What Jobs are available for Healthcare in Bellevue?
Showing 149 Healthcare jobs in Bellevue
Lead Analyst, Healthcare Analytics- Managed care analytics & financial contracts
Posted 23 days ago
Job Viewed
Job Description
***Candidates must be located in California and work PST hours.***
**Job Summary**
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Develops, implements, and uses software and systems to support the department's goals.
+ Develops and generates ad-hoc and standard reports using SQL programming, excel , Databricks and other analytic / programming tools.
+ Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring.
+ Provides peer review of critical reports and guidance on programming / logic improvements; provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques to determine significance and relevance.
+ Applies process improvements for the team's methods of collecting and documenting report / programming requirements from requestors to ensure appropriate creation of reports and analyses while reducing rework.
+ Manage the creation of comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Create new databases and reporting tools for monitoring, tracking, and trending based on project specifications.
+ Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Maintains SharePoint Sites as needed, including training materials and documentation archives.
+ Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.
+ Must be able to act as a liaison between Finance and Network Contracting as well as other external teams.
+ Must have experience in Financial modeling, identifying Utilization mgmt. trends and monitor pair mix.
+ Experience with Medicaid contract analytics is highly preferred.
+ Experience working on Managed care analytics and healthcare reimbursement models is required.
+ Must be able to work in a cross functional team.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Computer Science
**Required Experience**
+ 6+ years of progressive responsibilities in Data, Finance or Systems Analysis
+ Expert knowledge on SQL, PowerBI, Excel, Databricks or similar tools
**Preferred Education**
Bachelor's Degree in Finance, Economics, Math, Accounting or related fields
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
+ Proactively identify and investigate complex suspect areas regarding contract rate and related medical costs
+ Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
+ Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc.
+ Analysis of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions
+ Multiple data systems and models
+ BI tools (Power BI)
**Preferred License, Certification, Association**
QNXT or similar healthcare payer applications
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Surgical Technologist, Bellevue MC (40 hrs)
Posted 11 days ago
Job Viewed
Job Description
Scrub in for designated surgeries and carry out general O.R. duties, adhering to Kaiser Foundation Health Plan of Washington preoperative nursing care standards, Kaiser Foundation Health Plan of Washington policies and contract agreements. Collect data and prepare for surgery in accordance with surgeons direction or preference. Select and prepare supplies and equipment. Establish and maintain a sterile field.
Essential Responsibilities:
+ Perioperative planning and preparation: Data collection is accomplished through diversified means such as interview, review of records or consultation with other members of the health care team. Current health status deviations and/or problems are identified. Preoperative diagnosis, common complications, and the operative pathology relating to specific surgical procedures are understood through fundamental knowledge of basic sciences and procedures applicable to the surgeons plan for surgical intervention. Surgical procedure manuals and/or cards that enumerate the surgeons preferences are current.
+ Environmental safety and infection control: Wears required attire correctly. Selects and prepares necessary supplies and equipment. Checks all equipment for working order and reports or corrects unsafe conditions. Assures physical preparation fo clinical area i.e., damp dust and place furniture. Verifies integrity and sterility of sterile packages, opens supplies aseptically. Establishes and maintains a sterile field. Demonstrates correct body mechanics. Complies with policies, procedures and recommended practices pertaining to the use, care, and maintenance of supplies and equipment. Communication, coordination of Care & Orientation: Demonstrates skills in communicating with the patient and/or family/significant other. Cooperates and communicates effectively with other health care team members in order to accomplish unit workload. Establishes and maintains effective communication with supervisor.
+ Proficient performance of assigned functions: Identifies break in sterile technique and corrects and/or reports same to proper health care team members. Display dexterity in the use of surgical instruments throughout the procedure. Prepares and knows the specific uses of all needed equipment and supplies. Continually maintains a neat and orderly sterile filed as dictated by the sequence of the procedure. Participates in counting procedures per established policy at the appropriate times during the surgical procedure.
+ Teamwork: Interpersonal skills are measured by observation of behavior. Effectiveness of communication. Acceptance of criticism. Willingness to help others. Interpersonal relationships are characterized by trust, honesty, confidence, and respect. Meets expectations and job functions using effective communication with other health care team members. Shares pertinent patient data. Shares need for instrumentation etc. Seeks pertinent information in order to maintain high degree of efficiency. The Surgical Technologist recognizes limits of individual responsibility within the framework of their job description, while working toward mutual goals of the organization. The Surgical Technologist practitioner adheres to the AST Code of Ethics at all times in relationship to all members of the health care team. The Surgical Technologist possess a professional attitude that will promote responsibility as an individual an as a member of the health care team.
