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Job Title Nurse Case Manager/UKHC Requisition Number RE51413 Working Title Nurse Case Manager - ELIGIBLE FOR RECRUITMENT BONUS Department Name H4019: Continuum of Care Work Location Lexington, KY Grade Level 11 Salary Range $54,080-95,056/year Type of Position Staff Position Time Status Full-Time Required Education BSN Click here for more information about equivalencies: <a href="https://hr.uky.edu/employment/working-uk/equivalencies" target="_blank">https://hr.uky.edu/employment/working-uk/equivalencies</a> Required Related Experience 3 yrs Required License/Registration/Certification Registered Nurse (RN) Physical Requirements This position requires intermittently sitting at a computer workstation for extended periods of time and performing tasks with repetitive motions (such as typing); and occasionally standing or walking with objects weighing up to 25 pounds; and lifting, pushing, and/or pulling objects weighing up to 50 pounds. Also involves some exposure to loud noises, temperature extremes, hazardous chemicals and fumes including waste, cuts/punctures, blood-borne/airborne pathogens, and combative/violent people. Shift Monday through Friday, 8:00 am – 4:30 pm; occasional weekends and/or holidays required Job Summary The RN Case Manager will facilitate appropriate care coordination to patients and their families in cases where specific problems related to clinical aspects influence effective utilization of inpatient or outpatient treatment (e.g. organize and facilitate access to tests, procedures, and results to prepare patient for discharge); will assist in the formation and/or implementation of the patients discharge plan, as related to clinical assessments; serve as a liaison with other departments and agencies to ensure continuity of transition of care; make recommendations based on evidence/practices that best aligns with the clinical needs of the patient (e.g. arranges home health, durable medical equipment, or infusion therapy, and complete referrals to appropriate agencies); serve as a resource by providing training and education about case management services; work in tandem with SW-Case Manager and refer high risk patients to them; and participate in departmental coverage. The starting pay for this position was recently adjusted. The minimum annual salary for this position will now be $62,400/year. All pay rates will be based on candidate’s experience.&nbsp; This position is eligible for a recruitment bonus. Additional details will be provided during the hiring process should your application be selected to move forward. Skills / Knowledge / Abilities The ideal candidate will possess clinical work experience and have a RN licensure; strong understanding of Swanson’s nursing model; have direct patient care experience; have exceptional communication skills (written &amp; verbal); enjoy working independently as well as closely with their co-workers in a supportive team environment; outstanding computer skills (to include Microsoft Office); above average customer service skills; and active listening skills. Additionally, candidate should be able to advocate for the patient and healthcare organization to create healthcare continuity and quality clinical outcomes. Does this position have supervisory responsibilities? No Preferred Education/Experience A minimum of three years of experience providing patient care as a BSN, RN Deadline to Apply 08/31/2025 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 Case Manager/UKHC

SUMMARY:&nbsp; The Admissions Representative - Nursing and Anesthesiologist Assistant program is responsible&nbsp;for the recruitment of qualified applicants for admission to the University in accordance with state and federal accreditation and institution policies and regulations, consistent with the highest ethical standards. The Admissions Representative is responsible for managing time and inquiry resources to generate interest in both the Nursing program and the Anesthesiologist Assistant Program for the Orlando campus. This includes reviewing applications, organizing recruitment and interview events, responding to potential applicant inquiries and questions, and completing the necessary steps for successful enrollment of accepted applicants. They will work interdepartmentally with student support services to ensure students are maintained and successfully matriculated.30 hours a week will be dedicated to the AA program and 10 hours a week dedicated to the Nursing program. KEY JOB ELEMENTS:<ul><li>Accurately and completely explain educational programs, expected outcomes, student services, and financial consideration to students, parents, and educators.</li><li>Answer inquiries and applicant questions regarding admissions requirements.</li><li>Manage the program’s admission database (WebAdMIT) and participate in training and updates for the system.</li><li>Coordinate interviews (on-campus/virtual) for candidates for admission.</li><li>Assist the programs’ leadership with planning and implementation of new student orientation.</li><li>Oversee the entry of matriculant data and scanning of admissions documents into the university’s student database.</li><li>Manage student portal issues and update campus nexus with student academic progress as needed. </li><li>Ensure accurate and timely student registration by building courses to ensure all students are properly moved through the academic curriculum without delay.</li><li>Facilitate completion of required matriculant activities for accepted students (payment of tuition deposit, FA meetings, complete Enrollment Agreement, registration, etc.)</li><li>Participate in recruitment activities for the Anesthesiologist Assistant program, including but not limited to program open houses, college visits, and community/university outreach.</li><li>Supervise the administration of systems such as Complio for tracking background checks, immunizations, and pre-matriculation requirements.</li><li>Assist in the development and revision of the program’s marketing/promotional materials, including but not limited to print materials and website.</li><li>Participate in service endeavors related to AA program admissions.</li><li>Assist in planning program activities: orientation, graduation, CPR certification courses, alumni events.</li><li>Host prospective student campus tours.</li><li>Participate in Nursing and campus recruitment events.</li><li>Assist with special projects. </li><li>Adhere to university policies as described in the Employee Handbook, job description, or other separate guidelines.</li><li>Remain in compliance with South University’s academic policies and procedures, educational policies, both SACSCOC and programmatic accreditation standards, and state agency regulations.</li><li>Uphold Program/Department/College initiatives designed to achieve student outcomes, and Campus/community relations.</li><li>Assist with other responsibilities as determined by the Program Director and/or the Campus Dean of Academic Affairs.</li></ul>JOB REQUIREMENTS:Knowledge: &nbsp; <ul><li>Bachelor’s Degree required with a Master’s Degree preferred.</li><li>Related experience working in a post-secondary institution preferred.</li><li>A minimum of 1 year experience in Admissions or sales required.</li></ul>Skills: <ul><li>Excellent written and verbal communication skills.</li><li>Strong interpersonal skills with faculty, staff, and student populations.</li><li>Superior organizational skills.</li><li>Strong computer and analytical skills.</li></ul>Abilities: <ul><li>Work effectively as either a leader or a team member to ensure that departmental goals are met.</li><li>Ability to prioritize work and perform well under pressure.</li><li>Ability to manage multiple tasks and meet deadlines.</li><li>Ability to comply with regulatory requirements with respect to student academic records and other documentation</li></ul>ABILITY TO TRAVEL:&nbsp; The individual must be able to travel locally and regionally on overnight trips if required to perform community and university partner outreach, for a variety of conferences and meetings Travel required: 20%WORK ENVIRONMENT:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. The term "qualified individual with a disability" means an individual with a disability who, with or without reasonable accommodation, can perform the essential functions of the position.While performing the duties of this job, the employee is regularly required to communicate professionally in person, over the telephone, video conference, through email and other electronic means, move about the office or school, handle various types of media and equipment, and visually or otherwise identify, observe and assess.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; South University is an Equal Opportunity Employer and embraces diversity as a critical step in ensuring employee, student and graduate success. We are committed to building and developing a diverse environment where a variety of ideas, cultures and perspectives can thrive.JobFamilyAll PositionsPayTypeHourlyEducationLevelBachelor’s DegreeTravelRequiredTrueTravelPercentage20

