Auditor, Healthcare Operations

El Paso, Illinois Molina Healthcare

Posted today

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Job Description

full-time
Provides support for non-clinical healthcare services auditing activities. Responsible for performing audits for non-clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.

Performs audits of non-clinical staff in utilization management, care management, member assessment, and/or other teams - monitoring for compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and state and federal guidelines and requirements.

• Reports outcomes, identifies areas of re-training for staff, and communicates findings to leadership.

• Ensures auditing approaches follow a Molina standard in approach and tool use.

• Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA).

• Adheres to departmental standards, policies, protocols.

• Maintains detailed records of auditing results.

• Assists healthcare services with developing training materials or job aids as needed to address findings in audit results.

• Meets minimum production standards related to non-clinical auditing.

• Communicates with quality, and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.

At least 2 years health care experience, preferably in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.

• Microsoft Office suite/applicable software program(s) proficiency.

Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) non-clinical review/auditing experience.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

17 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Healthcare Tech- Medical/Oncology

61761 Normal, Illinois Carle Health

Posted today

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Job Description

Overview

Under the direction of a Registered Nurse (RN), the Health Care Technician (HCT) functions as a support to the licensed nursing staff and performs activities related to the personal care and hygiene needs of an assigned patient group. Facilitates communication with other departments, visitors, patients, medical staff and employees. Serves as a public relations liaison for the unit. Works under the direct supervision of the nursing manager.
Qualifications

Certifications: Basic Life Support (BLS) within 30 days - American Heart Association (AHA)American Heart Association (AHA), Education: H.S. Diploma/GED; Certificate of Completion: Nurse Assistant, Work Experience: Relevant medical military training; Worked as CNA within past 24 months; Completion of CNA coursework within past 24 months; Certified Medical Assistant at Carle Health; Certified Nursing Assistant (CNA); Successful completion of Carle's HCT In Training Program; At least one semester of nursing clinical experience
Responsibilities

Assists with the maintenance of unit supplies to ensure the smooth function of the unit, including stocking nurse servers, cleaning instruments and equipment, ordering supplies, and making up charts. Collects data on assigned patients as directed by Registered Nurse (RN) and ensures accurate documentation. Demonstrates competency in selected psychomotor skills as outlined in the skills checklist including: measurement of vital signs, blood glucose monitoring, and measuring and recording intake and output. Performs or assists patients with the activities of daily living. Prepares patients for transportation and/or transport. Perform delegated tasks such as: obtaining vital signs, glucose monitoring, hygiene care, ambulation, repositioning patients, sending lab samples. Perform purposeful hourly rounding on assigned patients while marking initials on white board upon exiting patient room. Provide emotional support to patients and family members Document patient care delivery per unit expectations/pass chart audit with no more than 2 deficits Assist with bone marrow aspirations as needed with physicians. Complete delegated tasks in a timely manner and report any abnormal findings to the RN as soon as possible.
About Us

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nations highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the worlds first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information:

Compensation and Benefits

The compensation range for this position is $17.89per hour - $28.98per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidates experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

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Manager, Healthcare Services (Illinois)

Il, Illinois Molina Healthcare

Posted 1 day ago

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Job Description

***Illinois residents preferred**
JOB DESCRIPTION Job Summary
Leads and manages multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Responsible for leading and managing performance of one or more of the following activities: care review, care management, utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), transition of care, health management, behavioral health, long-term services and supports (LTSS), and/or member assessment.
- Facilitates integrated, proactive healthcare services management - ensuring compliance with state and federal regulatory and accrediting standards and implementation of the Molina clinical model.
- Manages and evaluates team member performance, provides coaching, employee development and recognition, ensures ongoing appropriate staff training, and has responsibility for selection, orientation and mentoring of new staff.
- Performs and promotes interdepartmental/multidisciplinary integration and collaboration to enhance continuity of care.
- Oversees interdisciplinary care team (ICT) meetings.
- Functions as hands-on manager responsible for supervision and coordination of daily integrated healthcare service activities.
- Ensures adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and other performance indicators.
- Collates and reports on care access and monitoring statistics including plan utilization, staff productivity, cost-effective utilization of services, management of targeted member population, and triage activities.
- Ensures completion of staff quality audit reviews; evaluates services provided, outcomes achieved and recommends enhancements/improvements for programs and staff development to ensure consistent cost-effectiveness and compliance with all state and federal regulations and guidelines.
- Maintains professional relationships with provider community, internal and external customers, and state agencies as appropriate, while identifying opportunities for improvement.
- Local travel may be required (based upon state/contractual requirements).
Required Qualifications
- At least 7 years experience in health care, and at least 3 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
- At least 1 year of health care management/leadership experience.
- Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
- Experience working within applicable state, federal, and third party regulations.
- Demonstrated knowledge of community resources.
- Proactive and detail-oriented.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and demonstrate self-motivation.
- Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
- Ability to develop and maintain professional relationships.
- Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
- Excellent problem-solving and critical-thinking skills.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Registered Nurse (RN). License must be active and unrestricted in state of practice.
- Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
- Medicaid/Medicare population experience.
- Clinical experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
#PJHS
Pay Range: $76,757 - $149,676 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Healthcare Tech Medical/Oncology

