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Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.<ul><li>Demonstrate effective use of supplies and staff labor hours.</li><li> May assist with billing log preparation and updates.</li><li>Perform duties as assigned to meet the patient care or operational needs of the clinic</li><li> Obtain blood samples for laboratory analysis as required to complete physician orders.</li><li> Complete and document monthly review of patient medication profiles.</li><li>Knowledge of and comply with applicable health care professionals practice act requirements.</li><li>Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations</li><li>Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports.</li><li>Report any significant information or change in patient condition to the Charge Nurse.</li><li> Report machine problems to Biomedical Technician and Administrator.</li><li> Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure.</li><li>Assist with staff training as requested.</li></ul>

U.S. Renal Care

Dialysis Licensed Practical Nurse - LPN Chronic In-center

DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job SummaryThe Registered Nurse (RN) provides safe, effective, and compassionate patient care using the nursing process of assessment, planning, intervention, and evaluation in an acute care hospital setting. The RN collaborates with the interdisciplinary team, patients, and families to achieve optimal patient outcomes, ensuring care is delivered in accordance with standards of professional nursing practice, hospital policies, and regulatory requirements.Essential Functions<ul><li>Performs comprehensive assessments and reassessments to determine nursing care needs.</li><li>Develops, implements, and evaluates individualized plans of care.</li><li>Administers medications and treatments in accordance with policy and physician orders.</li><li>Documents assessments, interventions, outcomes, and patient education timely and accurately.</li><li>Provides direct care including ADLs, hygiene, nutrition, and mobility support.</li><li>Monitors patient conditions and communicates significant changes to the care team.</li><li>Collaborates with interdisciplinary team for care coordination, discharge planning, and referrals.</li><li>Provides emotional and psychosocial support to patients and families.</li><li>Ensures patient safety through adherence to infection control and fall prevention protocols.</li><li>Supervises and delegates tasks appropriately to licensed and unlicensed staff. &nbsp;</li></ul>Knowledge/Skills/Abilities/Expectations<ul><li>Proficient in clinical assessment, documentation, and patient care planning.</li><li>Knowledge of medical terminology, pharmacology, and nursing best practices.</li><li>Strong interpersonal, communication, and organizational skills.</li><li>Ability to function effectively in high-stress situations with diverse patient populations.</li><li>Familiarity with electronic medical records (EMR) and clinical documentation systems.</li><li>Ability to lift up to 50 lbs and perform extended standing, walking, and physical activity.</li><li>Demonstrates professional integrity, accountability, and a commitment to continuing education.</li></ul> QualificationsEducation<ul><li>Associates degree in Nursing required.</li><li>Bachelor of Science in Nursing (BSN) preferred.</li></ul>Licenses/Certifications<ul><li>Current state RN license or compact state equivalent required.</li><li>Basic Life Support (BLS) required in the timeframe required by facility policy.</li><li>Advanced Cardiovascular Life Support (ACLS) required in the timeframe required by facility policy.</li><li>Crisis Prevention Intervention (CPI) may be required in the timeframe required by facility policy.</li><li>Specialty certification (e.g., RN-BC, CMSRN) preferred. &nbsp;</li></ul>Experience<ul><li>Minimum of 6 months of Medical/Surgical nursing experience in an acute care setting preferred.</li><li>Demonstrated critical thinking, decision-making, and effective prioritization in a fast-paced environment.</li></ul>

