Contract Apr 29, 2024 Healthcare Essential Duties/Responsibilities:
Administers medications and treatments in accordance with all accepted standards for administration;
Provides safe, efficient personal care of residents;
Uses recommended safety devices and follows infection control standards;
Answers call lights and residents' requests for assistance;
Adheres to resident's rights at all times;
Documents medications and treatments administered, and care provided;
Assists with orientation of new employees on the unit;
Participates in resident care planning, updating care plans and aide assignments;
Assesses residents, documents findings and reports to the physician;
Transcribes physicians orders;
Communicates resident change of condition to resident sponsors;
Destroys and documents same of discontinued medications;
Maintains correct controlled substance numbers during shift;
Completes required documentation of nursing notes, transfer forms and other records;
Assists with operation of the unit, including the monthly change over of records;
Completes and distributes nurse aide assignments;
Gives report to on-coming shift.
Schedule and assist with physician, optometrist, podiatrist, dentist appointments;
Administer and record employee health testing results
Job Requirements:
Must be licensed as and maintain licensure as a Licensed Practical Nurse in Indiana; must maintain first
aid, mantoux and CPR certification. Ability to understand and communicate with residents and
understand and complete nursing forms; ability to follow verbal instructions; ability to provide nursing care
practices; ability to use medical equipment within scope of licensure; ability to provide safe, efficient
resident care, following all applicable state and Veterans' Administration rules, IVH policies and
procedures and all HIPAA rules; must attend and complete all required in-service training; ability to
prioritize workload; ability to be flexible; ability to assess resident's and report to the physician; ability to
administer medications and treatments in a safe, efficient manner, recognizing medication side effects;
ability to know approved abbreviations and appropriate terminology; ability to document in a legible
manner.
Contract Apr 29, 2024 Clerical PME is seeking contract architectural field surveyors for work in and around central Indiana. Ideally the surveyor would work full time (40 hours/week). Flexible hours are available to accommodate the schedule of the right candidate.
Responsibilities:
Instructions, guidance, and additional communication will come from the survey coordinator. The field surveyor works within established division guidelines making judgements and decisions based upon policy, procedure, and subject knowledge relating to mission, goals, and objectives.
? Submit work to the survey coordinator multiple times per week to ensure that fieldwork meets.
program standards. There will be weekly/monthly expectations to meet/exceed after a
probationary period.
? Maintain necessary data for mileage reimbursements and timesheets.
? Behave in a respectful, responsible, and professional manner as a representative of State government. Use good judgement and maintain safety. Contact survey coordinator with problems.
? Handle the equipment in a responsible manner.
Qualifications:
Possess a Bachelor’s degree from an accredited four-year college or university in history, historic preservation, architectural history, material culture, or another relevant field.
Ability to quickly and accurately learn, understand, and assess the nuances of vernacular types and architecture styles found in Indiana.
Ability to quickly and accurately assess building features, forms, and materials to determine age, types/style, and
level of architectural integrity
Effective communication skills—both verbal and written
Self-motivated, organized, and able to excel while working independently.
Flexibility and adaptability to work environment and weather.
Ability to plan your work to keep track of surveyed areas and meet metrics and deadlines.
Experience conducting research and summarizing data into condensed reports.
Preference will be given to candidates with a master’s degree from an accredited college or university in historic.
preservation or architectural history.
Contract Apr 29, 2024 Administrative ESSENTIAL DUTIES MAY INCLUDE:
• Following policy in critical incidents preventing injury, escape, or property damage.
• Maintains confidentiality.
• Incumbent supervises the daily work of students and evaluates the achievement of individual student knowledge.
• Operates all job-related equipment.
• Collaborates with other departments in order to enhance the learning environment of students.
• Providing written reports to/participates in multidisciplinary treatment team.
• Attending and successfully completing all required training and certifications.
• Developing and reviewing clear, accurate, and concise reports that are in compliance with departmental policies and procedures.
• Promoting good working relationship with students, staff, contractual personnel, interns and volunteers, and applicable community public or private agencies.
• Maintaining a positive image to the public in all related responsibilities.
• Performs related duties as assigned.
REQUIREMENTS:
• Ability to implement daily and weekly teacher lesson plans designed to enforce full course objectives in the absence of an educator.
• Ability to create and provide a positive learning environment conducive to and supportive of individual growth and development of students.
• Ability to maintain and control educational department supplies, equipment, and tools.
• Ability to effectively communicate both orally and written.
• Ability to work effectively in a teamwork environment.
• Ability to accept supervision and constructive feedback.
• Ability to test negative on all drug tests.
• Ability to successfully complete all required training and certifications.
Contract Apr 29, 2024 Administrative **Remote Position
We are in need of a specialist with experience in medical referral experience to provide the following services:
-Provide systems access to our client's Government associates, subcontractors, and government staff with appropriate on-line applications via security passwords and access levels to ensure system integrity
- Responsible for the coordination, administration and auditing of systems access activities
-Granting access to EQIP system through data entry
-Troubleshooting system application issues by speaking with applicants and answering questions
Responsibilities Include:
Data Entry (Medical exp./terminology a must)
Gaining appropriate clearance levels for new hires
Provide systems access to associates, subcontractors, and government staff with appropriate on-line applications via security passwords and access levels to ensure system integrity
Experience with using MS Office (Outlook, Excel, Access, Word, etc…).
Ability to work out of multiple databases.
Act independently to work with associates needing to complete the Electronic Questionnaires for Investigations Processing (e-QIP) process
Qualifications:
Ability to demonstrate strong attention to detail
2 or more years of experience in Healthcare/Medical field
US Citizenship required
Expertise in customer service, written and verbal skills.
Must be able to pass a Federal background check and drug screen
Must meet all requirements to receive C2 Level of Trust
Experience utilizing Microsoft Office Suite applications
Comfortable with high levels of data entry
Contract Apr 29, 2024 Administrative The Litigation Paralegal provides paralegal, office and administrative support to attorneys and staff on the Litigation Team for issues involving any or all of INDOT’s Districts/offices.
Essential duties/responsibilities:
• Serves as a contact in Central Office for the Litigation Team, answering phones, scheduling attorney meetings and other logistical arrangements and handling any litigation-related mail in Central Office.
• Serves as a resource and screener for legal/litigation issues and questions arising in all the Districts and Central Office, and when necessary, directs legal issues to the appropriate resources within the Legal Division.
• Serves as a principal Litigation Team contact with outside counsel for matters in litigation or pre-litigation.
