<h3>Job Description</h3>
Job Description
Seeking a Rock Star Referral Specialist who is very good with computers and multi-Tasking.
 
Gary and Mary West PACE is a growing and thriving all inclusive day center for the elderly.
We are located in San Marcos, CA.
We offer several benefit plans to chose from and also have a great 403B program.
This a a full time position, Monday through Friday from 8:00AM-4:30PM.
 
Why Work for Gary and Mary West PACE? 
Because you desire work/life balance and have a passion to make a difference in the lives of North County seniors and their families!
You will receive generous pay and a benefits program focused on your health and wellness that includes 10 paid holidays, 13 Days of PTO, 5 days sick time, a 5% employer-match to our 403b retirement program, and no on-call time.
Because we encourage professional development and support all staff to expand their skillset, providing an annual education allowance.
You will be part of a distinct company culture where work feels like family and collaborate with a multi-disciplinary team environment where you are appreciated and valued.
Come do your best work where your contribution matters!
About PACE
Philanthropists Gary and Mary West founded West Health with the mission of enabling seniors to successfully age in place with access to high-quality, affordable health and support services that preserve and protect their dignity, quality of life, and independence. The Gary and Mary West PACE (Program of All-inclusive Care for the Elderly), affiliated with West Health (<a href="http://www.westhealth.org" target="_blank">www.westhealth.org</a>), is a new non-profit that delivers medical, social, and behavioral services to the frail elderly to the North County of San Diego. This PACE center will be entrepreneurial in nature and will focus on innovations and bringing new processes to the traditional PACE environment.
We're looking for passionate healthcare providers who want to be part of a team dedicated to enable seniors to live in their communities as independently as possible by providing compassionate, comprehensive health and supportive care.
One Team One Mission
 
Position Summary:
Under the direction supervision of the PACE Clinical Services Director, the PACE Referral Specialist is responsible for coordinating and processing medical, dental, and optical referrals and authorizations for a variety of settings that PACE participants utilize. This requires the understanding of universal codes such as Current Procedural Terms (CPT), Healthcare Common procedure Coding System (HCPCS), and Durable Medical Equipment, Prosthetics, Orthotics, ad Supplies (DMEPOS) in addition to International Classification of Diseases (ICD-10). These codes will meet the requirements for specialty services to ensure minimal delay in securing accessibility for participants.
Essential Functions:
<ul>
<li>Receives and processes referrals and authorizations in a timely manner.</li>
<li>Coordinates care with primary care providers and their clinical coordinators in obtaining the necessary documentation needed for outsources care and diagnostics/radiology.</li>
<li>Interfaces with specialty offices to answer questions in regards to referral and authorization statuses.</li>
<li>Navigate and utilize multiple functions from an electronic medical record platform in producing a comprehensive referral that will satisfy the needs of specialists.</li>
<li>Obtain, receive and transfer participant's medical records to and from providers outside of PACE, assuring that proper medical release forms are complete and scan paper documents into the EMR.</li>
<li>Use clinical and administrative judgement under regulations to determine best approach for both urgent and non-urgent patient care needs.</li>
<li>Maintain HIPAA standards and adhere to policies and procedures that govern the confidentiality of healthcare sensitive information.</li>
<li>Request additional medical records from specialty offices and clinic for further review by Utilization and Network Manager and/or PACE Medical Director as needed.</li>
<li>Maintains established departmental policies and procedures, objectives, quality assurance program, safety and environmental.</li>
<li>Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops.</li>
<li>Attends meetings as required and participates in committees as directed.</li>
<li>Ability to multi-task, be flexible, ensure accuracy, and meet changing priorities in a fast-paced, high-workload environment.</li>
<li>Ability to work with others as a core centralized team in addition to maintaining good interpersonal interactions with clients as a member of a multi-disciplinary community health team with a diverse multi-cultural population.</li>
<li>Adheres to Gary and Mary West PACE core values and behaviors of Excellence, Empowerment, Integrity, and Respect.</li>
<li>Performs other duties as required or requested in a positive and helpful manner to ensure a smooth-running work area.</li>
<li>Adheres to all GMWP Policies and Procedures, GMWP Safety Policies and Procedures and OSHA safety guidelines.</li>
<li>Must demonstrate regular attendance and punctuality.</li>
<li>Brings issues and process improvement ideas to the attention of the Supervisor.</li>
<li>Maintains verbal and written skills required for the position.</li>
<li>Completes annual trainings as required.</li>
<li>Adheres to Company Dress Code Policy.</li>
<li>Demonstrates appropriate level of time management in support of co-workers and the entire team.</li>
</ul>
Education and Certification:
<ul>
<li>High school diploma or GED equivalent required.</li>
<li>Medical Terminology Certification preferred.</li>
<li>Medical Assistant Certificate preferred.</li>
</ul>
Skills &amp; Experience:
<ul>
<li>One year of health care experience working with frail and/or chronically ill elderly population.</li>
<li>One year experience in a healthcare setting including front and back-office exposure.</li>
<li>One year experience in referral and authorization processes for managed care insurance platforms.</li>
<li>Must have excellent written and verbal communication skills and demonstrate the ability to interact clearly and effectively with both internal and external customers.</li>
<li>Prior exposure working with and electronic medical record platform. Proficient in Microsoft Word and Excel.</li>
<li>Skilled in establishing and maintaining effective working relationships with participants, co-workers, vendors, medical staff, and the public.</li>
<li>Bilingual in english/spanish preferred.</li>
</ul>
Medical Clearance:
Employees must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
Gary and Mary West PACE provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, gender, gender identity, gender expression or sexual orientation or any other considerations made unlawful by applicable state or local laws.

