Jobs in Lakeland Florida Wfh
257 positions found — Page 4
Masis Professional Group is assisting our client in searching for a Direct Hire, Production Supervisor.
Our client is a manufacturer of the finest quality medicinal packaging and drug delivery systems.
The Production Supervisor is responsible and has the authority to supervise, co-ordinate, direct and control the activities of team members to produce within budgeted costs, the assigned production outputs to acceptable quality standards on schedule with minimum waste and downtime commensurate with customer requirements.
DUTIES & RESPONSIBILITIES
Β· Develop and maintain effective production outputs to meet company objectives and customer requirements.
Β· Develop and maintain effective programs so shift KPIβs are achieved. This includes:
Β· Liaison with other departments to ensure that all services are available for production and where there are problems ensure those responsible are notified so that appropriate action is taken to minimize the disruption to our customers.
Β· Communicate, with, motivate, and develop through regular performance reviews including annual reviews, involvement in target setting and through routine exchanges in free and accurate information.
Β· Establish and maintain good industrial relations in line with company policy/procedures as set out in the personnel manual and employee handbook. Ensure are aware of and adhere to company policies as set forth in the employee handbook.
Β· Assist in the recruitment of subordinates and is responsible for the development and training of employees
Β· Is responsible for the Health/Safety for his/her employees. This includes ensuring that training is in place for all operations on the shift. As a supervisor is responsible for ensuring the shift adheres to these standards/procedures.
Β· Ensure that all production operating and training procedures/manuals are adequately documented/maintained and updated on a regular basis. Ensure that these and the quality assurance procedures are fully adhered to.
Β· Conduct regular routine audits of production area and equipment ensuring adherence to company policy.
Β· Ensuring that the production department is always looking clean, neat and tidy especially on completion of work orders.
Β· Work orders are completed and the information is accurate.
Β· Transfer of materials out of department ASAP after completion of work order.
Β· Supervise and direct production team members in assigned area or shifts to achieve scheduled outputs at acceptable levels of safety, quality and productivity.
Β· Allocate tasks and assign personnel efficiently, in line with changing requirements, monitor and control performance standards in line with budget.
Β· Control machine and operator efficiencies, set-up and changeover parameters ensuring corrective action is taken when required.
Β· Maintain an acceptable level of quality by ensuring adherence to all quality specifications and directives. Work closely with QA personnel in meeting quality requirements.
Β· Ensure adherence to procedures with regard to 1st piece inspections, line clearance, batch control, product and material transfers, shift reporting, supplies and spares requisitioning.
Β· Ensure regular equipment checks are made as specified and planned maintenance schedules are implemented.
Β· Participate actively and encourage team members to participate in new developments within plant e.g. Lean Manufacturing.
Β· Liaison with the Materials department to ensure that planning is efficient and effective.
Β· Ensure that all company assets in production areas are maintained to the highest standard and are used for company business only.
Β· Carry out/manage any other projects or tasks as requested by the Operations Manager.
QUALIFICATIONS & EDUCATIONAL REQUIREMENTS
Β· 4 Year Degree Preferred
Β· 5 to 10 yearsβ experience in high volume manufacturing environment. Experience in Medical industry is required. Pharma Manufacturing experience a plus
Β· Thorough knowledge of basic supervisory skills with ability to plan, organize, control, and communicate effectively is essential.
Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
As needed. Based on availability and the needs of the department.
Work Hours per Biweekly Pay Period: PRN
Shift: Flexible Hours and/or Flexible Schedule
Location: 1324 Lakeland Hills Blvd Lakeland, FL
Pay: $41.07/hr
Position Summary
Responsible for working within the scope of laboratory policies and procedures to provide specimen processing, test performance and result reporting. Performs test procedures authorized by the Medical Laboratory Director; with the degree of skill commensurate with individual education, training, experience and technical abilities. Insure that all laboratory testing is performed according to established protocols or procedures. Exercise professional judgment in evaluation and assessment of test performance, sample integrity, result accuracy and validity. Follows all safety practices and maintains ongoing competency to ensure high quality testing services. He/she also supports professional development.