• Responsible for creation and maintenance of Litigation Team files in case management system, including directing intake of new matters, opening files in case management system, tracking down additional information needed by attorneys to process requests for legal assistance, maintenance of any paper working files as needed and uploading/organizing pleadings/notices/discovery /correspondence/etc. in each matter in the case management system.
• Responsible for paralegal functions including drafting, editing and finalizing simple pleadings, correspondence, and other various legal documents requested by the attorneys.
• Locating and gathering information and documents responsive to discovery requests for review by attorneys, INDOT and outside counsel.
• Managing, responding to and tracking tort claim notices for the Litigation Team, including coordinating notices with the Office of the Attorney General.
• Assist attorneys in follow-up and tracking status of litigation, discovery, non-party requests for production and other matters for all Districts and Central Office, including assisting with gathering signatures and reviewing documents to be disclosed depending on responsiveness and confidentiality.
• File and document organization and retention in accordance with Legal Division guidance for Central Office.
• Reviewing online court dockets for all litigation of the Team.
• Evaluate all new online court docket entries, uploading and distributing to our Team recent pleadings and court orders.
• Calendar all new critical dates for all litigation of the Team, providing notice to our Team attorneys.
• File/serve documents and pleadings.
• Update the Team’s case management system with information/deadlines.
• Other duties as assigned.
Job requirements:
• Adapts readily to new situations and changes in the workplace; works well under pressure; learns and functions well under widely different situations and circumstances.
• Demonstrates knowledge of internal and external customers; is sensitive to customer needs and expectations; anticipates needs and responds promptly and willingly to provide information, services and/or products as needed.
• Understands importance of achieving results; makes effort necessary to achieve goals/objectives; achieves results requested or agreed upon.
• Establishes effective working relationships with co-workers, supervisors & managers, clients and/or the public; gets along well with others.
• Strong writing skills; possesses adequate knowledge skills and experience to perform the duties of the job; understands the purpose of the work unit and how position contributes to the overall mission of the agency; maintains competency in essential areas.
• Proficiency with the civil discovery process, including knowledge of the various forms of discovery.
• Ability to comprehend, analyze, develop and evaluate administrative procedures, while providing attention to details and meeting deadlines.
• Establishes priorities and work sequences to coordinate efforts, maintain workflow and meet deadlines; ensures sufficient functioning through smooth interface with related processes.
• Ability to plan and conduct work with minimal supervision and direction for routine and everyday tasks; judgment to identify when attorney or supervisor input is needed.
• Excellent organizational skills and attention to details.
• Recognizes and defines problems; thoroughly obtains and analyzes facts; takes immediate corrective action; uses resources and techniques to develop sound solutions while foreseeing possible consequences.
• Ability to develop and implement new policies, provide deliverables and meet established deadlines.
• Proficiency with Microsoft Office Suite and other basic computer skills.
• Encourages and facilitates cooperation, pride, trust and group identity; fosters commitment and team spirit; works cooperatively with others to achieve overall goals.
• Prefer at least 5-7 years of paralegal experience (including but not limited to experience in preparing discovery responses, drafting pleadings, etc.).
Contract Apr 29, 2024 Other Area(s) Seeking a Recruiting Coordinator to partner with the TA Manager and the recruitment team to aid with hiring and on boarding of new employees. This is a remote position, but you MUST reside within the PST time zone. The work schedule is 8:00am to 4:30pm PST.
Summary:
ATS (ORC – Oracle Recruiting Cloud) admin. Support.
Tier 1 Technical Inquiries from Recruiters
Manually tracking hire data for new growth/RFP hiring projects and any req change requests, cancellations, upgrades, downgrades.
Creating and managing req data from Open to Filled Job postings – ensuring reqs are posted in a timely manner by our media vendor.
Reviewing all drafted offer letters to ensure correct values (i.e. PTO accruals, Sign-on Bonus, STI %, non-compete verbiage, etc.) are selected and printed before Recruiters route for approvals.
Required Education: HS Diploma or equivalent.
Required Experience: 0-2+ years of directly related experience.
Required Excel Skills: Intermediate to Advanced. Able to create pivot tables, formulas, scrub data, manage multiple workbooks/files/sheets, SQL, able to create dashboards. Must be familiar with SharePoint.
Contract Apr 29, 2024 Other Area(s) Seeking an RN Care Manager II to perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
Education/Experience:
Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.
Licenses/Certifications:
Current state’s RN license.
Texas Requirements:
Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2+ years of clinical nursing or case management experience in a clinical, acute care, managed care, or community setting. 2+ years’ experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs. Other state specific requirements may apply.
Licenses/Certifications: Indiana state’s RN license in good standing.
Direct Hire Apr 29, 2024 Administrative Professional Management Enterprises, inc. is looking for an entry-level Technical Writer. Their role is to employ their technical knowledge to research, document, and present detailed information in easy-to-interpret guides, help manuals, white papers, templates, web pages, videos, journal articles, etc.
The Technical Writer will transform complex information into concise and precise documentation. Able to utilize various advanced domains, including medicine, engineering, computer science, information technology, etc., and create content around topics specific to their expertise.
Duties/Responsibilities:
Carry out extensive research to craft high-quality software documentation that communicates clear and appropriate terminologies. Define and explain niche-related jargon where necessary.
Carefully analyze the target audience, create, design, and present technical content in the best possible way. Tailor the document’s knowledge level and specificity according to the target audience’s familiarity with the subject.
Choose an appropriate medium to deliver content to the audience. Analyze the audience’s behavior and identify its engagement on various platforms and content types. Create content that bodes well for the audience.
Use visual components such as charts, graphs, lists, etc., to highlight and amplify valuable information. Ensure to include credible and authentic content with proper citation–if using external sources to back up data.
Coordinate with product managers and technical team, and frequently examine mockups, product samples, and Software Requirement Specifications documents to integrate production sequences.
Update and edit every document to introduce new components added to the associated product, technology, or technique.
Edit and update material produced by software development teams/technical staff and comprehend it for the end-users.
Create documents that reflect the organization’s goals and culture.
Collect user feedback to update and improve documentation.
Skills Required:
An entry-level technical writer should possess editing and proofreading skills to deliver documents free of grammatical and style errors.
They should be tech-savvy, have a keen eye for detail, and quickly grasp technical knowledge.
They should comprehend complex methods in straightforward step-by-step processes to defy the reader’s ambiguities.
They should be exceptional at problem-solving and must possess a mind that exhibits patience and persistence.
they should display outstanding communication skills.
They should be able to correlate their ideas and communicate them logically.
They should use proper layouts and indentation rules in their documents to make them scannable and easily readable.
Be able to strategically highlight high-value information in their content.
They should have the ability to craft easily searchable content by labeling indexes, tables of content, roadmaps, etc.
