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Care Management Analyst, On-Site, Clk Street Medicine at Adventist Health

Clearlake, California, United States - Full Time

Skills Needed
Care Management, Data Analysis, Medical Records Review, Process Redesign, Root Cause Analysis, Metric Development, Report Development, Denial Management, Utilization Management, Claim Adjudication, Data Collection, Analytic Modeling, Trending Displays, Dashboards, Hipaa Compliance, Revenue Cycle

Specialization
Required education includes an Associate's/Technical Degree in finance or business or equivalent experience, with a Bachelor's degree in mathematics, statistics, economics, or finance preferred. Candidates should ideally possess three years of acute care hospital revenue cycle experience.

Experience Required
Minimum 2 year(s)

Winship Immediate Care Center Registered Nurse / RN at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Clinical Knowledge, Nursing Process, Patient Assessments, Care Planning, Documentation, Delegation, Team Collaboration, Interdisciplinary Teamwork, Leadership, Charge Nurse, Conflict Resolution, Evidence Based Research, Data Analysis, Bls Certification

Specialization
Candidates must be a graduate of an accredited prelicensure BSN program OR an ADN program with specified recent nursing experience (12 months recent experience for BSN or 2 years recent experience for ADN within the past five years). A valid, unencumbered Registered Nursing License approved by the Georgia Board of Nursing and current BLS certification are mandatory.

Experience Required
Minimum 2 year(s)

Patient Care Technician / PCT / Medical Surgical 51 at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Observation Duties, Emergency Assistance, Hygiene Compliance, Infection Control, Clinical Equipment Operation, Specimen Collection, Patient Comfort, Safety Standards, Technical Skills, Communication, Teamwork, Time Management, Adaptability, Attention To Detail, Empathy

Specialization
Candidates must have a high school diploma or equivalent and BLS certification. They should also have one year of direct patient care experience, a nursing assistant training course, or be a Certified Nursing Assistant in Georgia.

Patient Care Technician / PCT / 4500 General Medicine at Emory Healthcare

Decatur, Georgia, United States - Full Time

Skills Needed
Patient Care, Observation Duties, Clinical Equipment Operation, Emergency Assistance, Specimen Collection, Hygiene Compliance, Infection Control, Safety Standards, Patient Comfort, Technical Skills, Bls Certification, Nursing Assistant Training, Cna License, Clinical Rotations, Communication Skills, Teamwork

Specialization
Candidates must have a high school diploma or equivalent and BLS certification. They should also have one year of direct patient care experience, a CNA license, or be currently enrolled in a nursing program with two completed clinical rotations.

Patient Care Technician / PCT / Registry OU Float Pool at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Clinical Duties, Communication, Team Collaboration, Infection Control, Patient Safety, Technical Skills, Documentation, Emergency Assistance, Patient Transport, Hygiene Support, Mobility Assistance, Patient Observation, Equipment Operation, Patient Admission, Patient Discharge

Specialization
A high school diploma or equivalent is required, with previous healthcare experience preferred but not mandatory. BLS certification is also required for this position.

Patient Care Technician / PCT / WEM Lung/Hem Onc Inpt at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Observation Duties, Clinical Equipment Operation, Emergency Assistance, Specimen Collection, Hygiene Maintenance, Infection Control, Equipment Operation, Bls Certification, Nursing Assistant Training, Patient Comfort, Safety Standards, Communication Skills, Teamwork, Attention To Detail, Time Management

Specialization
Candidates must have a high school diploma or equivalent and BLS certification. They should also have one year of direct patient care experience or be a certified nursing assistant or currently enrolled in a nursing program.

Patient Care Technician / PCT / Pre-Op Holding Area at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Observation Duties, Clinical Equipment Operation, Emergency Assistance, Specimen Collection, Hygiene Compliance, Infection Control, Safety Standards, Equipment Operation, Bls Certification, Nursing Assistant Training, Patient Comfort, Emergency Situations, Patient Procedures, Transporting Specimens

Patient Care Technician / PCT / Complex Med Surg 7W at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Observation Duties, Clinical Equipment Operation, Emergency Assistance, Specimen Collection, Hygiene Compliance, Infection Control, Safety Standards, Equipment Operation, Patient Comfort, Rest Assistance, Bls Certification, Cna License, Nursing Program Enrollment, Clinical Rotations

EPIC Analyst IV (EpicCare Inpatient/ClinDoc & Orders) at Emory Healthcare

Tucker, Georgia, United States - Full Time

Skills Needed
Epiccare Inpatient, Clindoc, Orders, Workflow Design, Application Build, Third Party Integration, Testing, Project Coordination, Technical Guidance, System Capabilities, Workflow Improvements, Epic Security, Communication Skills, Problem Solving Skills, Analytical Skills, Interpersonal Skills

Specialization
Candidates must have a bachelor's degree in a relevant field and a minimum of 7 years of progressive experience in healthcare operational areas or 9 years without a degree. EpicCare Inpatient certification is required, along with strong project coordination skills and experience with Epic systems.