Position Responsibilities
Standard Work Duties: Medical Technologist (PRN)
- Participates in day-to-day operations in the laboratory to facilitate workflow, maximize output, and decrease turnaround times
- Follows laboratory procedures for specimen handling and processing, test analysis, reporting and maintaining records of patient results
- Utilizes job knowledge, judgment, and problem solving skills to ensure specimen quality
- Operates, troubleshoots, and takes appropriate action when needed on all test systems
- Identifies issues that may adversely affect test performance or reporting of test results and takes appropriate action including supervisory notification if indicated
- Participates in laboratory quality assurance programs including proficiency testing
- Follows established safety and biohazard procedures and standard precautions at all times. Disposes of biohazard waste following laboratory protocols (Laboratory Safety Manual and Chemical Hygiene Plan)
- Monitor quality control of laboratory instruments and test assays. Communicate with supervisor as needed. Responsible for routine preventive maintenance, minor repair, and troubleshooting of instruments
- Supports professional development by assisting with training and/or competency assessments for coworkers, new employees, and students.
- Ensures exceptional customer service is provided through prompt follow-up to requests for information via telephone or computer
Competencies & Skills
Essential:
- Excellent skills in communication and conflict resolution. Knowledge of chemical, biological, and mathematical principles, and of laboratory instrumentation, method principles and techniques
- Basic computing skills with ability to operate equipment typically used in the clinical laboratory. This includes equipment for manual procedures that may be needed to perform tests requested
- Ability to collect and analyze data using statistical methods, which may be under time constraints and crisis situations
- Ability to multitask, communicate effectively, and work cooperatively with others
Nonessential:
- Basic knowledge of word processing, spreadsheet and presentation software
Qualifications & Experience
Essential:
- Bachelor Degree
Essential:
- Degree as Medical Laboratory Technician (ASCP) or equivalent with laboratory internship as required by CLIA '88 and State of Florida qualifications for licensure
Essential:
- Basic Cardiac Life Support
Other information:
Licenses Essential: Maintain an active status for licensure as a Clinical Laboratory Scientist under the rules of Board of Clinical Laboratory Personnel (Department of Health/Division of Medical Quality Assurance) for the disciplines of practice that are performed. Completes required continuing education credits to maintain licensure.
Certifications Preferred: National Registry (ASCP, etc.) at a Technologist level or higher
Experience Essential: Completion of an approved MLS program
Experience Preferred: Three to five years of experience in professional/technical role or other work appropriate to the team.
(If STEP or PTD and normally scheduled to work less than 40 hrs/pay period, must have minimum of one year full time experience in acute care hospital.)
Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Work Hours per Biweekly Pay Period: 72-80
Shift: Flexible Hours and/or Flexible Schedule
Location: 1324 Lakeland Hills Blvd Lakeland, FL
Pay Rate: $36.54-$54.81
Position Summary
Responsible for performing test procedures authorized by the Medical Laboratory Director; with the degree of skill commensurate with individual education, training, experience and technical abilities. Ensure that all laboratory testing is performed according to established protocols or procedures. Exercise professional judgment in evaluation and assessment of test performance, sample integrity, result accuracy and validity. Follows all safety practices and maintains ongoing competency to ensure high quality testing services.
Position Responsibilities
People At The Heart Of All That We Do
- Fosters an inclusive and engaged environment through teamwork and collaboration.
- Ensures patients and families have the best possible experiences across the continuum of care.
- Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
- Behaves in a mindful manner focused on self, patient, visitor, and team safety.
- Demonstrates accountability and commitment to quality work.
- Participates actively in process improvement and adoption of standard work.
Stewardship
- Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
- Knows and adheres to organizational and department policies and procedures.
Safety And Performance Improvement
- Behaves in a mindful manner focused on self, patient, visitor, and team safety.
- Demonstrates accountability and commitment to quality work.
- Participates actively in process improvement and adoption of standard work.
Standard Work Duties: Medical Technologist
- Participates in day-to-day operations in the laboratory to facilitate workflow, maximize output, and decrease turnaround times
- Follows laboratory procedures for specimen handling and processing, test analysis, reporting and maintaining records of patient results
- Utilizes job knowledge, judgment, and problem solving skills to ensure specimen quality
- Operates, troubleshoots, and takes appropriate action when needed on all test systems
- Identifies issues that may adversely affect test performance or reporting of test results and takes appropriate action including supervisory notification if indicated
- Participates in laboratory quality assurance programs including proficiency testing
- Follows established safety and biohazard procedures and standard precautions at all times. Disposes of biohazard waste following laboratory protocols (Laboratory Safety Manual and Chemical Hygiene Plan)
- Monitor quality control of laboratory instruments and test assays. Communicate with supervisor as needed. Responsible for routine preventive maintenance, minor repair, and troubleshooting of instruments
- Supports professional development by assisting with training and/or competency assessments for coworkers, new employees, and students.