St. Francis-Emory Healthcare

Registered Nurse Geriatric Psych, Full Time Night

DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job Summary<ul><li>The Registered Nurse (RN) – Medical/Surgical provides safe, effective, and compassionate patient care using the nursing process of assessment, planning, intervention, and evaluation in an acute care hospital setting. The RN collaborates with the interdisciplinary team, patients, and families to achieve optimal patient outcomes, ensuring care is delivered in accordance with standards of professional nursing practice, hospital policies, and regulatory requirements.</li></ul>Essential Functions<ul><li>Performs comprehensive assessments and reassessments to determine nursing care needs</li><li>Develops, implements, and evaluates individualized plans of care</li><li>Administers medications and treatments in accordance with policy and physician orders</li><li>Documents assessments, interventions, outcomes, and patient education timely and accurately</li><li>Provides direct care including ADLs, hygiene, nutrition, and mobility support</li><li>Monitors patient conditions and communicates significant changes to the care team</li><li>Collaborates with interdisciplinary team for care coordination, discharge planning, and referrals</li><li>Provides emotional and psychosocial support to patients and families</li><li>Ensures patient safety through adherence to infection control and fall prevention protocols</li><li>Supervises and delegates tasks appropriately to licensed and unlicensed staff</li></ul>Knowledge/Skills/Abilities/Expectations<ul><li>Proficient in clinical assessment, documentation, and patient care planning</li><li>Knowledge of medical terminology, pharmacology, and nursing best practices</li><li>Strong interpersonal, communication, and organizational skills</li><li>Ability to function effectively in high-stress situations with diverse patient populations</li><li>Familiarity with electronic medical records (EMR) and clinical documentation systems</li><li>Ability to lift up to 50 lbs and perform extended standing, walking, and physical activity</li><li>Demonstrates professional integrity, accountability, and a commitment to continuing education</li></ul> QualificationsEducation<ul><li>Associate degree in Nursing required</li><li>Bachelor of Science in Nursing (BSN) preferred</li></ul>License/Certification<ul><li>Current state RN license or compact state equivalent required</li><li>Basic Life Support (BLS) required per facility policy</li><li>Advanced Cardiovascular Life Support (ACLS) required per facility policy</li><li>Crisis Prevention Intervention (CPI) required per facility policy</li><li>Specialty certification (e.g., RN-BC, CMSRN) preferred</li></ul>Experience<ul><li>Minimum of 6 months of Medical/Surgical nursing experience in an acute care setting preferred</li><li>Demonstrated critical thinking, decision-making, and effective prioritization in a fast-paced environment</li></ul>

Part Time RN Nights

DescriptionAt ScionHealth,&nbsp;we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.&nbsp;&nbsp;Job Summary<ul><li>Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment,&nbsp;Planning, Intervention, and Evaluation</li><li>Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary</li><li>Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate</li><li>Participates in discharge planning process</li></ul>Essential Functions<ul><li>Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department</li><li>Directs, supervises, provides and evaluates nursing care provided to patients.</li><li>Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated</li><li>Assigns nursing care team members in accordance to patient needs, team member’s capabilities and qualifications</li><li>Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient’s medical record according to nursing standards and policies</li><li>Performs assessment on all patients on admission and reassessments as per policy.&nbsp; Makes referrals to other disciplines based on assessment</li><li>Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team</li><li>Assesses and reassesses pain.&nbsp; Utilizes appropriate pain management techniques</li><li>Educates the patient and family regarding pain management</li><li>Revises the plan of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness</li><li>Performs patient care responsibilities considering needs specific to the standard of care for patient’s age</li><li>Receives physician’s orders, ensures transcription is accurate and documents completion</li><li>Administers medication utilizing the five rights of medication administration reducing the potential for medication errors</li><li>Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate.</li><li>Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice</li><li>Performs treatments and provides services to level of licensure</li><li>Treats patients and their families with respect and dignity.&nbsp; Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families</li><li>Functions as liaison between administration, patients, physicians, and other healthcare providers</li><li>Interacts professionally with patient/family and involves patient/family in the formation of the plan of care</li><li>Interprets data about the patient’s status to identify each patient’s age specific needs and provide care needed by the patient group</li><li>Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors</li><li>Initiates or assists with emergency measures for sudden adverse developments in patients’ condition</li><li>Answers telephone, paging system, patients’ call lights, anticipates patients’ needs, and makes rounds of assigned patients and responds as appropriate</li><li>Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs</li><li>Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off</li><li>Communicates appropriately and clearly to management, co-workers, and physicians</li><li>Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs</li><li>Participates in orientation, instruction/training of new personnel</li><li>Manages and operates equipment safely and correctly.</li></ul>Knowledge/Skills/Abilities/Expectations<ul><li>Knowledge of medications and their correct administration based on age of the patient and their clinical condition</li><li>Basic computer knowledge</li><li>Able to organize tasks, develop action plans, set priorities and function in stressful situations</li><li>Ability to maintain a good working relationship both within the department and with other departments</li><li>Approximate percent of time required to travel: 0%</li><li>Must read, write and speak fluent English</li><li>Must have good and regular attendance</li><li>Performs other related duties as assigned</li></ul> QualificationsEducation<ul><li>Graduation from an accredited Bachelor of Science in Nursing</li><li>Associate Degree in Nursing or Nursing Diploma program</li></ul>Licenses/Certification<ul><li>Current state licensure as Registered Nurse</li><li>BLS, ACLS, and PALS certifications are required.&nbsp;De-escalation training required</li></ul>Experience<ul><li>Minimum&nbsp;six months’ Medical/Surgical experience in an acute care setting preferred</li></ul>

