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Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!Interested in this position? Apply online and create a personal candidate account!Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.Time Type: Part timeDepartment: Retail Pharmacy - MaverickAll Locations: 20 Maverick Square – Cradock BuildingPosition Summary: As a Pharmacist, you have a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. In addition to supporting the Director of Pharmacy and in leading and directing your Pharmacy Technician Support Staff, you are accountable for supporting the management, oversight and operation of all aspects within your pharmacy. Primary tasks and duties will include workflow management, inventory management, loss prevention, patient safety and other duties assigned. Pharmacists will also be required to Identify needs and opportunities within the Pharmacy to improve and successfully implement solutions by leading your team to achieve specified goals. Following policies, regulatory procedures, HIPAA, OSHA are required. The Pharmacist dispenses prescription medication along with key information such as side effects, contraindications with other medicines, and a range of other concerns. They also walk customers through their physician’s dosage and usage instructions to ensure medications are safely and effectively consumed. Duties &amp; Responsibilities: • Works with the pharmacy manager to meet area-specific goals and the goals of the department • Establishes collaborative pharmacist/patient relationships • Participates in training and development for other pharmacists, technicians, and interns • Assures safe and accurate dispensing of medications • Provide accurate verification of medications • Identifies, mitigates, prevents, and documents problems with prescriptions • Provides counseling to patients on the proper use of their medications, possible side effects, and the role of prescribed medications in the overall therapeutic care plan • Accurately dispenses controlled substances in accordance with the MA and Federal laws • Manages all queues in the pharmacy software system • Participates in risk evaluation and mitigation strategy (REMS) compliance Other Duties &amp; Responsibilities: • Reads, understands, and complies with all Standards of Conduct, JCAHO policies, etc. • Adheres to EBNHC standards of Employee Conduct and all related policies and procedures by: • Demonstrating excellent customer service; • Showing respect to other employees; • Adhering to standards of cultural competency and non-discrimination; • Adhering to standards of privacy; • Adhering to attendance and other policies and utilizing appropriate notification and other procedures.Education &amp; Requirements: <ul><li>Bachelor of Science in Pharmacy or Pharm. D. degree</li><li>Active MA Pharmacist License without disciplinary action</li><li>1-2 years of previous Pharmacist experience preferred</li><li>Time management and customer service skills</li><li>Motivated and team-centered mindset</li><li>Leadership skills, along with writing and computer skills</li><li>Bilingual skills preferred.</li></ul>Pay rate starting at $127,920 and up to $205,920 based on experienceEEO &amp; Accommodation Statement:NeighborHealth is an equal employment/affirmative&nbsp;action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail <a href="mailto:toHRrecruit@NeighborHealth.com" target="_blank">toHRrecruit@NeighborHealth.com</a>&nbsp;or call 617-568-4480 to let us know the nature of your requestFederal Trade Commission Statement: According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.E-Verify Program Participation Statement:NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.

