field_job_occupational_field_parents_all

field_job_employment_type

job_organization_name

city

state

<h3>Job Description</h3>
Job Description
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Board Certified Behavior Analyst (BCBA) Hybrid Position - North Carolina

<h3>Job Description</h3>
Job DescriptionAre you looking for a career? Do you enjoy working with children and providing them with the skills to be successful in their progression, and developmental abilities?&nbsp;Above and Beyond Therapy wants to invest in you by providing Paid Training to become a Registered Behavioral Technician (RBT) we will walk you through the process step by step!&nbsp;Above and Beyond Therapy is looking for individuals who have experience working with children who believe they have what it takes to make a difference in the lives of families and children with autism.This position is for In-home or center based services and requires a candidate who wants to work with children. This will allow you to integrate into the environment and help the child develop the skills necessary to improve a variety of skills. These skills include, behavior management, toileting, feeding, compliance, and many other developmental and educational tasks.Our compensation is very competitive. We offer flexible hours, with the ability to work with our team to develop a schedule that gives you the work life balance you deserve, we want you to enjoy what you do! We welcome all applicants from diverse backgrounds to apply, including those with the following education and job experiences:Childcare Provider, Nanny, Babysitter, Preschool/Infant Teacher, Montessori Guide, Tutor, Substitute Teacher, Behavioral Health Technicians, Camp Counselor, Childcare Volunteer, Sunday School Teacher, Teaching, Special Education, Sociology, Human Development, Early Childhood Development, Paraprofessionals, Direct Support Professionals, Life Skills AssistantAt Above and Beyond Therapy you will be placed in a rewarding position with room for growth, the ability to excel, and the guidance you need to be the best clinical therapist you can. We work with you and support you so that you can achieve all your individual career goals. We acknowledge and enforce that for a therapist to do their best in helping a child reach their highest levels of performance, we must do our best to keep the job as rewarding as possible.&nbsp;Registered Behavioral Technician (RBT) Responsibilities and Duties
<ul>
<li>Provide direct 1:1 ABA therapy in the home or in clinic environments</li>
<li>Implement individualized treatment plans and programs as written by the supervising BCBA</li>
<li>Data collection and session note submission</li>
<li>Collaborate with peers and supervisors</li>
<li>Participate regularly in staff meetings and trainings</li>
<li>You must have a vehicle and valid drivers license to commute from each location and be prompt to appointments</li>
<li>Other duties as assigned.</li>
</ul>
Registered Behavioral Technician (RBT) Qualifications and Skills
<ul>
<li>Experience working with children and/or adolescents with autism spectrum disorder</li>
<li>Effective communication in the English language, including verbal and written communication</li>
<li>The ability to communicate effectively with co-workers, supervisors, and families</li>
<li>Valid state identification card</li>
<li>Reliable transportation</li>
<li>Must pass a criminal background check</li>
</ul>
Benefits:
<ul>
<li>401(k) matching</li>
<li>Dental insurance</li>
<li>Health insurance</li>
<li>Life insurance</li>
<li>Paid time off</li>
<li>Vision insurance</li>
<li>Paid Maternity Leave</li>
<li>6 Legal Holidays</li>
</ul>
Schedule
<ul>
<li>Monday to Friday</li>
<li>Weekends as needed</li>
</ul>
Travel requirement:
<ul>
<li>Up to 25% travel</li>
</ul>
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Paid Training- RBT (Registered Behavior Technician)

