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Pt Financial Navigator I Procedures and Admissions at OSF HealthCare
Peoria, Illinois, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Interpersonal Skills, Analytical Skills, Problem Solving, Detail Oriented, Microsoft Software Proficiency, Patient Registration, Insurance Benefits, Financial Assistance Programs, Medical Billing, Medical Terminology
Specialization
An Associate's Degree with one year of customer service experience is required, or a High School Diploma with two years of relevant experience. Strong communication, analytical, and computer skills are essential.
Experience Required
Minimum 2 year(s)
Summer Student Nurse Intern at OSF HealthCare
Evergreen Park, Illinois, United States - Full Time
Skills Needed
Patient Care, Nursing Procedures, Technical Nursing Skills, Interpersonal Skills, Analytical Ability, Bls Certification, Communication Skills, Computer Skills
Specialization
Candidates must have completed a clinical rotation and be within one year of completing their nursing program. They are required to demonstrate knowledge of patient care principles and possess a current BLS for Healthcare Provider card.
Patient Access Rep II at BJC HealthCare
Sullivan, Missouri, United States - Full Time
Skills Needed
Customer Service, Attention To Detail, Communication Skills, Critical Thinking, Insurance Knowledge, Hipaa Compliance, Patient Registration, Scheduling, Demographic Collection, Financial Responsibility Education, Problem Solving, Emotional Intelligence, Team Mentoring, Regulatory Compliance, Patient Interaction, Data Entry
Specialization
A high school diploma or GED is required, with less than 2 years of experience preferred. An associate's degree and 2-5 years of experience are preferred but not mandatory.
PRN Physical Therapist Assistant ( PTA ) - Senior Living Facility at AW Health Care
O'Fallon, Missouri, United States - Full Time
Skills Needed
Physical Therapy, Patient Care, Home Health, Medical Records, Progress Notes, Patient Education, Team Collaboration, In Service Programs, Clinical Skills, Bending, Lifting, Standing, Initiative, Independent Judgment, Disability Management, Care Planning
Specialization
Candidates must be graduates of a two-year college program approved by the American Physical Therapy Association and currently licensed in the state of practice. Two years of experience is preferred, along with the ability to exercise initiative and independent judgment.
Experience Required
Minimum 2 year(s)
Database Engineer III at Aya Healthcare
, , United States - Full Time
Skills Needed
Sql Server, Database Engineering, Performance Tuning, Data Integrity, Agile Development, Collaboration, Problem Solving, Critical Thinking, Automation, Entity Framework, Data Security, Documentation, Index Optimization, Query Tuning, Data Driven Testing, Powershell
Specialization
A BS/MS degree in Computer Science or related field and 5+ years of experience in database engineering are required. Strong knowledge of SQL Server and best practices in database engineering and data security is essential.
Experience Required
Minimum 5 year(s)
Diabetes Educator- Part time- Alton Memorial Hospital at BJC HealthCare
Alton, Illinois, United States - Full Time
Skills Needed
Diabetes Care, Patient Education, Nutritional Services, Consultation, Documentation, Patient Assessment, Plan Development, Community Resources, Program Development, Monitoring, Emotional Support, Health Education, Problem Solving, Risk Reduction, Healthy Coping, Healthy Eating, Physical Activity
Specialization
The minimum education requirement is a Nursing Diploma or Associate's degree, with less than 2 years of experience preferred. A Bachelor's degree in Nursing and certification as a Diabetes Educator are preferred qualifications.
MRI Technologist (Nights) at BJC HealthCare
Creve Coeur, Missouri, United States - Full Time
Skills Needed