South University

Admissions Representative - Anesthesiologist Assistant and Nursing Programs

Job Title Nurse Clinical / UKHC Requisition Number NR14081 Working Title Nurse Clinical / ED Department Name H3100:Emergency Services Work Location Lexington, KY Grade Level 10 Salary Range $23.00-39.10/hour Type of Position Staff Position Time Status Full-Time Required Education BSN Required Related Experience 2 yrs Required License/Registration/Certification Registered Nurse (RN) Physical Requirements Standing and lifting Shift Must be able to work a variety of shifts (Days, Eves, Nights, Swing). Will work 36 hours / week and will be required to work some weekends and holidays as needed per schedule and unit coverage. Job Summary 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 Customer Service, Computer Skills, nursing processes / policies Does this position have supervisory responsibilities? No Preferred Education/Experience ED experience with ACLS, PALS, TNCC, ENPC preferred. Deadline to Apply 08/25/2025 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. As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities. 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 Nurse Clinical/PRN Pool/On-Call/UKHC Requisition Number NR14205 Working Title RN Per Diem Pool/ Interventional Radiology Prep &amp; Recovery Department Name H3185:Interventional Radiology Work Location Lexington, KY Grade Level 10 Salary Range $23.25-39.10/hour Type of Position Staff Position Time Status On Call 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 Per diem pay rate is based on the number of shifts/hours commitment: Current levels offered for procedural interventional radiology include: Level II – 144 hours on any shift per 6-week schedule = $60/hr&nbsp; Level III – 216 hours on any shift per 6-week schedule = $70/hr Job Summary RNs in this area are responsible for the preparation for and recovery of patients undergoing diagnostic and/or therapeutic neuro and vascular procedures such as thrombectomy, thrombolysis, coiling, stenting, angiogram, and embolization. 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 ICU RN EXPERIENCE HIGHLY PREFERRED Deadline to Apply 09/02/2025 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/PRN Pool/On-Call/UKHC

Job Title Nurse Clinical/UKHC/ESH Requisition Number NR12876 Working Title RN/Eastern State Hospital/Wendell 3/Inpatient Psychiatry Department Name H1050:ESH Nursing Services Work Location Lexington, KY Grade Level 10 Salary Range $23.25-39.10/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 7am til 730pm, three 12-hour shifts per week including some weekends and holidays. Job Summary This position is on Wendell 3, a 28-bed co-ed unit 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 08/28/2025 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. As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities. 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/ESH