<h3>Job Description</h3>
Job Description
Crothall Healthcare is a Compass One Company that provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry. Crothall serves many of the Top 100 Hospitals throughout its over 1300 healthcare service teams in 46 states. Crothall has been recognized as one of Modern Healthcare’s Best Places to Work and Best Places to Work in Pennsylvania since 2013 and Becker's Top 150 Places to Work since 2016. A division of Compass Group USA, we have more than 26,000 team members. Our core services include: Environmental Services, Healthcare Technology Solutions, Patient Transportation, Laundry &amp; Linen, Facilities Management, and Ambulatory EVS. Learn more at <a href="http://www.Crothall.com" target="_blank">www.Crothall.com</a>.
​Salary: &nbsp;$55000 - $58000 / year
Other Forms of Compensation:&nbsp;Eligible for annual bonus&nbsp;
Job Summary
Do you enjoy providing outstanding customer service? Working as the Patient Experience Manager, you will be recognized for those efforts! Responsibilities include coordinating and directing a variety of activities in collaboration with leadership in order to create engaged, safe and positive moments for all patients.&nbsp;
 Responsibilities:
<ul>
<li>Interact with patients, caregivers, support services leaders and executive leadership regarding the performance of the housekeeping/environmental services department.</li>
<li>Administer required client and customer surveys and responds in a timely and effective manner</li>
<li>Assist in developing and customizing a patient satisfaction action plan to meet each account’s needs</li>
<li>Maintain and supports the fulfillment of client objectives at a level that ensures account retention</li>
<li>Make valuable contributions to hospital committees (i.e. Patient Satisfaction Committee, Nursing, Administration, HCAHPS Committee, etc.)</li>
<li>Ensure compliance with all regulatory agencies (CMS, JCAHO) and follow-up of any patient satisfaction initiatives</li>
<li>Participate on monthly conference calls with fellow Patient Experience Managers and operations management to communicate updates, current trends, and find-opportunities to reward and recognize staff</li>
<li>Participate in all Patient Experience Department learning sessions including monthly informative webinars</li>
<li>Provide recognition for employee when programs are implemented with success</li>
</ul>
Qualifications:
<ul>
<li>HS diploma/GED or comparable combination of education and experience; 4 year degree preferred</li>
<li>Hospitality and/or healthcare experience preferred</li>
<li>At least three years of demonstrated experience in customer service operations</li>
<li>Good coaching and on the job training skills required</li>
<li>Strong data analytical skills and excellent verbal and written communication skills</li>
<li>Proficient in the use of Windows based office software including but not limited to Microsoft Office, Word, Excel, PowerPoint and Outlook</li>
</ul>
Apply to Crothall today!
Crothall is a member of Compass Group USA
Click here to Learn More about the Compass Story
Associates at Crothall are offered many fantastic benefits.&nbsp;
<ul>
<li>Medical</li>
<li>Dental</li>
<li>Vision</li>
<li>Life Insurance/ AD</li>
<li>Disability Insurance</li>
<li>Retirement Plan</li>
<li>Flexible Time Off</li>
<li>Holiday Time Off (varies by site/state)</li>
<li>Associate Shopping Program</li>
<li>Health and Wellness Programs</li>
<li>Discount Marketplace</li>
<li>Identity Theft Protection</li>
<li>Pet Insurance</li>
<li>Commuter Benefits</li>
<li>Employee Assistance Program</li>
<li>Flexible Spending Accounts (FSAs)</li>
<li>Paid Parental Leave</li>
<li>Personal Leave</li>
</ul>
Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws.&nbsp;For positions in Washington State, Maryland, or to be performed Remotely, click here or copy/paste the link below for paid time off benefits information.
<a href="https://www.compass-usa.com/wp-content/uploads/2023/08/2023_WageTransparency_Crothall.pdf" target="_blank">https://www.compass-usa.com/wp-content/uploads/2023/08/2023_WageTranspa…</a>
Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law.
Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity. We will consider for employment all qualified applicants, including those with a criminal history (including relevant driving history), in a manner consistent with all applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York Fair Chance Act. We encourage applicants with a criminal history (and driving history) to apply.
Applications are accepted on an ongoing basis.
Crothall maintains a drug-free workplace.
Req ID:&nbsp;1490384
Crothall Healthcare&nbsp;
TANEISHA JANEA HAMILTON&nbsp;
[[req_classification]]&nbsp;

Patient Experience Manager

<h3>Job Description</h3>
Job Description
Overview
AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!
Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?
If so, AIDS Healthcare Foundation is the place for you!
Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.
AHF’s core values are:

<ul>
<li> Patient-Centered</li>
<li> Value Employees</li>
<li> Respect for Diversity</li>
<li> Nimble</li>
<li> Fight for What’s Right</li>
</ul>
Please review our Advocacy page for the latest news on how AHF is Fighting for What’s Right! Advocacy News.
Benefits at AHF
AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual and professional health. 
 
