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Job Title Nurse Clinical/UKHC /Trauma 7100 UB / /RN Requisition Number NR14304 Working Title RN/Trauma and Acute Care Surgical Services Pavilion A Tower 100 Universal Department Name H7000:Trauma and Acute Care Surgery 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 Must be able to work three, 12 hour shifts, 36 hours / week. Shift will be 7A or 7P and will be discussed upon interview as to what shift is available. Will also be required to work some weekend and holidays. Job Summary Registered Nurses in the Trauma Acute Care Unit in Tower 7-100 of the Trauma Acute Care Surgical Center at UK Chandler Hospital provide care primarily for adult patients with acute trauma conditions. Patient conditions include injuries resulting from blunt and penetrating trauma, vascular, and non-elective orthopedic surgeries. The Trauma Acute Care Surgical Center is comprised of three units: ICU, Progressive Care, and Acute Care. The average length of stay for most patients is 5 days. This is primarily in the ACUTE care setting. 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 11/09/2025 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/UKHC /Trauma 7100 UB / /RN

Job Title Nurse Clinical Senior/Critical Core/UKHC Requisition Number NR14272 Working Title Nurse Clinical Senior/ Critical Care 7P /UKHC Department Name H3270:Nursing Practice and Support Services Work Location Lexington, Ky Grade Level 11 Salary Range $26.00-45.70/hour Type of Position Staff Position Time Status Full-Time Required Education BSN Required Related Experience 2 yrs Required License/Registration/Certification Active Kentucky Registered Nurse (RN) license or active compact state Registered Nurse (RN) license that is in good standing; American Heart Association (AHA) Basic Life Support certification for the Healthcare Provider valid for at least 6 months after employment date; approved advanced national nursing certification required within 18 months of hire 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 from 7pm until 7:30am; will also be required to work some weekend and holidays as needed per department. Job Summary Nurses will care for critical care patients within the UK HealthCare Enterprise at Good Samaritan and Chandler Hospitals. Having the ability to adapt to unpredictable situations within the work setting, this role will care for patients ranging from those suffering from surgical complications, acute medical conditions or chronic illness, trauma patients, behavioral health, pain management (due to cancer, addiction, or other causes), and end of life care. Because our BSNs care for a diverse pool of potential patients, it requires the BSN to have specialized knowledge and skills in many areas of care. In the critical core program, nurses will apply the nursing process in caring for and counseling individuals, promoting health, preventing illness and injury, and supporting transitions of care. This includes using a systematic, critical-thinking approach to guide data collection, assessment, clinical judgment, intervention, and evaluation of human responses to actual or potential health issues. Care is delivered through health teaching, counseling, and restorative support. Position will be committed to coordinating and managing all aspects of nursing care in a timely, cost-effective manner, in collaboration with patients, families, and the healthcare team. 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 2 years Critical Care RN experience Deadline to Apply 10/29/2025 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 Senior/Critical Core/UKHC

Job Title Nurse Clinical/UKHC / 7P / TRAUMA 6-100 UB Requisition Number NR13997 Working Title Nurse Clinical/UKHC / 7P / TRAUMA 6-100 UB Department Name H7000:Trauma and Acute Care Surgery 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 Must be able to work three, 12-hour 7AM-730PM DAY shifts, 36 HOURS/ per week; will also be required to work some weekend and holidays. 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 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 11/09/2025 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/UKHC / 7P / TRAUMA 6-100 UB

