22 Healthcare Support Staff jobs in Lithonia

JOB DESCRIPTION
Job Summary
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.
Essential Job Duties
- 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).
- Demonstrates professionalism in all communications.
- 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.
- May conduct staff trainings as needed.
- Communicates with quality, and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.
Required Qualifications
- 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.
- Strong analytical and problem-solving skills.
- Ability to work in a cross-functional, professional environment.
- Ability to work on a team and independently.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) non-clinical review/auditing 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
Pay Range: $24 - $56.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Description:

RESPONSIBLE FOR:

The staff nurse provides nursing care to patients from birth through the lifecycle utilizing nursing processes to assess, plan, implement, and evaluate the care for patients. He/she functions within the framework of the policies and procedures of the organization and demonstrates professional growth and accountability. The staff nurse is responsible for maintaining standards of practice, coordinating patient care activities of all assigned staff in the provision of quality nursing care.

Qualifications:

MINIMUM EDUCATION REQUIRED:

Graduate of a nursing program

MINIMUM EXPERIENCE REQUIRED:

New Graduates of a nursing program eligible

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:

Current License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License. BLS certification required.

ADDITIONAL QUALIFICATIONS:

Advanced certification in field of specialty, if applicable. Bachelor's degree preferred. Nursing Experience in Hospital Setting Preferred.

**Overview**

**Be inspired** **.** **Be rewarded. Belong. At Emory Healthcare.**

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources,ongoingmentorshipand leadership programs for all types of jobs, and asupportive environment that enables you to reach new heights in your careerand be what you want to be. We provide:

+ Comprehensive health benefits that start day 1

+ Student Loan Repayment Assistance & Reimbursement Programs

+ Family-focused benefits

+ Wellness incentives

+ Ongoing mentorship, _development,_ and leadership programs

+ And more

**Description**

*5 hr shifts 4 days a week- is the goal being around a 10-3 or 11-4 as optimal timing for shift*

JOB DESCRIPTION: Proactive patient outreach and care coordination for a panel of patients to achieve optimal outcomes and wellness, while decreasing preventable ED, inpatient and readmission visits. Functions as a clinical liaison, facilitator, advocate and collaborator in a multidisciplinary care team across the continuum of care to provide complex disease management interventions to high risk and post discharged patients identified. Utilizing assessment skills and risk assessment tools to collect subjective and objective information pertaining to the health status of the patient and identify barriers that will require a team-based approach. Utilize a team-based, holistic, patient-centered, evidence based approach to identify patient-centered goals and develop outcomes to improve the health status of Emory Healthcare patients and improve patient satisfaction. Conducts targeted outreach to identified patient panels to ensure timely and efficient care delivery across the continuum of care. Improve communication and collaboration between patient and families, healthcare teams and community-based organizations. Performs patient re-assessments to determine current health status and progress toward healthcare goals and care plan completion. Conduct systematic, ongoing, and criterion-based evaluation of outcomes in care coordination plans of care. Updates patient care plan, as appropriate. Ensure care gaps are closed around specialty/chronic diseases. Serve as a primary point of contact for identified high risk and post-discharged patients and facilitate access to services. Enhance health literacy by using teach back and other various forms of learning validation. Provide self-management support with the use of information technologies to communicate health promotion and disease prevention information. Partners with other care coordination teams across the Emory Healthcare system and community organizations. Assimilate and document the results of the evaluative processes. Apply critical-thinking skills and the use of clinical judgement when implementing population health interventions or planning effective care for groups or individual patients and their families. Facilitates transformational care delivery in clinical settings and advance the mission and goals of population management activities. Monitor key measures of performance, quality improvement and care transformation in the assigned clinical area. Integrate data analysis and performance improvement initiatives into practice with the aim of improving care coordination among multiple entities. Participates in professional organizations and attend continuing education activities to maintain knowledge of current trends and practices as it relates to care coordination and population health. In addition, other area specific job duties.

MINIMUM QUALIFICATIONS: Graduate of an accredited nursing school. Bachelors degree in Nursing (BSN) required. Must have a valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board. Care Management experience preferred. Three (3) years of healthcare experience required. BLS Healthcare Provider certifications required.

PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

**Additional Details**

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at . Please note that one week's advance notice is preferred.

**Connect With Us!**

Connect with us for general consideration!