Experience Required
Minimum 5 year(s)

Patient Care Technician / Registry OU Float Internal at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Clinical Duties, Communication, Team Collaboration, Infection Control, Patient Safety, Technical Skills, Documentation, Emergency Assistance, Mobility Support, Patient Transport, Observation Skills, Supportive Environment, Patient Procedures, Care Team Collaboration, Standard Precautions

Specialization
A high school diploma or equivalent is required, with previous healthcare experience preferred but not mandatory. BLS certification is also required for this position.

Patient Care Technician / PCT/ Bone Marrow Transplant at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Observation Duties, Clinical Equipment Operation, Emergency Assistance, Specimen Collection, Hygiene Compliance, Infection Control, Patient Comfort, Bag Valve Mask Device, Oxygen Equipment, Suction Equipment, Monitoring Equipment, Patient Procedures, Room Cleaning, Transporting Specimens, Standard Precautions

Patient Care Technician / PCT / Surgical Oncology 7T at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Patient Care Technician / PCT / Bone Marrow Transplant at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Observation Duties, Clinical Equipment Operation, Emergency Assistance, Specimen Collection, Hygiene Compliance, Infection Control, Safety Standards, Patient Comfort, Basic Life Support, Nursing Assistant Training, Patient Procedures, Technical Equipment Use, Team Collaboration, Communication Skills

Patient Care Technician / PCT / Registry OU Float Pool at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Specialization
A high school diploma or equivalent is required, with previous healthcare experience preferred but not mandatory. BLS certification is also required for this position.

Patient Care Technician / PCT / Registry / OU Float at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Clinical Duties, Communication, Team Collaboration, Infection Control, Patient Safety, Technical Skills, Documentation, Emergency Assistance, Patient Transport, Equipment Operation, Patient Support, Observation, Mentorship, Performance Improvement, Compliance

Specialization
A high school diploma or equivalent is required, with previous healthcare experience preferred but not mandatory. BLS certification is also required for this position.

Registered Nurse (RN) Intermediate Medical Care (IMC) at Lifepoint Health

Maysville, Kentucky, United States - Full Time

Skills Needed
Registered Nurse, Intermediate Medical Care, Patient Care, Nursing Process, Bls, Acls, Pals, Acute Care

Specialization
Candidates must possess an Associate’s degree, though a Bachelor’s degree is preferred, and must hold a current Registered Nurse license for the state of Kentucky. Required certifications include BLS within one month of hire, and ACLS and PALS within six months of hire.

Patient Care Technician / PCT / Acute Rehabilitation at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Observation Duties, Clinical Equipment Operation, Emergency Assistance, Specimen Collection, Hygiene Maintenance, Infection Control, Patient Comfort, Technical Skills, Communication Skills, Teamwork, Compassion, Attention To Detail, Time Management, Adaptability, Problem Solving

Registered Nurse (RN), Intensive Care Unit (ICU), PRN at Lifepoint Health

Winchester, Tennessee, United States - Full Time

Skills Needed
Critical Thinking, Decisive Judgment, Patient Care, Medication Administration, Specimen Collection, Clinical Treatments, Patient Education, Advocacy, Collaboration, Documentation, Monitoring, Communication, Activities Of Daily Living, Emotional Support, Cultural Sensitivity

Specialization
An associate's degree is required, along with critical thinking skills and the ability to work in a stressful environment. Certifications in BLS, ACLS, and PALS are also necessary within specified timeframes.

Acute Care Clinical Instructor / Internal Travel Team at Emory Healthcare

Tucker, Georgia, United States - Full Time

Skills Needed
Clinical Instruction, Precepting, Evidence Based Practices, Nursing Process, Patient Advocacy, Simulation, Adult Learning Principles, Communication Skills, Time Management, Delegation, Critical Thinking, Confidentiality, Synergy Model For Care, Documentation, Patient Care

Specialization
A Master of Science in Nursing (MSN) is required, along with graduation from an accredited nursing school and 2.5 years of recent, relevant nursing experience within the last five years. Candidates must hold current Georgia RN licensure and possess required American Heart Association certifications (BLS, ACLS, PALS), with professional certification required within one year.