NeighborHealth

NeighborhoodHealth

Pharmacist

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!Interested in this position? Apply online and create a personal candidate account!Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.Time Type: Full timeDepartment: PACE Health Plan ManagementAll Locations: 300 Ocean Avenue – ReverePosition Summary: Position Summary: The Claims Analyst, under the direction of the Manager of PACE Claims, is responsible for the overall claims adjudication and insurance validation process. This includes: Claims Department: •Maintaining up-to-date knowledge of fee schedules for both Medicare and MassHealth. •Ensuring the fee schedules are updated and are priced correctly in the Tapestry module. •Auditing adjudicated claims to ensure payments are made in accordance with their contracts. •Analyzing claims data to ensure accruals are reported to Finance in a timely and accurate manner. •Ensuring accuracy of claims-related cost reports. •Analyzing claims data for trends (e.g., referral matching). •Reporting any findings to PACE leadership. •Coordinating with IT to enhance and refine the claims adjudication process. •Coordinating with the Manager of PACE Claims to proactively review referrals and claims-related data in an effort to provide utilization reports to other departments. Insurance Department: •Must maintain up-to-date knowledge of Coordination of Benefits. •In conjunction with the Supervisor of Business Services, responsible for assisting with and developing workflows to maintain overall compliance of the Insurance Department. Schedule: Monday - Friday 8:00am - 5:00pmInsurance Department<ul><li>Serves as the department Medicare expert. This includes auditing enrollment files to ensure compliance with the Part D requirements: EOBs, COB follow-up is completed timely and accurately, as well as documentation in EPIC regarding MSP surveys and TrOOP.</li><li>Ensures primary insurance coverage is documented in EPIC and that insurance billing is appropriate.</li><li>Responsible for the timely completion and documentation of CMS Part D reports: COB, MSP.</li><li>Serves as back-up for Business Services Supervisor.</li></ul>Expense Management/Claims<ul><li>Monitors monthly expense reports to ensure that all expenses are correctly categorized and reported.</li><li>Oversees the referral authorization process as it relates to timely and accurate claims payment and improvements to utilization management.</li><li>Responsible for maintaining up-to-date knowledge of fee schedules and works with IT to ensure timely upload into Tapestry.</li><li>Coordinates with the Manager of PACE Claims in an effort to improve the processes to manage claims payment and expenses based on trends analysis.</li><li>Acts as the department claims expert regarding adjudication.</li><li>Audits claims work queues to ensure timely and appropriate payment to vendors; suggests process improvements (e.g., referral matching table edits).</li><li>Coordinates with Finance to ensure appropriate accruals on a monthly basis. Reviews IBNR data with Finance in an effort to ensure all claims are received.</li><li>Works closely with the Contracts Department to review reimbursement.</li></ul>Information Technology<ul><li>Serves as a liaison with IT, specifically regarding Tapestry (fee schedule development, claims processing, referrals) and reports and workflows related to ESP (Elder Service Plan) Business Office processes.</li></ul>Other Duties<ul><li>Regularly reports to work on time and follows attendance and call-in procedures.</li><li>Works cooperatively and respectfully with others at all levels of the organization.</li><li>Takes the initiative to perform a wide variety of activities and be flexible in terms of work assignments based on operational needs, contributing to the smooth functioning of the department.