+ Professional Development: Takes responsibility for his/her ongoing education and professional development. Identifies formal/informal opportunities and initiates activities to achieve said goals. Collaborates with unit manager or designee in completing self and colleague/team performance reviews. Adheres to KFHPW policies on attendance and punctuality. Participates in staff orientation and student activities. Applies the QA/I process to care delivery. Promotes and participates in professional meetings, conferences and groups in and outside of KFHPW in order to keep current in Surgical Technology. Passes both Competency requirements for clinical staff and unit specific competencies annually.
Basic Qualifications:
Experience
+ N/A
Education
+ Graduate of approved school of Surgical Technology or equivalent Hospital or Armed Forces training.
License, Certification, Registration
+ Surgical Technologist Registration (Washington)
+ Basic Life Support required at hire
Additional Requirements:
+ Communication, problem-solving and decision-making skills.
Preferred Qualifications:
+ Professional affiliation and certification is preferred by date of hire/transfer.
+ Minimum two (2) years of current continuous O.R. experience in surgical specialty.
COMPANY: KAISER
TITLE: Surgical Technologist, Bellevue MC (40 hrs)
LOCATION: Bellevue, Washington
REQNUMBER:
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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Mammography Technologist I-Per Diem-Day-Bellevue
Posted 11 days ago
Job Viewed
Job Description
Job Summary:
Provide mammography services to patients in accordance with physicians orders. Prepare mammography rooms and diagnostic equipment. Perform high quality testing, operating equipment according to prescribed safety standards, and develop films. Exercise professional judgment and uphold medical ethics in performance of diagnostic services. Apply knowledge of the principles of growth and development to identify requirements relative to age specific patients. Maintain strict patient and staff confidentiality. Comply with all regulations pertaining to mammography (MQSA/ACR).
Essential Responsibilities:
+ Diagnostic Testing: Performs mammography images through clinical protocols and positions patient to best demonstrates anatomic area of interest, respecting comfort and ability. Demonstrates knowledge to perform mammography through the use of radiological equipment. Develops films in accordance with proper techniques. Evaluates mammography images for technical quality, assuring proper identification is recorded. Demonstrates knowledge and skills necessary to provide radiology services to all age groups served. Provides patient education on procedures according to age-specific needs. Facilitates patients cooperation and alleviates anxiety by addressing concerns. Verifies appropriate procedure to be performed by checking physicians orders, outpatient prescriptions, and prior reports. Contacts physicians with discrepancies. Demonstrates complete understanding of the contrast agents for the certain studies and prepares desired contrast media.
+ Customer Service: Provides timely, responsive, expert services to customers in a positive friendly manner, to include patient, physicians, and other fellow employees. Informs consumers and those accompanying them when delays exist and how they are being addressed. Promotes patient focused care throughout daily activities. Provides quality patient care to include preparation, description of exam, communication of pain expectation, scheduling, and teaching all types of patient procedures as needed. Maintains strict patient and employee confidentiality, as appropriate. Explains how patient should expect to receive exam result.
+ Patient and Employee Safety: Maintains safe radiation levels at all times to minimize exposure to patient, self, and others. No deviation from written procedures on radiation safety rules. Performs all necessary equipment checks prior to use. Ensures patient and regulatory standards are adhered to and suggests ways to improve patient outcomes when indicated. Completes quality assurance, quality control and radiation safety activities as appropriate. Establishes patients identification. Ensures no repeat studies due to failure to check armband and/or properly identified patient. Observes patient during procedures and reports any unusual occurrences or changes in patients condition to appropriate personnel. Ascertains allergy status on patients. Demonstrates educated and rapid response to contrast reactions as outlined in Policy and Procedure Manual. Assists in performing first aid as necessary, including Code 199 procedures and locating equipment on crash carts.
+ Computer System: Ensures patient information is accurately inputted into departmental computer system. Arrives, selects current account and completes patients for the appropriate procedure, as directed in IDX-Rad and IDX-Mam.
+ General Behavior: Observes patient during procedures and reports any unusual occurrences or changes in condition. Arrives at the start of the assigned shift ready to begin work; takes lunch and break at appropriate times, and leaves work at the end of the assigned shift. Maintains neat, clean and well stock radiology room. Identifies staff training issues and participates in Policy and Procedures development as appropriate. Communicates concerns as appropriate to lead technologists and management. Works as an effective team member to efficiently perform radiological procedures. Rotates shifts and assignments as required including surgery and portables for Specialty and Hospital staff. Takes stand-by call as assigned. Regulatory: Adheres to MQSA and other regulation related to mammography. Adheres to Cooperative-wide Personal Protection Equipment, Universal Precautions, Related Medical Waste (RMW), Infection Control, Safety, and other OSHA Policies and Procedures.