They must be well-coordinated, agile, highly responsive, and bound to deliver results the way customers and stakeholders want.
They should be able to meet deadlines and handle the stress that comes with them.
An entry-level technical writer you will need to be proficient in tools such as; Grammarly, MS Word, Hemingway app, Evernote, Freemind, etc.
Education:
Bachelor’s degree preferred.
Minimum three (2) years of cumulative experience
Work Environment:
Hybrid (3 days in office)
Monday - Friday 8am-5pm
Contract Apr 29, 2024 Administrative PMO Project Coordinator
The PMO Project Coordinator is responsible for managing project management office activities in the areas of process documentation, template management, time tracking, and project reporting. Includes understanding the different tools that support those activities, such as but not necessarily JIRA, Confluence, Task Management System, Service Now and Sharepoint. Includes opportunities to lead small internal projects, and requires good customer relations skills working with the State client’s project management office teams.
Experience working in a project driven environment
Good understanding of a key phases of a systems related life cycle (SDLC)
Experience with project process documentation materials
Strong Excel skills including detailed data analysis and pivot tables
Strong communications skills including client interaction and meeting facilitation
Strong experience with SharePoint, Teams, and other Office tools
Experience working with Atlassian tools, JIRA or Confluence, would be a plus
Manages first level to mid-level client delivery relationships
Manages internal low-risk projects
Two or more years of experience a in project management environment
Essential Job Functions
Participates in reviewing existing project management office, change management procedures, for improvement
Helps maintain all of the PMO documentation, templates, processes primarily in Sharepoint.
Generates PMO reports for delivery to the stakeholders, including external State client.
Reviews the gates and checkpoints for each project, to be sure all deliverables were created, and approved by stakeholders. Similar to an audit.
Reviews the issues and risks entered by the project management team, and helps escalate, and update as appropriate.
Manages client, company and project team expectations for agreed upon project performance by obtaining, providing and monitoring project metrics.
Supports monthly project billing to the client by verifying that time tracking hours were charged to the appropriate project.
Assigns project management office tasks to the relatively small project management and quality management teams
Responsible for project related data analysis such as performance to budget, cost to estimate, schedule performance and other.
Basic Qualifications
Two years of experience in project management, whether formal or informal.
Experience working with project management methodology within a technical environment.
Experience working with project management tool sets, preferably Jira, Confluence. Other similar tools acceptable.
Change management processes/templates.
Strong Excel skills including detailed data analysis and pivot tables.
Effective communication skills working with predominantly remote resources, as opposed to in the office.
Experience or ability to manage smaller, low risk projects.
Other Qualifications
Good comprehension skills to adapt to the processes and mentor the work of less experienced personnel
Good communication skills
Interpersonal and presentation skills for interacting with team members and clients
Creative thinking and problem solving skills
Ability to handle multiple tasks simultaneously and switch between tasks quickly
Work Environment
Remote teleworker is acceptable within the USA
Contract Apr 29, 2024 Other Area(s) PME is looking for a Healthcare Case Manager I (RN, LCSW, LMSW) experienced in Case Management working with complex medical and mental illness cases. The position will require field visits 3 days a week and the rest will be from home. Schedule M-F 8:30am-5:00pm CST.
MUST live in within 30 minutes of ARLINGTON HEIGHTS, BARTLETT, HANOVER PARK, BARRINGTON, ELGIN, MOUNT PROSPECT, HOFFMAN ESTATES, PALATINE, ROLLING MEADOWS, ROSELLE, SCHAUMBURG, STREAMWOOD, WHEELING
Responsible for health care management and coordination of healthcare members
Works with members to create and implement an integrated collaborative plan of care.
Coordinates and monitors Healthcare members’ progress and services.
Provides case management services to members with chronic or complex conditions.
Proactively identifies members that may qualify for potential case management services.
Conducts assessment of member needs by collecting in-depth information from healthcare information system, the member, member’s family/caregiver, hospital staff, physicians, and other providers.
Identifies, assesses, and manages members per established criteria.
Develops and implements a case management plan in collaboration with the member, care team.
Performs ongoing monitoring of the plan of care to evaluate effectiveness.
Documents care plan progress in healthcare information system.
Requirements
Healthcare Case Management experience
RN, LPN or bachelors in social service or related field.
0-2 years of clinical experience with case management experience
Active, unrestricted State RN or LPN license or Licensed Clinical Social Worker LCSW or Advanced Practice Social Worker APSW in good standing
Familiarity with NCQA standards, state/federal regulations, and measurement techniques. In depth knowledge of CCA and/or other Case Management tools.
Required Experience
0-2 years of clinical experience with case management experience.
Required Licensure/Certification: Active, unrestricted State Nursing license or Licensed Clinical Social Worker LCSW or Advanced Practice Social Worker APSW in good standing.
Must have a valid driver’s license with a good driving record and be able to drive locally if required.
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Apr 29, 2024 Other Area(s) Seeking an Account Payable I Specialist to process, input and maintain AP. Close month end, reconcile, and allocate expenses. This position requires you to be in the office Tues and Thurs 8:30am-5:00pm and work remotely Mon, Wed and Fri 8:30am-5:30pm.
Work location:
200 Oceangate
Long Beach, CA 90802
Essential Functions:
Complete AP invoice tickets, identifying proper GL account number and accounting period including performing research of incoming invoices to ensure that proper approvals have been obtained and supporting documentation has been provided and to prevent duplicate payments. Issue A/P checks. Research and verify old outstanding invoices as requested. Process expense reports.
Knowledge/Skills/Abilities:
Excellent verbal and written communication skills. Ability to abide by company’s policies. Maintain regular attendance based on agreed-upon schedule. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
Required Education:
High School graduate
Required Experience:
Minimum 0-2 years’ experience in accounts payable and/or receivables.
Seeking an Account Payable I Specialist to process, input and maintain AP. Close month end, reconcile, and allocate expenses. This position requires you to be in the office Tues and Thurs 8:30am-5:00pm and work remotely Mon, Wed and Fri 8:30am-5:30pm.
Work location:
200 Oceangate
Long Beach, CA 90802
Essential Functions:
Complete AP invoice tickets, identifying proper GL account number and accounting period including performing research of incoming invoices to ensure that proper approvals have been obtained and supporting documentation has been provided and to prevent duplicate payments. Issue A/P checks. Research and verify old outstanding invoices as requested. Process expense reports.
Knowledge/Skills/Abilities:
Excellent verbal and written communication skills. Ability to abide by company’s policies. Maintain regular attendance based on agreed-upon schedule. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
Required Education:
High School graduate
Required Experience:
Minimum 0-2 years’ experience in accounts payable and/or receivables.