Current employees: Please apply through the employee portal to be considered for this opportunity.Pay Range:$61.73 - $78.95 HourlyDepartment:Health DepartmentJob Type:Regular RepresentedExemption Status:United States of America (Non-Exempt)Closing Date (Open Until Filled if No Date Specified):November 09, 2025 The Opportunity:THIS WORK MATTERS!At Multnomah County Public Health, we provide needed health care services to adults at risk of infections and other public health priorities. We provide services aimed at improving the quality of life for people who use drugs, are at risk of sexually transmitted infections, vaccine-preventable illnesses, and more.&nbsp;The Advanced Practice Clinician (APC)will work primarily at the Harm Reduction Clinic (HRC) to provide effective and efficient evaluations, diagnosis, treatment plans and prevention services. Direct clinical work will be focused on evaluation and treatment of wounds and abscesses associated with substance use as well as HIV/STD testing and diagnosis, and STD treatment. This role will work in cooperation with the Multnomah County STD Clinic, Primary Care (Integrated Clinical Services), Pharmacy, and Corrections Health. This role will also enhance and/or create referral mechanisms for patients seeking medical services beyond the scope of the HRC. The HRC is open two days per week (Mondays and Thursdays). The front of the space is centered around a Syringe Access Program (aka Needle Exchange). Non-clinical staff are focused on creating a welcoming environment for participants by providing some basic nutrition, referral services, naloxone, fentanyl test strips, and safer injection supplies.Required training will be across the HRC and the Multnomah County STD Clinic located at the Gladys McCoy Building in Portland. Priority clinical services at HRC are wound/abscess care, STD diagnosis and treatment, and MSR at the HRC and STD diagnosis and treatment at the STD Clinic as needed and if schedule allows. Secondary responsibilities include collaborating with our medical director on clinical policies and workflows. We aim to have the clinic open for direct services for a third day each week once our capacity improves.The ideal candidate for this role will be able to work independently in the assessment and care of HRC clients, with or without clinical support from a medical assistant or nurse. They will perform phlebotomy, collect specimens, perform basic microscopy, administer injections, perform abscess incision and drainage and other wound care, and complete their own documentation in the electronic health record (Epic). Training will be provided as needed for all of the above expectations. They are adaptable and able to perform in a clinical environment that varies from day to day in both the volume and health status of clients. They will be open to providing or referring for Medication Supported Recovery (MSR), as well as HCV diagnosis and treatment.&nbsp;The APC must consistently demonstrate effective, positive and respectful communication with patients and staff including: active listening, empathy, courtesy, cultural sensitivity, and the ability to promote modification of health behaviors with clients.Come join our team of Portland's most outstanding health care professionals providing exceptional services to our diverse community!&nbsp;&nbsp;As the Advanced Practice Clinician, other duties will include but are not limited too:Clinical CareThe Advanced Practice Clinician formulates appropriate diagnoses and implements treatment plans based on Harm Reduction Clinic (HRC) practice guidelines, Health Department policies and community standards of practice as well as State and MCHD stage-based behavioral counseling guidelines and training.&nbsp;<ul><li>Perform sexual health history, physical examination and specimen collection as outlined in HRC Program,&nbsp; Multnomah County Public Health, and state clinical guidelines as appropriate.&nbsp;</li><li>Orders and interprets laboratory studies, including on-site provider performed microscopy for trichomonas, yeast infections, bacterial vaginosis.&nbsp;</li><li>Performs venipuncture as needed. Phlebotomy training is available as needed.</li><li>Performs diagnosis and treatment of genital and sexually transmitted infections (STI).</li><li>Performs wound care including care of skin and soft tissue infections as well as chronic conditions such as venous stasis ulcers.</li><li>Prescribes medications such as HIV Pre-Exposure Prophylaxis (PrEP), doxy-PEP, contraceptives (including emergency contraceptives), and antibiotics per Program clinical guidelines.</li><li>Provide injection medications as outlined in HRC clinical practice guidelines.