Basic Qualifications:
Experience
+ N/A
Education
+ High School Diploma or General Education Development (GED) required.
License, Certification, Registration
+ Certified Radiologic Technologist (Washington) required at hire
+ Basic Life Support required at hire
Additional Requirements:
+ Communication skills.
+ Problem solving-skills and consistent and excellent customer service.
Preferred Qualifications:
+ One (1) year of mammography experience.
COMPANY: KAISER
TITLE: Mammography Technologist I-Per Diem-Day-Bellevue
LOCATION: Bellevue, Washington
REQNUMBER:
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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CT Technologist Per Diem-Bellevue
Posted 11 days ago
Job Viewed
Job Description
Additional pay benefits of the new contract for SEIU represented roles, full and part-time (can be stacked):
· $2.00/hour Evening shift differential
· $.00/hour Night shift differential
· $ .25/hour Weekend Premium
Job Summary:
Provide CT and Diagnostic X-ray imaging services to patients in accordance with physicians orders. Ensure patient safety and provide high quality testing. Prepare rooms and equipment. Perform testing, operating equipment according to prescribed safety standards, and process images. Exercise professional judgment and uphold medical ethics in performance of diagnostic services. Apply knowledge of the principles of growth and development to identify patient and family requirements relative to age specific patients including geriatrics, adults, adolescents, and pediatrics. Maintain strict patient and staff confidentiality. Adhere to appropriate sterile techniques. On occasions when the employee is assigned duties that are within their professional scope of practice but outside of the duties outlined in this job description, the duties of the relevant job description will apply for the duration of the assignment. May require heavy lifting.
Essential Responsibilities:
+ Diagnostic Testing: Performs quality images through protocols and positions to best demonstrate anatomic area of interest, respecting patients comfort and ability. Demonstrates knowledge to perform cross-section imaging. Produces images in accordance with proper radiographic techniques. Evaluates images for technical quality, assuring proper identification is recorded. Demonstrates knowledge and skills to provide services to all age groups served. Provides patient education on procedures according to age-specific needs. Facilitates patients cooperation and alleviates anxiety by addressing concerns. Verifies appropriate procedure to be performed by checking physicians orders and outpatient prescriptions. Contacts physicians with discrepancies. Demonstrates understanding of contrast agents for the proper organ studies and prepares desired contrast media. Ensures appropriate documentation prior to procedure. Assists with procedures as needed.
+ Customer Service: Provides timely, responsive, expert services to customers in a positive friendly manner, to include patient, physicians, and other fellow employees. Informs consumers and those accompanying them when delays exist and how they are being addressed. Promotes patient focused care throughout daily activities. Provides quality patient care to include preparation, scheduling, description of exam, communication of pain expectation, post procedure expectation and teaching all types of patient procedures as needed. Maintains strict patient and employee confidentiality. Communicate to the patient when they will be receiving their results.
+ Patient and Employee Safety: Maintains safe radiation levels at all times to minimize exposure to patient, self, and others. No deviation from written procedures on radiation safety rules. Performs all necessary equipment checks prior to use. Ensures patient and regulatory standards are adhered to and suggests ways to improve patient outcomes when indicated. Completes quality assurance, quality control and radiation safety activities as appropriate. Establishes patients identification with patient and by checking patients armband. Ensures no repeat studies due to failure to check armband and/or improperly identified patient. Observes patient during procedures and reports any unusual occurrences or changes in patients condition to appropriate personnel. Ascertains allergy status on patients. Demonstrates compliance in IV access and follows departmental IV protocol. Demonstrates educated and rapid response to contrast reactions as outlined in Policy and Procedure Manual.
+ General Behavior: Observes patient during procedures and reports any unusual occurrences or changes in patients condition. Arrives at the start of the assigned shift ready to begin work; take lunch and breaks at appropriate times, and leaves work at the end of the assigned shift. Maintains neat, clean and well stock room. Identifies staff training issues and participates in Policy and procedures development as appropriate. Communicates concerns as appropriate to lead technologists and management. Works as an effective team member with other colleagues to efficiently perform radiological procedures. Rotates shifts and assignments as required. Takes stand-by call as assigned and responds to call back per Call Policy. Regulatory: Adheres to Cooperative-wide Personal Protection Equipment, Universal Precautions, Related Medical Waste (RMW), Infection Control, Safety, and other OSHA Policies and Procedures.