61790 Normal, Illinois Carle Health

Posted 3 days ago

Job Viewed

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Job Description

Overview
Under the direction of a Registered Nurse (RN), the Health Care Technician (HCT) functions as a support to the licensed nursing staff and performs activities related to the personal care and hygiene needs of an assigned patient group. Facilitates communication with other departments, visitors, patients, medical staff and employees. Serves as a public relations liaison for the unit. Works under the direct supervision of the nursing manager.
Qualifications
Certifications: Basic Life Support (BLS) within 30 days - American Heart Association (AHA)American Heart Association (AHA), Education: H.S. Diploma/GED; Certificate of Completion: Nurse Assistant, Work Experience: Relevant medical military training; Worked as CNA within past 24 months; Completion of CNA coursework within past 24 months; Certified Medical Assistant at Carle Health; Certified Nursing Assistant (CNA); Successful completion of Carle's HCT In Training Program; At least one semester of nursing clinical experience
Responsibilities
Assists with the maintenance of unit supplies to ensure the smooth function of the unit, including stocking nurse servers, cleaning instruments and equipment, ordering supplies, and making up charts.
Collects data on assigned patients as directed by Registered Nurse (RN) and ensures accurate documentation.
Demonstrates competency in selected psychomotor skills as outlined in the skills checklist including: measurement of vital signs, blood glucose monitoring, and measuring and recording intake and output.
Performs or assists patients with the activities of daily living. Prepares patients for transportation and/or transport.
Perform delegated tasks such as: obtaining vital signs, glucose monitoring, hygiene care, ambulation, repositioning patients, sending lab samples. Perform purposeful hourly rounding on assigned patients while marking initials on white board upon exiting patient room. Provide emotional support to patients and family members Document patient care delivery per unit expectations/pass chart audit with no more than 2 deficits Assist with bone marrow aspirations as needed with physicians. Complete delegated tasks in a timely manner and report any abnormal findings to the RN as soon as possible.
About Us
**Find it here.**
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
_We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information:
Compensation and Benefits
The compensation range for this position is $17.89per hour - $28.98per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
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Healthcare Customer Service Representative