&nbsp;</li><li>Provide or facilitate ultra low barrier medication access or referrals to support recovery and reduce risk of overdose.</li><li>Provide health education to patients.</li><li>Provide follow-up patient consultations and telehealth visits.</li><li>Develop and direct patient-centered care plans with the assistance of other disciplines within the care team.&nbsp;</li><li>Maintains exam room cleanliness and supply in coordination with HRC staff.</li><li>Refer patients to other clinics when beyond scope of practice.</li></ul>Consultation and Care CoordinationThis position provides consultation to nursing staff, Harm Reduction Clinic (HRC) program staff, Health Department Clinics, and community providers as indicated for continuity of client care.&nbsp; The Advanced Practice Clinician assesses and counsels patients regarding additional care needs, including preventative healthcare, specialty or rehabilitative services, or high risk / acute care.&nbsp; Provides appropriate advice on the management of STD to county or community health care providers, following HRC and STI Program clinical guidelines and in accordance with Centers for Disease Control and Prevention (CDC) treatment guidelines.<ul><li>Make appropriate referrals to care, including specialty and rehabilitative services in coordination with the patient and care team.</li><li>Provide direction to Community Health Specialists, Community Health Nurse, and other staff to implement aspects of care plans within their scope and training</li><li>Partner with the Health Officer/Medical Director and Harm Reduction Clinic Coordinator to coordinate STI-related care between the two public health clinics.</li><li>Assist in developing and implementing protocols, procedures and other teaching tools for employees.</li><li>Participate in precepting students, volunteers, and new staff when appropriate.&nbsp;</li><li>Partner with the Senior Harm Reduction Specialist and Corrections Health to enhance and improve MSR access.</li><li>Provide in-service training to staff as a group or individually, as requested.</li></ul>Documentation and ReportingThe Advanced Practice Clinician is responsible for the timely and accurate documentation of client care through the use of electronic health record charting.&nbsp;<ul><li>Review client records for needs for medications, treatments, education, or referrals related to HIV, STIs, skin infections, substance use disorder, or Hepatitis C.&nbsp;</li><li>Document appropriately and clearly in the electronic health record (EHR) system.&nbsp;</li><li>Utilize panel based information technology tools to prioritize and direct proactive care for HRC clients.</li><li>Apply division, department, and general healthcare requirements for patient privacy (such as HIPAA) and other compliance standards.</li></ul>Multnomah County offers an exceptional benefits package, including employer-funded retirement savings; health and dental insurance at very low cost to full-time employees and their dependents; paid parental leave; wellness programs; a focus on work-life balance; and much more. Find more details on ourbenefits website.Salary/Pay: Please be advised that the pay range listed for this position is intended to provide general guidance on the earning potential for the role. However, actual compensation will be determined in accordance with the Oregon Equal Pay Law and will take into account factors such as the candidate's relevant experience and education. Candidates should expect that initial offers will be made within the listed pay range and may not be at or near the top of the range.TO QUALIFY:We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant. For details about how we typically screen applications, review our overview ofthe selection process page.Minimum Qualifications/Transferable Skills*:Education/Training:<ul><li>Master's Degree in Nursing AND one (1) to four (4) years of experience that demonstrates the ability to perform the duties of the position OR</li><li>Master’s Degree in Physician Assistant Studies AND one (1) to four (4) years of experience that demonstrates the ability to perform the duties of the position</li></ul>Certification Requirements:<ul><li>License required to practice medicine as a Nurse Practitioner as outlined by Oregon Revised Statutes (ORS) 678.375OR</li><li>License required to practice medicine as a Physician Assistant as outlined by Oregon Revised Statutes (ORS) 677.515</li><li>BLS certification required</li><li>DEA License</li></ul>Preferred Qualifications/ Transferable Skills*: You do not need to have the following preferred qualifications/ transferable skills to qualify. However, keep in mind we may consider some or all of the following when identifying the most qualified candidates. Please clearly explain on your application how you meet any of the following preferred qualifications/transferable skills.