This is a test job posting . DO NOT APPLY

This is a test job posting. DO NOT APPLY

Under general direction designs, coordinates and maintains a risk management program including administration of the risk management program on a day-to-day basis, coordination of insurance coverage and risk financing of the hospital and activities leading to the efficient management, resolution and minimizing various professional and general liability claims made against Kern Medical Center. The office of the County Counsel or private counsel, as required, shall provide technical and legal advice relating to specific issues.Distinguishing Characteristics:This classification is responsible for the overall management, monitoring and resolution of a variety of claims and complaints filed against Kern Medical Center. Incumbents perform tasks with an emphasis on compliance with Joint Commission risk management standards, such as Environment of Care, and conformance with the requirements of other regulatory bodies. The incumbents may personally conduct and direct investigations and may employ outside resources, with management’s approval, to accomplish tasks in the assigned area of responsibility.Essential Functions:• Manages, coordinates and maintains Kern Medical Center’s investigations andresponses to claims received ; reviews occurrence reports and adheres to thehospital’s Risk Management Policy and Procedures• Analyzes and takes corrective and preventive measures relating to the frequencyand severity of injuries and/or loss to patients, hospital visitors and staff; identifiespotential exposure related to patient care and general safety throughout the hospitaland satellite locations• Implements a comprehensive system of accident reports which comply with OSHArequirements, identifies behavior patterns and sites associated with accidents andidentifies physical and environmental conditions associated with accidents• Evaluates complaints and claims and formulates appropriate response andinvestigative strategies; interviews witnesses, claimants and others to gatherinformation and evidence; obtains and coordinates the activities of investigators,counsel and other support personnel as needed• Obtains and analyzes medical records, pertinent laws, rules and regulations andapplies them to cases and investigations; appears in hearings as departmentalrepresentative as required• Determines types of data to be collected in order to assess risks to the hospital;compiles data utilizing established formats; recommends to hospital managementperformance improvement activities based on data analysis• Initiates and participates in risk management education, training and risk preventionthrough employee health programs, orientation, and patient satisfaction surveys;• Minimizes and transfers risk through regular evaluations of insurance needs,requirements of malpractice for physicians, other clinical professionals and alliedhealth care professionalsEmployment Standards:An Associates of Arts degree in Nursing from an accredited college and currentlicensure by the State of California as a Registered Nurse and three (3) years health care quality assurance, medical malpractice or general claims resolution experience.ORA Bachelors degree in Nursing from an accredited college or university and current licensure by the State of California as a Registered Nurse and one (1) year health care quality assurance, medical malpractice or general claims resolutions experience.Knowledge of: the principles and practices of risk management and investigative techniques; accident prevention and loss techniques; medical and insurance terminology used in the legal field regarding industrial cases; clerical and record keeping procedures; office methods and procedures; proper English usage and grammar.Ability to: analyze and interpret laws, ordinances and regulations; accumulate and analyze data; prepare clear, concise comprehensive reports and recommendations; introduce and carry out accident prevention programs; ability to effectively interact with individuals at all levels; communicate effectively orally and in writing; follow oral and written instructions; initiate, plan, and complete work assignments with a minimum of direction and control.

Advanced coding specialist (CPC or CCS) with heavy experience with CMS and CCI.