Diagnostic Imaging, Mri, Ct, Patient Care, Quality Control, Intravenous Therapy, Cardiopulmonary Resuscitation
Specialization
An associate degree or trade school equivalent is required, with no prior experience necessary. Licenses and certifications such as IEMA and RTR are preferred.
Clinical Nurse Neuro Interventional Radiology at BJC HealthCare
St. Louis, Missouri, United States - Full Time
Skills Needed
Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Patient Education, Collaboration, Critical Thinking, Safety Compliance, Quality Assurance, Interprofessional Teamwork, Emotional Support, Cultural Competence, Regulatory Compliance, Nursing Standards
Specialization
Minimum education requirement is a Nursing Diploma or Associate's degree, with a preference for a Bachelor's degree. No prior experience is required, but less than 2 years of experience is preferred.
Cardiac Cath Lab - Clinical Nurse at BJC HealthCare
, Missouri, United States - Full Time
Skills Needed
Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Collaboration, Education, Critical Nursing Skills, Pharmacologic Support, Hemodynamic Support, Post Procedural Assessment, Patient Safety, Quality Compliance, Emotional Support, Cultural Sensitivity
Specialization
A nursing diploma or associate's degree is required, with a preference for a bachelor's degree. Candidates should have at least 2 years of nursing experience, preferably in ED, ICU, or Cath Lab.
Clinical Nurse ICU PRN at BJC HealthCare
, Missouri, United States - Full Time
Skills Needed
Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Patient Education, Collaboration, Critical Care, Acls Certification, Communication, Professional Development, Quality Compliance, Safety, Emotional Support, Cultural Sensitivity
Specialization
Minimum education requirement is a Nursing Diploma or Associate's degree, with no prior experience necessary. Preferred qualifications include a Bachelor's degree in Nursing and less than 2 years of experience.
Student Radiology Technologist - PRN at BJC HealthCare
O'Fallon, Missouri, United States - Full Time
Skills Needed
Imaging Procedures, Patient Care, Patient Transport, Assisting Technologist, Patient Information, Radiologic Technology, General X Ray, Fluoroscopy, Computed Tomography, Magnetic Resonance Imaging, Ultrasound, Mammography, Nuclear Medicine
Specialization
Must be enrolled as a 2nd year student in a Radiologic Technology Program. A high school diploma or GED is required, and no prior experience is necessary.
Physical Therapist Assistant ( PTA ), Senior Living Facility - $5,000 Sign at AW Health Care
University City, Missouri, United States - Full Time
Skills Needed
Physical Therapy, Patient Care, Home Health, Therapy Services, Medical Records, Progress Notes, Patient Education, Team Collaboration, In Service Programs, Performance Improvement, Bending, Lifting, Standing, Initiative, Independent Judgment
Specialization
Candidates must be graduates of an approved two-year college program and currently licensed in the state of practice. Two years of experience is preferred, along with the ability to exercise initiative and independent judgment.
Experience Required
Minimum 2 year(s)
Neurodiagnostic Technologist I at BJC HealthCare
Des Peres, Missouri, United States - Full Time
Skills Needed
Eeg, Neurodiagnostic Testing, Ncs Studies, Emg Testing, Digital Eeg, Video Eeg, Patient Care, Clinical Protocols, Data Monitoring, Equipment Operation, Documentation, Interpretation, Problem Solving, Supply Maintenance, Collaboration, Communication
Specialization
A high school diploma or GED is required, with no prior experience necessary. EEG or neurodiagnostic experience is highly preferred.
Registered Respiratory Therapist -part-time nights at BJC HealthCare
Creve Coeur, Missouri, United States - Full Time
Skills Needed
Respiratory Care, Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Communication, Education, Training, Critical Care Skills, Time Management, Diagnostic Procedures, Therapeutic Procedures, Basic Life Support, Mechanical Ventilator Support