Il, Illinois Teleperformance USA

Posted 17 days ago

Job Viewed

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Job Description

**Category :** **Customer Service/Support**
**About TP**
**TP is a global, digital business services company. We deliver the most advanced, digitally powered business services to help the world's best brands streamline their business in meaningful and sustainable ways.**
**With more than 500,000 inspired and passionate people speaking more than 300 languages, our global scale and local presence allow us to be a force of good in supporting our communities, our clients, and the environment.**
**Benefits of working with TP include:**
+ **Paid Training**
+ **Competitive Wages**
+ **Full Benefits (Medical, Dental, Vision, 401k and more)**
+ **Paid Time Off**
+ **Employee wellness and engagement programs**
**TP and You**
**Through a balanced high-tech and high-touch approach blended with deep industry and geographic expertise, we make people's lives simpler, faster, and safer. We help companies adapt quickly to changing needs, and are inspired to deliver only the best in all that we do. You will become a key contributor in making that happen.**
**As the eyes and ears for our team fielding customer inquiries and finding innovative ways to respond, you will work in a collaborative and engaging environment. You will have the chance to interact with people from all walks of life, and no two days will be the same. As you continue to grow and challenge yourself, you will discover your potential can take you anywhere you want to go.**
**Did you know that our Chief Client Officer started her career at TP as an agent and advanced to the pinnacle of the company? At TP, the sky is the limit!**
**At this time, TP can only offer employment to individuals located in the following states: AL, AR, AZ, CT, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV, WY**
**Your Responsibilities**
**Healthcare Customer Service Representatives field customer inquiries by finding innovative ways to respond to varying questions, issues, and concerns.**
+ **Connect with customers via phone/email/chat/and or social media to resolve their questions or concerns**
+ **Calmly attempt to resolve and de-escalate any issues**
+ **Escalate interactions when necessary and appropriate**
+ **Respond to requests for assistance and/or possible processing payments**
+ **Track all call related information for auditing and reporting purposes**
+ **Provide feedback on call issues**
+ **Upsell if required**
**We're looking for fearless people - people who are inspired to deliver only the best in all that we do.**
+ **Ability to work remotely in a virtual team environment**
+ **6 months Customer service experience preferred**
+ **Over 18 years of age**
+ **Ability to type 25 wpm**
+ **High School Graduate or GED**
+ **Comfort with desktop computer system**
+ **Proven oral & written communication skills**
+ **Logical problem-solving skills**
+ **Ability to navigate Windows operating systems**
+ **Organization and work prioritization skills**
**Work from Home Requirements:**
+ **Internet Connection Requirements:**
+ **Minimum subscribed download rate equal or exceeds 12.0 Mbps**
+ **Minimum subscribed upload rate equal or exceeds 3.0 Mbps**
+ **ISP must have no packet loss and ping under 50ms**
+ **Proof of internet speed required**
+ **Clean and quiet workspace**
**Be Part of Our TP Family**
**It is our mission to always provide an environment where our employees feel valued, inspired, and supported, so that they can bring their best selves to work every day. We believe that when employees are happy and healthy, they are more productive, creative, and engaged. We are committed to providing a workplace that is conducive to happiness and a healthy work-life balance. We also believe that to be our best selves, we need to be surrounded by people who are positive, supportive, and challenging. We are committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued.**
**TP is an Equal Opportunity Employer**
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Healthcare Tech- Medical/Oncology

61790 Normal, Illinois Carle Health

Posted 17 days ago

Job Viewed

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Job Description

Overview
Under the direction of a Registered Nurse (RN), the Health Care Technician (HCT) functions as a support to the licensed nursing staff and performs activities related to the personal care and hygiene needs of an assigned patient group. Facilitates communication with other departments, visitors, patients, medical staff and employees. Serves as a public relations liaison for the unit. Works under the direct supervision of the nursing manager.
Qualifications
Certifications: Basic Life Support (BLS) within 30 days - American Heart Association (AHA)American Heart Association (AHA), Education: H.S. Diploma/GED; Certificate of Completion: Nurse Assistant, Work Experience: Relevant medical military training; Worked as CNA within past 24 months; Completion of CNA coursework within past 24 months; Certified Medical Assistant at Carle Health; Certified Nursing Assistant (CNA); Successful completion of Carle's HCT In Training Program; At least one semester of nursing clinical experience
Responsibilities
Assists with the maintenance of unit supplies to ensure the smooth function of the unit, including stocking nurse servers, cleaning instruments and equipment, ordering supplies, and making up charts.
Collects data on assigned patients as directed by Registered Nurse (RN) and ensures accurate documentation.
Demonstrates competency in selected psychomotor skills as outlined in the skills checklist including: measurement of vital signs, blood glucose monitoring, and measuring and recording intake and output.
Performs or assists patients with the activities of daily living. Prepares patients for transportation and/or transport.
Perform delegated tasks such as: obtaining vital signs, glucose monitoring, hygiene care, ambulation, repositioning patients, sending lab samples. Perform purposeful hourly rounding on assigned patients while marking initials on white board upon exiting patient room. Provide emotional support to patients and family members Document patient care delivery per unit expectations/pass chart audit with no more than 2 deficits Assist with bone marrow aspirations as needed with physicians. Complete delegated tasks in a timely manner and report any abnormal findings to the RN as soon as possible.
About Us
**Find it here.**
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
_We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information:
Compensation and Benefits
The compensation range for this position is $17.89per hour - $28.98per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
View Now

HealthCare Tech Surgical Nursing Unit

61761 Normal, Illinois Carle Health

Posted 3 days ago

Job Viewed

Tap Again To Close

Job Description

Overview

Under the direction of a Registered Nurse (RN), the Health Care Technician (HCT) functions as a support to the licensed nursing staff and performs activities related to the personal care and hygiene needs of an assigned patient group. Facilitates communication with other departments, visitors, patients, medical staff and employees. Serves as a public relations liaison for the unit. Works under the direct supervision of the nursing manager.