<ul><li>Training or experience in working with Electronic Health Record systems, preferably Epic.</li><li>Experience working with specific groups and with ethnically and culturally diverse populations.</li><li>Demonstrated understanding, implementation, and promotion of harm reduction principles in all aspects of clinical care.</li><li>Experience in medication assisted recovery (e.g. medications for opioid use disorder, MOUD, MSR or MAT) including experience in opioid withdrawal management.</li></ul>*Transferable skills: Your transferable skills are any skills you have gained through education, work experience (including the military) or life experience that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.SCREENING &amp; EVALUATION:REQUIRED APPLICATION PACKET: The Application Packet: You must submit all requested items below. Failure to do so will be deemed as an incomplete application.1. Attach a Resume or Curriculum Vitae demonstrating you meeting minimum qualifications; AND2. Attach a Cover Letter addressing the following:&nbsp;<ul><li>Demonstrate your experience working with diverse vulnerable populations; and</li><li>How you meet the qualifications for this position; and&nbsp;</li><li>Why you are interested in the position</li></ul>Note:The application, resume and cover letter should clearly demonstrate your work experience/skills and how they relate to the descriptions provided in the ‘Overview’ and ‘To Qualify’ sections of the job announcement. Please be thorough, as these materials will be scored and determine your eligibility to advance in this recruitment process.&nbsp;The Selection Process: For details about how we typically screen applications, review our overview ofthe selection process page. We expect to evaluate candidates for this recruitment as follows:<ul><li>Initial review of minimum qualifications</li><li>Resume and Cover Letter Review&nbsp;</li><li>Phone screen</li><li>Consideration of top candidates</li><li>Background, reference</li></ul>Note: Application information may be used throughout the entire selection process. This process is subject to change without notice.ADDITIONAL INFORMATION:Type of Position: This position is eligible for overtime.Type: RepresentedFLSA: Non-ExemptNote: The eligible list created from this recruitment may be used to fill regular, full or part time, temporary, and limited duration assignments for other available Advanced Practice Clinician positions.Our Commitment to Safety, Trust and Belonging: Multnomah County is committed to developing, nurturing and continually improving workforce equity by identifying and addressing the structural and policy barriers to equal employment opportunity faced by our employees and communities. County employees across the organization have stepped forward to develop a strategic plan and help create a workplace where everyone can reach their full potential. Learn more by reading our Workforce Equity Strategic Planand exploring ourCore Competencies for all County employeesServing the Public, Even During Disasters: Everyday, Multnomah County staff work together to serve as a safety net for our communities. During a disaster, this safety net becomes even more critical. All County employees have a role in serving the public during inclement weather, natural disaster, or other types of community emergency response. During these emergency responses, while typically there begins with a call for volunteers, county employees may ultimately be reassigned from their current position to a role in the emergency response in order to support the critical needs presented by our communities. For more information, please visit theDisaster Service Worker Information page.In accordance with Oregon Law, Multnomah County is not collecting school attendance dates in the initial application process; please do not include these dates in your resume, cover letter and other application materials.Diversity and Inclusion: At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees.We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.Veterans’ Preference: Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.Questions?Recruiter:Rebecca RichkoEmail:<a href="mailto:rebecca.richko@multco.us" target="_blank">rebecca.richko@multco.us</a>Phone:+1 (971) 9971646Application information may be used throughout the entire selection process. This process is subject to change without notice.Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.Job Profile:6314 - Advanced Practice Clinician

