4 Piedmont Henry Hospital jobs in Hampton

Description:
APP Pulmonary Critical Care Night/WEO

JOB PURPOSE:

Serves as a member of the critical care team by assisting in management of critically ill patients in the hospital. Applies specialized skills and knowledge related to ICU, CCU and CVICU settings in which they practice. Contributes to excellence in patient care, research, teaching, consulting and provides leadership to the organization.

KEY RESPONSIBILITIES:

Provides direct clinical services for critically ill adult patients within institutional guidelines and utilizing evidence-based clinical practice standards under the supervision of the patients physician.

Obtains patient health histories and completes physical examinations and documents findings in accordance with hospital requirements.

Orders and interprets appropriate diagnostic and laboratory tests, explaining the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patients family, staff and healthcare learners.

Performs approved therapeutic or diagnostic procedures based upon patients clinical status and documents procedures in accordance with hospital requirements, including obtaining arterial, venous, and capillary blood samples, urine samples, sputum samples and cultures; performing cardiac output measurements, other hemodynamic measurements and EKGs; assisting with the performance of radiographic studies; assisting physician with diagnostic and therapeutic procedures; etc.

Performs cardiopulmonary resuscitation and external cardiac massage; airway management including bag and mask ventilation, endotracheal intubation and extubating, changing, positioning and repositioning endotracheal tubes; administration of life supporting drugs according to established protocols; and defibrillation according to Advanced Cardiac Life Support standards.

Under physician direction and within the credentialing standards of the Hospital, inserts and manages arterial catheters, dialysis catheters, central venous catheters, pulmonary artery catheters, chest tubes, thoracenteses, endotracheal tubes, and extraglottic devices.

Interfaces patients with monitoring and instrumentation equipment, and directs and educates others in performing the same functions.

Formulates and implements a treatment plan for acute illness management in collaboration with the designated primary supervising physician and/or attending back-up physician(s) and documents in medical records and appropriate narrative summaries.

Assesses patients for changes in status and institutes appropriate interventions, including initiation of necessary emergency interventions to stabilize patient.

Incorporates clinical research findings in the development and implementation of standards of care.

Supports IRB approved clinical research/trials though a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory and diagnostic results; administering therapeutic interventions; and documenting and reporting patient outcomes including toxicities or adverse events.

Performs and participates in quality/performance improvement activities and clinical research.

Serves as a clinical expert and education consultant to nursing, members of the healthcare team and to the larger community.

Identifies educational needs of the family and participates in teaching opportunities.

Assesses educational needs, plans, provides, and evaluates educational programs for nursing staff, interdisciplinary healthcare team, and community.

KNOWLEDGE, SKILLS, ABILITIES

Ability to participate in creating an environment that implements the mission, vision and values of the organization.

Ability to function independently and as a team member.

Must be able to establish priorities and a course of action for managing several activities at once while observing deadlines, and to function and communicate effectively with multidisciplinary team members.

Demonstrated high level of critical thinking.

Demonstrated clinical leadership and experience with coordinating and managing complex and multifaceted projects.

Demonstrated high level of motivation to learn and participate in activities to improve patients care.

Must reflect a professional appearance and demeanor and possess excellent customer service skills.

Skill and ability in electronic medical records applications.

Ability to communicate effectively both in writing and verbally with team members and patients.

Ability to understand legal issues that influence the practice of the APPs.

Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Qualifications:
MINIMUM EDUCATION REQUIRED:

Graduate from an accredited school of nursing with current Georgia license for Advanced Practice Nursing and a Masters degree in Nursing, OR graduate of an accredited Physician Assistants program with current license for the Georgia State Composite Board.

MINIMUM EXPERIENCE REQUIRED:

N/A

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:

Licensed Physician Assistant in the State of Georgia. OR Licensed for Advanced Practice Nursing (ACNP).

Patient Support Medical Claims Processing RepresentativeContract 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 rejectedExceptional organizational skills are requiredMay provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support CenterRequires the ability to recognize operational challenges and suggest recommendations to management, as necessaryAbility 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 supervisionMinimum Education & Experience:High School Diploma or equivalentExperience in claim processing requiredMedical Billing Certification requiredCoding Certification requiredAbility to interpret Explanation of Benefits (EOB)HIPPA certifiedCustomer Service Experience preferredPharmacy Technician experience preferredBi-lingual (English/Spanish) preferredThe 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-DNPIQVIA 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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs.

The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services.

The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits for all lines of business. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations

• Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements

• Engage with requesting providers as needed in peer-to-peer discussions

• Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews

• Participate in daily clinical rounds as requested

• Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy

• Communicate and collaborate with other internal partners

• Call coverage rotation

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• M.D or D.O.

• Active unrestricted license to practice medicine

• Board certification in an ABMS specialty

• 5+ years of clinical practice experience after completing residency training

• Sound understanding of Evidence Based Medicine (EBM)

• Proven solid PC skills, specifically using MS Word, Outlook, and Excel

• Ability to participate in call coverage rotation

Preferred Qualifications:

• Licensed in AZ, CA, MA, MN or TX

• Board certified in family medicine or internal medicine

• Experience in utilization and clinical coverage review

• Proven excellent oral, written, and interpersonal communication skills, facilitation skills

• Proven data analysis and interpretation aptitude

• Proven innovative problem-solving skills

• Proven excellent presentation skills for both clinical and non-clinical audiences

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Compensation for this specialty generally ranges from $238,000 to $357,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.