Qualifications

Certifications: Basic Life Support (BLS) within 30 days - American Heart Association (AHA)American Heart Association (AHA), Education: H.S. Diploma/GED (Required), Work Experience: Certified Medical Assistant at Carle Health; Worked as CNA within past 24 months; Successful completion of Carle's HCT In Training Program; Relevant medical military training; Completion of CNA coursework within past 24 months; Certified Nursing Assistant (CNA); At least one semester of nursing clinical experience

Responsibilities

Assists with the maintenance of unit supplies to ensure the smooth function of the unit, including stocking nurse servers, cleaning instruments and equipment, ordering supplies, and making up charts.

Collects data on assigned patients as directed by Registered Nurse (RN) and ensures accurate documentation.

Demonstrates competency in selected psychomotor skills as outlined in the skills checklist including: measurement of vital signs, blood glucose monitoring, and measuring and recording intake and output.

Performs or assists patients with the activities of daily living. Prepares patients for transportation and/or transport.

Completes HCT Safety Checklist at the beginning of each shift Receives delegated responsibilities from RN each shift and maintains close communication during shift regarding completion of tasks/responsibilities Completes and documents basic patient care independently: including but not limited to baths, vital signs, accuchecks and meal trays Maintains patient safety as the highest priority level: ensuring safety measure compliance such as fall precautions, pressure ulcer prevention, isolation precautions and patient ambulation safety Assist the team in facilitating a high volume of patient admissions and discharges in relation to the Observation patient population Keeps a diligent focus on prompt answering of patient call lights to ensure effective triage and meeting of patient needs Maintains a positive attitude at all times on unit that promotes a healthy work environment and a healing patient environment

About Us

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information:

Compensation and Benefits

The compensation range for this position is $17.89per hour - $28.98per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.

Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

View Now
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Healthcare Customer Service Representative - Remote

Il, Illinois Teleperformance USA

Posted 2 days ago

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Job Description

**Category :** **Customer Service/Support**
**About TP**
**TP is a global, digital business services company. We deliver the most advanced, digitally powered business services to help the world's best brands streamline their business in meaningful and sustainable ways.**
**With more than 500,000 inspired and passionate people speaking more than 300 languages, our global scale and local presence allow us to be a force of good in supporting our communities, our clients, and the environment.**
**Benefits of working with TP include:**
+ **Paid Training**
+ **Competitive Wages**
+ **Full Benefits (Medical, Dental, Vision, 401k and more)**
+ **Paid Time Off**
+ **Employee wellness and engagement programs**
**TP and You**
**Through a balanced high-tech and high-touch approach blended with deep industry and geographic expertise, we make people's lives simpler, faster, and safer. We help companies adapt quickly to changing needs, and are inspired to deliver only the best in all that we do. You will become a key contributor in making that happen.**
**As the eyes and ears for our team fielding customer inquiries and finding innovative ways to respond, you will work in a collaborative and engaging environment. You will have the chance to interact with people from all walks of life, and no two days will be the same. As you continue to grow and challenge yourself, you will discover your potential can take you anywhere you want to go.**
**Did you know that our Chief Client Officer started her career at TP as an agent and advanced to the pinnacle of the company? At TP, the sky is the limit!**
**At this time, TP can only offer employment to individuals located in the following states: AL, AR, AZ, CT, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV, WY.**
**Your Responsibilities**
**Healthcare Customer Service Representatives field customer inquiries by finding innovative ways to respond to varying questions, issues, and concerns.**
+ **Connect with customers via phone/email/chat/and or social media to resolve their questions or concerns**
+ **Calmly attempt to resolve and de-escalate any issues**
+ **Escalate interactions when necessary and appropriate**
+ **Respond to requests for assistance and/or possible processing payments**
+ **Track all call related information for auditing and reporting purposes**
+ **Provide feedback on call issues**
+ **Upsell if required**
**We're looking for fearless people - people who are inspired to deliver only the best in all that we do.**
**Qualifications:**
+ **High School Diploma or equivalent.**
+ **Minimum of 6 months of customer service experience.**
+ **Must be 18 years of age or older.**
+ **Ability to type at least 25 words per minute.**
+ **Comfortable with desktop computer systems and have general knowledge of Windows-based systems.**
+ **Customer service and/or sales experience preferred.**
+ **College degree preferred but not required.**
**Key Competencies:**
+ **Process Excellence:** **Demonstrate commitment to following established procedures and be customer service driven.**
+ **Collaboration:** **Proven ability to collaborate effectively with team members, supervisors, and support departments to resolve customer issues and achieve performance goals.**
+ **Communication:** **Outstanding communication, listening, and analytical skills.**
+ **Organizational Skills:** **Strong organizational and problem-solving skills.**
+ **Emotional Intelligence:** **Ability to prioritize tasks and work well under pressure while remaining focused.**
+ **Open-Mindedness:** **Open-minded approach to feedback, evolving policies, and working within a structured schedule that includes a variety of shifts.**
+ **Critical Thinking:** **Sharp critical thinking skills, enabling quick analysis of customer issues and thoughtful, informed decision-making.**
+ **Solution-Oriented:** **Proactive approach to problem-solving with a focus on creating a positive customer experience.**
**Work from Home Requirements:**
+ **Internet Requirements:**
+ **Minimum subscribed download rate equal or exceeds 15.0 Mbps**
+ **Minimum subscribed upload rate equal or exceeds 5.0 Mbps**
+ **ISP must have no packet loss and ping under 50ms**
+ **Internet connections cannot be Satellite, Mobile Data (5G, 4G, 3G hotspots), P2P or VPN**
+ **Proof of internet speed required**
+ **Clean and quiet workspace**
**Be Part of Our TP Family**
**It is our mission to always provide an environment where our employees feel valued, inspired, and supported, so that they can bring their best selves to work every day. We believe that when employees are happy and healthy, they are more productive, creative, and engaged. We are committed to providing a workplace that is conducive to happiness and a healthy work-life balance. We also believe that to be our best selves, we need to be surrounded by people who are positive, supportive, and challenging. We are committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued.**
**EOE/Disability/Vets**
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HealthCare Tech Surgical Nursing Unit