Responsibilities
A Patient Care Specialist 2 (PCS2) contributes to AHF by embodying our commitment to excellence in patient care and operational efficiency. Through cross-functionality, PCS2s play a pivotal role in ensuring that our healthcare center operates seamlessly and that our patients receive the best client experience and the highest standard of care.
A PCS2 enhances the reputation of AHF by embodying our commitment to excellence in patient care, patient retention, operational efficiency, and adaptability. With a versatile skill set and dedication to seamlessly transitioning between clinical, administrative, and front office roles, PCS2s contribute to a positive patient experience, fostering trust and loyalty.
You will be a passionate advocate for our top initiatives. 
To be successful as a PCS2 it is crucial to ensure that the AHF core Values and Mission stay top of mind with all that your do. At AHF we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees. 
AHF has a collaborative organizational structure where staff are accountable to multiple leaders. 
The PCS2 will work as a part of a close knit team to go above and beyond to meet the needs of our patients and enhance the reputation of AHF by seamlessly transitioning between performing medical assistant clinical functions including phlebotomy, and performing administrative duties including front office, processing patient referrals, and identifying and verifying insurance coverage. By actively participating in cross-functional rotations, and promoting adaptability, they will be developed across multiple healthcare center functions, and their commitment to collaborating with other AHF employees and departments will reinforce AHF's reputation as a trusted healthcare provider dedicated to providing compassionate, high-quality care and upholding our organization's mission and values.
Medical Assistant Certification or Medical Assistant Diploma required.
Want to know what it's like to be a Patient Care Specialist 2 at AHF? Watch this quick video: Patient Care Specialist 2: Day in the Life!
 
Qualifications
We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.

Medical Assistant (Patient Care Specialist 2)

<h3>Job Description</h3>
Job DescriptionMultiple Locations and Openings
Nurse Practitioner / Physician Assistant – Job Description
Position Summary
The Family Nurse Practitioner/Physician Assistant will provide high-quality health care and emergency treatment to patients. This includes health promotion, disease and disability prevention, identification and management of health concerns, and coordination of referrals. The provider will practice within the scope of their licensure and, when applicable, under appropriate supervision as defined by state regulations.
Responsibilities
• Provide patient care in accordance with established clinical protocols, policies, and scope-of-practice regulations. • Maintain accurate, complete, and confidential patient health records. • Interpret patient health data to identify risk factors and support wellness initiatives. • Diagnose and treat common conditions and human responses to actual or potential health problems. • Provide counseling to individuals and families regarding health-related issues. • Consult and collaborate with other healthcare providers and community resources. • Refer patients to appropriate providers and services when needed. • Perform additional duties or projects as assigned by clinical leadership. • Support pre-visit planning and participate in daily team huddles to review scheduled care needs. • Participate in the clinical care team model to support coordinated, high-quality care. • Work collaboratively with the clinical team to ensure patients receive effective and comprehensive care. • Follow all organizational policies, procedures, and clinical protocols. • Comply with all safety rules and promptly report any incidents, including completing required documentation. • Represent the organization professionally within the community during outreach or clinical activities. • Participate in committees or workgroups as assigned. • Interact harmoniously and effectively with colleagues, contributing positively to team goals and organizational success. • Maintain acceptable standards for attendance and punctuality. • Adhere to all compliance requirements and regulations. • Demonstrate flexibility and willingness to address unexpected challenges affecting patient care, ensuring that patient needs are met from start to finish.
Professional Expectations
• Acknowledge mistakes openly, take responsibility for personal actions, and model humility. • Maintain professional, constructive, and factual communication regarding team members and workplace issues. • Respect employee confidentiality in all interactions. • Communicate honestly and directly; avoid saying anything indirectly that you would not say face-to-face. • Address disagreements or concerns directly with the involved individual whenever appropriate. • Work with supervisors or HR when handling performance or behavioral concerns involving colleagues. • Pause and reflect before responding to challenging situations when necessary.
Medical Specialty:
Primary Care
Occupational Medicine
Requirements
Education &amp; Experience
• Graduation from an accredited Nurse Practitioner or Physician Assistant program; master’s degree preferred. Certification by the appropriate national certifying body. Must hold current state licensure and certifications such as CPR and ACLS, or equivalent. • Must hold an active state license to practice. • Strong communication, analytical, and observational skills required. • Demonstrated attention to detail and timely documentation practices. • Must maintain all required credentials and certifications. • Must pass all applicable criminal and background checks. • Must be able to travel between clinical sites as needed. • Must possess a valid driver’s license and meet insurability requirements.
Benefits
Benefits (Generalized)
• 401(k) • 401(k) matching • Dental insurance • Vision insurance • Health insurance • Health savings account • Life insurance • Paid time off • Parental leave • Referral program • Employee assistance program • Employee discount programs • Flexible schedule options