Specialization
An associate degree in Respiratory Therapy is required, with no prior experience necessary. A Respiratory Care Practitioner license and RRT certification are also required.
Housekeeper at BJC HealthCare
Des Peres, Missouri, United States - Full Time
Skills Needed
Housekeeping, Cleaning, Patient Interaction, Janitorial Services, Room Setup, Maintenance Notification, Equipment Cleaning, Environmental Services
Specialization
No prior experience is required for this position, but a high school diploma or GED is preferred. Less than two years of experience in a similar role is also preferred.
24/7 case 12 hour shifts 1st or 3rd Caregiver or Home Health Aide at AdvisaCare
Plainwell, Michigan, United States - Full Time
Skills Needed
Good Communication Skills, Reliable Transportation, Valid Driver’s License, Ability To Travel, Cpr Certified, Ability To Pass Drug Screen, Clear Background, Work In A Team, Work Independently
Specialization
Candidates must be high school graduates or have a GED, possess reliable transportation, and have a valid driver's license. CPR certification and the ability to pass a drug screen and background check are also required.
Per Diem Masters of Social Work MSW for Home Health and Hospice at AdvisaCare
Las Vegas, Nevada, United States - Full Time
Skills Needed
Medical Social Work, Home Health Care, Hospice Experience, Crisis Intervention, Counseling, Bereavement Support, Care Advocacy, Community Agency Coordination, Goal Directed Care Plans, Patient Assessments, Documentation, Reassessments, Individual Counseling, Family Counseling, Interagency Cooperation
Specialization
Candidates must have an MSW degree from an accredited school and preferably one year of experience in Home Health Care or Hospice. A valid driver's license, car insurance, and reliable transportation are also required.
Per Diem Masters of Social Work MSW for Home Health and Hospice at AdvisaCare
Las Vegas, Nevada, United States - Full Time
Skills Needed
Medical Social Work, Home Health Care, Hospice Experience, Crisis Intervention, Counseling, Bereavement Assessments, Goal Directed Care Plans, Patient Advocacy, Community Agency Coordination, Documentation, Reassessments, Emotional Support, Spiritual Support, Family Counseling, Interagency Cooperation, Patient Care
Specialization
Candidates must have an MSW degree from an accredited school and preferably one year of experience in home health care or hospice. A valid driver's license, car insurance, and reliable transportation are also required.
Primary Care Physician at ROANOKE CHOWAN COMMUNITY HEALTH CENTER
Ahoskie, North Carolina, United States - Full Time
Skills Needed
Health Promotion, Disease Prevention, Patient Care, Team Collaboration, Decision Making, Communication, Problem Solving, Quality Improvement, Patient Management, Documentation, Confidentiality, Initiative, Judgment, Organizational Skills, Computer Systems, Clinical Practice
Specialization
Candidates must have an MD or DO and be licensed to practice medicine in North Carolina. They should possess skills in managing medical personnel and be committed to serving patients regardless of their ability to pay.
CCBHC Care Coordinator at Aroostook Mental Health Services, Inc.
Ellsworth, Maine, United States - Full Time
Skills Needed
Care Coordination, Crisis Intervention, Telehealth, Community Outreach, Advocacy, Behavioral Health, Culturally Competent Care, Documentation, Emergency Evaluations, Discharge Planning, Support Groups, Health Initiatives, Follow Up, Resource Navigation, Empowerment, Recovery Oriented Approaches
Specialization
An associate's degree is required for this position, with a preference for MHRT-CSP certification. A valid driver's license and reliable transportation are also necessary.
Pt Financial Navigator I Procedures and Admissions at OSF HealthCare
Peoria, Illinois, United States -
Full Time