+ Information System: Ensures patient information is accurately enters into departmental computer system, as required by each site. Arrives, selects current account and completes patients for the appropriate procedure, as directed in Radiology Information System (RIS).
Basic Qualifications:
Experience
+ N/A
Education
+ High School Diploma OR General Education Development (GED) required.
+ Graduated from an accredited radiologic technology program.
License, Certification, Registration
+ Certified Radiologic Technologist (Washington) required at hire
+ American Registry of Radiologic Technologists Certificate - Computed Tomography required at hire
+ Basic Life Support required at hire
Additional Requirements:
+ Communication, problem-solving, interpersonal and customer service skills.
+ Intermediate computer skills.
Preferred Qualifications:
+ One (1) year of experience in a hospital setting.
+ One (1) year of experience in direct cross-sectional anatomy.
+ One (1) year of experience in diagnostic x-ray procedures.
COMPANY: KAISER
TITLE: CT Technologist Per Diem-Bellevue
LOCATION: Bellevue, Washington
REQNUMBER:
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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Safety Engineer, Workplace Health & Safety
Posted 11 days ago
Job Viewed
Job Description
The Workplace Health and Safety (WHS) organization is seeking a Senior Safety Engineer. In this role, you will be responsible for partnering with Amazon Worldwide Design Engineering teams to ensure new equipment and modifications to existing equipment installed in operational Amazon buildings comply with all applicable codes, regulations and harmonized standards. You will also partner with various engineering, design and operations teams including, Operations Engineering, Reliability and Maintenance Engineering, Business Operations Leaders, Field WHS teams, and other key stakeholders. In addition, you will be required to lead risk assessments, assist in the development and review of equipment designs and provide guidance on requirements on controls and devices. This role will functionally partner with all engineering teams to drive a systematic approach to address risk identification, mitigation, and management of safety solutions.
This position requires travel 25-50% of the time.
Key job responsibilities
Complete risk evaluations in accordance with ISO12100 and ANSI B11 practices
Support the development of policies, standards, training, and safe operating procedures
Interpret and apply regulations, codes, bylaws, and all relevant standards
Advise partner engineering organizations and operations teams on regulations, regulatory compliance concerns, and good engineering practices relating to equipment design
Participate in new standard developments with Engineering, Amazon Robotics, Injury Prevention Specialists, RME, Operations, and other key stakeholders
Work with various teams to review and approve designs of new equipment and modifications to existing equipment
Must display improvement projects
Maintain all regulatory compliance documentation to ensure accurate and up to date adherence to standards
Participate in the development of new organizational standards
Managing projects that require certifications that comply with local, national and international regulations
Knowledge and understanding of equipment certification requirements (CE, UL, etc.) and experience working with NRTLs
Integration of control systems into the design of new and existing equipment
Work with WHS safety teams, technical engineering teams and suppliers to specify safety or other risk-related requirements for projects across multiple regions
Contribute to building a safety culture that enables our technical engineering teams develop safe and compliant products, systems and solutions.
A day in the life
Amazon offers a full range of benefits that support you and eligible family members, including domestic partners and their children. Benefits can vary by location, the number of regularly scheduled hours you work, length of employment, and job status such as seasonal or temporary employment. The benefits that generally apply to regular, full-time employees include:
1. Medical, Dental, and Vision Coverage
2. Maternity and Parental Leave Options
3. Paid Time Off (PTO)
4. 401(k) Plan
If you are not sure that every qualification on the list above describes you exactly, we'd still love to hear from you! At Amazon, we value people with unique backgrounds, experiences, and skillsets. If you're passionate about this role and want to make an impact on a global scale, please apply!
Basic Qualifications
- 3+ years of program or project management experience
- 3+ years of defining and implementing process improvement initiatives using data and metrics experience
- Knowledge of Excel (Pivot Tables, VLookUps) at an advanced level and SQL
- Experience using data and metrics to determine and drive improvements
- Experience working cross functionally with tech and non-tech teams
- Bachelor's degree in engineering
- 5+ years of experience in safety engineering programs in manufacturing or production environment
- Experience working within a global company, with global or multi-country responsibilities
- Knowledge and understanding of certification bodies for approvals that comply with local, national and international regulations
- Knowledge of the core business systems and/or broad understanding of company systems/ technologies (relevant to safety engineering)
- Working knowledge and experience with National Recognized Test Laboratory (NRTL) and Notified Bodies.