</li><li>Displays outstanding customer service skills when interacting with all NH customers according to the PACE model.</li><li>Creates and/or revises policies and procedures, workflows, and guidelines, as appropriate, in any respective areas under the Business Office or as requested by Manager.</li><li>Other duties as required.</li></ul>PACE AND GENERAL REQUIREMENTS: KNOWLEDGE, SKILLS AND ATTITUDES (This section not applicable to initial assessment; all ESP employees and contractors attain these competencies through participation in PACE and TJC orientation programs.)<ul><li>Demonstrates commitment to the PACE mission by actively promoting the autonomy and dignity of PACE program participants.</li><li>Demonstrates commitment to a holistic approach to care by actively engaging in interdisciplinary team planning and communication processes.</li><li>Demonstrates commitment to participant-centered care by actively engaging participants and/or Health Care Proxies in discussion about self-management goals.</li><li>Understands ESP’s organizational structure. Actively participates in NH programs and committees.</li><li>Demonstrates the ability to communicate effectively and respectfully through verbal and written skills. Documents in accordance with protocol.</li><li>Demonstrates knowledge of Participant Rights by:</li><li>actively protecting rights to privacy;</li><li>always treating participants with respect;</li><li>encouraging and assisting participants in filing of complaints and grievances;</li><li>helping to maintain a clean and safe environment;</li><li>helping to ensure that restraint and involuntary seclusion are never used as a means of coercion, discipline, punishment, retaliation, or for the convenience of staff; and that those restraints, when required by extraordinary circumstance, are always applied and monitored in accordance with policy/procedure.</li><li>Promotes a sense of “teamwork” through demonstration of self-direction and self-motivation. Solves problems independently or knows when to seek consultation. Provides leadership to other support staff on the practice team. Works cooperatively and respectfully with others at all levels of the organization.</li><li>All ESP employees participate in the orientation, training, and mentoring of new employees and in providing input for continuous improvement.</li><li>Displays outstanding customer service skills when interacting with ESP participants, family members, outside providers, potential ESP members, referral sources, or others.</li><li>Interacts with participants in a professional and respectful manner that reflects the needs and concerns of the individual. Maintains a positive attitude. Uses communication devices appropriately.</li><li>Demonstrates commitment to performance improvement by reporting incidents and other data used in ESP Performance Improvement activities, and by actively participating in one or more performance improvement committees or making a minimum of two suggestions for program or other improvements over the course of the year.</li><li>Responsible for continued professional growth and development.</li></ul>Pay Range: Starting at $26/hr up to $39/hr based on experienceEEO &amp; Accommodation Statement:NeighborHealth is an equal employment/affirmative&nbsp;action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail <a href="mailto:toHRrecruit@NeighborHealth.com" target="_blank">toHRrecruit@NeighborHealth.com</a>&nbsp;or call 617-568-4480 to let us know the nature of your requestFederal Trade Commission Statement: According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.E-Verify Program Participation Statement:NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.