Start Date

Immediate

Expiry Date

20 Feb, 26

Salary

23.77

Posted On

22 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Customer Service, Communication Skills, Interpersonal Skills, Analytical Skills, Problem Solving, Detail Oriented, Microsoft Software Proficiency, Patient Registration, Insurance Benefits, Financial Assistance Programs, Medical Billing, Medical Terminology

Industry

Hospitals and Health Care

Description
Total Rewards "Your life - our Mission" OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF. Expected pay for this position is $20.21 - $23.77/hour. Actual pay will be determined by experience, skills and internal equity. This is an Hourly position. Overview POSITION SUMMARY: The Patient Financial Navigator ensures that each patient has a complete and accurate OSF medical record, which includes patient demographics, insurance coverage, responsible guarantor, and registration precision in a manner which the patient understands the services they are receiving, their financial responsibilities for the services provided, and expectations of them pre and post service. Financial education will be provided to patients to provide clarity regarding their estimated out of pocket expenses and assistance with bill pay options. The Patient Financial Navigator is expected to be knowledgeable on payment alternatives, grants, programs, and any other type of assistance to educate and support the patient on their financial options. This involves determining a patient's payer source including, but not limited to, obtaining authorization from the payer which includes identifying if services need an authorization, referral, or pre-determination as well as if the procedure is a covered benefit, if the payer is out of network, and be able to assist the patient who has questions on an existing bill or invoice. They must be capable of communicating clearly and concisely, both verbally and in writing, with peers, supervisors, payors, physicians, patients, and other departments. Qualifications REQUIRED QUALIFICATIONS: Experience: Associate's Degree and one year of customer service/relations experience; or High School Diploma and 2 years' experience in a call center, healthcare, and/or public health setting. Other skills/knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem solving skills, with the ability to be detail oriented. PREFERRED QUALIFICATIONS: ​Education: Bachelor's Degree in Business Administration or Healthcare related field. Experience: Experience in patient registration, patient accounts, patient finance, insurance benefits, financial assistance programs, public health, social services, or other community based background. Experience in medical billing, including working with insurance companies, third party administrators and collections with emphasis on customer phone contact. Advanced knowledge of CTP4, ICD 10, HCPCS and modifiers. Knowledge of medical terminology. OSF HealthCare is an Equal Opportunity Employer.
Responsibilities
The Patient Financial Navigator ensures that each patient has a complete and accurate OSF medical record, including demographics and insurance coverage. They provide financial education to patients regarding their responsibilities and assist with payment options.
Pt Financial Navigator I Procedures and Admissions at OSF HealthCare
Peoria, Illinois, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Interpersonal Skills, Analytical Skills, Problem Solving, Detail Oriented, Microsoft Software Proficiency, Patient Registration, Insurance Benefits, Financial Assistance Programs, Medical Billing, Medical Terminology
Specialization
An Associate's Degree with one year of customer service experience is required, or a High School Diploma with two years of relevant experience. Strong communication, analytical, and computer skills are essential.
Experience Required
Minimum 2 year(s)
Summer Student Nurse Intern at OSF HealthCare
Evergreen Park, Illinois, United States - Full Time
Skills Needed
Patient Care, Nursing Procedures, Technical Nursing Skills, Interpersonal Skills, Analytical Ability, Bls Certification, Communication Skills, Computer Skills
Specialization
Candidates must have completed a clinical rotation and be within one year of completing their nursing program. They are required to demonstrate knowledge of patient care principles and possess a current BLS for Healthcare Provider card.
Patient Access Rep II at BJC HealthCare
Sullivan, Missouri, United States - Full Time
Skills Needed
Customer Service, Attention To Detail, Communication Skills, Critical Thinking, Insurance Knowledge, Hipaa Compliance, Patient Registration, Scheduling, Demographic Collection, Financial Responsibility Education, Problem Solving, Emotional Intelligence, Team Mentoring, Regulatory Compliance, Patient Interaction, Data Entry
Specialization
A high school diploma or GED is required, with less than 2 years of experience preferred. An associate's degree and 2-5 years of experience are preferred but not mandatory.