Family Nurse Practitioner or Physician Assistant- Multiple locations - MAINE

<h3>Job Description</h3>
Job Description
 
At Union Dental Group, we are seeking long-term relationships with our teams, our patients, and our community!
We offer a family-like culture and are seeking for a full-time hygienist to join our fun and outgoing team.
Drop us a resume, and we will connect with you. Let's get going on your next opportunity!
 
 $$ SIGN ON BONUS*
Earning potential varies: UP TO $70+ per hour; to be discussed with qualified candidates
 
FULL TIME POSITION: 4 days a week; assisted hygiene ORnon-assisted
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
What we offer for this FT position:
<ul>
<li>PTO</li>
<li>Holiday pay</li>
<li>medical, vision, dental, life, STD and LTD insurance </li>
<li>options to take additional STD, LTD, life insurance </li>
<li>Employee dental allowance</li>
<li>401k employee contribution options</li>
<li>Scrub Allowance</li>
</ul>
Minimum Eligibility Requirements
<ul>
<li>Must be detail oriented, organized, and offer proper dental hygiene care</li>
<li>Excellent understanding of dental hygiene procedures</li>
<li>Knowledge of aseptic and sterilization techniques</li>
<li>Ability to take diagnostic quality x-rays</li>
<li>Must possess excellent customer service skills</li>
<li>Ability to work independently as well as with a team</li>
<li>Must pass criminal background check</li>
<li>Ability to connect with patients</li>
</ul>
Additional Eligibility Requirements
<ul>
<li>Current CPR certification</li>
</ul>
Hours: Monday-Thursday 8:00-5:00, 1 Friday per month until 1:00
License/Certification:
<ul>
<li>SC dental hygiene license (Required)</li>
</ul>

Dental Hygienist

<h3>Job Description</h3>
Job Description
Join a Company That Puts People First!
Registered Nurse – RN
We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart:
Award-Winning Culture
<ul>
<li>Indeed’s Work Wellbeing Top 100 Company in 2024</li>
<li>Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by Comparably</li>
</ul>
Why Join Us?
<ul>
<li>Health, Dental, Vision and Company-Paid Life Insurance</li>
<li>Paid Time Off Available</li>
<li>Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!</li>
<li>24/7 Local support from operators and clinicians</li>
<li>Aveanna has a tablet in each patient’s home allowing for electronic documentation</li>
<li>Career Pathing with opportunities for skill advancement</li>
<li>Weekly and/or Daily Pay</li>
<li>Employee Stock Purchase Plan with 15% discount</li>
<li>Employee Relief Fund</li>
</ul>
*Benefit eligibility can vary and is dependent upon employment status and employment location
We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Registered Nurses (RN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader.
Qualifications  
<ul>
<li>Must have and maintain an active, unencumbered license (RN) in the state in which the clinician will practice</li>
<li>Compact licenses must be transferred to your state of residence within 90 days  </li>
<li>Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary.</li>
<li>TB skin test (current within last 12 months)</li>
<li>Six months prior hands-on nursing experience preferred but not required</li>
<li>Must have reliable transportation </li>
</ul>
Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California