Analyst, Claims

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!Interested in this position? Apply online and create a personal candidate account!Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.Time Type: Full timeDepartment: Pharmacy AdministrationAll Locations: 10 Gove Street – Taylor Building, 20 Maverick Square – Cradock Building, 300 Ocean Avenue – ReverePosition Summary: Under the direct supervision of the Director of Pharmacy Infrastructure and Support Operations, and according to department policies, procedures, and guidelines, is responsible for procurement and disposition of all pharmacy-related departmental pharmaceuticals and maintenance of pharmacy medication and supply inventory to support the provision of cost-effective patient-focused pharmacy services. Ensure compliance with the Drug Supply Chain Security Act (DSCSA). Responsible for training and managing the daily activities of inventory specialist team members to keep pharmaceutical purchases and associated supply inventory within established target performance criteria. Supervises inventory specialist team and sets guidelines for store level pharmacists in the placement of orders, inventory &amp; fulfillment processes, including controlled substances. Oversees the quality and safety of packaging and storage of medications. Helps develop strategy and key performance goals for the department to improve costs, efficiency, patient care, and satisfaction. Performs various administrative projects as assigned relating to continuous quality improvement of the drug inventory purchasing process.<ul><li>Establishes and monitors inventory and drug budgets for designated pharmacy.&nbsp; Provides analysis of budget variances and leads development of initiatives to control costs.</li><li>Establishes key performance indicators that serve as a firm guide helping to keep the purchasing and inventory processes within set targets thereby ensuring budgetary agreement.&nbsp; Manages the day to day operations in real time, with a focus on the purchasing, receiving and inventory control processes.</li><li>Supervises the inventory specialist team.&nbsp; Supervision includes training, delegating tasks, overseeing daily activities, mentoring, guiding through demonstration of best practices and offering opportunities for professional development.</li><li>Oversees the training of pharmacy employees in stocking the pharmacy shelves appropriately, monitoring for outdated products, and the processing returns for prompt credits.</li><li>Oversees the ordering and receiving of all drugs and supplies at all pharmacies in a timely manner.</li><li>Oversees the return of identified eligible pharmaceuticals in a timely manner.</li><li>Coordinates the procurement and maintenance of medication and non-drug supplies (labels, etc.) necessary for the fulfillment of patient prescriptions at all pharmacy locations.</li><li>Ensures proper rotation and maintenance of inventory.&nbsp; Coordinates with the Return Company for quarterly removal of expired drugs.</li><li>Coordinates the bi-annual pharmacy medication inventory for all outpatient pharmacies.</li><li>Processes drug recalls in a timely manner when informed by the FDA and Drug Companies.</li><li>Lead the management of short or long-term backorders or medication shortages.</li><li>Maintains a timely and accurate flow of purchasing and receipts with Accounts Payable and resolve all billing problems.&nbsp; Provides oversight for the Accounts Payable process and holds others accountable for meeting expectations.</li><li>Generates purchasing and inventory reports and analysis as requested by the Chief Pharmacy Officer or Director.</li><li>Prepares, secures authorized signature, and processes all purchase orders; assists manager in establishing appropriate annual Purchase Orders for vendors.</li><li>Monitors purchasing contract compliance and market share on a quarterly basis.</li><li>Works with manager in the development and preparation of proposals to bid for pharmaceutical contracts; track credits and rebates due once the contracts are signed.</li><li>Develops and oversees processes to make optimal use of the 340B drug program, including monitoring of purchases and identifying deviations from historical trends.</li><li>Establishes best practices for product selection (e.g. best pricing, package size, etc.) to best suit the needs of the pharmacies.</li><li>Manages preferred drug selection in the pharmacy management system by identifying drug records with multiple available generic options.&nbsp; Drive pharmacy team to select the preferred drug option through management of the inventory with the pharmacy management system.</li><li>Manages the pharmacy department temperature monitoring program, including the electronic monitoring system.</li><li>Oversees and complies with the Drug Supply Chain Security Act (DSCSA) requirements.&nbsp;</li></ul>EDUCATION: <ul><li>Bachelor’s Degree required</li></ul>CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: <ul><li>Registered Technician with the Massachusetts Board of Pharmacy required</li><li>Nationally Certified Pharmacy Technician required</li><li>340B Apexus Certified Expert (ACE) preferred</li><li>Supply Chain and Inventory Management Advanced Certificate preferred</li></ul>EXPERIENCE:<ul><li>Requires at least five years of pharmacy-related experience, including drug purchasing and inventory management.</li><li>3 years of management experience or leading teams</li></ul>SKILLS/ABILITIES:<ul><li>Requires mathematical skills, knowledge of purchasing, and material management.</li><li>Strong analytical and problem-solving ability.</li><li>Effective interpersonal skills to interact appropriately with staff, patients, families/visitors, physicians, colleagues, and others.</li><li>Ability to multitask, prioritize essential tasks, and meet deadlines.</li><li>Leadership ability to guide, direct, and mentor staff.</li><li>Experience with Microsoft programs (i.e. MS Word, Excel, Outlook) and web browsers. Experience with Pharmacy Management software or the ability to learn is required.</li><li>Must possess self-management skills and require little to no supervision. This person must be a self-starter, self-motivating, have a strong work ethic, and must have the ability to identify issues or opportunities that require attention and change.</li><li>Must possess and exhibit process improvement skills and acumen.</li></ul>Salary starts at $99,840, and up to $153,920.00 based on years of experience.EEO &amp; Accommodation Statement:NeighborHealth is an equal employment/affirmative&nbsp;action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail <a href="mailto:toHRrecruit@NeighborHealth.com" target="_blank">toHRrecruit@NeighborHealth.com</a>&nbsp;or call 617-568-4480 to let us know the nature of your requestFederal Trade Commission Statement: According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.E-Verify Program Participation Statement:NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.

