Director to create and execute area business and growth plan.
* Communicates frequently with Account Manager to discuss opportunities, assess progress, and provide feedback related to promoting the services of Option Care
* Partners with Account Manager and marketing staff to deliver educational and promotional programs to patient/caregiver and referral sources.
* Reviews the patient's medical record to obtain both pertinent medical history and primary/ secondary insurance payor information and communicates this to patient registration department.
* Proactively initiates care transition coordination with referral sources and internal partners to ensure seamless patient transitions to home or ATS. Participates with any data collection required for therapy start and patient tracking process. This may include facilitating the transfer of orders via phone, fax, and e-prescribing
* Maintains confidentiality of patient and proprietary information and observes legal guidelines for safeguarding the confidentiality of patient and proprietary Option Care information.
* Provides oversight and input to the providers regarding the patient and proper assessment and treatment process and transition to home care.
* Serves as a point of contact, coordination, and communication with other providers.
* Makes arrangements for any special medical supplies or appliances to be available.

SUPERVISORY RESPONSIBILITIES

Does this position have supervisory responsibilities? NO

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

BASIC EDUCATION AND EXPERIENCE REQUIREMENTS

Licensed Registered Nurse (RN) or licensed Pharmacist in the state of practice and at least 2 years of experience in the healthcare industry.

BASIC QUALIFICATIONS

* Experience establishing and maintaining relationships with individuals at all levels of the organization in the business community and with vendors.
* Experience applying knowledge of standard practices for all services offered as well as current relevant and applicable standards (i.e. ACHC, URAC standards).
* Experience providing customer service to internal and external customers, including meeting quality standards of services, and evaluation of customer satisfaction.
* Basic PC skills: Able to competently use internet, email, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
* Experience in identifying operational issues and recommending and implementing strategies to resolve and improve processes.
* Access to a reliable means of transportation which will enable the incumbents to travel to care facilities, home visits and multiple hospitals. If such means of transportation would include a personal vehicle, a valid driver's license and proof of insurance would be required.
* Able to plan, organize and make presentations

TRAVEL REQUIREMENTS

Travels to and from partnerships facilities, community hospitals, and medical practice offices to sell Option Care Services, process referrals and provide live education and training support to patient/caregiver and referral sources.

PREFERRED QUALIFICATIONS

Hands on home or alternate site infusion or discharge planning experience

Experience growing service provider partnerships

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Benefits:

* 401k
* Dental Insurance
* Disability Insurance
* Health Insurance
* Life Insurance
* Paid Time off
* Vision Insurance

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.
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Clinical Care Transition Specialist / Registered Nurse - Dallas, TX

New
75201 Dallas, Texas Option Care Health

Posted today

Job Viewed

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Job Description

Extraordinary Careers. Endless Possibilities.

With the nation's largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.

As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as unique as the patients and communities we serve. Join a company that is taking action to develop a culture that is inclusive, respectful, engaging and rewarding for all team members. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary:

The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to sell Option Care products and services to discharging patients. They are responsible for educating patients, their families and the facility staff about how the services and products will be facilitated at an alternative site. Clinical Transition Specialists ensure proper placement of patients within the Home Health Care setting by assessing patients, gathering preadmission information, collaborating with internal (intake) and external (case managers, discharge planners) partners to ensure quality of service and implementation of an effective treatment plan. Clinical Transition Specialists are also responsible for proactively building strong relationships with referral sources and partnering with Account Managers to grow referral rates and achieve sales goals.

Job Description:

JOB RESPONSIBILITIES

* Proactively maintains and grows relationships with referrals sources to increase sales and patient starts. Serves as key point of contact and representative of Option Care to provide education, assistance, and service to referral sources.
* Interacts with area service providers on a daily basis to sell Option Care services that could assist in the care for discharging patients. Conducts assessment of patients selected by the hospital to ensure patient is a viable candidate for alternative site care.
* Uses sales techniques to educate patients, their families and the facility staff about the services and products provided by Option Care.
* Provides hands on, in person education to patients and their caregivers with the goal of timely discharge and therapy independence.
* Effectively communicates with agency staff, medical team, patients and family throughout the discharge process to implement an effective treatment plan.
* Responsible for collecting, reviewing and completing pre-admission information and securing related signoff.
* Partners with Account Manager and Regional Sales Director to create and execute area business and growth plan.
* Communicates frequently with Account Manager to discuss opportunities, assess progress, and provide feedback related to promoting the services of Option Care
* Partners with Account Manager and marketing staff to deliver educational and promotional programs to patient/caregiver and referral sources.
* Reviews the patient's medical record to obtain both pertinent medical history and primary/ secondary insurance payor information and communicates this to patient registration department.
* Proactively initiates care transition coordination with referral sources and internal partners to ensure seamless patient transitions to home or ATS. Participates with any data collection required for therapy start and patient tracking process. This may include facilitating the transfer of orders via phone, fax, and e-prescribing
* Maintains confidentiality of patient and proprietary information and observes legal guidelines for safeguarding the confidentiality of patient and proprietary Option Care information.
* Provides oversight and input to the providers regarding the patient and proper assessment and treatment process and transition to home care.
* Serves as a point of contact, coordination, and communication with other providers.
* Makes arrangements for any special medical supplies or appliances to be available.

SUPERVISORY RESPONSIBILITIES

Does this position have supervisory responsibilities? NO

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

BASIC EDUCATION AND EXPERIENCE REQUIREMENTS

Licensed Registered Nurse (RN) or licensed Pharmacist in the state of practice and at least 2 years of experience in the healthcare industry.

BASIC QUALIFICATIONS

* Experience establishing and maintaining relationships with individuals at all levels of the organization in the business community and with vendors.
* Experience applying knowledge of standard practices for all services offered as well as current relevant and applicable standards (i.e. ACHC, URAC standards).
* Experience providing customer service to internal and external customers, including meeting quality standards of services, and evaluation of customer satisfaction.
* Basic PC skills: Able to competently use internet, email, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
* Experience in identifying operational issues and recommending and implementing strategies to resolve and improve processes.
* Access to a reliable means of transportation which will enable the incumbents to travel to care facilities, home visits and multiple hospitals. If such means of transportation would include a personal vehicle, a valid driver's license and proof of insurance would be required.
* Able to plan, organize and make presentations

TRAVEL REQUIREMENTS

Travels to and from partnerships facilities, community hospitals, and medical practice offices to sell Option Care Services, process referrals and provide live education and training support to patient/caregiver and referral sources.

PREFERRED QUALIFICATIONS

Hands on home or alternate site infusion or discharge planning experience

Experience growing service provider partnerships

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Benefits:

* 401k
* Dental Insurance
* Disability Insurance
* Health Insurance
* Life Insurance
* Paid Time off
* Vision Insurance

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.
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LPN Clinical Care Coordinator - Advanced Illness Management Team

75086 Fairview, Texas Gentiva

Posted 3 days ago

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Job Description

Overview

We are looking for a Clinical Coordinator-LVN for our Advanced Illness Management (AIM) Program in Addison, TX . In this role you will report directly to the Clinical Manager AIM. The AIM Clinical Coordinator will coordinate and manage all day to day business affairs and other clinical activities related to the administration of the Advanced Illness Management (AIM) and Palliative Care department by performing the following duties personally, including scheduling and managing frequency adherence, clinical coordination, medical record maintenance function, and marketing function.

  • Schedule and manage frequency adherence, clinical coordination, medical record maintenance function, and marketing function.

  • Field incoming calls from partners and patients

  • Manage Visit Freq compliance, scheduling PRN visits, post hospitalization follow up with patient/family-expediting discharge home with AIM communication with partners, schedule post hospitalization visits.

  • Order labs, DME, imaging. Coordinate results with NPs, enter telephone encounters in partner EMR, enter routine visit med reconciliation in partner EMR.

  • Ensure transitions to HSP referrals to CTC for care type.

  • Assist in appropriate identification of HSP eligible pts. identifying HH providers that can accept HH referrals from PCC.

  • Identify and communicate local partner office for lab drop off.

Schedule: Monday-Friday, 8-5, in our Addison, TX branch

About You

  • Bachelor degree in Health Care administration, nursing or related degree preferred

  • Licensed Practical Nurse (LVN) required - State of Texas LVN Licensure

  • Minimum of three years health care delivery or related business experience required; experience in Part B billing setting preferred.

