4 Clark Regional Medical Center jobs in Mount Sterling
RN Program Manager, Healthcare Services
Posted today
Job Viewed
Job Description
**Job Summary**
This position will require an active RN license. Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ In collaboration with others, plans and executes internal Healthcare Services projects and programs involving department or cross-functional teams of subject matter experts, delivering products from the design process to completion.
+ Manages programs providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to the business.
+ Serves as a subject matter expert and leads programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Works with operational leaders within the business to provide recommendations for process improvement opportunities.
+ Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality initiatives within the department as appropriate.
+ Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
**JOB QUALIFICATIONS**
**Required Education**
+ Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.
+ OR Bachelor's or master's degree in Nursing, Gerontology, Public Health, Social Work or related field.
**Required Experience**
+ 5+ years of managed healthcare experience, including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management.
+ Minimum 2 years of healthcare or health plan supervisory or managerial experience, including oversight of clinical staff.
+ Experience working within applicable state, federal, and third party regulations.
**Required License, Certification, Association**
+ If licensed, license must be active, unrestricted and in good standing.
+ Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
**Preferred Education**
Master's Degree preferred.
**Preferred Experience**
+ 3+ years supervisory/management experience in a managed healthcare environment.
+ Medicaid/Medicare Population experience with increasing responsibility.
+ 3+ years of clinical nursing experience.
**Preferred License, Certification, Association**
Any of the following:
Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $142,549 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Medical Assistant Certified Registered Cancer Center Thoracic Clinic
Posted today
Job Viewed
Job Description
Engage with us for your next career opportunity. Right Here.
Job Type:
RegularScheduled Hours:
40Job Summary:
The Certified Medical Assistant provides clinical support to the physician and mid-level providers. The Medical Assistant provides instructions to patients as directed by the providers. The Medical Assistant is also responsible for compliance with all OSHA/CLIA and HIPAA Regulations and ensures completion of all duties vital to business operations. The Medical Assistant is a highly visible position that is always responsible for creating a positive impression with patients, family members, and other visitors to the office.In addition, provide customer-focused service and provide support to patient flow in a unit or department to include: 1) patient registration, 2) patient scheduling, 3) patient billing, 4) pre-certification (collect insurance information; receipt of co-pays or bill payments), 5) medical records retrieval, release, or collection, and 6) data entry. Responsible for routine problem resolution, assistance with patient flow coordination, and initiation of follow-up with appropriate staff as needed.
Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.
Job Description:
Medical Assistant:
- Prepares patient for exam and acquires vital signs, weight, general history, and current medication list when required.
- Provides patient care and clinical support to provider during exam, including acupuncture needle removal, application of stimulator, needle count, venipuncture, injections, and EKGs.
- Documents all clinical findings and patient response to interventions, i.e., history, medications, vital signs, weight, and testing results.
- Collects and provides to the provider the completed Laboratory/test findings Intake Form, and physician referral information, Diagnostic Imaging, or Cardiopulmonary test results as they are available.
- Provides instruction to patients under the direction of the provider.
Registration & Pre-Certification
Provide courteous, respectful, and helpful service to patients, visitors, staff, and physicians seeking information and/or treatment: office, phone, email communications. Responsible for the patient registration process (check in and check out) for a unit or department. Assist patients with forms obtaining all necessary insurance information and signatures as needed. Obtain pre-certification and/consent for services and billing. Monitor and follow-up on additional pre-authorizations for on-going patient services needed. May collect co-pay/co-insurance/deductible based on insurance plan(s). Specifically, answering phones, assisting patients with questions and problems, and accepting/relaying messages. Ensures compliance with federal, state, and local laws and regulations pertaining to patient privacy and confidentiality, i.e., HIPPA laws.
Customer Service & Problem Resolution
Resolve routine patient problems and complaints on a timely basis. Handles conflict with customers constructively and appropriately. Initiate further follow-up with appropriate staff member(s).
Scheduling
Schedule surgical/non-surgical procedures, tests, therapy, referrals, appointments, and services ensuring accuracy of data entered into scheduling system in a timely manner. Support patient scheduling systems in conjunction with clinical and medical staff and patient information. Communicate schedule updates, i.e., cancellations, changes, and delays to appropriate staff/patients/family members/visitors. Responsible for cancelling and rescheduling patients when necessary to ensure appropriate medical treatment and/or testing.
Insurance Pre-Certification & Collection
Accurately completes or assures completion of registration process and facilitates revenue enhancement through insurance verification, pre-authorization, verification of medical necessity and follow up of denials. Obtains treatment authorization(s). May collect patient co-pays, co-insurance, and/or deductible and follow up with insurance companies for payment, enter patient charges, and maintain monthly/quarterly record statistics, and code services/procedures for charge reconciliation purposes.
Coordination of patient information and services
Coordinate multiple phone lines and or InBasket communications, take messages, screen calls, receive information and transfer calls to appropriate extension. Relay messages to appropriate staff in order to facilitate communication and assure quality of care. Support co-workers in operational functions of the office including front desk coverage, answering phones, running errands, and transporting patients. May coordinate translation arrangements for day and time of patient services.
Medical Records
Perform medical records tasks timely and accurately including chart retrieval, storage, filing, and scanning in correct location of EMR. Maintains appropriate computer downtime procedures for clinical documentation.
Maintains adequate level of supplies in exam rooms and workstation. Cleans and disinfects exam rooms. Reports malfunction of equipment to department supervisor.
Performs other duties as assigned.
Education, Credentials, Licenses:
H.S. Diploma/GED
Secretarial related courses
Graduate of accredited medical assisting school
Successfully completed registration/certification exam
Specialized Knowledge:
Medical terminology
Computer fluency/literacy
Communication skills (verbal and written)
Maintain patient confidentiality.
Organization and prioritization skills
Kind and Length of Experience:
3 years related experience in a medical office setting including 1) customer service/receptionist/registration, 2) scheduling, 3) filing, 4) telephone etiquette, 5) patient billing and 6) computer service.
DESIRABLE
Associate degree or certificate
Computers and Electronic Medical Records
Microsoft Office Word, Excel, Outlook
Experience with electronic medical records software, ie. EPIC
Monday - Friday 7:30am - 4:00pm or 8:00am - 4:30pm.
FLSA Status:
Non-ExemptRight Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.
Medical Assistant Certified Registered Cancer Center Thoracic Clinic
Posted 1 day ago
Job Viewed
Job Description
Engage with us for your next career opportunity. Right Here.
Job Type:
RegularScheduled Hours:
40Job Summary:
The Certified Medical Assistant provides clinical support to the physician and mid-level providers. The Medical Assistant provides instructions to patients as directed by the providers. The Medical Assistant is also responsible for compliance with all OSHA/CLIA and HIPAA Regulations and ensures completion of all duties vital to business operations. The Medical Assistant is a highly visible position that is always responsible for creating a positive impression with patients, family members, and other visitors to the office.In addition, provide customer-focused service and provide support to patient flow in a unit or department to include: 1) patient registration, 2) patient scheduling, 3) patient billing, 4) pre-certification (collect insurance information; receipt of co-pays or bill payments), 5) medical records retrieval, release, or collection, and 6) data entry. Responsible for routine problem resolution, assistance with patient flow coordination, and initiation of follow-up with appropriate staff as needed.
Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.
Job Description:
Medical Assistant:
- Prepares patient for exam and acquires vital signs, weight, general history, and current medication list when required.
- Provides patient care and clinical support to provider during exam, including acupuncture needle removal, application of stimulator, needle count, venipuncture, injections, and EKGs.
- Documents all clinical findings and patient response to interventions, i.e., history, medications, vital signs, weight, and testing results.
- Collects and provides to the provider the completed Laboratory/test findings Intake Form, and physician referral information, Diagnostic Imaging, or Cardiopulmonary test results as they are available.
- Provides instruction to patients under the direction of the provider.
Registration & Pre-Certification
Provide courteous, respectful, and helpful service to patients, visitors, staff, and physicians seeking information and/or treatment: office, phone, email communications. Responsible for the patient registration process (check in and check out) for a unit or department. Assist patients with forms obtaining all necessary insurance information and signatures as needed. Obtain pre-certification and/consent for services and billing. Monitor and follow-up on additional pre-authorizations for on-going patient services needed. May collect co-pay/co-insurance/deductible based on insurance plan(s). Specifically, answering phones, assisting patients with questions and problems, and accepting/relaying messages. Ensures compliance with federal, state, and local laws and regulations pertaining to patient privacy and confidentiality, i.e., HIPPA laws.
Customer Service & Problem Resolution
Resolve routine patient problems and complaints on a timely basis. Handles conflict with customers constructively and appropriately. Initiate further follow-up with appropriate staff member(s).
Scheduling
Schedule surgical/non-surgical procedures, tests, therapy, referrals, appointments, and services ensuring accuracy of data entered into scheduling system in a timely manner. Support patient scheduling systems in conjunction with clinical and medical staff and patient information. Communicate schedule updates, i.e., cancellations, changes, and delays to appropriate staff/patients/family members/visitors. Responsible for cancelling and rescheduling patients when necessary to ensure appropriate medical treatment and/or testing.
Insurance Pre-Certification & Collection
Accurately completes or assures completion of registration process and facilitates revenue enhancement through insurance verification, pre-authorization, verification of medical necessity and follow up of denials. Obtains treatment authorization(s). May collect patient co-pays, co-insurance, and/or deductible and follow up with insurance companies for payment, enter patient charges, and maintain monthly/quarterly record statistics, and code services/procedures for charge reconciliation purposes.
Coordination of patient information and services
Coordinate multiple phone lines and or InBasket communications, take messages, screen calls, receive information and transfer calls to appropriate extension. Relay messages to appropriate staff in order to facilitate communication and assure quality of care. Support co-workers in operational functions of the office including front desk coverage, answering phones, running errands, and transporting patients. May coordinate translation arrangements for day and time of patient services.
Medical Records
Perform medical records tasks timely and accurately including chart retrieval, storage, filing, and scanning in correct location of EMR. Maintains appropriate computer downtime procedures for clinical documentation.
Maintains adequate level of supplies in exam rooms and workstation. Cleans and disinfects exam rooms. Reports malfunction of equipment to department supervisor.
Performs other duties as assigned.
Education, Credentials, Licenses:
H.S. Diploma/GED
Secretarial related courses
Graduate of accredited medical assisting school
Successfully completed registration/certification exam
Specialized Knowledge:
Medical terminology
Computer fluency/literacy
Communication skills (verbal and written)
Maintain patient confidentiality.
Organization and prioritization skills
Kind and Length of Experience:
3 years related experience in a medical office setting including 1) customer service/receptionist/registration, 2) scheduling, 3) filing, 4) telephone etiquette, 5) patient billing and 6) computer service.
DESIRABLE
Associate degree or certificate
Computers and Electronic Medical Records
Microsoft Office Word, Excel, Outlook
Experience with electronic medical records software, ie. EPIC
Monday - Friday 7:30am - 4:00pm or 8:00am - 4:30pm.
FLSA Status:
Non-ExemptRight Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.
Medical Assistant Certified Registered Cancer Center Thoracic Clinic
Posted today
Job Viewed
Job Description
Engage with us for your next career opportunity. Right Here.
Job Type:
RegularScheduled Hours:
40Job Summary:
The Certified Medical Assistant provides clinical support to the physician and mid-level providers. The Medical Assistant provides instructions to patients as directed by the providers. The Medical Assistant is also responsible for compliance with all OSHA/CLIA and HIPAA Regulations and ensures completion of all duties vital to business operations. The Medical Assistant is a highly visible position that is always responsible for creating a positive impression with patients, family members, and other visitors to the office.In addition, provide customer-focused service and provide support to patient flow in a unit or department to include: 1) patient registration, 2) patient scheduling, 3) patient billing, 4) pre-certification (collect insurance information; receipt of co-pays or bill payments), 5) medical records retrieval, release, or collection, and 6) data entry. Responsible for routine problem resolution, assistance with patient flow coordination, and initiation of follow-up with appropriate staff as needed.
Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.
Job Description:
Medical Assistant:
- Prepares patient for exam and acquires vital signs, weight, general history, and current medication list when required.
- Provides patient care and clinical support to provider during exam, including acupuncture needle removal, application of stimulator, needle count, venipuncture, injections, and EKGs.
- Documents all clinical findings and patient response to interventions, i.e., history, medications, vital signs, weight, and testing results.
- Collects and provides to the provider the completed Laboratory/test findings Intake Form, and physician referral information, Diagnostic Imaging, or Cardiopulmonary test results as they are available.
- Provides instruction to patients under the direction of the provider.
Registration & Pre-Certification
Provide courteous, respectful, and helpful service to patients, visitors, staff, and physicians seeking information and/or treatment: office, phone, email communications. Responsible for the patient registration process (check in and check out) for a unit or department. Assist patients with forms obtaining all necessary insurance information and signatures as needed. Obtain pre-certification and/consent for services and billing. Monitor and follow-up on additional pre-authorizations for on-going patient services needed. May collect co-pay/co-insurance/deductible based on insurance plan(s). Specifically, answering phones, assisting patients with questions and problems, and accepting/relaying messages. Ensures compliance with federal, state, and local laws and regulations pertaining to patient privacy and confidentiality, i.e., HIPPA laws.
Customer Service & Problem Resolution
Resolve routine patient problems and complaints on a timely basis. Handles conflict with customers constructively and appropriately. Initiate further follow-up with appropriate staff member(s).
Scheduling
Schedule surgical/non-surgical procedures, tests, therapy, referrals, appointments, and services ensuring accuracy of data entered into scheduling system in a timely manner. Support patient scheduling systems in conjunction with clinical and medical staff and patient information. Communicate schedule updates, i.e., cancellations, changes, and delays to appropriate staff/patients/family members/visitors. Responsible for cancelling and rescheduling patients when necessary to ensure appropriate medical treatment and/or testing.
Insurance Pre-Certification & Collection
Accurately completes or assures completion of registration process and facilitates revenue enhancement through insurance verification, pre-authorization, verification of medical necessity and follow up of denials. Obtains treatment authorization(s). May collect patient co-pays, co-insurance, and/or deductible and follow up with insurance companies for payment, enter patient charges, and maintain monthly/quarterly record statistics, and code services/procedures for charge reconciliation purposes.
Coordination of patient information and services
Coordinate multiple phone lines and or InBasket communications, take messages, screen calls, receive information and transfer calls to appropriate extension. Relay messages to appropriate staff in order to facilitate communication and assure quality of care. Support co-workers in operational functions of the office including front desk coverage, answering phones, running errands, and transporting patients. May coordinate translation arrangements for day and time of patient services.
Medical Records
Perform medical records tasks timely and accurately including chart retrieval, storage, filing, and scanning in correct location of EMR. Maintains appropriate computer downtime procedures for clinical documentation.
Maintains adequate level of supplies in exam rooms and workstation. Cleans and disinfects exam rooms. Reports malfunction of equipment to department supervisor.
Performs other duties as assigned.
Education, Credentials, Licenses:
H.S. Diploma/GED
Secretarial related courses
Graduate of accredited medical assisting school
Successfully completed registration/certification exam
Specialized Knowledge:
Medical terminology
Computer fluency/literacy
Communication skills (verbal and written)
Maintain patient confidentiality.
Organization and prioritization skills
Kind and Length of Experience:
3 years related experience in a medical office setting including 1) customer service/receptionist/registration, 2) scheduling, 3) filing, 4) telephone etiquette, 5) patient billing and 6) computer service.
DESIRABLE
Associate degree or certificate
Computers and Electronic Medical Records
Microsoft Office Word, Excel, Outlook
Experience with electronic medical records software, ie. EPIC
Monday - Friday 7:30am - 4:00pm or 8:00am - 4:30pm.
FLSA Status:
Non-ExemptRight Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.
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