Manager, Pharmacy Purchasing Operations

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!Interested in this position? Apply online and create a personal candidate account!Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.Time Type: Part timeDepartment: Emergency DepartmentAll Locations: 10 Gove Street – Taylor BuildingPosition Summary: The Registered Nurse assumes a leadership role in the Emergency Department. This includes triaging patients to the appropriate level in a timely fashion, providing nursing care to patients of all ages, directing the general patient flow through the department, and taking appropriate steps in following up lab and x-ray results. The nurse is responsible for timely and accurate documentation of his/her nursing care in accordance with policy and procedures. The nurse is also responsible for collaboration with other members in a multi-disciplinary team.Essential Duties &amp; Responsibilities:<ul><li>Assess the health status of individuals and detect changes in order to take necessary actions.</li><li>Documents all care information concisely, accurately, and completely in a timely manner. Documentation to also include (pain assessment/re-assessment, medication administration, and patient ED course).</li><li>Triages patients and assigns accurate acuity based on standards of care and department policy.</li><li>Assumes responsibility for direct patient care and prepares patients for exams.</li><li>Safely and effectively administers medications, tests, and treatments as ordered.</li><li>Reports adverse reactions to medications and/or treatments in accordance with department policy.</li><li>Takes a proactive role assisting with patient discharge, hospital transfers, and arranging outpatient testing.</li><li>Initiates patient education plan, as prescribed by physician.Teaches and educates patients and caregivers on how to manage illness/injury and home care needs.</li><li>Recognizes the unique safety needs of elderly and pediatric patients, ensuring they receive assistance as needed.</li><li>Follows established departmental policies and procedures for environmental safety and infection control.</li></ul>Qualifications and Requirements:<ul><li>Graduation from an accredited nursing program is required.</li><li>Bachelor of Science in Nursing strongly preferred.</li><li>MA RN License required.</li><li>Current ACLS and PALS Certification required.</li><li>Minimum of one year RN critical care experience or three years experience in Med/Surg or Emergency.</li></ul>Starting at $50.00 per hour, and up to $70.00 based on experience.EEO &amp; Accommodation Statement:NeighborHealth is an equal employment/affirmative&nbsp;action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail <a href="mailto:toHRrecruit@NeighborHealth.com" target="_blank">toHRrecruit@NeighborHealth.com</a>&nbsp;or call 617-568-4480 to let us know the nature of your requestFederal Trade Commission Statement: According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.E-Verify Program Participation Statement:NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.

RN, ED

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.We are currently looking for a Team Lead, Referral Management&nbsp;to join our growing team!The Team Lead acts as the subject matter expert for referral management employees within the team while coordinating home health care for all assigned referral requests received. TL acts as a liaison between the Supervisor and employees of the team. The TL maintains and ensures compliance of the team with applicable laws and regulations and the policies of tango. &nbsp;Office Location:** Remote **Responsibilities and Duties:&nbsp;<ul><li>Responsibilities of the Team Lead include, but are not limited to the following:&nbsp;</li><li>As the main point of contact for a team of coordinators, answer questions raised by the team to ensure proper processing of referrals in accordance with policies and desktop procedures.&nbsp;</li><li>Support employee quality and productivity training, as identified on audits or productivity reporting. </li><li>In conjunction with the Training team, train and mentor new associates within the team to ensure on-time requirements can be met without loss of efficiency.&nbsp; </li><li>Report promptly to team Supervisor when delays are identified. </li><li>Coordinate with the Supervisor and the Training team to assist with draft updates to process materials desk top procedures as changes in process are required. </li><li>Run team reports as requested. </li><li>Share with Supervisor employees that require frequent support for retraining opportunity. </li><li>May be assigned to fill in for Supervisor when required, to ensure appropriate scheduling of team members for day-to-day production coverage. </li><li>Manage referrals in production; all duties as outlined within the Coordinator, Qualification Job Description. </li></ul>Qualifications:<ul><li>Must be at least 18 years of age. </li><li>High School Diploma or GED </li><li>Has basic computer knowledge and experience including Microsoft Word, Excel &amp; typing skills. </li><li>Maintain composure in high pressure situations. </li><li>Home care/healthcare background is a plus but not required. </li><li>Is customer service oriented with excellent oral and written communication skills. </li><li>Is self-directed, flexible, cooperative, and exhibits the ability to work with minimal supervision. </li><li>Is detail oriented and displays good organizational skills. </li></ul>Proven Personal Attributes:<ul><li>Ability to multitask in a fast-paced work environment. </li><li>Ability to remain calm under pressure and manage stressful situations. </li><li>Provide excellent and professional customer service skills with a positive, patient, and friendly attitude. </li><li>Ability to maintain a high level of confidentiality and remain HIPAA compliant. </li><li>Ability to establish highly productive and detailed organizational skills/habits. </li><li>Ability to motivate others and project a positive attitude.</li></ul>tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