  • Experience with Computer applications and Electronic Medical Records.

We Offer

Benefits for All Associates (Full-Time, Part-Time & Per Diem):

  • Competitive Pay

  • 401(k) with Company Match

  • Career Advancement Opportunities

  • National & Local Recognition Programs

  • Teammate Assistance Fund

Additional Full-Time Benefits:

  • Medical, Dental, Vision Insurance

  • Mileage Reimbursement or Fleet Vehicle Program

  • Generous Paid Time Off + 7 Paid Holidays

  • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)

  • Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)

  • Free Continuing Education Units (CEUs)

  • Company-paid Life & Long-Term Disability Insurance

  • Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

Keywords for Search Optimization:

LPN jobs, LVN jobs, Clinical Coordinator, Palliative Care Nurse, Advanced Illness Management, Healthcare Coordinator, EMR, Home Health, Hospice, Patient Care Coordinator, Nurse Scheduler, Care Management, Clinical Support, Medical Records, DME, PRN scheduling

Legalese

  • This is a safety-sensitive position

  • Employee must meet minimum requirements to be eligible for benefits

  • Where applicable, employee must meet stage specific requirements

  • We are proud to be an EEO employer

  • We maintain a drug-free workplace

ReqID:
Category: Branch Admin and Clerical
Position Type: Full-Time
Company: Illumia

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CMA Clinical Care Coordinator - Advanced Illness Management Team

75001 Addison, Texas Gentiva

Posted 6 days ago

Job Viewed

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Job Description

**Overview**
We are looking for an **Clinical Coordinator-CMA** for our **Advanced Illness Management (AIM) Program** in our Addison, TX palliative care branch. In this role you will report directly to the Clinical Manager AIM. The AIM Clinical Coordinator will coordinate and manage all day to day business affairs and other clinical activities related to the administration of the Advanced Illness Management (AIM) and Palliative Care department by performing the following duties personally, including scheduling and managing frequency adherence, clinical coordination, medical record maintenance function, and marketing function.
**Schedule: Monday-Friday, 8am-5pm**
**Bilingual Spanish a plus.**
+ Schedule and manage frequency adherence, clinical coordination, medical record maintenance function, and marketing function.
+ Field incoming calls from partners and patients
+ Manage Visit Freq compliance, scheduling PRN visits, post hospitalization follow up with patient/family-expediting discharge home with AIM communication with partners, schedule post hospitalization visits.
+ Order labs, DME, imaging. Coordinate results with NPs, enter telephone encounters in partner EMR, enter routine visit med reconciliation in partner EMR.
+ Ensure transitions to HSP referrals to CTC for care type.
+ Assist in appropriate identification of HSP eligible pts. identifying HH providers that can accept HH referrals from PCC.
+ Identify and communicate local partner office for lab drop off.
**About You**
+ Bachelor degree in Health Care administration, nursing or related degree preferred
+ CMA Certification required
+ Minimum of three years health care delivery or related business experience required; experience in Part B billing setting preferred.
+ Experience with Computer applications and Electronic Medical Records.
**We Offer**
**Benefits for All Associates (Full-Time, Part-Time & Per Diem):**
+ Competitive Pay
+ 401(k) with Company Match
+ Career Advancement Opportunities
+ National & Local Recognition Programs
+ Teammate Assistance Fund
**Additional Full-Time Benefits:**
+ Medical, Dental, Vision Insurance
+ Mileage Reimbursement or Fleet Vehicle Program
+ Generous Paid Time Off + 7 Paid Holidays
+ Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
+ Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
+ Free Continuing Education Units (CEUs)
+ Company-paid Life & Long-Term Disability Insurance
+ Voluntary Benefits (Pet, Critical Illness, Accident, LTC) **or**
**Legalese**
+ This is a safety-sensitive position
+ Employee must meet minimum requirements to be eligible for benefits
+ Where applicable, employee must meet stage specific requirements
+ We are proud to be an EEO employer
+ We maintain a drug-free workplace
ReqID:
Category: Branch Admin and Clerical
Position Type: Full-Time
Company: Illumia
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