PRN Physical Therapist Assistant ( PTA ) - Senior Living Facility at AW Health Care
O'Fallon, Missouri, United States - Full Time
Skills Needed
Physical Therapy, Patient Care, Home Health, Medical Records, Progress Notes, Patient Education, Team Collaboration, In Service Programs, Clinical Skills, Bending, Lifting, Standing, Initiative, Independent Judgment, Disability Management, Care Planning
Specialization
Candidates must be graduates of a two-year college program approved by the American Physical Therapy Association and currently licensed in the state of practice. Two years of experience is preferred, along with the ability to exercise initiative and independent judgment.
Experience Required
Minimum 2 year(s)
Database Engineer III at Aya Healthcare
, , United States - Full Time
Skills Needed
Sql Server, Database Engineering, Performance Tuning, Data Integrity, Agile Development, Collaboration, Problem Solving, Critical Thinking, Automation, Entity Framework, Data Security, Documentation, Index Optimization, Query Tuning, Data Driven Testing, Powershell
Specialization
A BS/MS degree in Computer Science or related field and 5+ years of experience in database engineering are required. Strong knowledge of SQL Server and best practices in database engineering and data security is essential.
Experience Required
Minimum 5 year(s)
Diabetes Educator- Part time- Alton Memorial Hospital at BJC HealthCare
Alton, Illinois, United States - Full Time
Skills Needed
Diabetes Care, Patient Education, Nutritional Services, Consultation, Documentation, Patient Assessment, Plan Development, Community Resources, Program Development, Monitoring, Emotional Support, Health Education, Problem Solving, Risk Reduction, Healthy Coping, Healthy Eating, Physical Activity
Specialization
The minimum education requirement is a Nursing Diploma or Associate's degree, with less than 2 years of experience preferred. A Bachelor's degree in Nursing and certification as a Diabetes Educator are preferred qualifications.
MRI Technologist (Nights) at BJC HealthCare
Creve Coeur, Missouri, United States - Full Time
Skills Needed
Diagnostic Imaging, Mri, Ct, Patient Care, Quality Control, Intravenous Therapy, Cardiopulmonary Resuscitation
Specialization
An associate degree or trade school equivalent is required, with no prior experience necessary. Licenses and certifications such as IEMA and RTR are preferred.
Clinical Nurse Neuro Interventional Radiology at BJC HealthCare
St. Louis, Missouri, United States - Full Time
Skills Needed
Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Patient Education, Collaboration, Critical Thinking, Safety Compliance, Quality Assurance, Interprofessional Teamwork, Emotional Support, Cultural Competence, Regulatory Compliance, Nursing Standards
Specialization
Minimum education requirement is a Nursing Diploma or Associate's degree, with a preference for a Bachelor's degree. No prior experience is required, but less than 2 years of experience is preferred.
Cardiac Cath Lab - Clinical Nurse at BJC HealthCare
, Missouri, United States - Full Time
Skills Needed
Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Collaboration, Education, Critical Nursing Skills, Pharmacologic Support, Hemodynamic Support, Post Procedural Assessment, Patient Safety, Quality Compliance, Emotional Support, Cultural Sensitivity
Specialization
A nursing diploma or associate's degree is required, with a preference for a bachelor's degree. Candidates should have at least 2 years of nursing experience, preferably in ED, ICU, or Cath Lab.
Clinical Nurse ICU PRN at BJC HealthCare
, Missouri, United States - Full Time
Skills Needed
Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Patient Education, Collaboration, Critical Care, Acls Certification, Communication, Professional Development, Quality Compliance, Safety, Emotional Support, Cultural Sensitivity
Specialization
Minimum education requirement is a Nursing Diploma or Associate's degree, with no prior experience necessary. Preferred qualifications include a Bachelor's degree in Nursing and less than 2 years of experience.
Student Radiology Technologist - PRN at BJC HealthCare
O'Fallon, Missouri, United States - Full Time
Skills Needed
Imaging Procedures, Patient Care, Patient Transport, Assisting Technologist, Patient Information, Radiologic Technology, General X Ray, Fluoroscopy, Computed Tomography, Magnetic Resonance Imaging, Ultrasound, Mammography, Nuclear Medicine
Specialization
Must be enrolled as a 2nd year student in a Radiologic Technology Program. A high school diploma or GED is required, and no prior experience is necessary.
Physical Therapist Assistant ( PTA ), Senior Living Facility - $5,000 Sign at AW Health Care
University City, Missouri, United States - Full Time
Skills Needed
Physical Therapy, Patient Care, Home Health, Therapy Services, Medical Records, Progress Notes, Patient Education, Team Collaboration, In Service Programs, Performance Improvement, Bending, Lifting, Standing, Initiative, Independent Judgment