tango

Team Lead, Referral Management

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.We are currently looking for a Strategic Referral Liaison to join our growing team!The Strategic Referral Liaison is responsible for coordinating home health care for all patients and referral requests received, acting as a liaison to facilitate communication between referral sources, patients, and health care agencies. The Strategic Referral Liaison maintains accurate records in compliance with applicable laws and regulations and the policies of tango.&nbsp; This role requires excellent interpersonal skills, the ability to handle high-pressure situations, negotiation skills, creative thinking, and a good understanding of the home health industry. Key Responsibilities:&nbsp;<ul><li>Communicate effectively with patients, referral sources, and home health providers to facilitate staffing. </li><li>Maintain accurate and up-to-date records of all referral activities and communications. </li><li>Ensure timely follow-up on all referrals to guarantee patient care continuity.</li><li>Communicate with referral source providers to resolve any issues related to referrals.</li><li>Participate in team meetings and communicate with all parties.</li><li>Escalate clinical needs as necessary.</li><li>Utilize expertise to match patients with the most suitable home health agencies, considering factors such as location, service availability and quality of care. </li><li>Ensure all necessary paperwork and documentation are completed accurately and in a timely manner. </li><li>Notify referral sources of successful staffing of their referrals along with submitting necessary documentation to the receiving home health care agencies. </li><li>Call patients to obtain additional information and notify the patient of outcomes and statuses when necessary. </li><li>Foster collaborative and lucrative relationships with agencies to assist with securing home health services for patients. </li><li>Follow proper procedure to follow up on missing orders or information needed to process request.</li><li>Negotiate terms with home health agency to secure patient care.</li><li>Identify alternatives to home health, when necessary, and communicate to the member and referral source.</li><li>Highly self-motivated and able to work with minimal supervision.</li><li>Must have reliable internet.</li><li>Complete any agency phone outreach to secure patient care&nbsp;</li></ul><ul><li><ul><li>Will verify PCP and follow up as needed</li><li>Will verify if members want services as needed</li></ul></li></ul>Office Location:** Remote **Qualifications:<ul><li>College degree required.</li><li>Has advanced computer knowledge and experience including Microsoft Word, Excel &amp; typing skills.</li><li>Capable of following an issue through to its conclusion.</li><li>Minimum of 2 years of experience in a healthcare setting, preferably in a referral coordination or case management role.</li><li>Strong understanding of medical terminology and healthcare processes.</li><li>Significant experience in negotiation.</li><li>Excellent communication and interpersonal skills.</li><li>Ability to work independently and as part of a team.</li><li>Proficiency in using healthcare management software and electronic health records (EHR).</li><li>Detail-oriented with strong organizational skills.</li><li>Ability to handle sensitive information with confidentiality and professionalism.</li><li>Healthcare background is required.</li><li>Is customer service oriented with good oral and written communication skills.</li><li>Is self-directed, flexible, cooperative, and exhibits the ability to work with minimal supervision.</li><li>Is detail oriented and displays good organizational skills.</li><li>Must be flexible and willing to be on call on weekends and Holidays.</li><li>Highly self-motivated and able to work with minimal supervision.</li><li>Must have reliable internet.</li></ul>Collaboration and Communication:<ul><li>Communicate issues to management and relevant stakeholders.</li><li>Establishes rapport and works with home health agencies to get care for difficult to staff patients secured.</li></ul>Proven Personal Attributes:<ul><li>Ability to multitask in a fast-paced work environment.</li><li>Ability to remain calm under pressure and manage stressful situations.</li><li>Provide excellent and professional customer service skills with a positive, patient, and friendly attitude.</li><li>Ability to maintain a high level of confidentiality and remain HIPAA compliant.</li><li>Ability to establish highly productive and detailed organizational skills/habits.</li><li>Possess strong, professional written and oral communication skills for in-person, telephonic, and electronic use.</li></ul>tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