Contract Apr 26, 2024 Other Area(s) Seeking a Mail Sorter Operator to process mail by priority, based on contractual mail date, and finalize mailings for United States Postal Service (USPS) acceptance.
Pay: $15.00
Shift: M-F 3:30 PM until 11:00 PM
Location: 1816 Willowby St, AP, Columbia, SC 29223
Input sort schemes to the sorter system to obtain the best possible postage rates allowed.
Maintain HIPAA compliance by ensuring mail is sealed, undamaged, and adheres to standard safety practices in operating equipment.
Adhere to USPS regulations governing mail and federal privacy regulations.
Operate high speed sorting equipment to meet the department's daily service goals for automated outgoing mail.
Estimate completion time and report anticipated delays to management team.
Set up equipment to meet advanced mail processing requirements for outgoing mail.
Make all necessary mechanical adjustments required for timely completion of 1st and 2nd pass processing.
Execute continuous quality checks of sorted mail and examine bin-to-tray tags throughout the process.
Troubleshoot equipment problems and perform operator adjustments necessary to meet USPS automation requirements.
Print, validate, and transmit all USPS required documentation for each mailing.
Skills and Abilities:
Coordinates delivery and receiving; Coordinates production schedules; Maintains mail equipment; Manages inventories; Operates mail equipment.
Required Education:
High School Diploma or equivalent
Required Training:
Pitney Bowes Certified Sorter Operator within 90 days of hire.
Required Work Experience:
2 years’ experience working in a business or government agency.
Contract Apr 26, 2024 Other Area(s) Seeking a Mail Sorter Operator to process mail by priority, based on contractual mail date, and finalize mailings for United States Postal Service (USPS) acceptance.
Pay: $15.00
Shift: M-F 8:30 AM until 5:00 PM
Location: 1816 Willowby St. AP, Columbia, SC 29223
Input sort schemes to the sorter system to obtain the best possible postage rates allowed.
Maintain HIPAA compliance by ensuring mail is sealed, undamaged, and adheres to standard safety practices in operating equipment.
Adhere to USPS regulations governing mail and federal privacy regulations.
Operate high speed sorting equipment to meet the department's daily service goals for automated outgoing mail.
Estimate completion time and report anticipated delays to management team.
Set up equipment to meet advanced mail processing requirements for outgoing mail.
Make all necessary mechanical adjustments required for timely completion of 1st and 2nd pass processing.
Execute continuous quality checks of sorted mail and examine bin-to-tray tags throughout the process.
Troubleshoot equipment problems and perform operator adjustments necessary to meet USPS automation requirements.
Print, validate, and transmit all USPS required documentation for each mailing.
Skills and Abilities:
Coordinates delivery and receiving; Coordinates production schedules; Maintains mail equipment; Manages inventories; Operates mail equipment.
Required Education:
High School Diploma or equivalent
Required Training:
Pitney Bowes Certified Sorter Operator within 90 days of hire.
Required Work Experience:
2 years’ experience working in a business or government agency.
Contract Apr 26, 2024 Healthcare The Community Well Care Coordination Manager must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are not receiving Home and Community Based Services (HCBS) or designated as Nursing Facility Level of Care (NFLOC). The Care Coordination Manager must, at a minimum, be a registered nurse or similar medical professional with extensive experience in providing care coordination to members 60 years and older. This individual will work directly under the Health Services Directors to maintain the care coordination program. The individual will be responsible for overseeing care coordination teams, care plan development and care plan implementation. The Care Coordination Manager will be responsible for directing the activities of the care coordinators. These responsibilities extend to physical and behavioral health care services. This individual will work with the Heath Services Director, Service Coordinator Administrator, Medical Director, Provider and Member Services Managers, and with State staff as necessary, to communicate to providers and members. The Care Coordination Manager will provide input, as requested by the State, at State-level meetings.
Primary Responsibilities:
• Selects, manages, develops, mentors and supports staff in designated department or region
• Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results
• In order to meet the unique needs of our members, have an intimate understanding of the contractual requirements
• Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
• Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care
• Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team
• Participates in training and coaching of direct reports as needed
• Conducts bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns and foster a good working relationship
• Collaborates across Optum and UHG and interacted with Medical Directors, Site Directors, Senior Leaders, Network, Marketing, Account Management, Quality, Product, and other stakeholders
Required Qualifications:
• Resident of Indiana
• BSN or BSW with equivalent experience
• Registered Nurse with an unrestricted License in Indiana
• Experience working within the community health setting in a health care role
• Experience or knowledge of Indiana Medicaid, Medicare, Long term care
• Experience coaching or mentoring staff
• Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment
Preferred Qualifications:
• 3+ year of case management leadership experience within a healthcare industry
• Background in managed care
• Case Management experience
• Certified Case Manager (CCM)
• Experience / exposure with members receiving long term social supports
• Experience in utilization review, concurrent review and/or risk management
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Apr 25, 2024 Other Area(s) Seeking a Sr. Quality Management Specialist (RN) to function implement, oversee, and maintain new and existing healthcare quality monitoring activities and programs. This position requires a strong background in behavioral health and auditing. Is well-versed in the requirements of the quality management program and day-to-day work processes to support compliance with state contract, policies, and program requirements. Fully Remote, but MUST reside in AZ. The work schedule is M-F 8-5 PM PST.
Job Duties
Performs quality monitoring activities, including audits of medical record quality, services and service sites, health and safety, and follow-up of monitoring of placement settings.
Implements key quality strategies that require a component of near real-time clinical decision-making. These activities may include initiation and management of interventions (e.g., improving patient safety); preparation and review of potential quality of care and critical incident cases; review of medical record documentation for credentialing and model of care oversight; and any other federal and state required quality activities.
Support the creation and ongoing revision of policies and procedures reflective of state requirements for all quality management functions, including quality monitoring audits, credentialing and recredentialing, quality of care concerns, and peer review.
Monitor and ensure that key quality activities that involve clinical decision-making are completed on time and accurately to present results to key departmental management.
Monitor and ensure that key quality activities are completed on time and accurately.
Adheres to written documentation and business practices (e.g., policies and procedures, desk-level procedures, manuals, and process flows).
Adheres to structure and processes for tracking and trending reportable incidents, quality of care events, member service concerns, and mortalities.
Evaluates project/program activities and results to identify opportunities for improvement.
Ensures individual and systemic quality of care investigations are performed timely, accurately, and in accordance with state-based requirements.
Required Education
Bachelor's Degree or equivalent combination of education and work experience.