Description: Medical Director Assistant assists the company´s Medical Directors in researching and ensuring that all client payment policies are accurate, up-to-date and complete. Supports the Medical Directors with client presentations, researches client questions, and provides timely, accurate responses. Requirements:Essential Roles & Basic Duties1. Identifies changes needed to client policies to maintain up-to-date and accurate medical payment policies. 2. Reviews all documents and coordinates reviews with the Medical Directors. 3. Participates in monthly/quarterly client policy meetings 4. Reviews clients payment policies for accuracy 5. Completes reviews on a timely basis 6. Clearly understands and articulates medical policies 7. Presents the policies for review and acceptance by the client 8. Provides direction on client understanding of medical policies 9. Creates value for the client with ad hoc data analysis 10. Identifies a need or potential for data evaluation 11. Creates report request and authors the analysis of the data 12. Adds value to Medical Policy and client teams 13. Participates on Medical Policy and client teams 14. Provides support for Research Analysts 15. Offers benefit of knowledge and experience proactively 16. Communicates effectively with various members of the client team (internal as well as external). Required Skills:1. 5+ years of coding knowledge in multiple specialties 2. 5+ years of analyzing and interpreting coding and billing guidelines and government regulations (CMS) 3. 5+ years of exposure to coding edits (CCI) 4. 5+ years of direct working relationship with physicians 5. Prior experience in developing medical payment policy edits 6. Experience in claims adjudication or utilization review working for a managed care or healthcare insurance company 7. Working knowledge of Microsoft Excel, Word and PowerPoint 8. Strong communication/presentation skillsEducation:1. Bachelor´s degree 2. Professional coder certification (CPC or CCS-P) with broad clinical expertise OR LPN / RN with medical coding knowledgeOTHER INFORMATION:1. Travel is required 2. iHealth Technologies offers competitive salary, a comprehensive benefits package, and an excellent working environment. 3. iHealth Technologies is an equal opportunity employer. iHealth Technologies is in full and active compliance with Title VII of the Civil Rights Act of 1964 (Title VII) which prohibits race, color, religion, sex, and national origin discrimination. iHealth Technologies complies with the Age Discrimination in Employment Act of 1967 (ADEA) which prohibits age discrimination against individuals who are forty (40) years of age or older, and Title I of the Americans with Disabilities Act of 1990 (ADA) which prohibits employment discrimination against qualified individuals with disabilities.

The Memorial Hospital of Salem County (MHSC), a 140-bed, acute-care hospital, is located in southern New Jersey just 40 miles south of Philadelphia. MHSC is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and offers 24-hour emergency care, a cardiac catheterization lab, intensive and critical care units and services including obstetrics, diagnostic imaging, orthopedics and physical therapy. The hospital services more than 100,000 people in Salem, western Cumberland and southern Gloucester Counties. MHSC seeks to provide excellence in care, comfort and compassion for the communities we serve.Description Assures complete and accurate coding of specific patient types to enhance data quality, reimbursement and appropriate case mix index. Assures Coding Compliance. Accurately enters data into Hospital Information Systems with extreme attention to detail. Expertise in one of the following areas required: In-patient surgery and APC requirements, ER coding with a baseline knowledge of level of care billing, in-patients with MSDRG expertise.Qualifications Education:• High School diploma required, Associates degree in Health Information Technology desired. Medical terminology classes required and formal education in anatomy and physiology and disease process is preferred. Certifications/Licenses: Certified Coding Specialists (CCS), (CCA), CPC - H preferred Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred but may substitute additional experience for certification Experience:• Two years coding experience in a Health Information Management/Medical Records Department. Demonstrated expertise in area of concentration. Knowledge of APC or MSDRG system. Demonstrated knowledge of current coding requirements and documentation standards for complete and accurate health record documentation

Center Director / Physical Therapist - Baltimore (downtown)