**Division** _The Emory Clinic_

**Campus Location** _Atlanta, GA, 30308_

**Campus Location** _US-GA-Atlanta_

**Department** _TEC Rad Onc Proton Trmt Ctr_

**Job Type** _Regular Part-Time_

**Job Number** _ _

**Job Category** _Nursing_

**Schedule** _Other_

**Standard Hours** _20 Hours_

**Hourly Minimum** _USD $46.31/Hr._

**Hourly Midpoint** _USD $53.68/Hr._

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

* Comprehensive health benefits that start day 1
* Student Loan Repayment Assistance & Reimbursement Programs
* Family-focused benefits
* Wellness incentives
* Ongoing mentorship, development, and leadership programs
* And more

Description

* 5 hr shifts 4 days a week- is the goal being around a 10-3 or 11-4 as optimal timing for shift*

JOB DESCRIPTION: Proactive patient outreach and care coordination for a panel of patients to achieve optimal outcomes and wellness, while decreasing preventable ED, inpatient and readmission visits. Functions as a clinical liaison, facilitator, advocate and collaborator in a multidisciplinary care team across the continuum of care to provide complex disease management interventions to high risk and post discharged patients identified. Utilizing assessment skills and risk assessment tools to collect subjective and objective information pertaining to the health status of the patient and identify barriers that will require a team-based approach. Utilize a team-based, holistic, patient-centered, evidence based approach to identify patient-centered goals and develop outcomes to improve the health status of Emory Healthcare patients and improve patient satisfaction. Conducts targeted outreach to identified patient panels to ensure timely and efficient care delivery across the continuum of care. Improve communication and collaboration between patient and families, healthcare teams and community-based organizations. Performs patient re-assessments to determine current health status and progress toward healthcare goals and care plan completion. Conduct systematic, ongoing, and criterion-based evaluation of outcomes in care coordination plans of care. Updates patient care plan, as appropriate. Ensure care gaps are closed around specialty/chronic diseases. Serve as a primary point of contact for identified high risk and post-discharged patients and facilitate access to services. Enhance health literacy by using teach back and other various forms of learning validation. Provide self-management support with the use of information technologies to communicate health promotion and disease prevention information. Partners with other care coordination teams across the Emory Healthcare system and community organizations. Assimilate and document the results of the evaluative processes. Apply critical-thinking skills and the use of clinical judgement when implementing population health interventions or planning effective care for groups or individual patients and their families. Facilitates transformational care delivery in clinical settings and advance the mission and goals of population management activities. Monitor key measures of performance, quality improvement and care transformation in the assigned clinical area. Integrate data analysis and performance improvement initiatives into practice with the aim of improving care coordination among multiple entities. Participates in professional organizations and attend continuing education activities to maintain knowledge of current trends and practices as it relates to care coordination and population health. In addition, other area specific job duties. MINIMUM QUALIFICATIONS: Graduate of an accredited nursing school. Bachelors degree in Nursing (BSN) required. Must have a valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board. Care Management experience preferred. Three (3) years of healthcare experience required. BLS Healthcare Provider certifications required. PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at Please note that one week's advance notice is preferred.

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

* Comprehensive health benefits that start day 1
* Student Loan Repayment Assistance & Reimbursement Programs
* Family-focused benefits
* Wellness incentives
* Ongoing mentorship, development, and leadership programs
* And more

Description

* 5 hr shifts 4 days a week- is the goal being around a 10-3 or 11-4 as optimal timing for shift*

JOB DESCRIPTION: Proactive patient outreach and care coordination for a panel of patients to achieve optimal outcomes and wellness, while decreasing preventable ED, inpatient and readmission visits. Functions as a clinical liaison, facilitator, advocate and collaborator in a multidisciplinary care team across the continuum of care to provide complex disease management interventions to high risk and post discharged patients identified. Utilizing assessment skills and risk assessment tools to collect subjective and objective information pertaining to the health status of the patient and identify barriers that will require a team-based approach. Utilize a team-based, holistic, patient-centered, evidence based approach to identify patient-centered goals and develop outcomes to improve the health status of Emory Healthcare patients and improve patient satisfaction. Conducts targeted outreach to identified patient panels to ensure timely and efficient care delivery across the continuum of care. Improve communication and collaboration between patient and families, healthcare teams and community-based organizations. Performs patient re-assessments to determine current health status and progress toward healthcare goals and care plan completion. Conduct systematic, ongoing, and criterion-based evaluation of outcomes in care coordination plans of care. Updates patient care plan, as appropriate. Ensure care gaps are closed around specialty/chronic diseases. Serve as a primary point of contact for identified high risk and post-discharged patients and facilitate access to services. Enhance health literacy by using teach back and other various forms of learning validation. Provide self-management support with the use of information technologies to communicate health promotion and disease prevention information. Partners with other care coordination teams across the Emory Healthcare system and community organizations. Assimilate and document the results of the evaluative processes. Apply critical-thinking skills and the use of clinical judgement when implementing population health interventions or planning effective care for groups or individual patients and their families. Facilitates transformational care delivery in clinical settings and advance the mission and goals of population management activities. Monitor key measures of performance, quality improvement and care transformation in the assigned clinical area. Integrate data analysis and performance improvement initiatives into practice with the aim of improving care coordination among multiple entities. Participates in professional organizations and attend continuing education activities to maintain knowledge of current trends and practices as it relates to care coordination and population health. In addition, other area specific job duties. MINIMUM QUALIFICATIONS: Graduate of an accredited nursing school. Bachelors degree in Nursing (BSN) required. Must have a valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board. Care Management experience preferred. Three (3) years of healthcare experience required. BLS Healthcare Provider certifications required. PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at Please note that one week's advance notice is preferred.