Day to Day Responsibilities: Quality provider audits
Required Years of Experience:
3 years’ experience in healthcare with minimum; 1 year experience in quality management and clinical quality investigations, or equivalent experience.
Required Licensure / Education:
QM Nurse: Arizona-licensed RN or a Licensed Practical Nurse (LPN) with current Licensure under the Arizona State Board of Nursing (BON). QM BH Nurse: Arizona-licensed registered nurse practitioner licensed as an adult, psychiatric and mental health nurse, or Arizona-licensed registered nurse with:
a. A psychiatric-mental health nursing certification, or
b. One year of experience providing behavioral health services.
Contract Apr 25, 2024 Other Area(s) Job Summary:
The trainer is responsible for facilitation of a range of training content, primarily for Indiana early childhood education professionals and program leaders, SPARK IN staff/partners, and for broader external audiences.
**This position is remote in Indiana, with travel to provide training coverage.**
Essential Duties & Responsibilities:
Supports the implementation of technical assistance initiatives, including online and in-person learning opportunities, learning management system administration, and content development processing and cataloging.
Provides virtual and in-person learning opportunities
Completes responsibilities on the learning management system
Completes all aspects of the training process, including identification of training needs; provides input in the design and development of learning solutions (content/materials); direct facilitation of training sessions; and learning transfer and evaluation.
Evaluates data to inform and improve training opportunities
Participates in assigned meetings, events, training and conferences as required.
Non-Essential Duties:
Contributes to other Professional Development projects as needed.
Performs any and all other duties as assigned.
Job Specifications:
To perform this job successfully, an individual must be able to carry out each essential duty in a satisfactory manner. The job specifications listed are representative of the education and experience, the physical requirements, as well as the knowledge, skill and/or ability (KSAs) that are generally necessary for the role. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Job Requirements:
Master’s degree preferred.
Minimum three (3) years of cumulative experience in related fields, which may include Head Start or other early childhood education, family/community engagement, or program design & management
Experience with in-person and virtual training/facilitation (in an educational setting a plus)
Physical exam and background checks are required for this position.
Travel required locally or long-distance up to 20% of the time for work-related meetings and functions.
Must have a valid driver’s license and/or reliable transportation.
Knowledge, Skills, & Abilities:
Bilingual (Spanish) desirable
Extraordinary facilitation, presentation and general interpersonal skills.
Knowledge of Shine Early Learning offerings/partners a plus; or, ability to get up-to-speed quickly.
Ability to navigate a complex organizational structure, assess and balance priorities, and facilitate inclusive input and decision-making processes.
Ability to multitask, work independently, and organize efficiently.
Ability to synthesize information and communicate effectively in written or verbal format with off-site colleagues, partners, groups of all sizes and individuals.
Demonstrated computer literacy skills, using MS Office applications and other basic data systems including internet navigation.
Ability to interact effectively with people from diverse backgrounds.
Must be honest, dependable and able to meet deadlines.
Self-motivated and able to work independently.
Physical Requirements:
Ability to sit most of the time with some bending and reaching.
Ability to stand, walk, and bend periodically.
Ability to engage in repetitive movement of wrists, hands, and fingers – typing and/or writing.
Ability to work frequently at close visual range (i.e. preparing and analyzing data and figures, accounting, transcription, computer terminal, extensive reading).
Ability to receive and respond to oral communication.
Ability to exert up to 10 pounds of force to lift, carry, push, pull, or otherwise move objects.
Work Environment:
Work is generally performed remotely, typically in a home office environment; occasionally, work occurs in a business office environment where:
Noise level is moderate to occasionally loud (examples: business office with computers and printers, light to moderate traffic, human voices).
Standard equipment generally used includes:
Smartphone/Telephone
Personal Computer (monitor, keyboard, and mouse), Laptop, or Tablet
Printer/Photocopy Machine
Calculator
Fax Machine
May be required to operate a motor vehicle during the course of duties.
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Apr 24, 2024 Healthcare
Education
Registered Nurse (RN) Degree
Have a valid RN state license
Experience
Training in crisis management techniques, trauma-informed care, and relevant experience working with individuals in crisis situations.
Strong interpersonal skills, empathy, and the ability to remain calm under pressure are essential for this role.
Nurses in this role need strong clinical skills, communication abilities, and the ability to work independently.
Job Description
Responsible for providing telephonic triage, health advice, assessing symptoms, and determining the appropriate course of action, which may include recommending self-care, scheduling appointments, or advising on emergency care.
Job Details
Educate individuals on the importance of nutrition, safety, and overall good health.
Provide knowledge and advice through our triage line.
Engage callers to assess and de-escalate uneasy situations in the least restrictive manner to ensure caller safety over the phone.
Report to assigned supervisor and actively seek consultation whenever necessary or requested by supervisor.
Build rapport with team members that fosters a team culture promoting values and vision.
Actively participate in quality improvement activities to promote continual growth and improvement in quality of services provided.
Completion of required documentation within established timeframes.
Use of an Electronic Client Record, and additional call management software.
Maintain applicable licensure requirements.
Maintain intake notes, agency resource records, and documentation.
Maintain familiarity with, and adhere to, program policies and procedures.
Maintain confidentiality of privileged information and adhere to client privacy laws.
Document all critical incidents and utilize all agency procedures for proper documentation and record keeping.
Stay up to date on all required trainings.
Pay
Negotiable
Job Type
Part-time and Full-time positions available
Shift and schedule
The three available full time shifts are:
7 a.m. to 3 p.m.
3 p.m. to 11 p.m.
11 p.m. to 3 a.m.
Sunday through Saturday
Work Setting
Remote
Contract Apr 24, 2024 Other Area(s) Seeking a RN to function as a Medical Affairs Coordinator. This position if fully remote. The schedule is M-F, 9am-5pm.
DUTIES:
Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non-covered services and reduce the claims payment error rate. Provides clinical expertise, research, and judgment to develop Local Coverage Determinations (LCDS). Provides clinical input for internal requests. Serves as reviewer to determine inter-rater reliability.
Required Skills and Abilities:
Knowledge of managed care or medical claims payment policy issues. Excellent verbal and written communication skills. Excellent customer service, organizational, presentation, analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion.
Required Software and Tools:
Microsoft Office. Working knowledge of database software. Knowledge of government/healthcare programs and contracts laws, regulations, coding, and approval practices. Knowledge of corporate administrative/medical policy for all lines of business. Knowledge of guidelines, benefits, and coverage for all lines of business.
Preferred Software and Tools: Working knowledge of Microsoft Access or other database software, DB2 and Easytrieve.
EDUCATION/REQUIREMENTS:
Bachelor's degree - Nursing or other health related field. OR, Associate's degree in Nursing with an active unrestricted RN license from the United States and in the state of hire.
Required Work Experience:
5 years clinical experience in medical insurance, managed care, case management, or claims management, or a combination of these areas.
Required License and Certificate:
An active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC).
DUTIES:
Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non-covered services and reduce the claims payment error rate. Provides clinical expertise, research, and judgment to develop Local Coverage Determinations (LCDS). Provides clinical input for internal requests. Serves as reviewer to determine inter-rater reliability.
Required Skills and Abilities:
Knowledge of managed care or medical claims payment policy issues. Excellent verbal and written communication skills. Excellent customer service, organizational, presentation, analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion.
Required Software and Tools:
Microsoft Office. Working knowledge of database software. Knowledge of government/healthcare programs and contracts laws, regulations, coding, and approval practices. Knowledge of corporate administrative/medical policy for all lines of business. Knowledge of guidelines, benefits, and coverage for all lines of business.
Preferred Software and Tools: Working knowledge of Microsoft Access or other database software, DB2 and Easytrieve.
EDUCATION/REQUIREMENTS:
Bachelor's degree - Nursing or other health related field. OR, Associate's degree in Nursing with an active unrestricted RN license from the United States and in the state of hire.
Required Work Experience:
5 years clinical experience in medical insurance, managed care, case management, or claims management, or a combination of these areas.
Required License and Certificate:
An active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC).
Contract Apr 24, 2024 Information Technology Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function
Education/Experience:
Bachelor’s degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience preferred.
Benefits and Payment Configuration
Compliance Coding/Prepay Compliance (Payment Integrity)
Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred.
Encounters:
Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry or 1+ years of managed care encounters experience. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Knowledge of claims and/or encounter processing and data analysis experience preferred. Understanding of HIPAA transactions (i.e. 837, 999, 824, 277) preferred. Knowledge of managed care information systems and experience in SQL scripting preferred.
Provider Data:
Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis (documenting business process, gathering requirements) experience in healthcare industry and/or working in a data driven environment. Advanced knowledge of Microsoft Applications, including Excel, Project, and Visio preferred. Knowledge of data migration, software enhancement/planning, and Agile preferred.
Member & Provider Solutions
Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry and/or customer service or enrollment functions. Advanced knowledge of Microsoft Applications, including Excel and Visio preferred. Experience managing projects with a high reliance on technology. Knowledge of data integration, software enhancements/planning and Agile preferred.
Contract Apr 23, 2024 Other Area(s) DUTIES
Analyzes current operational functions and offers and implements improvements. Maintains databases and extracts data for analysis from multiple systems and departments using various data manipulation and extraction techniques. Runs and reviews reports, analyzing results in support of operational functions. Summarizes findings and communicates results to management. Identifies operational inadequacies and uses various skills and resources to retool processes.
Required Skills and Abilities:
Good organizational, customer service, communications, and analytical skills. Ability to use complex mathematical calculations and understand mathematical and statistical concepts. Knowledge of relevant computer support systems.
Required Software and Tools:
Microsoft Office. Ability to acquire programming skills across various software platforms. Preferred Skills and Abilities: Negotiation or persuasion skills. Ability to acquire knowledge of ICD9/CPT4 coding. SAS and/or DB2, or another relational database.
EDUCATION/REQUIREMENTS
Required Education: Bachelor's degree Statistics, Computer Science, Mathematics, Business, Healthcare, or another related field. or 2-year degree in Computer Science, Business or related field and 2 years of reporting and data analysis work experience OR 4 years reporting and data analysis experience. Required Work Experience: See Education. Preferred Work Experience: 2 Years-Related research and analysis experience.
Contract Apr 22, 2024 Administrative **Remote Position - 12-month contract with possibility of extension**
The Direct Specialist is responsible for ensuring that all new hire contractors and subcontractor personnel meet the requirements of the C2 Level of Trust Clearance, aligned with DoD directives
-Provide systems access to our client's Government associates, subcontractors, and government staff with appropriate on-line applications via security passwords and access levels to ensure system integrity
- Responsible for the coordination, administration and auditing of systems access activities
-Granting access to EQIP system through data entry
-Troubleshooting system application issues by speaking with applicants and answering questions
Responsibilities Include:
Data Entry (Medical exp./terminology very helpful)
Gaining appropriate clearance levels for new hires
Provide systems access to associates, subcontractors, and government staff with appropriate on-line applications via security passwords and access levels to ensure system integrity
Experience with using MS Office (Outlook, Excel, Access, Word, etc…).
Ability to work out of multiple databases.
Act independently to work with associates needing to complete the Electronic Questionnaires for Investigations Processing (e-QIP) process
Qualifications:
Bachelor’s Degree preferred
3+ years of administrative experience.
Ability to demonstrate strong attention to detail
1+ year customer service experience
US Citizenship required
Expertise in customer service, written and verbal skills.
Requirements:
Bachelor degree preferred
Must be able to pass a Federal background check and drug screen
Must meet all requirements to receive C2 Level of Trust
Experience utilizing Microsoft Office Suite applications
Comfortable with high levels of data entry
2 or more years of experience in Healthcare/Medical field
Contract Apr 17, 2024 Information Technology Job Description:
Works collaboratively with the client and team members-both external and internal to the company - to research, validate and document business needs, and to ensure that those needs are clearly reflected and completed. Assists with translating business needs into system/ application and may help determine solutions to business problems. Lead the unit in meetings and act as a subject matter expert within the unit. Effectively manages client’s expectations.
Responsibilities:
o Ensure that items are prepared for client meetings.
o Work with the client on claims related items, using strong communication skills to elicit, document, analyze and validate business processes and client expectations.
o Research, identify, and specify solutions to problems.
o Document claim updates as well as reference updates/changes.
o Work with the BPA team on reference changes and system updates.
o Review and work claims that have been identified as a high priority by the client.
o Assist with quarterly and annual CPT, HCPCS and diagnosis code updates in the system, ensuring rules are correct and working on edit and audit configuration.
Education and Experience Required:
o 5+ years of healthcare claims experience
o Certified coder is a plus
o Must know CPT, HCPCS and ICD-10 coding
o Must be proficient in Excel
Knowledge and Skills:
o 5+ years of healthcare claims experience
o Must work collaboratively in a team environment in making changes to the claims system for CPT, HCPCS and ICD-10 coding updates and benefit plan coverage.
o Build relationships and working collaboratively; effective verbal/ written communication.
o Ability to assist/create manual documentation as well as provider notifications
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Apr 16, 2024 Other Area(s) Seeking RN, LSW, LCSW, LPC or LCPC with LTSS experience to be responsible for health care management and coordination of members to achieve optimal clinical, financial and quality of life outcomes. MUST reside in the Springfield, IL area. Schedule M-F 8:00am-5:00pm.