- Knowledge of international and EU/NA Standards such as EU Machinery Directive, ISO, ANSI, OSHA, NFPA
Preferred Qualifications
- 3+ years of driving end to end delivery, and communicating results to senior leadership experience
- 3+ years of driving process improvements experience
- Experience in stakeholder management, dealing with multiple stakeholders at varied levels of the organization
- Experience building processes, project management, and schedules
- Master's degree preferred - Mechanical, Structural, Electrical or Industrial Engineer
- Distribution Center or Manufacturing experience with mix of exempt and non-exempt employees preferred
- CSME or other functional safety certification
- Demonstrated ability to be flexible, adapting the approach to meet the needs of customers, business and program stakeholders, and engineering teams involved
- Ability to self-manage priorities and deliverables. Flexible in responding to changing demands, goals, timelines, and priorities
- Ability to collaborate and lead in a flexible, detail-oriented, fast-paced team environment in a changing and growing organization
- Ability to interact in a positive and professional manner, excellent critical thinker with problem-solving skills, think big and insist on highest standard while having the ability to work cooperatively in a team setting
- Strong analytical skills with demonstrated problem solving ability
- Excellent written and oral communication skills.
- Ability to adapt well to fast-paced environments with changing circumstances, direction, and strategy ·
- Experience engaging regulatory agencies
- Proficiency with Autocad
- Strong ability to represent, verbally and in writing, technical information, risk levels, complex decisions, and potential solutions in clear simple language to business and other stakeholders to enable decision making
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $66,800/year in our lowest geographic market up to $142,800/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit . This position will remain posted until filled. Applicants should apply via our internal or external career site.
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Senior Analyst, Provider Data Management -SQL/QNXT - Remote
Posted 1 day ago
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Job Description
**Job Summary**
Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Generates data to support continuous quality of provider data and developing SOPs and/or BRDs.
+ Develops and maintains documentation and guidelines for all assigned areas of responsibility.
+ Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality.
+ Assists in planning and coordination of the claim payment system upgrades and releases, including development and execution of some test plans.
+ Participates in the implementation and conversion of new and existing health plans.
**JOB QUALIFICATIONS**
**Required Education**
+ Bachelor's Degree in business administration, healthcare management, or a related field; or equivalent combination of education and experience
**Required Experience**
+ 5-7 years of business analysis experience
+ Proficiency in data analysis tools and techniques, such as Excel or SQL
+ Excellent communication, presentation, and interpersonal skills, with the ability to interact effectively with stakeholders at all levels
**Preferred Experience**
+ 7-9 years of business analysis experience
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJCore
Pay Range: $77,969 - $141,371 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Transition of Care Coach (RN)
Posted 1 day ago
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Job Description
**Job Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from the acute setting to other settings, including nursing facility placement and private home, with the goal of reduced readmissions.
+ Ensures safe and appropriate transitions by collaborating with hospital discharge planners, as well as with hospitalists, outpatient providers, facility staff, and family/support network, as needed or at the request of member.
+ Ensures member transitions to a setting with adequate caregiving and functional support, as well as medical and medication oversight as required.
+ Works with participating ancillary providers, public agencies, or other service providers to make sure necessary services and equipment are in place for a safe transition.
+ Conducts face-to-face visits of all members while in the hospital and home visits of high-risk members post-discharge.
+ Coordinates care and reassesses member's needs using the Coleman Care Transitions Model recommended post-discharge timeline.
+ Educates and supports member focusing on seven primary areas (ToC Pillars): medication management, use of personal health record, follow up care, signs and symptoms of worsening condition, nutrition, functional needs and or Home and Community-based Services, and advance directives.
+ Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
+ Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
+ Facilitates interdisciplinary care team meetings and informal ICT collaboration.
+ RNs provide consultation, recommendations, and education as appropriate to non-RN case managers.
+ RNs are assigned cases with members who have complex medical conditions and medication regimens.
+ RNs will conduct medication reconciliation when needed.
**JOB QUALIFICATIONS**
**Required Education**
Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
**Required Experience**
1-3 years hospital discharge planning or home health.
**Required License, Certification, Association**
+ Active, unrestricted State Registered Nursing (RN) license in good standing.
+ Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
**CALIFORNIA State Specific Requirements: Must be licensed currently for the state of California. California is not a compact state.**
**Preferred Education**
Bachelor's Degree in Nursing
**Preferred Experience**
3-5 years hospital discharge planning or home health.
**Preferred License, Certification, Association**
Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM)
***Work schedule :M - F Pacific Business Hours**
**Candidates can live anywhere in the USA but must work PACIFIC hours.**
**California or West Coast USA Residents preferred**
***Remote, no travel required.**
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $30.37 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Medical Director, Behavioral Health (TX/WA)
Posted 3 days ago
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Job Description
**Job Summary**
Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs.