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

* Comprehensive health benefits that start day 1
* Student Loan Repayment Assistance & Reimbursement Programs
* Family-focused benefits
* Wellness incentives
* Ongoing mentorship, development, and leadership programs
* And more

Description

* 5 hr shifts 4 days a week- is the goal being around a 10-3 or 11-4 as optimal timing for shift*

JOB DESCRIPTION: Proactive patient outreach and care coordination for a panel of patients to achieve optimal outcomes and wellness, while decreasing preventable ED, inpatient and readmission visits. Functions as a clinical liaison, facilitator, advocate and collaborator in a multidisciplinary care team across the continuum of care to provide complex disease management interventions to high risk and post discharged patients identified. Utilizing assessment skills and risk assessment tools to collect subjective and objective information pertaining to the health status of the patient and identify barriers that will require a team-based approach. Utilize a team-based, holistic, patient-centered, evidence based approach to identify patient-centered goals and develop outcomes to improve the health status of Emory Healthcare patients and improve patient satisfaction. Conducts targeted outreach to identified patient panels to ensure timely and efficient care delivery across the continuum of care. Improve communication and collaboration between patient and families, healthcare teams and community-based organizations. Performs patient re-assessments to determine current health status and progress toward healthcare goals and care plan completion. Conduct systematic, ongoing, and criterion-based evaluation of outcomes in care coordination plans of care. Updates patient care plan, as appropriate. Ensure care gaps are closed around specialty/chronic diseases. Serve as a primary point of contact for identified high risk and post-discharged patients and facilitate access to services. Enhance health literacy by using teach back and other various forms of learning validation. Provide self-management support with the use of information technologies to communicate health promotion and disease prevention information. Partners with other care coordination teams across the Emory Healthcare system and community organizations. Assimilate and document the results of the evaluative processes. Apply critical-thinking skills and the use of clinical judgement when implementing population health interventions or planning effective care for groups or individual patients and their families. Facilitates transformational care delivery in clinical settings and advance the mission and goals of population management activities. Monitor key measures of performance, quality improvement and care transformation in the assigned clinical area. Integrate data analysis and performance improvement initiatives into practice with the aim of improving care coordination among multiple entities. Participates in professional organizations and attend continuing education activities to maintain knowledge of current trends and practices as it relates to care coordination and population health. In addition, other area specific job duties. MINIMUM QUALIFICATIONS: Graduate of an accredited nursing school. Bachelors degree in Nursing (BSN) required. Must have a valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board. Care Management experience preferred. Three (3) years of healthcare experience required. BLS Healthcare Provider certifications required. PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at Please note that one week's advance notice is preferred.

Clinical Support Pharmacy Technician - Remote

Our work matters. We help people get the medicine they need to feel better and live well. It fuels our passion and drives every decision we make.

We are hiring a Clinical Support Pharmacy Technician for our Clinical Account Management Team. Due to the growth at Prime, we are adding a support role to assist with administrative tasks for our account team.

Responsibilities

• Researches, resolves and documents formulary changes and issues within internal systems.
• Communicates plan design parameters including prior authorization criteria, benefit coverage and formulary information to clients and account teams.
• Research client topics of interests and aids in presenting to clients.
• Researches, resolves and documents client inquiries.
• Participates in internal and external clinical meetings to support and present relevant information as requested.
• Provides research on prior authorization or plan issues as requested by clinical lead.
• Provides analysis of reports in support of client plan performance.
• Responds to internal and external requests for information within scope of assigned responsibility and departmental guidelines.
• Assists staff members with more complex and detailed projects such as setting up and maintaining tracking systems, composing and proofreading documents, collecting and compiling data, and coordinating the flow of reports, data or records.
• Coordinates or independently completes special projects such as presentation materials.
• May assist and participate in regularly scheduled meetings. Activities include agenda preparation, preparing minutes and ensuring follow-up on identified tasks.
• Performs other duties as required.

Education & Experience

Bachelor's degree in business, finance, biology or other related field, or the equivalent combination of education and/or related work experience; HS diploma or GED is required. Required CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy. 2 years pharmacy experience in retail, mail order, MCO, health plan, PBM or comparable setting. Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

In-depth knowledge of prescription drugs including specialty drugs, disease states and therapy classes, health plan formulary management techniques, prescription plan benefit designs, current healthcare industry news and trends. Proficiency in Microsoft Office Product Suite. Strong analytical skills. Ability to multi-task and prioritize in order to meet short turnaround times. Excellent written and verbal communication skills. Ability to identify and solve problematic issues both internally and externally.

Physical Demands

Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse" Must be able to constantly operate a computer and/or other office productivity equipment. Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer.