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Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Special Investigation Unit Clinical Healthcare Fraud Investigator III leads complex investigations into suspected healthcare fraud, waste, and abuse across all of L.A. Care’s lines of business. This position independently manages full-cycle investigations from intake through closure, develops investigative strategies, prepares evidentiary packages for regulatory or law enforcement referral, and provides clinical and operational insight into healthcare billing patterns and provider behaviors.This position collaborates cross-functionally to safeguard organizational integrity and ensure compliance with federal and state program-integrity mandates by using advance clinical judgment and regulatory knowledge. Acts as a Subject Matter Expert (SME), serves as a resource and mentor for other staff.<h4>Duties</h4>Conducts complex clinical investigations involving provider, member, or vendor misconduct, including the review of claims, clinical documentation, and billing practices.Conducts interviews, collects and preserves evidence, and maintains proper chain of custody.Coordinates with law enforcement, regulatory agencies, and internal partners on referrals and case collaboration. Collaborates closely with Compliance, Payment Integrity, and Legal Affairs to ensure effective oversight and timely resolution of potential fraud, waste, and abuse matters.Analyzes patterns and emerging schemes such as pill-mill activity, upcoding, unbundling, ghost and double billing, and credentialing fraud.Prepares comprehensive investigative reports and referral packets that meet the evidentiary and procedural standards of the Centers for Medicare &amp; Medicaid Services (CMS) and the California Department of Health Care Services (DHCS).Supports recovery efforts by identifying overpayments and recommending cost-avoidance strategies.Mentors’ junior investigators, sharing best practices in case methodology and documentation standards.Contributes to the enhancement of detection controls and analytic queries to strengthen proactive oversight.Participates in interdisciplinary task forces focused on emerging risks such as telehealth abuse, pharmacy diversion, and durable medical equipment (DME) fraud.Apply subject matter expertise in evaluating business operations and processes. Identify areas where technical solutions would improve business performance. Consult across business operations, provide mentorship, and contribute specialized knowledge. Ensure that the facts and details are correct so that the program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provide training and recommend process improvements as needed.Performs other duties as assigned.<h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in Nursing or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree in Public Health or Related Field<h4>Experience</h4>Required: At least 4 years of experience as a practicing clinician (e.g., nursing, pharmacy, or medical practice).At least 3 years conducting healthcare fraud investigations, including experience managing complex cases through full lifecycle. Preferred: Prior experience in a Special Investigations Unit (SIU) or payment-integrity environment.<h4>Skills</h4>Required:Expertise in clinical documentation review, managed care operations, and regulatory compliance.Strong understanding of coding and reimbursement structures (including Current Procedural Terminology (CPT), Healthcare Common Procedure Coding Systems (HCPCS), International Classification of Diseases (ICD-10)), medical billing, and claims review processes.Working knowledge of program-integrity requirements under 42 CFR § 438.608, CMS Chapter 21, and applicable state regulations. Working knowledge of regulatory requirements under 42 CFR § 438.608 and CMS Chapter 21.Proficiency with Microsoft Office suite and investigative documentation systems. Demonstrated proficiency with data analytics and visualization tools (e.g., Tableau, Excel Power Query, or Power BI).Strong collaboration skills.&nbsp; Excellent communication and report-writing skills suitable for internal and external stakeholders. Excellent written, verbal, and presentation skills suitable for executive and regulatory audiences.Ability to read, interpret and draw accurate conclusions from legal and factual information and synthesize findings in clear, professional reports.Strong working knowledge of federal and state program-integrity regulations. Demonstrated expertise in clinical documentation review, regulatory compliance, and managed-care operations.Proven ability to mentor others and manage multiple investigations concurrently.Capacity to prioritize competing demands, meet strict regulatory deadlines, and manage multiple investigations simultaneously.Preferred:Familiarity with healthcare operational systems and processes.Current knowledge of emerging fraud, waste, and abuse (FWA) schemes and industry countermeasures.Working knowledge and understanding of relevant state and federal statutes and the ability to interpret their operational impact.<h4>Licenses/Certifications Required</h4>Active, current, and unrestricted California Clinical License commensurate with clinical degree.<h4>Licenses/Certifications Preferred</h4>And/Or any of the following Licenses/ Certifications:Certified Fraud Examiner (CFE)Accredited Health Care Fraud Investigator (AHFI)Certified HealthCare Compliance (CHC)Lean Six Sigma Green BeltLean Six Sigma Black Belt<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Clinical Research, Medical Research, Pharmacy, Claims, Medicaid, Healthcare, Insurance

L.A. Care Health Plan

Special Investigation Unit Clinical Healthcare Fraud Investigator III

Company Description By working at Harvard University, you join a vibrant community that advances Harvard's world-changing mission in meaningful ways, inspires innovation and collaboration, and builds skills and expertise. We are dedicated to creating a diverse and welcoming environment where everyone can thrive.Why join the Harvard Graduate School of Education?The Harvard Graduate School of Education (HGSE) is a diverse community of learners, teachers, and employees who are passionate about changing the world through education and striving for maximum impact in the field of education.Many choose to work at the Harvard Graduate School of Education because they believe in our mission and are excited by our vision for the future. We have a reputation as a great place to work, for our excellent leadership, and we are a strong community that values diversity. For more information about HGSE, its programs, research, and faculty, please visit: <a href="https://www.gse.harvard.edu" target="_blank">www.gse.harvard.edu</a>. Job Description The Senior Research Analyst (SRA) will be part of a growing team at the Center for Education Policy Research (CEPR) at Harvard University. CEPR seeks to transform education through the power of research and evidence. CEPR and its partners believe all students will learn and thrive when education leaders make decisions using evidence, rather than hunches and untested assumptions. In pursuit of this end, CEPR both conducts cutting-edge quantitative research on critical topics for the field and develops new and faster models of education research that can better support education leaders. The SRA will be a critical part of the CEPR team, helping education leaders around the country to learn what’s working and what’s not in education.&nbsp;The Senior Research Analyst develops, manages, and contributes to research on important educational topics, such as college and career preparation and long-term success, literacy coaching, literacy tutoring, high quality curriculum and instructional materials, charter school effectiveness, and educational technology. The research agenda carried out by the SRA will provide a foundation for decisions that improve student achievement and generate a growing demand for data analysis that fundamentally alters the way decisions are made in education. The SRA’s responsibilities may include developing analytic plans, proposing projects, independently pursuing analytic objectives with minimal guidance, contributing to written products for non-technical audiences or leading partner-facing technical presentations, contributing to grant applications and grant reporting, training and mentoring junior staff, and contributing to reusable program code and utilities.&nbsp;Job-Specific Responsibilities: SRAs hired under this posting may support projects with the Research Initiatives for College and Career Success team, working with K-12 districts, community and technical colleges, and state education agencies to strengthen students’ preparation for, transitions into, and long-term outcomes in college and career pathways; the States Leading States team, working with state education agencies to evaluate policies and disseminate those that are effective; or the Charter Hub team, evaluating long-term effects of charter schools.&nbsp;Duties &amp; Responsibilities:&nbsp;Analysis:<ul><li>Lead the development of new analyses, including proposing research questions, identifying policies poised for evaluation, and determining appropriate analyses;</li><li>Writing pre-analysis plans detailing planned analyses, key variables, and deliverables to coordinate workflows and enable alignment with open science principles;</li><li>Gather and act on feedback and suggestions from faculty, principal investigators, and senior researchers;&nbsp;</li><li>Assembling, cleaning, and managing large longitudinal datasets;&nbsp;</li><li>Evaluating data quality, and identifying outliers and anomalies that require resolution prior to analysis; and&nbsp;</li><li>Performing literature reviews in support of CEPR projects.&nbsp;</li></ul>&nbsp;Programming:<ul><li>Perform complex programming tasks; and</li><li>Ensure code is appropriately quality controlled and documented.</li></ul>Partner Relations and Communications:<ul><li>Supporting development of projects with external partners and stakeholders;&nbsp;</li><li>Participate in presenting key research findings to internal and external academic and non-academic audiences; and</li><li>Draft reports and presentations for partners , including state education leaders, school boards, superintendents, principals, and grantors.</li></ul>&nbsp;Teamwork and Management:<ul><li>Develop draft workplans;&nbsp;</li><li>Research operations, including DUAs, IRBs, and project reporting;&nbsp;</li><li>Train, develop and supervise junior staff; and</li><li>Maintain open and clear communication with PI / project director.</li></ul> Qualifications Basic Qualifications: <ul><li>Master’s degree preferably in public or education policy, economics, statistics, computer science, or a related field, prior to starting in the position;&nbsp;</li><li>At least 5 plus years of relevant professional work experience, including data management, cleaning, analysis, and report writing (relevant coursework may count towards this experience); and</li><li>Strong facility with Stata.</li></ul>Additional Qualifications and Skills: <ul><li>Experience working with data of varying quality and from varied source systems;</li><li>Knowledgeable of statistical methods and their appropriate uses;</li><li>Able to identify methodological challenges, and have the capacity to resolve them or raise the issues to the appropriate level;</li><li>Able to synthesize and present findings to both technical and non-technical audiences;</li><li>Able to describe methods to both technical and non-technical audiences, including trade-offs between methods;</li><li>Proven ability to work under pressure, accurately assess problems, and develop solutions;</li><li>Experience working with (or in) education or the public sector preferred;</li><li>Demonstrated success managing completion of full research projects a plus;</li><li>Familiarity with R a plus;&nbsp;</li><li>Familiarity with Python a plus; and</li><li>Doctorate degree preferred.</li></ul> Additional Information <ul><li>Appointment End Date: 1 year from Date of Hire&nbsp;</li><li>Standard Hours/Schedule: 35 hours per week</li><li>Compensation Range/Rate (including Shift Differential if applicable): </li><li>Visa Sponsorship Information: Harvard University is unable to provide visa sponsorship for this position</li><li>Pre-Employment Screening: Identity, and Education</li><li>Other Information: Candidates who move beyond an initial phone screen will be required to complete a case study, submit sample Stata code, and provide a writing sample. Candidates invited to a final round will be required to give a presentation on their prior work.Candidates should submit a cover letter and resume as a single PDF document. Any applicant wishing to be considered for this position should indicate that they meet all of the basic requirements in either the cover letter or resume.&nbsp;This position is a term appointment for one year from the date of hire, with a strong possibility of continuation.&nbsp;</li></ul>Work Format DetailsThis position has been determined by school or unit leaders that some of the duties and responsibilities can be effectively performed at a non-Harvard location. The work schedule and location will be set by the department at its discretion and based upon operational needs. When not working at a Harvard or Harvard-designated location, employees in hybrid positions must work in a Harvard registered state in compliance with the University’s Policy on <a href="https://harvie.harvard.edu/sites/g/files/omnuum12046/files/humanresources/files/employment_outside_ma_policy.pdf" target="_blank">Employment Outside of Massachusetts</a>. Additional details will be discussed during the interview process. Certain visa types and funding sources may limit work location. Individuals must meet work location sponsorship requirements prior to employment.
Salary Grade and RangesThis position is salary grade level 057. Please visit &nbsp;<a href="https://hr.harvard.edu/salary-ranges" target="_blank">Harvard's Salary Ranges</a>  to view the corresponding salary range and related information.&nbsp;
BenefitsHarvard offers a comprehensive benefits package that is designed to support a healthy work-life balance and your physical, mental and financial wellbeing. Because here, you are what matters. Our benefits include, but are not limited to:&nbsp;<ul><li>Generous paid time off including parental leave&nbsp;</li><li>Medical, dental, and vision health insurance coverage starting on day one&nbsp;</li><li>Retirement plans with university contributions&nbsp;</li><li>Wellbeing and mental health resources&nbsp;</li><li>Support for families and caregivers&nbsp;</li><li>Professional development opportunities including tuition assistance and reimbursement&nbsp;</li><li>Commuter benefits, discounts and campus perks&nbsp;</li></ul>Learn more about these and additional benefits on our <a href="https://hr.harvard.edu/benefits-wellbeing" target="_blank">Benefits &amp; Wellbeing Page</a>.&nbsp;
EEO/Non-Discrimination Commitment StatementHarvard University is committed to <a href="https://hr.harvard.edu/sites/g/files/omnuum6281/files/2025-04/reaffirmation_statement.pdf" target="_blank">equal opportunity</a> and <a href="https://provost.harvard.edu/sites/g/files/omnuum12476/files/2025-07/non-discrimination_and_anti-bullying_policies.pdf" target="_blank">non-discrimination</a>. We seek talent from all parts of society and the world, and we strive to ensure everyone at Harvard thrives. Our differences help our community advance Harvard's academic purposes.Harvard has an <a href="https://hr.harvard.edu/sites/g/files/omnuum6281/files/2025-04/reaffirmation_statement.pdf" target="_blank">equal employment opportunity policy</a> that outlines our commitment to prohibiting discrimination on the basis of race, ethnicity, color, national origin, sex, sexual orientation, gender identity, veteran status, religion, disability, or any other characteristic protected by law or identified in the university's <a href="https://provost.harvard.edu/sites/g/files/omnuum12476/files/2025-07/non-discrimination_and_anti-bullying_policies.pdf" target="_blank">non-discrimination policy</a>. Harvard's <a href="https://hr.harvard.edu/sites/g/files/omnuum6281/files/2025-04/reaffirmation_statement.pdf" target="_blank">equal employment opportunity policy</a> and <a href="https://provost.harvard.edu/sites/g/files/omnuum12476/files/2025-07/non-discrimination_and_anti-bullying_policies.pdf" target="_blank">non-discrimination policy</a> help all community members participate fully in work and campus life free from harassment and discrimination.

Harvard University FAS Human Resources

Senior Research Analyst

At Revere Health, we value the health of our patients above all else. As the largest independent multi-specialty physician group in Utah, our healthcare system gives patients the best in communication, quality, coordination and innovation. Founded in 1969 in Provo, Utah, Revere Health has grown to include 29 medical specialties in over 100 locations throughout Utah, Arizona and Nevada. As the first Accountable Care Organization (ACO) accredited by Medicare in Utah, and the only Next Generation ACO in the state, Revere Health offers a unique, patient-oriented approach to healthcare. We strive to keep medical costs at a minimum while providing the utmost in quality healthcare.Position Summary: Our busy Orthopedic Hand Center in Provo is looking to hire a skilled Nurse Practitioner or Physician Assistant. Essential Job Functions:<ul><li> Provides medical care and treatment to patients under direction of supervising physician.</li><li> Performs physical exams, collects and documents data, conducts approved diagnostic and therapeutic procedures, orders laboratory studies, prescribes medication, assists in surgery, and prescribes appropriate interventions.</li><li> Compiles patient medical data, including health history and results of physical examination.</li><li> Collaborates with the supervising physician in managing medical needs of patients.</li><li> Ability to manage a busy clinic schedule.</li><li> Displays willingness to make decisions and exhibits sound and accurate judgment.</li><li> Other duties as assigned. </li></ul>Qualifications: Successful completion of National Certification as a Nurse Practitioner or Physician Assistant. Must hold licensure/certification as required by the state of Utah and DEA number as well. Hours: Monday - Saturday 730am - 6pm. Weekend and evening call - PRN

Revere Health

Physician Assistant or Nurse Practitioner, Orthopedics Hand Center

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The Social Worker (SW) provides and coordinates a wide range of social services including psychosocial support to patients and their families.Qualifications:<ul><li>Master’s degree or above in Social Work (CSWE accredited); SWs hired before 2009 who have degrees in other fields are grandfathered in; SWs hired before 4/21/2019 who have BSWs are grandfathered in; Bachelor’s degree may be considered depending on geographic area (Note: Home Health requires MSW)</li><li>Employees working in Georgia require current Georgia LCSW</li><li>Minimum of one (1) year of experience including social work/counseling internship in health care or hospital setting</li><li>Familiarity with and working knowledge of the concepts and practices of both adult and pediatric patients:&nbsp;&nbsp; Hospice: death and dying &nbsp;Palliative: serious illness</li><li>Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system</li><li>Experience in children, family, and group modalities</li><li>Ability to manage multiple priorities simultaneously and effectively handle the emotional stress of the workload</li><li>Able to remain calm, professional, trouble shoot and intervene with patient/family crisis situations.</li><li>Able to demonstrate high ethical standards in areas of Hospice mission, confidentiality, sensitivity, and flexibility</li><li>Excellent communication (verbal and written) and interpersonal skills</li><li>Ability to work in a team environment and intervene appropriately</li><li>Mobile Driver - Valid driver's license and automobile insurance per Company policy</li><li>Ability to travel to off-site locations</li><li>Ability to physically access any home, hospital, clinic, nursing home, and assisted living facility (i.e., navigate stairs, narrow stairs, narrow spaces, lack of air conditioning, etc.)</li></ul>Competencies:<ul><li>Satisfactorily complete competency requirements for this position.</li></ul>Responsibilities of all employees:<ul><li>Represent Company professionally at all times through care delivered and/or services provided to all clients.</li><li>Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.</li><li>Comply with company policies, procedures and standard practices.</li><li>Observe company's health, safety and security practices.</li><li>Maintain the confidentiality of patients, families, colleagues and other sensitive situations within company.</li><li>Use resources in a fiscally responsible manner.</li><li>Promote company through participation in community and professional organizations.</li><li>Participate proactively in improving performance at the micro and macro levels.</li><li>Improve own professional knowledge and skill level.</li><li>Advance electronic media skills.</li><li>Support company research and educational activities.</li><li>Share expertise with co-workers both formally and informally.</li><li>Participate in Quality Assessment and Performance Improvement activities as appropriate.</li></ul>Job Responsibilities:<ul><li>Performs and documents psychosocial assessment.</li><li>Empowers patient/families to negotiate with resource providers and make decisions on their own behalf.</li><li>Assists other clinical staff in (1) understanding family dynamics as well as significant social and emotional factors related to health problems and (2) developing a plan to address issues in a nonjudgmental manner.</li><li>Maintains documentation in a manner that reflects timeliness, completeness, accuracy, legibility, clarity of goals and interventions.</li><li>Consults and collaborates with other professionals to promote quality care and continuity of patient/family care.</li><li>Performs other duties as assigned.</li></ul>Home Health Specific:<ul><li>Participates in the development of the individualized Plan of Care and participates in Case Conferences.</li><li>Observes clinical symptoms, reaction to treatment regimen, and emotional status and reports to the appropriate staff along with pertinent changes.</li><li>Anticipates barriers to pain and symptom management; identifies differences in goals of curative and palliative care; and provides appropriate education.</li><li>Respects patient’s wishes and stated goals when planning and providing care.</li></ul>Hospice Specific:<ul><li>Shares joint responsibility with other clinicians and volunteers to provide care to patients and families including psychosocial support, advanced directive information, development of Plan of Care, and other social services depending on the patient/family needs.</li><li>Attends and participates in Interdisciplinary Group (IDG) meetings; assists in developing and updating the Plan of Care; facilitates understanding of social services and bereavement aspects of care, and provides team with goals and interventions for patient/family care.&nbsp;</li><li>Evaluates bereavement needs including making condolence calls, evaluating risk and coordinating the Plan Care with Bereavement staff.</li></ul>Palliative Care Specific:<ul><li>Assists the palliative care team and/or directly facilitates patient-family meetings for goal setting and advance care planning.</li><li>Provides emotional support for patients and families facing serious illness.</li><li>Coordinates educational and outreach services relevant to the social services – palliative care interface.</li><li>Provides liaison function: (1) between system-wide outpatient palliative care team and inpatient palliative care team, discharge planning and social service departments and (2) between palliative care team and community hospice, home care agencies, long term care facilities and other community services.</li></ul>Job Description Addendum for Social Worker in the Florida Keys &amp; North Florida (3A):Duties may also include performance in bereavement counseling and volunteer coordination.<ul><li>Evaluates the bereavement care needs for survivors (i.e., adults, children, families) in accordance with Company policy.&nbsp; Provides grief guidance and support to maintain the Plan of Care.</li><li>Facilitates bereavement and holiday support groups for children and adults.&nbsp; May attend memorial services.</li><li>Maintains bereavement documentation in a manner reflecting timeliness, completeness, accuracy, legibility, clarity of goal, evaluation, plan, and intervention.</li><li>Recruits volunteers through community networking activities and marketing efforts.&nbsp; Screens potential volunteers through intake calls and interviews, and in training.</li><li>Trains, assigns, supervises and evaluates patient/family care volunteers as well as volunteers for Social Services/Bereavement, events, administrative support, and various other roles.</li><li>Participates in the development and implementation of programs which enhance the morale and effectiveness of volunteers, volunteer newsletter, volunteer in-services, support programs and annual volunteer recognition.&nbsp; Participates in volunteer-related special events, committees and task force groups.</li><li>Maintains records of volunteers, ensuring that all file requirements are met and kept current.</li><li>Participates in interdisciplinary group (IDG) meetings; providing feedback about patients and family members and serves as a liaison between team members and volunteers.</li></ul>Compensation Pay Range: $53,623.86 - $80,435.79This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit <a href="https://info.flclearinghouse.com/" target="_blank">https://info.flclearinghouse.com/</a>.

Chapters Health System

Social Worker

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Job Profile Summary The Resource Nights &amp; Weekend (ReNW) Nurse Practitioner (NP) is an active member of Chapters Health System’s Medical Staff and provides fully remote virtual serious illness care management to patients and families throughout our continuum of care. This continuum may include but is not limited to home-based, facility-based, and inpatient adult and pediatric hospice; palliative care; PACE, and additional service lines and programs offered or supported by Chapters Health System.Experience Requirements:Must have a minimum of 3 years of recent clinical experience, including substantial experience in hospice, palliative care, and/or acute inpatient care.Education Requirements:Must hold a Masters or Doctors degree in Nursing from an accredited Family or Adult Nurse Practitioner Program.Certificates and/or Licenses:The ReNW NP must hold national certification, licensure, and prescriptive authority from the appropriate governing body for advanced nursing practice in their home state and in additional state(s) where care is provided. Licensure and prescriptive authority must be obtained and maintained for all required jurisdictions. Applications for required licenses must be submitted within 60 days of the date of hire and/or receiving notification. Must hold and maintain Basic Life Support certificate from an approved organization and compact RN license in their home stateby date of hire. Additionally, all eligible NPs must currently hold, or obtain, Advanced Certification in Hospice and Palliative Nursing (ACHPN) within 3 years of the date of hire. NPs who are not eligible to obtain the certification within 3 years of hire will have 6 months from date in which they meet criteria to apply for the exam. Schedule:Shifts may vary and can include nights, evenings, weekends, and/or holidays based on the needs of the business.Essential Duties and Responsibilities:Quality Provision of Services:<ul><li>Provides fully remote virtual serious illness care management to patients and families throughout our continuum of care; This continuum may include but is not limited to home-based, facility-based, and inpatient adult and pediatric hospice; palliative care; PACE, and additional service lines and programs offered or supported by Chapters Health System. </li><li>Consults with medical staff, and/or other members of the IDT as indicated to ensure optimal patient care in an effective and efficient manner.</li><li>Performs virtual assessment of patient/family/caregiver needs. </li><li>Identifies, manages, orders, and prescribes medication and equipment as appropriate. </li><li>Adjusts and supports the plan of care in accordance with Chapters policies and procedures and within the guidelines of the corresponding nurse practice act.</li><li>Assesses the caregiver’s ability to meet the patient’s immediate needs and confidence in the patient’s plan of care. </li><li>Provides education to increase the caregiver’s confidence as necessary and appropriate.</li><li>Supports staff by answering clinical questions, entering orders and prescriptions, and supporting the clinical needs of patients and families.</li><li>Maintains access to all electronic medical records (EMR), electronic prescribing systems, and other required websites and applications. </li><li>Documents all interactions as appropriate in the corresponding EMR in a timely manner.</li><li>Communicates and collaborates with the primary team to ensure continuity of care.</li><li>Supports with discharge planning including prescribing medications, entering discharge orders and instructions, etc.</li><li>Participates in Quality Assurance/Performance Improvement (QAPI) activities as needed, including regular medical record reviews and medical peer reviews. Seeks to continually improve the care practices of Chapters to assure compliance with regulatory and accreditation standards.</li><li>Keeps knowledge base and skill levels current to assure quality patient care and professional growth. </li></ul>2.Organization/Regulatory Compliance:<ul><li>Maintains current knowledge of the latest research and trends in Hospice and Palliative Medicine. </li><li>Maintains continuing education as required for licensure and to ensure specialty level expertise in end-of-life care. </li><li>Obtains &amp; maintains hospital/facility credentialing as required. </li><li>Participates in departmental and medical staff activities as requested. </li></ul>3.People/Communications:<ul><li>Communicates and collaborates with team members, patients/families/caregivers, partnering providers and staff as required &amp; appropriate within HIPAA guidelines to help provide comfort &amp; deliver upon Chapters core values. </li><li>Provides patient and family education as needed to maintain quality care, to decrease patient and family anxiety, to facilitate the patient living with the highest quality care, and to assure both the patient and the family have the skills to care for the patient.</li><li>Participates as a member of the interdisciplinary team to develop by implementing a patient-directed individualized plan of care and assures the availability of information to team members. Provides teaching to staff as required. </li><li>Functions as a role model in providing exceptional customer service to patients and families through effective and timely communication. Supports organizational changes. </li><li>Demonstrates flexibility in providing coverage and/or availability,</li></ul>4.Financial Stewardship:Achieves expected productivity standards as defined by the organization and in alignment with best practices/the Chapters model. If /when Telemedicine billing is accepted, implements time-based billing procedures using the electronic medical record system software and other appropriate methods to capture timely billing (weekly for home and nursing home; daily for inpatient and clinic charges).The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.Overall Skills:&nbsp;The ability to work both independently and as part of a team; demonstrate excellent interpersonal and collaborative skills; demonstrate organizational skills with the ability to delegate and follow up; manage multiple tasks and stressful situations with a positive attitude; demonstrate a strong work ethic and attention to detail.Physical/Mental/Emotional Skills:The ability to see, hear, grasp, lift, speak, sit and walk or otherwise perform essential functions with or without reasonable accommodations; demonstrate the mental and emotional ability to work with death/dying; demonstrate the maturity, customer service skills, and flexibility to work with individuals under stress; work in a fast paced and quickly changing environment; work under pressure and deadlines; effectively recognize and appreciate the diversity in the workplace; develop coping mechanisms in order to care for patients who are terminally ill and to work in a stressful environment; provide care for highly emotional patients/families.Technological Skills:The ability to learn and efficiently use patient health information systems and software required for the provision of care; demonstrate technical competency in the use of computer telephony systems and computer applications used in the organization; demonstrate proficiency with the use of all Microsoft Office programs, specifically Word, Excel, and PowerPoint.Reasoning Ability:The ability to apply common sense understanding to carry out instructions furnished in written or oral form and expert, advanced clinical judgment to problem solve.Physical Demands:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, speak, and hear. The employee is required to use hands to finger, handle, or feel; reach with hands and arms. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.Work Environment:The work environment characteristics are representative of those an employee would normally encounter while performing in an office environment. Employees are required to maintain a HIPAA compliant, temperature controlled, noise-free work environment at all times. They must maintain reliable HIPPA compliant high-speed (100mb) internet with hardwired backup copiers, fax, scanner, shredder, etc. Patient privacy must be protected at all times, which includes, but is not limited to using headsets for all verbal communication, utilizing company approved devices, websites, and applications, and other HIPAA guidelines. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.Compensation Pay Rate: $52.50This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy. All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit <a href="https://info.flclearinghouse.com/" target="_blank">https://info.flclearinghouse.com/</a>.

Nurse Practitioner, Evenings, Nights and Weekends Per Diem

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The Bereavement Counselor provides a range of bereavement services to bereaved survivors. Key Responsibilities: • Provide individual and group counseling and therapy for Hospice patients, family members and community individuals who have experienced the loss of a significant person through grief. • Demonstrate contact of all clients within established time frames and provide appropriate documentation. Document at least two additional attempts to reach an assigned client before closing the case. • Demonstrate a willingness and ability to manage tasks and case loads assigned, from any departmental program, in an effective, productive and timely manner, meeting the standards that reflect expected productivity. • Demonstrate a willingness to provide counseling services such as on call crisis intervention, individual and group, on a flexible schedule as needed, including some week nights, weekends and at camp. • Document all client contacts and care plans accurately according to department and organization policy in a timely manner. This includes establishing and maintaining all legally required files according to state, law, federal law and organization policy. As demonstrated by chart audits. Knowledge &amp; Skills: • Excellent communication; via phone, email, and in person. • Attention to detail &amp; ability to handle confidential information following HIPPA guidelines. • Demonstrate multi-tasking and organizational skills. • Must be flexible to work in other locations if needed.Education/Training Requirements<ul><li>If hired after 5/26/2024, master's degree in counseling, social work, marriage and family therapy, or related field required.</li><li>If hired prior to 5/26/2024, bachelor's degree in counseling, social work, marriage and family therapy, or related field preferred.</li><li>Clear Level 2 background check</li></ul>Certificates/Licenses/Registration<ul><li>Must possess a valid Drivers' License, current auto insurance, and reliable transportation.</li><li>Professional Licensure as required by state where care is being provided.</li></ul>Position Specific Responsibilities (not all inclusive)Provide individual and group counseling and therapy for Hospice patients, family members and community individuals who have experienced the loss of a significant person through grief. Demonstrate contact of all clients within established time frames and provide appropriate documentation. Document at least two additional attempts to reach an assigned client before closing the case. Demonstrate a knowledge, understanding and compliance with the standards for counselors in clinical practice. Demonstrate a willingness and ability to manage tasks and case loads assigned, from any departmental program, in an effective, productive and timely manner, meeting the standards that reflect expected productivity. Demonstrate a willingness to provide counseling services such as on call crisis intervention, individual and group, on a flexible schedule as needed, including some week nights, weekends and at camp. Document all client contacts and care plans accurately according to department and organization policy in a timely manner. This includes establishing and maintaining all legally required files according to state, law, federal law and organization policy. As demonstrated by chart audits. Communicate, collaborate and consult with other departmental counselors, members of the Interdisciplinary Team, other organization staff and external customers with integrity and professionalism to ensure the best possible services are given to all customers internal and external. Attend and participate in department, staff and other meetings as requested by the organization and the Director. Make recommendations for the improvement of programs and activities within the department.Represent the company in a positive and professional manner at all times with others, e.g., co-workers, management, vendors, and customers. Consistently represents Chapters Health System with integrity and professionalism. Complete all job responsibilities in a thorough and complete manner, utilizing good judgment in all aspects of the job. Carry out duties and responsibilities in a manner that exemplifies excellent customer service. When unsure of a directed task or any part of job responsibilities, proactively seek the assistance of immediate supervisor. Assist with special projects, as requested. All other job duties as may be assigned.Compensation Pay Range: $53,623.86 - $80,435.79This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit <a href="https://info.flclearinghouse.com/" target="_blank">https://info.flclearinghouse.com/</a>.

Children's Bereavement Counselor

Bereavement Counselor

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The Admission RN assesses patients in their place of residency or in hospitals and initiates care into the services of Chapters Health System. Ensures a seamless transition to Care Navigation and serves as an ambassador of the Organization.Qualifications:<ul><li>Current license as RN in the state where the employee will be working</li><li>Minimum of one (1) year nursing experience; hospice or hospital experience preferred</li><li>Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system</li><li>Strong clinical assessment skills with preferred background in emergency department or ICU</li><li>Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system</li><li>Ability to effectively communicate in English (verbal and written); bi-lingual in Spanish preferred</li><li>Ability to present services in a professional and articulate manner</li><li>Mobile Driver - Valid driver’s license and automobile insurance per Company policy</li><li>Reliable transportation to meet schedule</li><li>Ability to work in a team environment and intervene appropriately</li><li>Ability to manage multiple priorities simultaneously and effectively handle the emotional stress of the workload</li><li>Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation •&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Strong goal/outcome orientation with exceptional time management skills</li><li>Excellent customer service focus</li><li>Active BLS for healthcare professionals from the American Heart Association or Red Cross.</li></ul>Competencies:<ul><li>Satisfactorily complete competency requirements for this position</li></ul>Responsibilities of all employees:<ul><li>Represent the Company professionally at all times through care delivered and/or services provided to all clients.</li><li>Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.</li><li>Comply with Company policies, procedures and standard practices.</li><li>Observe the Company's health, safety and security practices.</li><li>Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.</li><li>Use resources in a fiscally responsible manner.</li><li>Promote the Company through participation in community and professional organizations.</li><li>Participate proactively in improving performance at the organizational, departmental and individual levels.</li><li>Improve own professional knowledge and skill level.</li><li>Advance electronic media skills.</li><li>Support Company research and educational activities.</li><li>Share expertise with co-workers both formally and informally.</li><li>Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.</li></ul>Job Responsibilities:<ul><li>Completes clinical admissions for all Company services including, but not limited to:</li><li>Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner</li><li>Identifies admission objections, concerns or other entry barriers and provides responses</li><li>Educates patient/family on admission requirements and addresses immediate needs</li><li>Completes informed consents and initial assessment according to regulations and Company policy ○ Provides information to Physicians and initiates Plan of Care to address patient’s immediate needs</li><li>Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort</li><li>Obtains Physician orders</li><li>Completes documentation per Company policy</li><li>Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.</li><li>Communicates frequently with Care Navigation staff to ensure timely follow-up.&nbsp; When assignment is complete, informs the Care Navigation team and prepares for next assignment.</li><li>Provides all necessary clinical communication timely using SBAR.</li><li>Discusses any potential needs with after-hours staff.</li><li>Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.</li><li>Obtains medical record information for the referral.</li><li>Develops strong relationships with case managers, physicians, etc. at facilities.</li><li>Works with Professional Relations Representatives (PRRs) to provide education on all available services.</li><li>Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.</li><li>During times of emergencies (i.e. Hurricanes, etc.), the Triage RN may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency.</li><li>Performs other duties as assigned.</li></ul><h4>Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.):</h4><h4>While performing the duties of this job, the following abilities are required:&nbsp; see; hear; talk; walk; use hands to finger, handle or feel.</h4><h4>Frequently required to:&nbsp; stand; sit; reach with hands/arms; lift; bend; balance.</h4><h4>Occasionally required to:&nbsp; pull; push; stoop/crouch; kneel; climb stairs.</h4>Compensation Pay Range: $65,996.22 - $98,994.33This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit <a href="https://info.flclearinghouse.com/" target="_blank">https://info.flclearinghouse.com/</a>.