Advanced Practice Clinician - Harm Reduction Clinic

The Claims Customer Service Analyst is accountable for and oversees the following tasks:<ul><li>Manage all claims appeals, including disputes, redeterminations, and reconsiderations</li><li>Confirm reimbursement accuracy and work with Networks, Medicaid, and Medicare in any questions/concerns</li><li>Analyze claims activity and work reports received by Providers, Networks or Management</li><li>Perform claims reprocessing, reexporting and address medical billing issues</li><li>Assist with special reports of tracking problems with medical claims according to HIPPA guidelines, contracts, fee schedules and provide education to providers/internal staff as applicable</li><li>Apply knowledge of coding to determine if dispute is valid</li><li>Review documentation, analyze reject claim data, justify CPT &amp; HCPCS codes and pay HCFA-1500 and UB92 claims.</li><li>Take inbound customer-service calls and make outbound calls to providers</li><li>Investigate pending claims and resolve discrepancies</li><li>Explains EDI claims transmissions and educates providers on rejection reasons and how to resolve the issue to ensure clean claim submissions</li><li>Contacts providers to provide necessary billing guidelines to comply with quality and process standards</li><li>Follows established guidelines specific to each claim report or inquiry</li><li>Review, coordinate and respond to all request or record requests in a timely order</li><li>Responsible for delivery of EOP’s to providers after each claim run</li><li>Responsible for investigating clearinghouse rejections, ensuring rejection letters are accurate and of high quality</li><li>Responsible for collaborating with Networks on escalating all high-volume rejection/denial claims by provider as communicated in Bi-weekly Claim Dashboards and providing an improvement plan on submission of clean claims for timely payments</li><li>Take part in the monthly Claim Webinar Training to our Network</li></ul>ESSENTIAL JOB FUNCTIONS AND DUTIES<ul><li>Oversees review of claims inventory for quality and findings in external audits from all Payors/Providers as well as annual internal audit in accordance with PHCN Claims Policies and Procedures</li><li>Handling of all claim escalations (verbal and electronic) in accordance with PHCN Claims Policies and Procedures</li><li>Escalating all high-volume Provider Claim issues to ensure positive rapport with our network Providers in accordance with PHCN Claims Policies and Procedures</li><li>Mentoring new team members and providing assistance and review of quality of work during onboarding</li><li>Perform other duties as assigned within the scope of responsibilities and requirements of the job</li><li>Performs the essential functions of this job with or without reasonable accommodation</li></ul>ESSENTIAL QUALIFICATIONSYears of Experience and Knowledge<ul><li>5 ~ 7 years of direct experience minimum in Claims Adjudication and Clearinghouse submissions/rejections</li><li>Advanced level of skills and knowledge of technical system operations</li><li>Detailed knowledge of medical coding; HIPPS, CPT and HCPCS codes</li><li>Solid understanding of enrollment and eligibility as well as claims paying for all lines of business</li><li>Solid understanding of claim data sets required on Encounter Files to ensure resubmission of claims/disputes are in accordance to 837 CMS regulations</li><li>1-3 years working in a claims inbound call center</li><li>Professional level training that provides a general understanding of:<ul><li>the administration of all contractual obligations</li><li>audit and billing procedures</li><li>policies and procedures</li><li>how the processing of accounts receivable and eligibility requirements impacts claims processing</li><li>vendor data feeds and discrepancy process</li><li>administrative and regulatory requirements</li><li>technical workflow processes</li><li>functional requirements of the system</li><li>solution design documents.</li></ul></li><li>4~6 years’ work experience that provides a working knowledge of:<ul><li>billing and delinquency procedures</li><li>accounts receivable process</li><li>system testing and enhancement process</li><li>web portal data support</li></ul></li></ul>Skills and Abilities<ul><li>Advanced level Microsoft Office skills (PowerPoint, Word, Outlook)</li><li>Advanced level Microsoft Excel skills</li><li>Advanced level of Web Reports and how to read 837 files to support working of encounter rejections</li><li>Interpersonal, communication (written and verbal) and presentation skills</li><li>Analytical, research, problem solving, and decision-making skills</li><li>Ability to monitor team goals</li><li>Ability to lead and coach team members</li></ul>tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

tango

Healthcare Claims Customer Service Analyst (Remote)

Job Title APP Nurse Anesthetist/UKHC Requisition Number RE52089 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 $257,546. 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 N/A Deadline to Apply 11/09/2025 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

Job Title Nurse Clinical/Ambulatory/UKHC Requisition Number RE50207 Working Title Nurse Clinical - Wound Care &amp; Comprehensive Vascular Clinic Department Name M7100: AMB - Surgery/Cardiothoracic 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 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 No experience required. Required License/Registration/Certification Registered Nurse (RN) Physical Requirements The physical requirements for this position include regularly sitting, standing, walking, with some pushing, pulling, and/or lifting objects weighing up to 10lbs and occasional pushing, pulling, and/or lifting objects up to 50lbs. Shift Monday – Friday, Day Shift; primarily 8:00 am – 5:00 pm (40 hrs/wk); other hours/schedule as needed Job Summary The Nurse Clinical Ambulatory provides disease-specific patient care to patients with serious acute and/or chronic health events or seeking healthcare to maintain their wellness. The position’s responsibilities include, but are not limited to, skilled assessments, care plans and care plan implementation, patient education, and clinical evaluation or interventions. This position requires working with medical professionals under time and efficiency constraints in a busy ambulatory care setting with a patient-centered care focus on quality, safety, and service. A working knowledge of enterprise, nursing, departmental policies, protocols, and procedures is needed to be successful. The Nurse Clinical within the Comprehensive Vascular Clinic will utilize evidence-based practices to provide wound care treatments, including selecting appropriate dressings and therapeutic techniques to promote healing and reduce complications. Additionally, the Nurse Clinical will provide patient education, ensuring all parties know the best practices in wound management and prevention strategies. Skills / Knowledge / Abilities Basic computer knowledge, MS Windows, Word, Outlook, EPIC. Does this position have supervisory responsibilities? No Preferred Education/Experience BSN preferred with at least 1-2 years of wound care clinical experience; WOC certification highly preferred. Deadline to Apply 10/30/2025 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/Ambulatory/UKHC