Strategic Referral Liaison

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.We are currently looking for a&nbsp;Rotation Coordinator to join our growing team!Position Description:The Rotation Coordinator is responsible for efficiently and effectively assigning referrals to various departments within the organization. The Rotation Coordinator maintains accurate records in compliance with applicable laws and regulations and the policies of tango.Office Location:** Remote **Responsibilities and Duties:Responsibilities of the Qualification Coordinator include, but are not limited to the following:<ul><li>Distribute and assign referrals to the appropriate Referral Management team members in a timely manner.</li><li>Collaborate with various teams within referral management to ensure smooth workflow and efficient patient care is achieved.</li></ul>Qualifications:<ul><li>Must be at least 18 years of age.</li><li>High School Diploma or GED, some college</li><li>Medical office experience as a Medical Assistant or in a Front Office related role required.</li><li>Prior customer service experience in a medical field preferred</li><li>Has extensive knowledge and experience including but not limited to: Microsoft Word, Microsoft Excel, Adobe PDF, and ability to navigate computer systems efficiently.</li><li>Typing speeds &gt;60 WPM with &gt;95% Accuracy.</li><li>Reading speeds &gt;250 WPM with &gt;90% Comprehension.</li><li>Must be flexible and willing to work weekends and Holidays.</li><li>Must have reliable internet or be willing to commute to the office.</li></ul>Proven Personal Attributes:<ul><li>Self-directed, flexible, cooperative, and exhibits the ability to work with minimal supervision.</li><li>Detail oriented and displays good organizational skills.</li><li>Capable of following an issue through to its conclusion.</li><li>Able to convey a positive and professional image to customers and employees.</li><li>Possess exceptional time management skills in prioritizing tasks, meeting deadlines and maintaining a high level of productivity. </li><li>Able to remain calm under pressure and manage stressful situations.</li><li>Possess strong, professional written and oral communication skills for in-person, telephonic, and electronic use.</li></ul>tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

Coordinator, Rotation

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.We are currently looking for a Qualification Coordinator II to join our growing team!The Qualification Coordinator II is responsible for accurately processing all assigned referrals. The Qualification Coordinator II acts as a liaison to facilitate communication between referral sources, patients, and the health care agencies. The Qualification Coordinator II maintains accurate records in compliance with applicable laws and regulations and the policies of tango.Office Location:** Remote **Responsibilities and Duties:Responsibilities of the Qualification Coordinator II include, but are not limited to the following:<ul><li>Receive referrals and enter all applicable information regarding the patient referrals into referral management system including but not limited to: patient demographics, contact information, disciplines requested and all necessary medical information to affirm appropriate patient care</li><li>Ensure all attached documents are HIPAA compliant for each referral processed.</li><li>Identify and process expedited requests immediately and communicate the priority status to all appropriate internal teams.</li><li>Verify insurance eligibility for each patient through software automation, running insurance manually through payor websites when needed.</li><li>Contact appropriate parties (patient and/or referral source) of prior authorization decisions; including but not limited to approvals, requests for more information or not able to process due to insurance.</li><li>Call agencies to coordinate continuance of patient services.</li><li>Ensure service requests include all required documentation and that services approved are appropriate based on documentation provided.</li><li>Contact patients and referral sources to obtain any additional information needed and inform of referral processing outcomes</li><li>Identify and escalate referrals for medical review to the clinical team and follow through on the resolution of each referral.</li><li>Upon approval of referrals, apply the appropriate visits/disciplines to the patient referral per the patient’s demographic area.</li><li>Accurately staff referrals with contracted Home Health Agencies.</li><li>Properly document patient records with the use of notes within the Tempo system and maintain required logs.</li><li>Accurately follow up on patient referrals as needed.</li><li>Adhere to all company policies and procedures</li><li>Adhere to performance expectations</li></ul>Qualifications:<ul><li>Must be at least 18 years of age.</li><li>High School Diploma or GED, some college</li><li>Medical Assistant or Certified Nursing Assistant with at least 2 years of experience working in a Medical Facility</li><li>Home care/healthcare background is a plus but not required.</li><li>Has extensive knowledge and experience including but not limited to: Microsoft Word, Microsoft Excel, Adobe PDF, and ability to navigate computer systems efficiently.</li><li>Typing speeds &gt;60 WPM with &gt;95% Accuracy.</li><li>Reading speeds &gt;250 WPM with &gt;90% Comprehension.</li><li>Must be flexible and willing to work weekends and Holidays.</li><li>Detail oriented and displays good organizational skills.</li><li>Must be able to sit for long periods in front of computer.</li><li>Must have reliable internet service or willing to commute to the office if local.</li></ul>Proven Personal Attributes:<ul><li>Manage and prioritize multiple tasks effectively and efficiently while working home health referrals.</li><li>Able to apply critical thinking skills to review referrals and determine if they meet the medical necessity criteria.</li><li>Demonstrate empathy and compassion when communicating with patients regarding authorization decisions.</li><li>Proactive in identifying and resolving any issues or challenges that may arise during the referral management process.</li><li>Self-directed, flexible, cooperative, and exhibits the ability to work with minimal supervision.</li><li>Capable of following an issue through to its conclusion.</li><li>Maintain a growth mindset on improving knowledge in referral management practices.</li><li>Able to remain calm under pressure and manage stressful situations.</li><li>Provide excellent and professional customer service skills with a positive, patient, and friendly attitude.</li><li>Able to establish highly productive and detailed organizational skills/habits.</li><li>Possess strong, professional written and oral communication skills for in-person, telephonic, and electronic use.</li></ul>tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