Day to Day Responsibilities: Will be responsible for performing case management activities according to the contractual requirements and in alignment with NCQA requirements. Manage a caseload of approximately 130 LTC (Long Term Care) cases. Complete face-to-face visits with members in the LTC facilities at a minimum of an annual visit per member. Complete an annual assessment, assessment summary (DAR), care plan, and service plan per member. Collaborate with the LTC provider staff. Participates as needed in clinical care rounds.
Must Have Skills:
• Must have a valid driver’s license and reliable vehicle for field visits
• Excellent communication skills, with an ability to communicate effectively with members with chronic conditions, developmental disabilities, etc.
• Strong technical skills (utilizing multiple programs at the same time) along with competency in Microsoft applications (Outlook, Teams, Excel, etc.)
• Strong organizational and interpersonal skills
Required Years of Experience: Preferred RN/LSW/LCSW/LPC/LCPC background, but not required if enough experience in related field (about 5+ years). Previous case management or MCO experience is a plus.
Required Licensure / Education: Bachelor’s degree in nursing, social sciences, social work or related field or
Bachelor or master’s degree prepared in human-services related field
Contract Apr 16, 2024 Other Area(s) Functional Responsibility: Create and/or revise web-based training modules, job aids, facilitator guides, and other job-related resources, working with subject matter experts, Learning Consultants, and other Technical Consultants.
Education and General Experience: Bachelor's degree and 2-4 years' experience in adult education.
Experience desired:
using web page development, Microsoft Office 2010, Captivate, Adobe Flash Professional, Adobe Photoshop, Adobe Premiere Pro, SnagIt, Microsoft SharePoint, and video-audio recording using readily available computer technology.
Contract Apr 11, 2024 Call Center
Education
A master's degree in counseling, clinical mental health counseling, psychology, social work, or related field.
Experience
Training in crisis management techniques, trauma-informed care, relevant experience working with individuals in crisis situations, substance abuse, depression, and anxiety.
Strong interpersonal skills, empathy, and the ability to remain calm under pressure are essential for this role.
Job Description
Provide counseling and therapy services to individuals dealing with various mental health issues, emotional challenges, and life transitions. Conduct assessments, developing treatment plans, and implementing therapeutic interventions tailored to clients' needs and goals.
Job Details
Conduct assessments to understand clients' needs.
Collaborate with other healthcare professionals, such as psychiatrists, psychologists, and social workers, to provide comprehensive care.
Maintain accurate and confidential client records.
Adhere to ethical guidelines and legal regulations.
Participate in ongoing professional development to stay abreast of current research and best practices in the field.
Support clients in improving their mental health and well-being.
Facilitate positive life changes.
Advocate for clients' rights and access to resources within the community.
Engage callers to assess and de-escalate crises in the least restrictive manner to ensure caller safety over the phone.
Assist in the implementation of crisis safety plans.
As appropriate, provide emotional support, motivational interviewing, assessment or referral, linkage, and consultation with mental health service providers.
Elevate crisis calls based on standard operating procedures while also using clinical acumen and risk assessment skills.
Actively participate in quality improvement activities to promote continual growth and improvement in quality of services provided.
Continually engage in training and professional learning to build skills and collaborate with other team members.
Completion of required documentation within established timeframes.
Use of an Electronic Client Record, and additional call management software.
Maintain any applicable licensure and/or certification requirements.
Maintain intake notes, agency resource records, and documentation.
Maintain familiarity with, and adhere to, program policies and procedures.
Maintain confidentiality of privileged information and adhere to client privacy laws.
Document all critical incidents and utilize all agency procedures for proper documentation and record keeping.
Stay up to date on all required trainings.
Other tasks as assigned.
Job Type
Part-time and Full-time positions available
Shift and schedule
On call
Work Setting
Remote
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Apr 11, 2024 Call Center Job Description:
Responsible for providing immediate assistance and support to individuals experiencing emotional, psychological, or behavioral crises. Duties involve assessing clients' needs, de-escalating tense situations, offering counseling and guidance, coordinating referrals to appropriate resources or services, and documenting interactions.
Job Details
Engage callers to assess and de-escalate crises in the least restrictive manner to ensure caller safety over the phone.
• Assist in the implementation of crisis safety plans.
• As appropriate, provide emotional support, motivational interviewing, assessment or referral, linkage, and consultation with mental health service providers.
• Elevate crisis calls based on standard operating procedures while also using clinical acumen and risk assessment skills.
• Report to assigned supervisor and actively seek consultation whenever necessary or requested by supervisor.
• Build rapport with team members that fosters a team culture promoting values and vision.
• Actively participate in quality improvement activities to promote continual growth and improvement in quality of services provided.
• Continually engage in training and professional learning to build skills and collaborate with other team members.
• Completion of required documentation within established timeframes.
• Use of an Electronic Client Record, and additional call management software.
• Maintain any applicable licensure and/or certification requirements.
• Maintain intake notes, agency resource records, and documentation.
• Maintain familiarity with, and adhere to, program policies and procedures.
• Maintain confidentiality of privileged information and adhere to client privacy laws.
• Document all critical incidents and utilize all agency procedures for proper documentation and record keeping.
• Stay up to date on all required trainings.
• Other tasks as assigned.
Part-time and Full-time positions available
Shift and schedule
Three shifts are available:
6 a.m. to 2 p.m.
2p.m. to 10 p.m.
10 p.m. to 6 a.m.
Sunday through Saturday
This position is Remote.
Experience:
Training in crisis management techniques, trauma-informed care, and relevant experience working with individuals in crisis situations.
Strong interpersonal skills, empathy, and the ability to remain calm under pressure are essential for this role.
Education
Minimum of a bachelor's degree in psychology, social work, counseling, or a related field
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Apr 5, 2024 Other Area(s) Seeking a Registered Nurse with current in-state license, with Utilization review or quality management experience. This position is fully remote. Work schedule is Mon-Fri, 8:00am-5:00pm.
Must have at least 3 years’ experience in a clinical setting. InterQual experience desired. Must have basic PC skills, beginner knowledge of Microsoft Word and Excel.
Contract Apr 3, 2024 Other Area(s) Seeking an Accounts Payables Specialist. Must reside within reasonable driving distance of Long Beach, CA. This position will require you to be in the office Tuesday and Thursday and work remotely Monday, Wednesday, and Fridays. The work schedule is 8:30am-5:30pm PST.