Center Therapy Director (Physical Therapist) opportunity in an Outpatient Orthopedics setting.Our philosophy is focused towards a dynamic early intervention (seeing patients typically within 1 to 3 days of their injury) functional approach to musculoskeletal medicine. Our focus is on education, manual therapy and exercise based programs. We identify highly motivated therapists who understand customer service towards patients and the employers we serve. Concentra takes pride in the development of master clinicians through focused continuing education programs.We offer a competitive compensation & benefits package, which includes:- Sponsorship for an APTA accredited manual therapy residency program, The Manual Therapy Institute. Commonly referred to as MTI.- Funding for ongoing academic education/certifications such as transitional DPT.- Annual continuing-education assistance - $1,000 towards CME annually / plus 3 CME days.- Competitive compensation package, including a new incentive plan.- Work/life balance: most clinics are open M-F.- Manageable caseload of approx. 11-14 pts/day.- Paid licensure renewals, paid state and national APTA dues.- Medica/Dental/Vision/401K/ PTO plan.- Evidence based practice.The Center Therapy Director must ensure the delivery of exceptional customer service by self and the center colleagues by putting all customers (internal and external) first and displaying:- A healing focus- A selfless heart- A tireless resolveMAJOR DUTIES AND RESPONSIBILITIES:Patient Care- Communicates with and educates all therapy patients regarding treatment, setting expectations for return-to-work and emphasizing education and motivation.- Directs the practice of therapy and applicable patient therapy care of the center.- Communicates with all medical providers regarding patient findings, diagnosis and plan of care.- Communicates with employers, payors and referral sources concerning specific rehabilitation issues of injured employees.- Conducts evaluations on physician referrals and using an evidence based model develops appropriate treatment plans.- Ensures other treating medical professionals have necessary information to evaluate patients function.- Develops knowledge of best demonstrated practices and specific quality indicators to measure and improve them.- Coordinates with the leadership team to keep missed appointment rates within acceptable ranges.- Communicates with Specialist Physicians concerning specific rehabilitation issues.Management/Supervisory- Responsible for decisions and input relating to hiring, transfers, disciplinary actions, grievance discussions, coaching development and recommendation of actions, demotions, and termination decisions as applicable for specific discipline and center staff.- Consults with, and provides feedback to, the Center Leadership Team regarding the eligibility of the candidate(s) for hiring.- Provides feedback to the Area Therapy Director and/or Regional Therapy Director regarding eligibility of the candidate(s) for hiring.- Conducts and supervises orientation and training for center therapy colleagues/staff members covering Concentra philosophy, protocols and process management, as applicable.- Coordinates the centers therapy staff schedules to ensure efficient productivity while meeting client needs.- Conducts performance management process of therapy colleagues/staff members with input from Center Leadership Team.- Coaches therapy colleagues on service, performance and other job related issues, as necessary.- Addresses therapy colleague disciplinary concerns and conducts the disciplinary action discussions, as applicable, (after consultation with management and HR).- Monitors therapy colleague performance and determines if issue(s) have been corrected and/or if further development/disciplinary action is necessary.- Supervises maintaining appropriate equipment and daily supplies.- Promotes and ensures colleague development and a positive and effective team environment.- Interacts and consults with each member of the Center Leadership Team (CLT) regarding the center activities such as:- Center strategy and growth;- Participation in the periodic CLT and center staff meetings;- Determine best recruiting requirements necessary to meet job/position requirements and center objectives- Consult as a team on the hiring decisions of the best candidates who:- Possess the required qualifications/skills and behavioral competencies;- Will meet company/center service standards and position expectations; and- Displays the manner/attitude, philosophy and characteristics to support the Companys core values.- Consult as a team on center staff performance management including performance evaluation, disciplinary actions and termination decisions, as applicable and appropriate. Colleague performance management to include:- Provide regular coaching & feedback to improve colleague performance- Empower center colleagues to assess center processes and work flows to continuously improve the patient experience- Assign/delegate duties with follow up to ensure completion- Work schedule managementCenter Leadership Team ResponsibilityCenter Operations/Customer Relationship Management- Ensures operations are consistent with medical policy and professional standards and Concentras standard of care.- Market our therapy services to employers, payors and referral sources.- Markets local (non-Concentra) physicians and their practices to develop private health referral base.- Meets with employers to discuss Concentras early intervention philosophy.- Participates with leadership team to bring new business to the center.- Evaluates capital equipment and staff needed to fulfill rehabilitation responsibilities.- Provides statistical analysis of the centers therapy performance.- Establishes and promotes clear lines of communication between therapy and other center staff members.- Tracks and documents pre-authorization requirements according to state standards in the patients chart.- Participates with leadership team overseeing daily operation and direction of the center.- Participates in establishing policies and procedures for the center.- Actively participates with the Center Leadership Team in establishing budgetary goals.SCOPE MEASURES:Expense budget dollars managed:Yes. Provides budget input and meets with Center Leadership Team to review budget performance.EDUCATION/CREDENTIALS:- BS or advanced degree in Physical or Occupational Therapy- Must meet licensure requirements of jurisdiction- 4 year (or greater) Degree in Physical Therapy and state issued Physical Therapist license - REQUIRED.JOB-RELATED SKILLS/COMPETENCIES:- Demonstrated interest in leadership of therapy staff- Demonstrated clinical knowledge of physical/occupational therapy services- Demonstrated leadership qualities and administrative abilities to the job responsibilities as described- Ability to supervise and evaluate interdisciplinary team.- Ability to plan, assign and direct the work of others.- Demonstrated strong organizational, interpersonal and communication skills and the ability to exercise proper judgment, make decisions, and motivate employees.- Ability to maintain high degree of motivation in team members to retain focus of providing highest levels of customer satisfaction.- Ability to build and maintain positive relationships internally and externally.- Ensures proper training of personnel assigned.- Manual Therapy and ManagementWORKING CONDITIONS/PHYSICAL DEMANDS:Clinical environment