Coordinator, Qualification II

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding Facility ED charts. Minimum 2 years of experience coding Facility ED required.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Team Member must be able to work from home and be independent in their coding skills.</li><li>Provide various components of coding services to support our clients.</li><li>Validate facility E/M level that is applied by the facility charge ticket</li><li>Must have experience with coding injections and infusions in the emergency department setting</li><li>Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.</li><li>Apply ICD-10-CM diagnosis codes to the highest level of specificity available.</li><li>Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS</li><li>Interpret coding guidelines for accurate code assignment</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact.</li><li>Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.</li><li>Comply with all internal policies and procedures.</li><li>Actively participate in Company provided training and education.</li><li>All Coders must maintain at least one credential through either AAPC or AHIMA.</li><li>Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P). Apprenticeships not accepted ( No CCA or CPC-A accepted)</li><li>Must have at least a minimum of 2 years of on the job experience in Facility ED coding.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Must have working knowledge and experience with systems such as EMR, Billing, etc</li><li>Must have a phone, reliable internet connection and current coding materials such as CPT and ICD-10-CM coding references.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher</li><li>Will be required to maintain a quality score of 95% or higher</li><li>Must be proficient in Microsoft programs like Excel and Outlook. Examples include:</li><li>Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth

Emergency Department (Facility) Coding Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Will be Coding Professional Fee. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, etc. 2 yrs working experience minimum. No apprenticeships (CCA or CPC-A accepted)ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Team Member must be able to work from home and be independent in their coding skills.</li><li>Provide various components of coding services to support our clients.</li><li>Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company</li><li>Recognize critical care cases by patient acuity.</li><li>Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.</li><li>Apply ICD-10-CM diagnosis codes to the highest level of specificity available.</li><li>Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS</li><li>Interpret coding guidelines for accurate code assignment</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact.</li><li>Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.</li><li>Comply with all internal policies and procedures.</li><li>Actively participate in Company provided training and education.</li><li>All Coders must maintain at least one credential through either AAPC or AHIMA.</li><li>Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).</li><li>Must have at least a minimum of 2 years of on the job experience.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Must have working knowledge and experience with systems such as EMR, Billing, etc</li><li>Must have a phone, reliable internet connection and current coding materials such as CPT and ICD-10-CM coding references.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher</li><li>Will be required to maintain a quality score of 95% or higher</li><li>Must be proficient in Microsoft programs like Excel and Outlook. Examples include:</li><li>Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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