Pediatric Registered Nurse - Private Duty

<h3>Job Description</h3>
Job Description
Fertility Partnership is looking for a team player to join our medical staff. We are looking for someone who has worked in the medical field with EHR systems. If you have good multitasking, organization and great customer service skill you would be a great candidate for our team. If you're looking for a place to call home this is the job for you.
Duties:
Answering phones, Scheduling appointments, Checking Patients In/Out, Clerical Duties for the office and Sending out Medical Records, Confirming Appts, Rooming Patients, Changing exam rooms then willing to take on job duties and help coworkers.
Start date: ASAP
Benefit Conditions:
<ul>
<li>401K</li>
<li>Vacation, Sick and Personal day</li>
<li>Bonus Days</li>
<li>10+ Holidays</li>
</ul>
Job Type: Full-time
Pay: $15.00 - $16.00 per hour
.

Medical Assistant/Front Desk

<h3>Job Description</h3>
Job Description
Military Entrance Processing Station Physician 
Hiring for Multiple Sites
Trusted Medical, PLLC
Overview
The United States Military Entrance Processing Command (USMEPCOM) conducts over 250,000 medical evaluations annually, serving as the critical gateway for applicants entering both the Regular and Reserve components of the Armed Forces. By joining Trusted Medical, you will play an essential role in ensuring the health and readiness of future service members—helping to strengthen military preparedness.
Trusted Medical, PLLC is seeking qualified physicians to support the Military Entrance Processing Station (MEPS) program. This role is critical in ensuring individuals entering military service meet the required health and fitness standards to defend our nation. The MEPS Physician performs comprehensive medical evaluations in person within a facility in accordance with Department of Defense (DoD) guidelines and contributes to maintaining the readiness and strength of the U.S. Armed Forces. 
Key Responsibilities
<ul>
<li>Support the enlistment process by performing face-to-face comprehensive medical examinations, aptitude testing, security screenings, and administrative steps by applying U.S. military accession standards and in compliance with DoD and MEPS protocols.</li>
<li>Review medical histories, lab/imaging results, and evaluate overall fitness for duty and render professional medial opinions on applicants’ eligibility.</li>
<li>Document findings accurately and complete required forms and reports within established timelines with the use of MHS Genesis health record system</li>
<li>Identify and communicate any medical conditions that may impact eligibility for military service.</li>
<li>Collaborate with MEPS staff and other healthcare professionals to ensure smooth processing of applicants.</li>
<li>Maintain strict adherence to confidentiality, ethical standards, and regulatory requirements.</li>
<li>Perform other job-related duties as assigned</li>
<li>Comply with all relevant installation policies, procedures, and DoD regulations.</li>
<li>Strong knowledge of comprehensive physical examinations, reviewing medical documentation, and medical standards for military service.</li>
<li>Excellent communication, documentation, and decision-making skills.</li>
<li>Ability to work in a fast-paced, structured environment and manage multiple evaluations daily.</li>
</ul>
Type of Employment: Full-time/ Part-Time/1099
Work Location/Travel: Must report on-site to a location listed below. Applicants must be free from travel restrictions to accommodate the evolving needs of the client.
Salary Range: TBD, dependent upon experience, education, location and employment type (1099, contract, W2).
Role Reports to:Trusted Medical Senior Leadership
Direct Reports: This role has no direct reports
Qualifications
<ul>
<li>Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree from an accredited institution. – Board Certified and Board Eligible.</li>
<li>Current, unrestricted medical license in the state of practice.</li>
<li>Board certification in primary care specialty (e.g., Family Medicine, Internal Medicine) with minimum of 1 year of post-graduate clinical experience/direct patient care within the last 3 years.</li>
<li>Current BLS certification through AHA or American Red Cross</li>
<li>US Citizen</li>
</ul>
Preferred Experience
<ul>
<li>Prior experience with MEPS or military medical evaluations.</li>
<li>Familiarity with DoD medical standards and protocols.</li>
<li>Proficiency with the MHS Genesis electronic health records system.</li>
</ul>
LOCATIONSAlbanyLansingAlbuquerqueLittle RockAmarilloLos AngelesAnchorageLouisvilleAtlantaMemphisBaltimoreMiamiBeckleyMilwaukeeBoiseMinneapolisBostonMontgomeryBuffaloNashvilleButteNew OrleansCharlotteNew YorkChicagoOklahoma CityClevelandOmahaColumbusPhoenixDallasPittsburghDenverPortland, MEDes MoinesPortland, ORDetroitRaleighEl PasoSacramentoFargoSalt Lake CityFort DixSan AntonioFort JacksonSan DiegoFort LeeSan JoseHarrisburgSan JuanHonoluluSeattleHoustonShreveportIndianapolisSioux FallsJacksonSpokaneJacksonvilleSpringfieldKansas CitySt. LouisKnoxvilleSyracuse Tampa
Trusted Medical, PLLC participates in the E-Verify program. Trusted Medical is a drug-free workplace. 
 Trusted Medical, PLLC is an Equal Opportunity and Affirmative Action Employer. Trusted Medical, PLLC prohibits discrimination against individuals based on their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other category protected by law. Trusted Medical, PLLC takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or veteran status