Referral Specialist

<h3>Job Description</h3>
Job Description
Seeking a Rock Star Referral Specialist who is very good with computers and multi-Tasking.
Gary and Mary West PACE is a growing and thriving all inclusive day center for the elderly.
We are located in San Marcos, CA.
We offer several benefit plans to chose from and also have a great 403B program.
This a a full time position, Monday through Friday from 8:00AM-4:30PM.
 
Why Work for Gary and Mary West PACE? 
Because you desire work/life balance and have a passion to make a difference in the lives of North County seniors and their families!
You will receive generous pay and a benefits program focused on your health and wellness that includes 10 paid holidays, 13 Days of PTO, 5 days sick time, a 5% employer-match to our 403b retirement program, and no on-call time.
Because we encourage professional development and support all staff to expand their skillset, providing an annual education allowance.
You will be part of a distinct company culture where work feels like family and collaborate with a multi-disciplinary team environment where you are appreciated and valued.
Come do your best work where your contribution matters!
About PACE
Philanthropists Gary and Mary West founded West Health with the mission of enabling seniors to successfully age in place with access to high-quality, affordable health and support services that preserve and protect their dignity, quality of life, and independence. The Gary and Mary West PACE (Program of All-inclusive Care for the Elderly), affiliated with West Health (<a href="http://www.westhealth.org" target="_blank">www.westhealth.org</a>), is a new non-profit that delivers medical, social, and behavioral services to the frail elderly to the North County of San Diego. This PACE center will be entrepreneurial in nature and will focus on innovations and bringing new processes to the traditional PACE environment.
We're looking for passionate healthcare providers who want to be part of a team dedicated to enable seniors to live in their communities as independently as possible by providing compassionate, comprehensive health and supportive care.
One Team One Mission
 
Position Summary:
Under the direction supervision of the PACE Clinical Services Director, the PACE Referral Specialist is responsible for coordinating and processing medical, dental, and optical referrals and authorizations for a variety of settings that PACE participants utilize. This requires the understanding of universal codes such as Current Procedural Terms (CPT), Healthcare Common procedure Coding System (HCPCS), and Durable Medical Equipment, Prosthetics, Orthotics, ad Supplies (DMEPOS) in addition to International Classification of Diseases (ICD-10). These codes will meet the requirements for specialty services to ensure minimal delay in securing accessibility for participants.
Essential Functions:
<ul>
<li>Receives and processes referrals and authorizations in a timely manner.</li>
<li>Coordinates care with primary care providers and their clinical coordinators in obtaining the necessary documentation needed for outsources care and diagnostics/radiology.</li>
<li>Interfaces with specialty offices to answer questions in regards to referral and authorization statuses.</li>
<li>Navigate and utilize multiple functions from an electronic medical record platform in producing a comprehensive referral that will satisfy the needs of specialists.</li>
<li>Obtain, receive and transfer participant's medical records to and from providers outside of PACE, assuring that proper medical release forms are complete and scan paper documents into the EMR.</li>
<li>Use clinical and administrative judgement under regulations to determine best approach for both urgent and non-urgent patient care needs.</li>
<li>Maintain HIPAA standards and adhere to policies and procedures that govern the confidentiality of healthcare sensitive information.</li>
<li>Request additional medical records from specialty offices and clinic for further review by Utilization and Network Manager and/or PACE Medical Director as needed.</li>
<li>Maintains established departmental policies and procedures, objectives, quality assurance program, safety and environmental.</li>
<li>Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops.</li>
<li>Attends meetings as required and participates in committees as directed.</li>
<li>Ability to multi-task, be flexible, ensure accuracy, and meet changing priorities in a fast-paced, high-workload environment.</li>
<li>Ability to work with others as a core centralized team in addition to maintaining good interpersonal interactions with clients as a member of a multi-disciplinary community health team with a diverse multi-cultural population.</li>
<li>Adheres to Gary and Mary West PACE core values and behaviors of Excellence, Empowerment, Integrity, and Respect.</li>
<li>Performs other duties as required or requested in a positive and helpful manner to ensure a smooth-running work area.</li>
<li>Adheres to all GMWP Policies and Procedures, GMWP Safety Policies and Procedures and OSHA safety guidelines.</li>
<li>Must demonstrate regular attendance and punctuality.</li>
<li>Brings issues and process improvement ideas to the attention of the Supervisor.</li>
<li>Maintains verbal and written skills required for the position.</li>
<li>Completes annual trainings as required.</li>
<li>Adheres to Company Dress Code Policy.</li>
<li>Demonstrates appropriate level of time management in support of co-workers and the entire team.</li>
</ul>
Education and Certification:
<ul>
<li>High school diploma or GED equivalent required.</li>
<li>Medical Terminology Certification preferred.</li>
<li>Medical Assistant Certificate preferred.</li>
</ul>
Skills &amp; Experience:
<ul>
<li>One year of health care experience working with frail and/or chronically ill elderly population.</li>
<li>One year experience in a healthcare setting including front and back-office exposure.</li>
<li>One year experience in referral and authorization processes for managed care insurance platforms.</li>
<li>Must have excellent written and verbal communication skills and demonstrate the ability to interact clearly and effectively with both internal and external customers.</li>
<li>Prior exposure working with and electronic medical record platform. Proficient in Microsoft Word and Excel.</li>
<li>Skilled in establishing and maintaining effective working relationships with participants, co-workers, vendors, medical staff, and the public.</li>
<li>Bilingual in english/spanish preferred.</li>
</ul>
Medical Clearance:
Employees must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
Gary and Mary West PACE provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, gender, gender identity, gender expression or sexual orientation or any other considerations made unlawful by applicable state or local laws.