RN-Telemetry (FT days)

Job Title Associate Professor in Pediatrics Requisition Number FE01818 Working Title Department Name 7H670:Genetics &amp; Metabolism 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 pediatric residency and fellowship for clinical and/or biochemical genetics Required License/Registration/Certification Board certified or board eligible in Pediatrics Eligible for or licensed to practice medicine in the state of Kentucky Job Summary The University of Kentucky seeks an Associate Professor in Lexington, KY to provide care services in the Pediatric Genetics/Metabolic division. This position requires an MD, DO or the foreign equivalent, completion of residency in Pediatrics and fellowship for clinical and/or biochemical genetics. Kentucky Children’s Hospital has Eastern and Central Kentucky’s only Level I pediatric trauma center, Level IV newborn (neonatal) intensive care unit and pediatric intensive care unit. The hospital has more than 30 advanced sub-specialty programs, such as pediatric oncology and pediatric surgery. The Division works with the Kentucky Department of Health, Division of Newborn Screening to provide follow up for biochemical disorders suspected on the basis of universal infant blood spot screening. Staff Members include physician, nurses, therapeutic dietitian, lab specialists, genetic counselors, staff coordinators and often physicians in training. To apply, please include a CV along with application. Applications will be reviewed immediately and will continue until 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. 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.