Specialization
Candidates must be graduates of an approved two-year college program and currently licensed in the state of practice. Two years of experience is preferred, along with the ability to exercise initiative and independent judgment.
Experience Required
Minimum 2 year(s)
Neurodiagnostic Technologist I at BJC HealthCare
Des Peres, Missouri, United States - Full Time
Skills Needed
Eeg, Neurodiagnostic Testing, Ncs Studies, Emg Testing, Digital Eeg, Video Eeg, Patient Care, Clinical Protocols, Data Monitoring, Equipment Operation, Documentation, Interpretation, Problem Solving, Supply Maintenance, Collaboration, Communication
Specialization
A high school diploma or GED is required, with no prior experience necessary. EEG or neurodiagnostic experience is highly preferred.
Registered Respiratory Therapist -part-time nights at BJC HealthCare
Creve Coeur, Missouri, United States - Full Time
Skills Needed
Respiratory Care, Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Communication, Education, Training, Critical Care Skills, Time Management, Diagnostic Procedures, Therapeutic Procedures, Basic Life Support, Mechanical Ventilator Support
Specialization
An associate degree in Respiratory Therapy is required, with no prior experience necessary. A Respiratory Care Practitioner license and RRT certification are also required.
Housekeeper at BJC HealthCare
Des Peres, Missouri, United States - Full Time
Skills Needed
Housekeeping, Cleaning, Patient Interaction, Janitorial Services, Room Setup, Maintenance Notification, Equipment Cleaning, Environmental Services
Specialization
No prior experience is required for this position, but a high school diploma or GED is preferred. Less than two years of experience in a similar role is also preferred.
24/7 case 12 hour shifts 1st or 3rd Caregiver or Home Health Aide at AdvisaCare
Plainwell, Michigan, United States - Full Time
Skills Needed
Good Communication Skills, Reliable Transportation, Valid Driver’s License, Ability To Travel, Cpr Certified, Ability To Pass Drug Screen, Clear Background, Work In A Team, Work Independently
Specialization
Candidates must be high school graduates or have a GED, possess reliable transportation, and have a valid driver's license. CPR certification and the ability to pass a drug screen and background check are also required.
Per Diem Masters of Social Work MSW for Home Health and Hospice at AdvisaCare
Las Vegas, Nevada, United States - Full Time
Skills Needed
Medical Social Work, Home Health Care, Hospice Experience, Crisis Intervention, Counseling, Bereavement Support, Care Advocacy, Community Agency Coordination, Goal Directed Care Plans, Patient Assessments, Documentation, Reassessments, Individual Counseling, Family Counseling, Interagency Cooperation
Specialization
Candidates must have an MSW degree from an accredited school and preferably one year of experience in Home Health Care or Hospice. A valid driver's license, car insurance, and reliable transportation are also required.
Per Diem Masters of Social Work MSW for Home Health and Hospice at AdvisaCare
Las Vegas, Nevada, United States - Full Time
Skills Needed
Medical Social Work, Home Health Care, Hospice Experience, Crisis Intervention, Counseling, Bereavement Assessments, Goal Directed Care Plans, Patient Advocacy, Community Agency Coordination, Documentation, Reassessments, Emotional Support, Spiritual Support, Family Counseling, Interagency Cooperation, Patient Care
Specialization
Candidates must have an MSW degree from an accredited school and preferably one year of experience in home health care or hospice. A valid driver's license, car insurance, and reliable transportation are also required.
Primary Care Physician at ROANOKE CHOWAN COMMUNITY HEALTH CENTER
Ahoskie, North Carolina, United States - Full Time
Skills Needed
Health Promotion, Disease Prevention, Patient Care, Team Collaboration, Decision Making, Communication, Problem Solving, Quality Improvement, Patient Management, Documentation, Confidentiality, Initiative, Judgment, Organizational Skills, Computer Systems, Clinical Practice
Specialization
Candidates must have an MD or DO and be licensed to practice medicine in North Carolina. They should possess skills in managing medical personnel and be committed to serving patients regardless of their ability to pay.
CCBHC Care Coordinator at Aroostook Mental Health Services, Inc.
Ellsworth, Maine, United States - Full Time
Skills Needed
Care Coordination, Crisis Intervention, Telehealth, Community Outreach, Advocacy, Behavioral Health, Culturally Competent Care, Documentation, Emergency Evaluations, Discharge Planning, Support Groups, Health Initiatives, Follow Up, Resource Navigation, Empowerment, Recovery Oriented Approaches
Specialization
An associate's degree is required for this position, with a preference for MHRT-CSP certification. A valid driver's license and reliable transportation are also necessary.