Job Title Physician – Anesthesiologist Requisition Number FE03583 Working Title Assistant, Associate or Professor of Anesthesiology Department Name 7H135:ANESTHESIOLOGY - OR Work Location Lexington, KY Type of Position Faculty Position Time Status Full-Time Tenure Track Status Non-Tenure Track Required Education MD/DO or equivalent Required Related Experience Completion of residency in Anesthesiology Required License/Registration/Certification Unrestricted KY Medical License/ Board-certified or board-eligible in Anesthesiology Job Summary The Department of Anesthesiology, at the University of Kentucky’s College of Medicine is seeking a faculty member at the Assistant, Associate, or Professor level. The successful candidate must be committed to excellence in clinical care, teaching activities, and professional development. UK HealthCare has undergone a sustained and remarkable growth trajectory for a decade. Clinical volumes have continued to increase and the acuity of patient care is high. UK HealthCare’s Albert B. Chandler Hospital was named No. 1 in Kentucky in the U.S. News &amp; World Report’s Best Hospitals rankings. The Department of Anesthesiology is a collegial group that is well-respected in the medical center. The residency program is strong and nationally recognized. The enterprise financially supports the academic and the clinical mission of the Department of Anesthesiology. Qualified applicants will possess an MD or equivalent, and have an unrestricted Kentucky medical license. Salary and benefits of this position are commensurate with experience and rank. Please include a CV along with application. Multiple positions available. Review of applications will begin immediately and will continue until all positions are filled. Skills / Knowledge / Abilities Does this position have supervisory responsibilities? No Preferred Education/Experience Deadline to Apply Open Until Filled Yes 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.

Physician – Anesthesiologist

Job Title Nurse Clinical Senior/Critical Core/UKHC Requisition Number NR14274 Working Title Nurse Clinical Senior/ Critical Care 7A WEPP /UKHC Department Name H3270:Nursing Practice and Support Services Work Location Lexington, Ky Grade Level 11 Salary Range $26.00-45.70/hour Type of Position Staff Position Time Status Full-Time Required Education BSN Required Related Experience 2 yrs Required License/Registration/Certification Active Kentucky Registered Nurse (RN) license or active compact state Registered Nurse (RN) license that is in good standing; American Heart Association (AHA) Basic Life Support certification for the Healthcare Provider valid for at least 6 months after employment date; approved advanced national nursing certification required within 18 months of hire 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 two, 12-hour shifts per week every Saturday and Sunday from 7am until 7:30pm as part of the Premium Weekend Plan; will also be required to work some holidays as needed per department. Job Summary Nurses will care for critical care patients within the UK HealthCare Enterprise at Good Samaritan and Chandler Hospitals. Having the ability to adapt to unpredictable situations within the work setting, this role will care for patients ranging from those suffering from surgical complications, acute medical conditions or chronic illness, trauma patients, behavioral health, pain management (due to cancer, addiction, or other causes), and end of life care. Because our BSNs care for a diverse pool of potential patients, it requires the BSN to have specialized knowledge and skills in many areas of care. In the critical core program, nurses will apply the nursing process in caring for and counseling individuals, promoting health, preventing illness and injury, and supporting transitions of care. This includes using a systematic, critical-thinking approach to guide data collection, assessment, clinical judgment, intervention, and evaluation of human responses to actual or potential health issues. Care is delivered through health teaching, counseling, and restorative support. Position will be committed to coordinating and managing all aspects of nursing care in a timely, cost-effective manner, in collaboration with patients, families, and the healthcare team. 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 2 years Critical Care RN experience Deadline to Apply 10/29/2025 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.

Job Title Nurse Clinical/UKHC/ 7A DIALSYIS Requisition Number NR14034 Working Title Nurse Clinical / UKHC / Dialysis Department Name H3005: ACUTE DIALYSIS 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 Must be able to work three, 12-hour, 7AM-730PM DAY shifts per week / 36 HRS PER WEEK will also be required to work some weekends and holidays. 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 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 11/09/2025 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.

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