**Knowledge/Skills/Abilities**
Provides Psychiatric leadership for utilization management and case management programs for mental health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve quality outcomes and decrease costs.
- Provide regional medical necessity reviews and cross coverage
- Standardizes UM practices and quality and financial goals across all LOBs
- Responds to BH-related RFP sections and review BH portions of state contracts
- Assist the BH MD lead trainers in the development of enterprise-wide teaching on psychiatric diagnoses and treatment
- Provides second level BH clinical reviews, BH peer reviews and appeals
- Supports BH committees for quality compliance.
- Implements clinical practice guidelines and medical necessity review criteria
- Tracks all clinical programs for BH quality compliance with NCQA and CMS
- Assists with the recruitment and orientation of new Psychiatric MDs
- Ensures all BH programs and policies are in line with industry standards and best practices
- Assists with new program implementation and supports the health plan in-source BH services
- Additional duties as assigned
**Job Qualifications**
**REQUIRED EDUCATION:**
- Doctorate Degree in Medicine (MD or DO) with Board Certification in Psychiatry
**REQUIRED EXPERIENCE:**
- 2 years previous experience as a Medical Director in clinical practice
- 3 years' experience in Utilization/Quality Program Management
- 2+ years HMO/Managed Care experience
- Experience demonstrating strong management and communication skills, consensus building and collaborative ability, and financial acumen.
- Knowledge of applicable state, federal and third-party regulations
**Required License, Certification, Association**
Active and unrestricted State (TX) Medical License, free of sanctions from Medicaid or Medicare.
**Preferred Experience**
- Peer Review, medical policy/procedure development, provider contracting experience.
- Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHS
#LI-AC1
Pay Range: $161,914.25 - $315,733 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Emergency Services Technician
Posted 11 days ago
Job Viewed
Job Description
Assists nursing staff by performing designated duties related to patient care in a manner conducive to their safety, comfort, and welfare. Adheres to instructions given my the nursing/medical staff and performs only those duties as described in the EST skills list and in accordance with established standards. All care provided is documented per department standards. Demonstrates strong communication skills in dealing with staff and consumers, and projects a professional demeanor. Participates in classes and skills labs, continuing education, and current CPR certification.
Essential Responsibilities:
+ Assists nursing staff by performing designated duties related to patient care in a manner conducive to their safety, comfort, and welfare (obtains vital signs, EKGs, basic wound care, etc). Documents care in electronic medical record.
+ Maintains supplies per department standards.
+ Demonstrates good knowledge and practice in of sterile and isolation techniques.
+ Assists with instructing patient in crutch walking.
+ Applies splints and orthopedic appliances under the direction of the RN or practitioner. Functions as a phlebotomist as directed by the RN or practitioner.
Basic Qualifications:
Experience
+ Minimum one (1) year of clinical experience in a emergency department or urgent care setting.
Education
+ High School Diploma or General Education Development (GED) required.
License, Certification, Registration
+ Medical Assistant Phlebotomist Certificate (Washington) within 4 months of hire AND Registered Medical Assistant (Washington) within 4 months of hire
OR
+ Interim Medical Assistant Certificate (Washington) within 4 months of hire
OR
+ Medical Assistant Certificate (Washington) required at hire
+ Basic Life Support required at hire
Additional Requirements:
+ Basic computer skills.
+ Knowledge and skill in emergency services protocols, patient safety, and clinical standards.
+ Strong communication skills.
+ Ability to effectively communicate with patients, visitors, and clinical staff.
+ Knowledge of medical terminology.
Preferred Qualifications:
+ Two (2) years of clinical experience in a emergency department or urgent care setting.
+ Medical Assistant-Certified credential or Interim Medical Assistant-Certified credential by date of hire/transfer.
+ Washington State Department of Health issued credential. Interim credential expires one (1) year from date of issuance.
+ Graduate of an accredited medical assistant program.
+ EMT training.
+ MA training.