Military Entrance Processing Station Physician

<h3>Job Description</h3>
Job Description
<ul>
<li>Provide timely review and determination of medical claims, including prior authorization, appeals, and/or any other type of medical claims;</li>
<li>Provide timely review and determination of medical claims;</li>
<li>Analyze medical records related to the case file;</li>
<li>Review and interpret Local Coverage Determination (LCD), National Coverage Determination (NCD) policies, and other federal regulations;</li>
<li>Apply appropriate regulatory citations, including health plan policies, NCD/LCDs, and/or other regulations to each claim as it relates to the item or issue;</li>
<li>Formulate a narrative decision citing relevant regulatory back-up documentation contained within the medical record;</li>
<li>Adjudicate claim based on the regulations and documentation contained within the medical record;</li>
<li>Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification through the American Academy of Professional Coders (AAPC) or AHIMA preferred;</li>
<li>Maintain professional licensure in active and unrestricted status as required by state of issuance; </li>
<li>Attend FHAS and/or client Lunch &amp; Learn sessions and/or general training sessions on site as needed.</li>
<li>Complete IRR surveys in a timely fashion as required by the prime contractor</li>
<li>Maintain a 97% or higher quality score</li>
</ul>
work experience requirements
<ul>
<li>Must possess a current, unrestricted State license as a Registered Nurse (RN), Licensed Practical Nurse (LPN), Registered Pharmacist, Occupational Therapist, Physical Therapist, Speech Therapist, or equivalent medical degree as required by contract(s). </li>
<li>1+ years clinical experience required; coding, utilization, and/or medical chart review preferred.</li>
<li>Professional Coding Certification preferred.</li>
<li>Detailed knowledge of Medicare regulations and guidelines, polices, and payor reimbursements preferred.</li>
<li>Knowledge of CPT, HCPCS, ICD-10 codes and coding guidelines.</li>
<li>Ability to identify Medicare billing and payment irregularities.</li>
<li>Must be able to support review findings by utilizing exceptional analytical, written and oral communication skills.</li>
<li>Ethical, self-motivated and results oriented team player.</li>
<li>Strong analytical, verbal and written communication skills.</li>
<li>Outstanding people skills and ability to effectively review findings /results with management. </li>
<li>Must be proficient with PC and related software programs.</li>
<li>Excellent organizational skills. </li>
<li>Must be a team player. </li>
<li>Limited travel may be required.</li>
</ul>
physical requirements
<ul>
<li>Must be able to remain in the stationary position 95% of the time</li>
<li>Constantly operate a computer and other office equipment such as telephone</li>
<li>Regular &amp; predictable attendance is essential for this position</li>
</ul>
 
 
 Remote but need to be local to 18702 RN preferred but LPN will be considered

51,499 Healthcare Jobs in Orange County