113,221 Clinical Specialists jobs in the United States

This position is responsible for providing personalized coordination, clarification and communication of all administrative aspects of care including patient needs assessments, insurance and authorization verification, registration, maintaining and handling of documentation, and scheduling of appointments. This position partners with the clinical care team to ensure a seamless experience for the patient and their family across the entire continuum of their treatment. This position assists with providing resources to help the patient maintain optimal care. This position performs follow-up tasks identified during the patient needs assessment for management of patients across the healthcare continuum or when the patient is in the continuum and needs additional resource support.

Pay & Benefits: Compensation: $23.53 to $36.76 hourly wage based on experience and education. Additional Pay: Shift Differential, Annual Increases, Paid Time Off. Benefits: medical, vision, dental, 401k with employer match. Education Benefits: FHP Tuition Assistance, Student Loan Forgiveness. Other Benefits: Onsite Gym, Wellness Programs, Discount programs, The Learning Center (childcare services). Schedule: Radiation Oncology - Full-time, 40 hours per week, 5x8 hour day shifts M-F.

About Fairbanks Memorial Hospital Fairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior with a strong patient-to-nurse ratio and Shared Leadership Infrastructure. In addition to our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty and endless recreation combine to create a one-of-a-kind place to live, work and play.

Performs patient intake process, which may include pre-registration/registration. Partners with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan. Obtains patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary. May also answer questions regarding the authorization process and supply information to providers, patients and third party payors.

Acts as a resource for insurance coverage, which may include obtaining authorizations and notifications throughout the patient's treatment. Obtains all necessary signatures and documentation required by the patient's insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers and changes in patient's treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of patient's care and maximum reimbursement and minimized financial impact to the patient.

Provides administrative support in maintaining materials such as documents, proposals, routine correspondence, spreadsheets, composing and preparing routine reports, and maintaining records in a variety of business software and database applications for electronic medical records, billing, data management.

Schedules physician appointments, tests, procedures and surgeries and may provide patient with necessary preparation instructions. Prepares, processes, and manages patient documentation to department database. Acts as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues and/or patient concerns.

Optimizes patient experience by using effective customer service. Communicates continually with patients, other departments, referral networks and providers to ensure appropriate plans and protocols are followed. Uses discretion and is attentive to issues of customer confidentiality. Demonstrates skills in pro-active resolution and attempts to resolve scheduling conflicts.

May manage the medical record for the assigned area, including coordination with hospitals, practice offices and other ancillary services to obtain needed records. Responds to patient referral requests for tests, procedures and specialty visits. Follows guidelines and may assist in developing procedures to ensure that medical records are in compliance with all state and federal laws. May also reconcile charge tickets, identifying incomplete tickets, missing charge codes or missing diagnosis codes. Notifies clinical staff as needed.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

High school diploma/GED or equivalent working knowledge. Requires three or more years working in a hospital or medical office. Requires knowledge of medical terminology. Must be able to work under minimal supervision and make independent decisions using good judgment. Excellent communication, human relations, attention to detail and organizational skills are required. Must possess highly developed interpersonal relations and process coordination skills.

Requires knowledge of payer contract terms and processes. Requires the ability to perform basic math function and the ability to handle confidential information and sensitive issues. Must be able to work effectively with common office software and hospital software to perform intake and updates to patient medical history in addition to other software used in scheduling and billing.

Additional related education and/or experience preferred.

Foundation Health Partners is an EEO/AAP employer; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

The Team Manager is the leader of the Patient Care Team that ensures that patients and families receive continuity and quality of care from admission to discharge or transfer to bereavement. Salary Range: $130,000- 140,000/ Annually

• Directs all patient care services for the team, including volunteer and bereavement, and ensures that services are rendered as integrated components of the interdisciplinary plan of care.
• Collaborates with both the team physician and the attending physician as needed and acts as the clinical resource for the interdisciplinary team.
• Participates in all potential alive discharges to ensure effective discharge planning.
• Oversees the team schedule and coordination of services to ensure coverage for all patients on the team.
• Fills in and provides patient care within their scope of practice during times of need.

• Interviews, selects, trains, supervises, evaluates and dismisses team staff in conjunction with the Patient Care Administrator.
• Assures staff competence and performance levels through making field visits, evaluating documentation and providing team-based in-services on Vitas values, hospice principles and practices and specific team growth needs.
• Acts as a resource and mentor for staff regarding clinical issues, documentation, inter- and intra-team problem solving and appropriate customer service behavior.
• Oversees staff and volunteer schedules, scheduling and territory assignments to assure that workload is distributed equitably and that all staff are able to meet overall productivity expectations.
• Reviews and approves payroll, assuring that employees have documented accurate time, mileage and additional expenses.
• Participates in on-call rotation.

• Monitors clinical records and all team activities to ensure that they are accurate, complete and meet required standards in accordance with VITAS policy and all regulatory bodies.
• Participates in performance improvement activities to respond to service issues and challenges, and documentation issues.
• Participates in and complies with QAPI program.
• Assists as requested by program senior management team with surveys and requests from regulatory bodies and intermediaries.
• Performs required chart reviews to ensure quality care is being delivered.