61790 Normal, Illinois Carle Health

Posted 3 days ago

Job Viewed

Tap Again To Close

Job Description

Overview
Under the direction of a Registered Nurse (RN), the Health Care Technician (HCT) functions as a support to the licensed nursing staff and performs activities related to the personal care and hygiene needs of an assigned patient group. Facilitates communication with other departments, visitors, patients, medical staff and employees. Serves as a public relations liaison for the unit. Works under the direct supervision of the nursing manager.
Qualifications
Certifications: Basic Life Support (BLS) within 30 days - American Heart Association (AHA)American Heart Association (AHA), Education: H.S. Diploma/GED (Required), Work Experience: Certified Medical Assistant at Carle Health; Worked as CNA within past 24 months; Successful completion of Carle's HCT In Training Program; Relevant medical military training; Completion of CNA coursework within past 24 months; Certified Nursing Assistant (CNA); At least one semester of nursing clinical experience
Responsibilities
Assists with the maintenance of unit supplies to ensure the smooth function of the unit, including stocking nurse servers, cleaning instruments and equipment, ordering supplies, and making up charts.
Collects data on assigned patients as directed by Registered Nurse (RN) and ensures accurate documentation.
Demonstrates competency in selected psychomotor skills as outlined in the skills checklist including: measurement of vital signs, blood glucose monitoring, and measuring and recording intake and output.
Performs or assists patients with the activities of daily living. Prepares patients for transportation and/or transport.
Completes HCT Safety Checklist at the beginning of each shift Receives delegated responsibilities from RN each shift and maintains close communication during shift regarding completion of tasks/responsibilities Completes and documents basic patient care independently: including but not limited to baths, vital signs, accuchecks and meal trays Maintains patient safety as the highest priority level: ensuring safety measure compliance such as fall precautions, pressure ulcer prevention, isolation precautions and patient ambulation safety Assist the team in facilitating a high volume of patient admissions and discharges in relation to the Observation patient population Keeps a diligent focus on prompt answering of patient call lights to ensure effective triage and meeting of patient needs Maintains a positive attitude at all times on unit that promotes a healthy work environment and a healing patient environment
About Us
**Find it here.**
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
_We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information:
Compensation and Benefits
The compensation range for this position is $17.89per hour - $28.98per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
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Sr. Manager, Healthcare Digital Product