COMPANY: KAISER
TITLE: Emergency Services Technician
LOCATION: Bellevue, Washington
REQNUMBER:
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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Caregiver
Posted 15 days ago
Job Viewed
Job Description
**Sunrise Senior Living was again certified as a Great Place to Work® by Activated Insights. This is the 8th time Sunrise has received this top culture and workplace designation, highlighting the special place Sunrise is to be a part of.**
**COMMUNITY NAME**
Sunrise of Bellevue
**Job ID**
**JOB OVERVIEW**
The Care Manager/"Designated Care Manager" is responsible for providing the highest degree of quality care and services to a consistent group of residents and their families in our assisted living/long term care and reminiscence neighborhoods. The Care Manager provides hands on care and physical and emotional support as outlined in each resident's Individualized Service Plan (ISP) while maintaining a safe and comfortable home like environment. The Care Manager/"Designated Care Manager" is responsible for demonstrating the Mission for Sunrise Senior Living, "to champion quality of life for all seniors" in accordance with federal, state/provincial, and local laws and regulations and Sunrise Senior Living standards, policies, and procedures to promote the highest degree of quality care and services to our residents.
**RESPONSIBILITIES & QUALIFICATIONS**
**Essential Duties**
As a part of the Sunrise team, supporting our Mission, Principles of Service and Core Values is a fundamental part of this job. Our foundational belief is the sacred value of human life. The unique responsibilities for this role include but are not limited to the essential functions listed as follows:
**Resident Care**
+ Review, read, notate, and initial Daily Log to document and learn about pertinent information about residents.
+ Participate in the development of the ISPs and monthly updates.
+ Review designated assignments.
+ Responsible for a designated group of residents during the shift, knows where residents are, and physically checks on them throughout the shift.
+ Observe, report, and document symptoms and conditions of residents for changes in condition such as skin, behavior, alertness, weight, diet, and participation in activities.
+ Attend daily Cross Over meetings by the lead care manager.
+ Notify supervisor and resident care director if a resident has increased care needs.
+ Inform supervisor of any resident changes in condition.
+ Respond to security system and resident call bells promptly and immediately. Take appropriate action including resetting call bells.
+ Greet guests, family members, residents, and team members.
+ Answer, direct and/or respond to phone calls in a timely, courteous, and professional manner.
+ Assist with continence management and dispose of all continence products properly to ensure sanitation of resident suite and community restrooms using standard care procedures.
+ Communicate with families and is a resource as needed.
+ Help residents maintain independence and physical safety and promote dignity of each resident adhering to the standards of Resident Rights and Sunrise Principles of Service.
+ Participate/lead and assist residents with activities of daily living (ADLs) and Invite, Encourage, and Assist (IEA) residents to participate in activities as indicated on the ISP.
+ Engage residents in life skills and other life enrichment activities throughout the day in reminiscence.
+ Strive to understand and respond to each resident with empathy, always remaining mindful of the resident's unique communication patterns or history and basic human needs.
+ Maintain an atmosphere of warmth, personal interest, and positive emphasis as well as a calm environment.
+ Ensure the established safety regulations are always followed.
+ Practice routinely good Standard Care Precautions of cleanliness, hygiene, and health.
+ Host and engage in activities with the residents daily.
**Risk Management and General Safety**
+ Partner with community team to ensure community is in compliance with national/provincial regulations pertaining to occupational health and safety requirements, promoting Risk Management programs and policies, and adhering to safety rules and regulations.
+ Practice safety procedures at all times including Personal Protective Equipment (PPE), fire extinguishers, Safety Data Sheets (SDS), and Lockout Tagout procedures.
+ Report all accidents/incidents immediately.
+ Reports all unsafe and hazardous conditions/equipment immediately.
+ Ensure any cords, carts, equipment, and other hazards are always kept out of the way, not blocking exits, and in compliance with fire codes.
+ Understand and practice the proper method of attending to and disposing of, and the possibility of exposure to, blood borne pathogens, bodily fluids, infectious waste, sharp sticks, and hazardous materials.
+ Report occupational exposures to blood, body fluids, infectious materials, sharp sticks, and hazardous chemicals immediately.
+ Ensure oxygen tanks are stored safely, exchanged when empty and monitored to make sure liters of oxygen are at prescribed levels.
**Housekeeping and Laundry Services**
+ Maintain and clean resident's room as assigned including making beds, emptying trash, putting clothes away appropriately, spot sweeping, and mopping as needed.
+ Wash resident's laundry as noted in the ISP and as needed.
+ Wash and fold dining room linens and napkins.
+ Complete assigned housekeeping tasks.
+ Maintain common areas in a clean and tidy manner at all times.
**Dining Service**
+ Serve meals in the dining room and work in the dining room as assigned.
+ Promote and ensure a pleasant dining experience during all meals.
+ Assist with dining room set up and clean up as assigned.
+ Participate in pre-meal meetings.
+ Follow residents' diets as indicated on ISP and Confidential Diet Board/Chart.