Job Title APP Nurse Anesthetist/UKHC Requisition Number RE51416 Working Title CRNA Department Name MG300: Anesthesiology Work Location Lexington, KY Grade Level 18 Salary Range $75.03-141.76/hour Type of Position Staff Position Time Status Full-Time Required Education BS Click here for more information about equivalencies: <a href="https://hr.uky.edu/employment/working-uk/equivalencies" target="_blank">https://hr.uky.edu/employment/working-uk/equivalencies</a> Required Related Experience 0 yrs Required License/Registration/Certification Certified Registered Nurse Anesthetist (CRNA) Physical Requirements Lifting, pushing, or pulling objects up to 50 lbs. Shift Monday-Friday, 36-40 hours per week, (8s, 10s, 12s) with optional overtime. Job Summary UK Healthcare is seeking a Certified Registered Nurse Anesthetist (CRNA) for a growing academic medical center – the ideal place to reach the peak of your CRNA profession. New and experienced CRNAs are welcome! UK Healthcare, with complex cases and high levels of acuity, offers an outstanding work-life balance, competitive pay, and autonomous CRNA practice. CRNAs manage patients of all ages, place invasive lines, and cover most case types including trauma. The selected candidate will care for patients at all acuity levels across the lifespan in a variety of settings for a large case mix. CRNAs can work to their full scope of practice and enhance their skill set with frequent educational opportunities. We offer up to $4,000 towards professional development funds as well as 2 CME paid weeks off each year. Our work-life friendly schedule is Monday -Friday, 36-40 hours per week, (8s, 10s, or 12s) with optional overtime. Any overtime is compensated at 1.5 times the hourly rate, with additional compensation for weekends, evenings, etc. No call. Starting minimum yearly income of $254,987. Sign-on bonuses are offered! Interested applicants are welcome to contact us with any questions or to discuss the opportunity further. Please contact Chief CRNAs Greg Buckler (<a href="mailto:greg.buckler@uky.edu" target="_blank">greg.buckler@uky.edu</a>), or Mark Anderson (<a href="mailto:marshall.anderson@uky.edu" target="_blank">marshall.anderson@uky.edu</a>). Skills / Knowledge / Abilities The CRNA will demonstrate an advanced level of medical and nursing knowledge, clinical and technical competency, sound clinical judgment, and professionalism as it relates to interpersonal and general communication skills. In addition, the qualified candidate will provide timely and compliant documentation, take responsibility for ongoing professional development and competency validation, and demonstrate strong communication, attention to detail, and critical thinking skills. The CRNA contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization. Does this position have supervisory responsibilities? No Preferred Education/Experience None Deadline to Apply 09/07/2025 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.

APP Nurse Anesthetist/UKHC

Salary Range:&nbsp;&nbsp;$102,183.00&nbsp;(Min.) -&nbsp;$132,838.00&nbsp;(Mid.) -&nbsp;$163,492.00&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 Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance related to Payment Integrity initiatives to include concept and cost avoidance development. This position trains and mentors Payment Integrity Nurse Coder, RN staff. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff.<h4>Duties</h4>Performs Quality Audits to include validation of accuracy and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding elements. Audits can include inpatient, outpatient, and professional claims.Serves cross functionally with Utilization Management, Medical Directors, and other internal teams to assist in identification of overpayments as well as other projects.Serves as SME for all Payment Integrity functions to include both Retrospective Data Mining as well as Pre-Payment Cost Avoidance. Identifies trends and patterns with overall program and individual provider coding practices.Responsible for training and mentoring Payment Integrity Nurse Coder, RN staff.Supports the creation and execution of strategies that determine impact of opportunity and recover overpayments as well as prospective internal controls preventing future overpayments of each applicable pipeline opportunity. Works with both internal and external groups to define and develop cost avoidance measures to ensure continued success.Identifies and defines Payment Integrity issues and reviews and analyzes evidence, utilizes data for the purpose of verifying errors and identifying systemic errors, works as an active team member during scheduled engagements and work collaboratively to achieve the goals of the team, and provides feedback to the team lead on any issues identified during research or claims review.Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed.Performs other duties as assigned.<h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4>Required:At least 8 years of clinical RN experience.At least 3 years of experience in utilization management or clinical coding.Investigation and/or auditing experience.<h4>Skills</h4>Required:Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare, and Medicaid rules and regulations.Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines.Working knowledge of claims coding and medical terminology.Solid understanding of standard claims processing systems and claims data analysis.Strong project leadership and management skills required; ability to prioritize, plan, and handle multiple tasks/demands simultaneously.Excellent interpersonal, verbal, and written communication skills required with excellent analytical and problem-solving skills. Detail oriented and ability to thrive in fast-paced work environment.Must be collaborative and have the ability to establish credibility quickly with all levels of management across multiple functional areas and be able to present findings across all departments.Must be familiar with coordinating benefits between health plan payers.Advanced knowledge of Microsoft Office suite, including Word, Excel and PowerPoint.<h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California LicenseCertified Professional Coder (CPC) designation by the American Academy of Professional Codersand/orCertified Coding Specialist (CCS) designation by the American Health Information Management Association (AHIMA).<h4>Licenses/Certifications Preferred</h4><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: Nursing, Medical Coding, Registered Nurse, Claims, Medicare, Healthcare, Insurance

L.A. Care Health Plan

Payment Integrity Nurse Coder RN III

<h4>How you will change lives</h4>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.<h4>What you'll be doing</h4>Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California<ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul>Maryland<ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul>New Mexico<ul><li>Must have New Mexico dialysis technician certificate at time of hire OR</li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR</li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul>OHIO<ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul>OREGON<ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;

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