Experience Required
Minimum 2 year(s)

Acute Care Clinical Instructor / Internal Travel Team at Emory Healthcare

Tucker, Georgia, United States - Full Time

Skills Needed
Clinical Instruction, Precepting, Nursing Process, Evidence Based Practices, Supervision, Evaluation, Simulation, Adult Learning Principles, Communication Skills, Time Management, Delegation, Critical Thinking, Patient Advocacy, Bedside Care, Synergy Model For Care

Specialization
A Master of Science in Nursing (MSN) is required, along with graduation from an accredited nursing school and 2.5 years of recent, relevant nursing experience within the last five years. Current Georgia RN licensure and specific American Heart Association certifications (BLS, ACLS, PALS) are mandatory, with professional certification required within one year.

Experience Required
Minimum 2 year(s)

Care Management Analyst, On-Site, Clk Street Medicine at Adventist Health

Clearlake, California, United States -

Full Time

Start Date

Immediate

Expiry Date

16 May, 26

Salary

36.57

Posted On

15 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Management, Data Analysis, Medical Records Review, Process Redesign, Root Cause Analysis, Metric Development, Report Development, Denial Management, Utilization Management, Claim Adjudication, Data Collection, Analytic Modeling, Trending Displays, Dashboards, HIPAA Compliance, Revenue Cycle

Industry

Hospitals and Health Care

Description

Located in beautiful Northern California, Adventist Health Clear Lake has been a leading healthcare provider in Lake County since 1968. We are comprised of a 25-bed critical access hospital and provide primary and specialty care services at clinics throughout the area to best serve our community. Lake County is home to Clear Lake, California's largest natural freshwater lake, surrounded by charming small towns, beautiful mountains, vineyards and orchards. This area is perfect for outdoor enthusiasts, with some of the best bass fishing, rural trails for hiking and biking, all the while being only two hours from the San Francisco Bay Area, Sacramento Valley or Pacific Coast. Job Summary: Reviews patient encounters and medical records to determine if improvement opportunities exist through either technological or communication enhancements. Supports the execution of system-wide strategic initiatives, process re-design, root cause analysis, metric/report development as it relates to clinical reviews and denial management. Analyzes, monitors, reports findings, and provides recommendations on key report sets to Adventist Health leadership and utilization management committee. Works closely with key departments (e.g., on-site care management, medical staff, HIM/coding, patient financial services, etc.) to review and obtain the medical documentation required to streamline the adjudication process. Tailors communications to respective audiences (e.g., system leaders versus regional leaders) to ensure that specific mitigation action plans are created and implemented. Supports and facilitates the design as well as implementation of utilization management data collection and reporting methodologies. Develops analytic models and trending displays and dashboards to inform executive leaders, oversight committees and Key stakeholder of process and outcomes of high priority metrics, functions and opportunities for improvement and progress to goals. Understands, utilization management and its impact on claim adjudication. Job Requirements: Education and Work Experience: Associate's/Technical Degree in finance or business or equivalent combination of education/related experience: Required Bachelor's Degree in mathematics, statistics, economics or finance or equivalent combination of education/experience: Preferred Three years' acute care hospital revenue cycle experience: Preferred Essential Functions: Creates a regularly scheduled report set of key metrics (e.g., denials by category and market, overturned denial rate, write-off rate, etc.) related to the case management & revenue cycle team that is distributed to Adventist Health leadership. Uses data to investigate areas, such as clinical denials, to determine root-cause and subsequent mitigation action plans. Collaborates with necessary personnel or departments to implement action plans, using either verbal or written communication to emphasize importance of an issue. Prioritizes issues based on timeframe to implement, ease of implementation, and overall impact. Samples encounters that have received either a clinical or billing denial related to case management type denials (e.g., referral, pre-authorization, medical necessity, non-covered service, etc.) and validates the denial reason. Assists with developing and maintaining performance tools for ongoing reports and acts as a liaison to the utilization management committee. Identifies and escalates consistent issues/trends with payers to AH leadership. Keeps a pulse on any regulatory changes and payer policies that may affect Adventist Health. Maintains confidentiality of information in compliance with hospital policies and HIPAA. Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Responsibilities

This role involves reviewing patient encounters and medical records to identify improvement opportunities through technology or communication enhancements, while supporting system-wide strategic initiatives, process redesign, and root cause analysis related to clinical reviews and denial management. The analyst will also develop analytic models and dashboards to inform leadership and committees about process outcomes and improvement opportunities.

