8 Healthcare Support Staff jobs in Naranja

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.

Our client is looking for a highly organized and compassionate Lead Clinical Support Coordinator to manage essential operations in Miami, Florida, US . This role is integral to ensuring the seamless delivery of high-quality community and social care services. You will be responsible for supervising a team of support staff, coordinating client services, and maintaining comprehensive patient records. The ideal candidate will have a strong background in healthcare administration or social services, with a proven ability to lead and motivate a team.

Key duties include developing and implementing efficient workflows, managing client intake processes, and liaising with healthcare professionals, social workers, and community organizations to ensure holistic care. You will also play a crucial role in crisis intervention, client advocacy, and developing personalized care plans. This position requires a proactive approach to problem-solving and a commitment to upholding the highest standards of patient confidentiality and care.

The Lead Clinical Support Coordinator will also be involved in staff training and development, performance evaluations, and ensuring compliance with all relevant regulations and protocols. Exceptional communication skills, both written and verbal, are essential for effectively interacting with clients, families, and internal teams. A Bachelor's degree in Social Work, Nursing, Healthcare Administration, or a related field is required. A minimum of 4 years of experience in a supervisory or leadership role within community or social care services is necessary. Strong understanding of healthcare systems, social welfare programs, and patient rights is crucial. Empathy, resilience, and a dedication to service excellence are paramount. Experience with electronic health record (EHR) systems is a significant advantage. Join our team and contribute to vital social care initiatives in the vibrant community of Miami, Florida, US .

**Description**
**Introduction**
Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Florida Kendall Hospital our nurses set us apart from any other healthcare provider. We are seeking a Clinical Support Coord to join our healthcare family.
**Benefits**
HCA Florida Kendall Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
At HCA Florida Kendall Hospital, our nurses play a vital part. We know that every nurse's path and purpose is unique. Do you want to create your own personal career path in nursing? HCA Healthcare is your career destination! Our scale makes it possible for nurses to create the career path that fits their life - for life - and empowers their passion for patient care. Apply today for our Clinical Support Coord opportunity.
**Job Summary and Qualifications**
The Resource Nurse supports high quality, patient-centered care by offering feedback, guidance, and mentoring to new graduate nurses and/or nurses that are transitioning to a new specialty. The Resource Nurse supports multiple units. The Resource Nurse provides guidance and education on the hospital's standard of nursing practice, policies, and procedures to ensure compliance with all accrediting and regulatory agency requirements.
What you will do in this role:
+ Performs rounds on each nursing unit.
+ Observes and assesses the quality of patient care being delivered.
+ Identify nursing educational needs.
+ Escalate concerns about nursing skills, patient care, policies, processes, and equipment as appropriate.
+ Ensure that nurses within scope of support have a clear understanding of how to integrate patient experience into nursing practice.
What qualifications you will need:
+ Licensed Registered Nurse in the state of Florida or Recognized Compact Licensure (subject to Florida State Licensing Requirements, including/not limited to ongoing eligibility and duration provisions).
+ American Red Cross or American Heart Association Advanced Life Support Course (ALS or ACLS) and certification.
+ American Red Cross or American Heart Association Basic Life Support Course (BLS or BCLS) and certification.
+ Bachelors degree in Nursing.
+ One plus years in a leadership role.
+ One plus years as a preceptor.
+ Two plus years experience as an RN
HCA Florida Kendall Hospital is located in west Miami-Dade County. Our acute care facility has 417-beds. Our services include trauma, burn, surgical, women's and children's services, behavioral health and diagnostic services. We have two full service free-standing ER facilities. HCA Florida Kendall Hospital has received the Distinguished Hospital Award for Overall Clinical Excellence from HealthGrades. This national recognition places us in the top 5% of hospitals for overall clinical quality. We are a Level I Adult and Pediatric Trauma Center certified by the Florida Department of Health. We are verified as a Level I Adult Trauma Center by the American College of Surgeons. The hospital is certified by the Joint Commission as a Thrombectomy-Capable Stroke Center. We are one of five American Burn Association's verified Burn Centers in the state. With six ACGME accredited Graduate Medical Education programs, we strive to be a leading community-based research hospital. Join our team at HCA Florida Kendall Hospital and experience a dynamic career. One that rewards clinical professionals for their commitment, provides growth opportunities. We encourage you to enjoy a healthy lifestyle outside of work in a diverse and friendly community.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
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"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Join a family that cares about every stage in your career! We are interviewing candidates for our Clinical Support Coord opening. **Apply today and a member of our Talent Acquisition team will reach out.**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Clinical Support Tech 1

The Clinical Support Tech 1 is a staff position responsible for providing basic technical patient care skills under the direction and supervision of the licensed healthcare practitioner. The Clinical Support Tech 1 works in close collaboration with an assigned licensed healthcare practitioner to provide safe and quality patient care and are a valued member of the patient care team. Job requires patient check-in through use of manual/paper or digital solution. In some cases and as necessary, role offers support to any registration related transactions including point of service collections. Estimated pay range for this position is $17.27 - $22.45 / hour depending on experience.

Degrees:

• High School,Cert,GED,Trn,Exper.

Licenses & Certifications:

• Registered Medical Assistant.
• Basic Life Support.
• Certified Nursing Assistant.
• Emergency Medical Technician.
• AAMA Certified Medical Assistant.

Additional Qualifications:

• CNA Certified Nursing Assistant OR EMT Emergency Medical Technician, OR MED_ASST Certified, OR Medical Assistant, OR RMA Registered Medical Assistant.
• Basic Life Support BLS required.
• Preferred: Knowledge of medical terminology.
• Bilingual English and Spanish.

Minimum Required Experience: No Experience Required

EOE, including disability/vets

Please click here to sign up!

Volunteers needed for different areas of our company from visiting with hospice patients to performing clerical tasks in office. We can't wait to hear from you!

THIS WILL BE USED TO TRACK INTEREST, SPECIFIC VOLUNTEER ROLES WILL BE OFFERED SOON!

• Opportunities every Week, during the day and early evening
• Internships Available
• Resume Builder
• Lasting Community Impact!

Private Group Details:

• Group Size Range: 1 - 50+
• Event can be held at organization location(s)
• Event can be held virtually
• No Donation

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

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