• Assures that service issues with patients/families or internal customers are resolved promptly and satisfactorily.
• Analyzes customer service issues on the team to identify causes and works with individual team members as well as the entire team to improve performance.
• Actively participates in potential revocations or service concerns.
• Regularly visits LTC and Contract Bed facilities to assure care plan integration, customer satisfaction and to discuss criteria for determining appropriateness.
• Participates in professional, voluntary or community service organizations.

• Verifies treatments, staffing and supplies.
• Monitors resources and utilization of clinical operations including but not limited to labor, pharmacy, medical supplies, equipment and mileage.
• Approves all bills/invoices related to patient care services.
• Oversees staff and volunteer schedules, scheduling and territory assignments to assure that workload is distributed equitably and that all staff are able to meet overall productivity expectations.

• Attends in-services, educational seminars and workshops.
• Develops and achieves professional growth goals and objectives.
• Participates as a mentor of newly hired Team Managers.

• Reliable transportation with appropriate license and insurance coverage for driver and passengers.
• Knowledge of the principles and practices of primary medical and nursing care, with at least a working knowledge of oncologic nursing and palliative care.
• Basic understanding of the interpersonal dynamics operative within the working relationships of an interdisciplinary health care team, and knowledge of the process of dying and bereavement.
• Working knowledge of VITAS information system (Vx) and the ability to utilize management reports.
• Two years successful supervisory experience or equivalent in a health care organization.

• Bachelor's degree in Nursing or related field from an accredited college or university or the international equivalent preferred.
• Current and valid R.N. License to practice in the state where the VITAS program is located.

• EOE/AA M/F/D/V

Salary Range: $105K to $110K

WHO WE ARE

We are VITAS Healthcare, the nation s leading end-of-life care provider since 1978.

Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally recognized best-in-class employee experience. Supported by industry-leading experts and a growing network of programs in 15+ states, VITAS empowers team members to grow toward their goals while transforming patients lives.

Our priority is to care: For our patients, for each other, and for the future.

WHAT YOU LL DO

As a home care team manager, you will be responsible for coordinating all patient care services for your team. You will collaborate with physicians and coordinate team member schedules to ensure patients receive the quality care they deserve, when they need it.

It is a role that requires leadership skills and clinical expertise and is the perfect next step for a nurse looking to grow their career.

WHERE YOU LL WORK

Our home care team managers work at their program s home office CT1 every day.

WHAT S EXPECTED FROM YOU

Our home care team managers blend leadership skills and clinical expertise to effectively manage their team, ensuring quality and continuity of care for patients.

In addition to a valid RN license, reliable transportation and at least two years of supervisory experience in healthcare, you ll have the traits that make the VITAS Difference: Commitment, Compassion, and a Can-do Attitude.

You will keep the patient welfare at the center of everything you do, giving your best each day in service of our core commitment: Extending comfort and dignity to all people at the end of their life s journey.

QUALIFICATIONS

• Bachelor's degree in Nursing or related field from an accredited college or university or the international equivalent preferred
• Current and valid R.N. License to practice in the state where the VITAS program is located
• Two years successful supervisory experience or equivalent in a health care organization.

SPECIAL INSTRUCTIONS TO CANDIDATE

• EOE/AA M/F/D/V

Salary Range: $$10K to 115K Annually

WHO WE ARE

We are VITAS Healthcare, the nations leading end-of-life care provider since 1978. Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally recognized best-in-class employee experience. Supported by industry-leading experts and a growing network of programs in 15+ states, VITAS empowers team members to grow toward their goals while transforming patients lives. Our priority is to care: For our patients, for each other, and for the future.

WHAT YOULL DO

As a home care team manager, you will be responsible for coordinating all patient care services for your team. You will collaborate with physicians and coordinate team member schedules to ensure patients receive the quality care they deserve, when they need it. It is a role that requires leadership skills and clinical expertise and is the perfect next step for a nurse looking to grow their career.

WHERE YOULL WORK

Our home care team managers work at their programs home office every day.

WHATS EXPECTED FROM YOU

Our home care team managers blend leadership skills and clinical expertise to effectively manage their team, ensuring quality and continuity of care for patients. In addition to a valid RN license, reliable transportation and at least two years of supervisory experience in healthcare, youll have the traits that make the VITAS Difference: Commitment, Compassion, and a Can-do Attitude. You will keep the patient welfare at the center of everything you do, giving your best each day in service of our core commitment: Extending comfort and dignity to all people at the end of their lifes journey.

QUALIFICATIONS

• Bachelor's degree in Nursing or related field from an accredited college or university or the international equivalent preferred
• Current and valid R.N. License to practice in the state where the VITAS program is located
• Two years successful supervisory experience or equivalent in a health care organization.

SPECIAL INSTRUCTIONS TO CANDIDATE

• EOE/AA M/F/D/V