+ Observe, note, and document in daily log any resident changes in dining habits.
+ Respond to the dining needs of the residents and guests while maintaining Sunrise hospitality and service standards.
+ Provide room service delivery as needed.
+ Practice safe food handling in compliance with universal care precautions at all times.
**Specific Responsibilities for the Reminiscence Neighborhood Care Manager**
+ IEA residents in life skills and other life enriching activities as indicated on ISP and demographic profile.
+ IEA residents to attend the afternoon social.
+ Incorporate the concept of 'Creating Pleasant Days' into the resident's daily routine.
+ Integrate the individual resident's life skills into their daily routine.
+ Blend a variety of multi-sensory experiences into the resident's day.
+ Participate in monthly letters home and letter writing with the residents and their families.
**Training and Contributing to Team Success**
+ Participate as a member of a team and commits to working toward team goals.
+ Demonstrate in daily interactions with others, our Team Member Credo.
+ Commit to serving our residents and guests through our Principles of Service.
+ Contribute to the overall engagement programs and processes (customer and team member engagement) including participating in the team member engagement survey and engagement improvement planning workshops.
+ Attend regular meetings; Town Hall, Department Team, Cross Over, and others as directed by the Supervisor/Department Coordinator.
+ Attend regular training by Assisted Living Coordinator (ALC), Resident Care Coordinator (RCC) or Reminiscence Coordinator (RC) using mini modules.
+ Comply with all infection control techniques, placement of bio-hazard containers, and removal techniques as listed in policies and procedures.
+ Maintains compliance in assigned required training and all training required by state/province or other regulating authorities as applicable to this role to ensure that Sunrise standards are always met.
+ Perform other duties as assigned.
**Core Competencies**
+ Ability to react and remain calm in difficult situations
+ Ability to handle multiple priorities
+ Possess written and verbal skills for effective communication and a level of understanding
+ Competent in organizational and time management skills
+ Demonstrates good judgment, problem solving and decision-making skills
**Experience and Qualifications**
+ High School diploma/GED accepted and may be required per state/provincial regulations.
+ CPR Certificate and First Aid as required by state/provincial regulations
+ Must be at least 18 years of age
+ Previous experience working with seniors preferred
+ Desire to serve and care for seniors
+ Ability to make choices and decisions and act in the resident's best interest
+ As applicable, all Sunrise team members who drive a Sunrise vehicle must sign the Driver job description and understand the key essential duties for safety and regulatory compliance
**ABOUT SUNRISE**
Ready to take the next step and make a bigger impact than you ever imagined? As part of our team, you will help brighten the future for everyone at Sunrise and beyond. That is why we make it a priority to celebrate the unique ways you bring moments of togetherness and joy to everyone you serve. And when combined with the support, benefits, and growth opportunities we offer, the result is a career that PositivelyShines with everything you need to reach your goals - at work and in your life.
We also offer benefits and other compensation that include:
+ Medical, Dental, Vision, Life, and Disability Plans
+ Retirement Savings Plans
+ Employee Assistant Program / Discount Program
+ Paid time off (PTO), sick time, and holiday pay
+ myFlexPay offered to get paid within hours of a shift
+ Tuition Reimbursement
+ In addition to base compensation, Sunrise may offer discretionary and/or non-discretionary bonuses.The eligibility to receive such a bonus will depend on the employee's position, plan/program offered by Sunrise at the time, and required performance pursuant to the plan/program.
+ Some benefits have eligibility requirements
**_Apply today to learn why Sunrise Senior Living is a certified Great Place to Work®_**
**PRE-EMPLOYMENT REQUIREMENTS**
Sunrise considers the health and safety of its residents, family members, and team members to be one of its highest priorities. Employment with Sunrise is conditioned on completing and passing a drug test (which does not include marijuana), participating in testing requirements (e.g. Tuberculosis Test, Physical Evaluation). Covid-19 and Influenza vaccination is only required to the extent mandated by applicable federal, state, and local laws and authorities.
**COMPENSATION DISCLAIMER**
Selected candidates will be offered competitive compensation based on geographic location of community/office, skills, experience, qualifications, and certifications/licenses (where applicable).
**Location : Name** _Sunrise of Bellevue_
**Type** _Full-Time_
**_Location : Address_** _15928 NE 8th Street_
**_Location : City_** _Bellevue_
**_Location : State/Province (Full Name)_** _Washington_
**Salary Range** _USD $20.40 - USD $25.60 /Hr._
**Variable Compensation** _No Bonus or Commissions_
Sunrise Senior Living is an Equal Opportunity Employer.
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