RN, Hospice Admissions Hope Healthcare

Job Title Nurse Clinical/UKHC Requisition Number NR14137 Working Title Nurse Clinical/ ESH/ Gragg 3 Department Name H1050:ESH Nursing Services Work Location Lexington, KY Grade Level 10 Salary Range $28.00-39.10/hour Type of Position Staff Position Time Status Full-Time Required Education ADN Required Related Experience No experience required. Required License/Registration/Certification Active Kentucky Registered Nurse (RN) license, Temporary Work Permit (TWP), Provisional License or active compact state Registered Nurse (RN) license that is in good standing and American Heart Association (AHA) Basic Life Support certification for the Healthcare Provider valid for at least 6 months after employment date Physical Requirements The essential functions for this position include the ability to lift, carry, push, and pull 50-100 pounds on a daily basis and 25-50 pounds frequently; as well as stand, walk and sit for long periods of time. The conditions of work may involve exposure to communicable diseases, hazards of radiation, and injury from intractable patients or sharp instruments. Shift Must be able to work three 12-hour shifts per week 7P-730A; will also be required to work some weekends and holidays. Job Summary Gragg 3 is a co-ed unit at Eastern State Hospital. The primary responsibilities for this position consist of providing total, comprehensive, continuous and patient centered care which includes: assessing, documenting, planning, implementing, teaching, developing, and evaluating a comprehensive nursing plan of care; delivering direct patient care; ensuring patient satisfaction; training and delegating duties for Nursing Care Technicians (Nursing Assistant); and adhering to University policies and procedures as well as federal, state and local regulations. Furthermore, this environment supports collaborative efforts among the nursing staff and the team of physicians to increase communication and enhance expected patient outcomes. This includes utilization of the nursing process in conjunction with a comprehensive patient-centered plan of care, ensuring patient satisfaction. Skills / Knowledge / Abilities The ideal candidate will have the following: knowledge of Maslow’s eight Basic Human Needs and the priority within Gordon’s Functional Health Patterns Frame Work as well as Swanson’s Caring model; superb direct patient care and critical thinking skills; basic computer navigation skills and working knowledge of the internet; ability to communicate in a professional and respectful manner with patients and their families, co-workers and physicians; and strong organizational, prioritization, and delegation skill. The candidate will be highly motivated, pro-active and confident in advocating for patients and their family members. Will also enjoy working in a strong team environment and provides open, honest communication with fellow staff and physicians. In addition, the ideal candidate will possess exceptional technical skills and a proven ability to work in a team as well as independently. Does this position have supervisory responsibilities? No Preferred Education/Experience BSN + AT LEAST 1 YEAR OF RN EXPERIENCE PREFERRED Deadline to Apply 01/29/2026 Our University Community We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco &amp; Drug Free campus. The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

Nurse Clinical/UKHC

Job Title Ob Fetal Monitoring Nurse/UKHC Requisition Number NR14391 Working Title Fetal Monitoring RN 7P Department Name H3061:KCH-MATERNAL Work Location Lexington, KY Grade Level 10 Salary Range $28.00-39.10/hour Type of Position Staff Position Time Status Full-Time Required Education BSN Required Related Experience 3 yrs Required License/Registration/Certification Registered Nurse and American Heart Association (AHA) Basic Life Support certification for the Healthcare Provider; certified in Electronic Fetal Monitoring (C-EFM) and Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) Fetal Monitoring Certification within 6 months of hire; AWHONN Fetal Monitoring Instructor Certification within 1 year of hire Physical Requirements The essential functions for this position include the ability to lift, carry, push, and pull 50-100 pounds on a daily basis and 25-50 pounds frequently; as well as stand, walk and sit for long periods of time. The conditions of work may involve exposure to communicable diseases, hazards of radiation, and injury from intractable patients or sharp instruments. Shift Must be able to work three, 12-hour shifts per week from 7pm until 7:30am; will also be required to work some weekend and holidays. Job Summary The fetal monitoring nurse is a member of the collaborative care team who is responsible for providing continuous vigilance and tele-nursing focused on early prevention/intervention of abnormal fetal heart rate tracings within the Birthing Center to decrease fetal/neonatal morbidity and mortality. The following features govern the role of the Fetal Monitoring RN: Patient Advocacy, Proactive, continuous monitoring, prevention, evidence-based care, telecommunication, clinical decision support, humane, compassionate ethical care.. Skills / Knowledge / Abilities The ideal candidate will have the following: knowledge of Maslow’s eight Basic Human Needs and the priority within Gordon’s Functional Health Patterns Frame Work as well as Swanson’s Caring model; superb direct patient care and critical thinking skills; basic computer navigation skills and working knowledge of the internet; ability to communicate in a professional and respectful manner with patients and their families, co-workers and physicians; and strong organizational, prioritization, and delegation skill. The candidate will be highly motivated, pro-active and confident in advocating for patients and their family members. Will also enjoy working in a strong team environment and provides open, honest communication with fellow staff and physicians. In addition, the ideal candidate will possess exceptional technical skills and a proven ability to work in a team as well as independently. Does this position have supervisory responsibilities? No Preferred Education/Experience none Deadline to Apply 02/27/2026 Our University Community We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco &amp; Drug Free campus. The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

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