Associate Professor in Pediatrics

Revere Health’s mission is to put its patients’ health above all else. As the largest independent multi-specialty physician group in Utah, Revere Health focuses on reducing healthcare costs and providing care that improves patient outcomes. In every interaction, whether with patients or colleagues, we strive to adhere to our core values of accountability, collaboration, and excellence. Our internal culture is one that promotes respect and consistently recognizes the impact that individual employees have on the mission of the organization.Position Summary:&nbsp;At Revere Health, we believe there is a better path to healing and healthcare maintenance, and we’re working on this mission—one patient at a time. We’re a national leader in a movement called value-base care which aims to improve treatment outcomes and keep costs down. Our internal culture is one that promotes respect and consistently recognizes the impact that individual employees have on the mission of the organization. Position Summary: Our busy urgent care clinic in Lehi is looking to hire a full-time advanced practice clinician (nurse practitioner/physician assistant). The successful candidate will be highly motivated, skilled, and patient-focused.Essential Job Functions:&nbsp;Essential Job Functions: • Provides direct clinical services. Examines patient, performs comprehensive physical examinations and preventive health measures. • Compiles patient medical data, including health history and results of physical examination. Documents findings noting pertinent normal and abnormal findings. • Interprets and integrates data to determine preliminary diagnosis and therapeutic plan. • Collaborates with physicians in managing acute and long-term medical needs of patients. • Orders, interprets, and evaluates appropriate diagnostic and laboratory tests to identify and assess patient’s clinical problems and health care needs. • Performs approved therapeutic or diagnostic procedures based upon patient’s clinical status. Documents patient preparation and response to procedure. • Formulates and implements treatment plan for illness management. • When appropriate discusses case with physician and other health professionals to prepare comprehensive patient care plan. • Prescribes or recommends drugs or other forms of treatment such as physical therapy or related therapeutic procedures. • Documents appropriately in patient’s medical record. • Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions. • Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. • Speaks clearly and persuasively in positive or negative situations. Responds well to patient’s questions. • Adheres to all HIPAA laws and regulations. • Adheres to clinic OSHA standards. • Other duties as assigned.Qualifications:&nbsp;Qualifications: Successful completion of National Certification as a Nurse Practitioner or Physician Assistant. Must hold licensure/certification as required by the state of Utah. Ability to exercise a high degree of initiative, judgment, discretion and decision making to achieve objectives. Advanced interpersonal skills necessary to interact in complex situations, work cooperatively with others and represent the Clinic in a professional manner. Knowledge of computer systems and applications.Hours:&nbsp;Hours: Full-time. Various shifts: the urgent care is open 7 days per week. Evenings and some holidays required.

Revere Health

Nurse Practitioner/Physican Assistant-FT-Urgent Care-Willowcreek Lehi

<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

Registered Nurse - National

Come care with us at West Coast University! As a Nursing Tutor (Academic Specialist) for a certified Great Place to Work, you will guide nursing students to do more than change their own lives – you will help change the lives of every patient they treat throughout their careers in healthcare. &nbsp;At West Coast University you will have the opportunity to share your success story with the next generation of nurses as a key member of our student-centered, innovative community!You will make an impact by: &nbsp;<ul><li>Supporting students learning through workshops, remediation sessions, group tutorials, and one-on-one meetings to improve course performance.</li><li>Ensuring full integration of ATI tools and resources in all student meetings to enhance remediation and concept understanding.</li><li>Creating methods of integrating strategies to increase test taking skills, study skills and note taking skills to increase course performance.</li><li>Collaborating with faculty to identify course weaknesses and develop innovative initiatives to address them.</li><li>Collaborating with faculty to identify Students at Risk for persistence issues and develops action plans to address their needs.</li><li>Identifying Students at Risk through data tracking platforms and develops interventions to address identified challenges to core course success and persistence.</li><li>Assessing the effectiveness of course specific persistence strategies and progress in meeting mutually established objectives with students.</li><li>Participating in professional development and organizations in order to maintain an understanding of current ideas, research and practices, attends meetings, workshops and seminars to enrich personal growth, knowledge and skill in student learning and persistence.</li><li>Evaluating data such as proctored assessments, time in tutorial sessions and pre/post tests on comprehensive predictors to appropriately advise the Manager of Persistence and Outcomes, Nursing.</li></ul>Your Experience Includes: &nbsp;<ul><li>Working knowledge of Microsoft Office Suite Products, especially Outlook, Word, PowerPoint and other MS office products as needed.</li><li>Working with online learning management systems to further engage the student learning process.</li><li>Knowledge in technological support and delivery of program area and services.</li><li>Compliance with state, federal and local laws/regulations relating to programs, governmental compliance, and other regulatory standards such as state Board of Healthcare.</li></ul>Education: Education and experience must align with state regulations and comply with the rules and regulations of state authorization agencies.<ul><li>Master’s degree in nursing, education or administration required.</li><li>Professional nurse licensure required.</li><li>A minimum of two years as a Registered Nurse providing direct patient care or equivalent and/or education.</li></ul>Do you want a career that allows you to make a difference in other people’s lives? Discover what it means to truly believe in the work that you do at West Coast University.At West Coast University, we have the privilege of educating students seeking careers in healthcare and guide them through their transformational journey from student to caregiver. Our associates are united behind that purpose and share a deep commitment to our values of teamwork, collegiality, transparency, and a student-centric approach to all we do. This focus creates an aligned, nimble, and consensus-driven culture that is solution-oriented and supports our associates’ professional growth.West Coast University is proud to be an equal opportunity employer. We embrace diversity and are dedicated to creating an inclusive environment for all associates.