Summary:
Responsible for processing check runs, ACH payment runs, processing invoices, PO matching invoices, researching statements. To process, input and maintain AP. Close month end, reconcile, and allocate expenses.
Essential Functions:
Complete AP invoice tickets.
Identifying proper GL account number and accounting period including performing research of incoming invoices.
Issue A/P checks.
Research and verify old outstanding invoices as requested.
Process expense reports.
Knowledge/Skills/Abilities: Excellent verbal and written communication skills
Required Education: High School graduate.
Required Experience: Minimum 0-2 years’ experience in accounts payable and/or receivable.
Contract Apr 2, 2024 Administrative Job Summary
Data Capture Specialist is responsible for the accurate capture of the alphabetic, numeric, or symbolic data from electronic images and/or source documents according to the custom developed software application including repair of incorrect data resulting from OCR process (optical character recognition results).
Pay Rate: $14.85hr (Weekly Pay)
Work Schedule
Monday (9:00 am – 6:00 pm)
Tuesday (9:30 am – 5:30 pm)
Wednesday – Friday (9:00 am – 5:30 pm)
Duties and Responsibilities
The responsibilities of the Data Capture Specialist are outlined as follows and no intended to be all inclusive:
Enters alphabetic, numeric, or symbolic data from electronic images utilizing the Captiva Input Accel software application to capture the appropriate data including repairing any rejected characters as a result of the OCR function.
Routes electronic data to next work flow process when completed or in the case of undefined documents or documents that are not able to be indexed, may need to route electronic image to next work flow process.
Responds to inquiries regarding the status of data capture, rejected character repair, or quality assurance phases of the data capture process.
Follows proper procedures, rules, and processes for data capture and quality assurance of the data as outlined in the procedures manual.
Utilizes appropriate and compliant safeguards to reasonably prevent the use or disclosure of confidential and protected information including Protected Health Information (PHI) and Personally Identifiable Information (PII) and reports any concerns to the Document Center Operations Manager.
Data Capture Specialist must be a team player and required to assist the entire team in meeting the Key Performance Indicators (KPI) requirements.
90% of documents are scanned, indexed and entered into the database on the same business day of receipt by Doc Center if received prior to 7:15 pm.
90% of documents are scanned, indexed and entered into the database by Noon of the following business day if received after 7:15 pm.
100% of documents are scanned within two business days of receipt by Doc Center.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
Quality: Demonstrates accuracy and thoroughness; looks for ways to improve and promote quality; applies feedback to improve performance; monitors own work to ensure quality. Must meet standards of quality that are required to meet the service levels and performance standards outlined in the SLA/KPI’s.
Quantity: Meets productivity standards; completes work in timely manner; strives to increase productivity; works accurately and efficiently.
Dependability: Follows instructions; responds to management direction; takes responsibility for own actions; maintains the production schedule requirements; commits to extended hours of work when necessary to reach daily production schedules and meets the daily service levels and performance standards; completes tasks on time or notifies supervisor of any potential delays or inabilities to meet the daily service levels and performance standards (SLA/KPI) requirements.
Adaptability: Adapts to changes in the work environment; manages competing demands; changes approach or method as directed by supervisor; exhibits ability to deal with change or unexpected events.
Job Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, with or without accommodations. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Education/Experience
Previous work experience helpful.
High School Diploma or equivalent required.
Essential Functions: Knowledge, Skills, Abilities
Proficient computer skills
Ability to track work and document routinely
Manual dexterity with proficient hand-eye coordination
Excellent verbal communication skills
Regular and timely attendance on the job
Physical Demands and Work Environment
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to sit, talk, hear, and use hands to write, type, handle, or feel. Specific vision abilities required by this job include close vision. Specific lifting requirements include ability to lift and move trays weighing up to 20 pounds.
The noise level in the work environment is usually moderate and the work environment includes proximity to many individuals like a public environment.
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Mar 15, 2024 Information Technology We are seeking an experienced, Solution/Technical Architect for providing architecture support to information systems leadership, business stakeholders, and internal teams regarding cloud, technology, architecture governance, and MMIS modernization solutions. The Solution/Technical Architect will be directly responsible for the customers success in MMIS modernization near term and long term initiatives, this role is an individual contributor role involved in all architecture activities related to cloud modernization, transforming on-prem applications to cloud, and MITA 3.0 framework implementation. The role involves creating policy and standards, researching cloud solutions for business problems, providing subject matter experience to MMIS modernization and Systems Integration.
Candidate will need to have a deep understanding of cloud technologies, architecture patterns, and best practices coupled with the ability to research and analyze complex business problems to recommend appropriate solutions that align with near term modernization goals. The selected candidate will be working in a dynamic team environment, and creativity, agility, and the ability to work under minimal supervision are key to success in this role.
Responsibilities:
Collaborate with information systems directors, leadership, product managers, and business owners to translate business problems into cloud based modern technical solutions.
Strong ability to be customer focused, able to understand customers vision and translate them to solutions.
Demonstrated ability to back decisions with research and the “why,” and articulate options, with benefits and challenges for solution recommendations.
Strong ability to see the 'big picture' and able to implement strategies that align for success in meeting customer goals.
Responsible to orchestrate Systems Integration across various MMIS modernization initiatives.
Responsible for designing, describing, and managing solutions for MMIS modernization.
Responsible to, develop, review, and champion architecture framework strategies, policies, guidelines, standards that govern the Enterprise as a whole.
Work with a diverse range of projects, including application development, integration, data management, and security solutions.
Qualifications:
Expert in cloud-based technologies, such as AWS, Azure, or Google Cloud Platform.
Expert with MMIS-specific module implementation, Systems integration experience, enterprise architecture, solution architecture, and State and Local government implementation.
5 to 7+ years of experience in cloud solutions development focusing on architecture, preferably in the healthcare or public sector.
Expert with healthcare industry standards (e.g., HIPAA, ICD-10, HL7, FHIR, X12).
Experience transitioning organizations implementing MITA modernization, modularization, and interoperability principles.
Expert in architecture skills in one or more areas: Solution architecture, Cloud architecture, Technology architecture.
Experience in Enterprise cloud applications focused on Data Analytics, Data Warehousing, and Data Lakes.
Strong experience in implementing Role Based Access Controls (RBAC) using Identity and Access Management.
Strong experience implementing synchronous, asynchronous interoperability patterns including SOAP, REST, JSON, APIs, and Micro-Services architecture.
Experience in Enterprise Architecture implementing policies, guidelines, and standards.
Excellent written and oral business communication skills.
Strong interpersonal skills.