Care Management Analyst, On-Site, Clk Street Medicine at Adventist Health

Clearlake, California, United States - Full Time

Experience Required
Minimum 2 year(s)

Winship Immediate Care Center Registered Nurse / RN at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Experience Required
Minimum 2 year(s)

Patient Care Technician / PCT / Medical Surgical 51 at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Patient Care Technician / PCT / 4500 General Medicine at Emory Healthcare

Decatur, Georgia, United States - Full Time

Patient Care Technician / PCT / Registry OU Float Pool at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Specialization
A high school diploma or equivalent is required, with previous healthcare experience preferred but not mandatory. BLS certification is also required for this position.

Patient Care Technician / PCT / WEM Lung/Hem Onc Inpt at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Patient Care Technician / PCT / Pre-Op Holding Area at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Observation Duties, Clinical Equipment Operation, Emergency Assistance, Specimen Collection, Hygiene Compliance, Infection Control, Safety Standards, Equipment Operation, Bls Certification, Nursing Assistant Training, Patient Comfort, Emergency Situations, Patient Procedures, Transporting Specimens

Patient Care Technician / PCT / Complex Med Surg 7W at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Observation Duties, Clinical Equipment Operation, Emergency Assistance, Specimen Collection, Hygiene Compliance, Infection Control, Safety Standards, Equipment Operation, Patient Comfort, Rest Assistance, Bls Certification, Cna License, Nursing Program Enrollment, Clinical Rotations

EPIC Analyst IV (EpicCare Inpatient/ClinDoc & Orders) at Emory Healthcare

Tucker, Georgia, United States - Full Time

Experience Required
Minimum 5 year(s)

Patient Care Technician / Registry OU Float Internal at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Clinical Duties, Communication, Team Collaboration, Infection Control, Patient Safety, Technical Skills, Documentation, Emergency Assistance, Mobility Support, Patient Transport, Observation Skills, Supportive Environment, Patient Procedures, Care Team Collaboration, Standard Precautions

Specialization
A high school diploma or equivalent is required, with previous healthcare experience preferred but not mandatory. BLS certification is also required for this position.

Patient Care Technician / PCT/ Bone Marrow Transplant at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Patient Care Technician / PCT / Surgical Oncology 7T at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Patient Care Technician / PCT / Bone Marrow Transplant at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Observation Duties, Clinical Equipment Operation, Emergency Assistance, Specimen Collection, Hygiene Compliance, Infection Control, Safety Standards, Patient Comfort, Basic Life Support, Nursing Assistant Training, Patient Procedures, Technical Equipment Use, Team Collaboration, Communication Skills

Patient Care Technician / PCT / Registry OU Float Pool at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Specialization
A high school diploma or equivalent is required, with previous healthcare experience preferred but not mandatory. BLS certification is also required for this position.

Patient Care Technician / PCT / Registry / OU Float at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Skills Needed
Patient Care, Clinical Duties, Communication, Team Collaboration, Infection Control, Patient Safety, Technical Skills, Documentation, Emergency Assistance, Patient Transport, Equipment Operation, Patient Support, Observation, Mentorship, Performance Improvement, Compliance

Specialization
A high school diploma or equivalent is required, with previous healthcare experience preferred but not mandatory. BLS certification is also required for this position.

Registered Nurse (RN) Intermediate Medical Care (IMC) at Lifepoint Health

Maysville, Kentucky, United States - Full Time

Skills Needed
Registered Nurse, Intermediate Medical Care, Patient Care, Nursing Process, Bls, Acls, Pals, Acute Care

Patient Care Technician / PCT / Acute Rehabilitation at Emory Healthcare

Atlanta, Georgia, United States - Full Time

Registered Nurse (RN), Intensive Care Unit (ICU), PRN at Lifepoint Health

Winchester, Tennessee, United States - Full Time

Acute Care Clinical Instructor / Internal Travel Team at Emory Healthcare

Tucker, Georgia, United States - Full Time

Experience Required
Minimum 2 year(s)

Acute Care Clinical Instructor / Internal Travel Team at Emory Healthcare

Tucker, Georgia, United States - Full Time

Specialization
A Master of Science in Nursing (MSN) is required, along with graduation from an accredited nursing school and 2.5 years of recent, relevant nursing experience within the last five years. Current Georgia RN licensure and specific American Heart Association certifications (BLS, ACLS, PALS) are mandatory, with professional certification required within one year.

Experience Required
Minimum 2 year(s)