Il, Illinois CVS Health

Posted 4 days ago

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Job Description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
If you are eager to make a real impact in the health care industry through your own meaningful contributions, explore a role in technology with CVS Health. Our journey calls for technical innovators and data visionaries: come help us pave the way.
At CVS Health, we are driven by a vision to redefine healthcare in America by placing people at the forefront of our efforts. We are seeking a motivated software engineer who shares our commitment to engineering excellence and innovation. As part of our team, you will have the opportunity to contribute to advancing and modernizing technologies that shape the future of healthcare.
As a Senior Manager at CVS Health, you will play a crucial role in building and delivering high-quality software that enhances customer experiences. You will be involved in all phases of software engineering, from requirements analysis to deployment, while adhering to agile software development methodologies. Collaboration is key, as you will work closely with cross-functional teams to deliver integrated solutions that meet the evolving needs of our business.
Customer Commitment implementation programs is overly complex that spans across almost all the Aetna Technology domains/applications. A Senior Product Owner in this area requires significant business and systems knowledge and expertise in navigating multiple business units and external vendors.
As a Senior Manager for Customer Implementation team, you will:
+ Partner with multiple Product Owners and Product leadership team right from the ideation phase to mature the product concepts and helps them with IT evaluation exercise (SWAT).
+ Work with multiple IT and business areas to develop IT solution, strategy, MVP (Minimum Viable Product and provides the IT Guidance ranges/cost estimates.
+ Coordinate release planning, oversees delivery milestones, resolves issues, and removes the barriers that may hinder project execution.
+ Proactively evaluates all work that is in flight, builds contingency plans, and executes corrective action on a timely basis to mitigate risks such as scope and/or budget variances.
+ Ensure that projects/enhancements align with the Commercial Product delivery objectives by thoroughly understanding the business segment's drivers and issues.
+ Identify and leverage project interdependencies to ensure synergy between the projects and to promote benefits realization across the portfolio. Proactively identifies additional cost-savings to reduce overall project expenses.
+ Ensure delivery milestones are met, and project activities are completed on time for successful IT delivery.
+ Work closely with Product Managers, Sales teams, Underwriters, Compliance, various Business areas and Technology Teams including Architecture, Security, and Infrastructure.
+ Provide insights into Current State of Technical capabilities.
+ Leverage strong technical skills to develop and manage multiple concurrent, time-bound implementations.
+ Work collaboratively with cross functional domain/technical teams.
+ Innovative mindset with strong conviction for Technology Excellence.
+ Keep abreast of technology advances across various lines of business with keenness to cross apply the innovations across Lines of Business.
+ Strong Client Interfacing, Stakeholder Management and High Impact Communication skills
+ Collaborate with the program business and the individual domain teams and/or vendors to translate overall project/ business objectives to application specific needs.
+ Create and maintain functional and technical documentation, including system designs, workflow, and ensure end to end traceability is maintained.
+ Explore new tools, frameworks, and techniques to improve digital solutions and drive innovation within the engineering team.
As leaders in healthcare, our analytics and engineering teams deliver innovative solutions to business problems by collaborating with cross-functional teams in a dynamic and agile environment. You will be part of a team that values collaboration and encourages innovative thinking at all levels. You will be intellectually challenged to solve problems associated with large scale complex, structured and unstructured data, which will allow you to grow your technical skills and engineering expertise.
**Required Qualifications**
+ 8+ years of experience with large customer implementation collaborating with various stakeholders in maturing a Product Concept from its initial stages, providing directional guidance, advising on technical capabilities, collaborating on roadmap followed by design and implementation.
+ 6+ years of experience in collaborating with external Vendors that support various Programs (e.g., Maternity, Chronic Conditions, Clinical engagement etc.) for Commercial Plan Sponsors.
+ 5+ years of experience in working with Engineering, and Cross functional team to solve complex business and/or technical problems.
+ 5+ years of agile methodologies experience.
+ 5+ years of experience with managing Payors needs and support.
+ 4+ years of experience independently managing deliverables.
+ 3+ years of experience in effort estimation
**Preferred Qualifications**
+ Comfortable independently leading and completing tasks
+ Prior experience in dealing with a wide variety of stakeholders across the spectrum
+ Effective written and verbal communication skills within and across teams
+ Experience with complex systems and solving challenging analytical problems
+ Previous experience in delivering new Commercial Medical Product Concepts within tight budgets and challenging timelines
**Education**
Bachelor's Degree or equivalent work experience in Computer Science, Information Systems, Data Engineering, Data Analytics, Machine Learning, Health Care Business Management, or related field of studies and/ or equivalent work experience.
**Pay Range**
The typical pay range for this role is:
$118,450.00 - $284,280.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 10/26/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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