West Coast University

Nurse Tutor - Full-time

Come care with us at West Coast University! As a Nursing Faculty member for a certified Great Place to Work, you will guide nursing students to do more than change their own lives – you will help change the lives of every patient they treat throughout their career in healthcare. &nbsp;At West Coast University you will have the opportunity to share your success story with the next generation of nurses as a key member of our student-centered, innovative community!You will make an impact by: &nbsp;<ul><li>Serving as a mentor, role model and facilitator who provides guidance and academic support for students.</li><li>Demonstrating enthusiasm for teaching, the teaching/learning process and for individual students.</li><li>Applying your skills and experience to your assigned teaching schedule.</li><li>Participating in and contributing to assessment activities of courses/curriculum and programs via a continuous improvement plan set forth by the University.</li><li>Regularly contributing to improvement of class materials and syllabi within prescribed shared governance culture.</li><li>Utilizing a variety of teaching methodologies to instruct students, always with intent to facilitate observable evidence of student fulfillment of prescribed learning outcomes.</li><li>Maintaining scholarly activities.</li><li>Participating in professional growth and service in accordance with university policies.</li><li>Advancing our commitment and focus on the students we serve, and their success as healthcare professionals.</li><li>Fully leveraging our innovative technologies and resources, such as our Simulation and Innovation Labs.</li><li>*If working with students in a Clinical setting you will:<ul><li>Assume complete responsibility for students in clinical facilities.</li><li>Clarify clinical expectations with students.</li><li>Clarify student placement and expectations with clinical facility staff.</li><li>Utilize care planning time to direct students to available resources needed for clinical preparation.</li><li>Assess student knowledge and skill level to ensure safety and optimal care to patients.</li><li>Utilize pre- and post- conference to allow students an opportunity to share learned experiences, ensuring clarity of the correlation between &nbsp;weekly theory content with clinical objectives and experiences.</li><li>Provide feedback of clinical performance immediately after observation of event and of overall performance at midterm and end of semester.</li></ul></li></ul>Your Experience Includes: &nbsp;<ul><li>Working knowledge of Microsoft Office Suite Products, especially Outlook, Word, PowerPoint and other MS office products as needed.</li><li>Working with online learning management systems to further engage the student learning process.</li><li>Compliance with state, federal and local laws/regulations relating to programs, governmental compliance, and other regulatory standards such as state Board of Nursing.</li><li>Clinical RN - Must have a minimum of two (2) year’s prior experience as a registered nurse providing direct patient care and have a minimum of one year experience in the field in which they teach.</li></ul>Education: Education and experience must align with state regulations and comply with the rules and regulations of state authorization agencies.<ul><li>Master’s degree in nursing</li><li>Professional nurse licensure required.</li></ul>#HEJDo you want a career that allows you to make a difference in other people’s lives? Discover what it means to truly believe in the work that you do at West Coast University.At West Coast University, we have the privilege of educating students seeking careers in healthcare and guide them through their transformational journey from student to caregiver. Our associates are united behind that purpose and share a deep commitment to our values of teamwork, collegiality, transparency, and a student-centric approach to all we do. This focus creates an aligned, nimble, and consensus-driven culture that is solution-oriented and supports our associates’ professional growth.West Coast University is proud to be an equal opportunity employer. We embrace diversity and are dedicated to creating an inclusive environment for all associates.

Nursing Classroom Instructor - Full-time

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

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