<h3>Job Description</h3>
Job Description
Our client is a leading practice dedicated to improving patients' lives through clinical excellence and compassionate care. They are seeking a passionate and dedicated Certified Orthotist (CO) to join their dynamic team in Lexington, KY. The Lexington office is in an exciting phase of expansion and growth, making it an ideal place for professionals eager to contribute to the development of the practice. As a Certified Orthotist, you will play a pivotal role in improving the lives of patients by providing them with customized orthotic solutions. Compensation up to six figures for the right candidate with proven experience. 
Lexington is a vibrant city renowned for its rich history, beautiful horse farms, and thriving arts scene. It offers a high quality of life with a perfect blend of urban and suburban living. The city boasts numerous parks and outdoor activities, including the scenic Kentucky Horse Park and the beautiful Raven Run Nature Sanctuary. Lexington is also home to the University of Kentucky, providing a youthful energy and a variety of cultural and sporting events. With its strong sense of community, excellent schools, and a cost of living lower than many major cities, Lexington is a wonderful place to live and work. Additionally, the city's burgeoning food scene, historic bourbon distilleries, and frequent local festivals make it an engaging and enjoyable place to call home.
Responsibilities:
<ul>
<li>Patient Assessment: Conduct thorough assessments to evaluate patients’ orthotic needs, considering their medical history, lifestyle, and individual requirements. Collaborate with healthcare professionals to gather relevant medical information.</li>
<li>Design and Fabrication: Design and fabricate customized orthotic devices tailored to each patient’s unique anatomy and functional goals.</li>
<li>Patient Fitting: Precisely fit orthotic devices to patients, ensuring comfort, functionality, and alignment. Make necessary adjustments as needed.</li>
<li>Patient Education: Educate patients and their families on the proper use, maintenance, and care of their orthotic devices.</li>
<li>Documentation: Maintain accurate and detailed patient records and documentation, adhering to all regulatory standards and organizational policies.</li>
<li>Collaboration: Work with physicians, physical therapists, and other healthcare professionals to ensure a coordinated and holistic approach to patient care.</li>
<li>Continuous Learning: Stay up-to-date with the latest advancements in orthotics to provide the best possible care to patients.</li>
</ul>
Qualifications:
<ul>
<li>ABC Certified in Orthotics and able to obtain Kentucky Licensure.</li>
<li>Proven experience in orthotic assessment, design, and fabrication.</li>
<li>Commitment to providing high-quality care and improving the lives of individuals through orthotic solutions.</li>
</ul>
How to Apply: To apply for this exciting opportunity, please send your resume to Riley Phillips, Director of Orthotics/Prosthetics, at <a href="mailto:rphillips@thenewellgroup.com" target="_blank">rphillips@thenewellgroup.com</a> or 864-412-3363.

6 prosthetics-and-orthotics-director Jobs