- Ensures exceptional customer service is provided through prompt follow-up to requests for information via telephone or computer
Competencies & Skills
Essential:
- Excellent skills in communication and conflict resolution. Knowledge of chemical, biological, and mathematical principles, and of laboratory instrumentation, method principles and techniques
- Basic computing skills with ability to operate equipment typically used in the clinical laboratory. This includes equipment for manual procedures that may be needed to perform tests requested
- Ability to collect and analyze data using statistical methods, which may be under time constraints and crisis situations
- Ability to multitask, communicates effectively, and works cooperatively with others
Nonessential:
- Basic knowledge of word processing, spreadsheet and presentation software
Qualifications & Experience
Essential:
- Bachelor Degree
Essential:
- Degree as Medical Laboratory Technician (ASCP) or equivalent with laboratory internship as required by CLIA '88 and State of Florida qualifications for licensure.
Other information:
Licenses Essential: Maintain an active status for licensure as a Clinical Laboratory Scientist under the rules of the Board of Clinical Laboratory Personnel (Department of Health/Division of Medical Quality Assurance) for the disciplines of practice that are performed. Completes required continuing education credits to maintain licensure.
Certifications Essential: Maintains an active status for licensure either as Clinical Laboratory Scientist (CLS) under the rules of the Board of Clinical Personnel (Department of Health/Division of Medical Quality Assurance) for the disciplines of practice that are performed.
Preferred: National Registry (ASCP, NCA, etc.) at a Technologist level or higher
Experience Essential: Completion of an approved MLS program
Experience Preferred: Three to five years of experience in professional/technical role or other work appropriate to the team.
Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Active - Benefit Eligible and Accrues Time Off
Work Hours per Biweekly Pay Period: 72.00
Shift: Weeknights with Rotating Weekends
Location: 1324 Lakeland Hills Blvd Lakeland, FL
Pay Rate: Min $36.23 Mid $46.73
Position Summary
The Clinical Registered Nurse (RN) will promote relationship-centered care that appreciates vulnerability of patients, anticipates needs, and incorporates the patient as a full partner in care. The RN will deliver high quality care based on therapeutic caring relationships that are individualized to the patients and their families' needs and values. The RN will practice competently and uphold the standards of nursing practice to promote positive patient outcomes. The RN will assure proactive, protective, and safe practice resulting in the elimination of all preventable harm. The RN will adhere to organizational policies and procedures; regulatory accrediting body requirements and professional practice standards. The Clinical RN practices the scope and standards of nursing care including assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. The Clinical RN demonstrates scope and standards of professional performance including quality of professional practice, evaluation of practice, lifelong learning, collegiality, ethics, collaboration, clinical inquiry, resource utilization, and leadership.
Position Responsibilities
People At The Heart Of All That We Do
- Fosters an inclusive and engaged environment through teamwork and collaboration.
- Ensures patients and families have the best possible experiences across the continuum of care.
- Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
- Behaves in a mindful manner focused on self, patient, visitor, and team safety.
- Demonstrates accountability and commitment to quality work.
- Participates actively in process improvement and adoption of standard work.
Stewardship
- Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
- Knows and adheres to organizational and department policies and procedures.
Standard Work Duties: Registered Nurse
- Uses the standards of nursing practice and mutually problem solves with the patient, family, other healthcare providers, and the community, as appropriate, to develop a well-coordinated and collaborated plan of care to address the patient's needs.
- Demonstrates a competent level of behavior in the professional registered nurse role, through engagement in caring relationships, modeling of caring factors and the promotion of optimal outcomes.
- Assure zero preventable harm by demonstrating keen attention to all patient safety and quality practices including but not limited to hand hygiene, intentional hourly rounding, pro-active toileting, clutter-free, healing environment.
- Establish self-caring practices through demonstrating personal safety practices and engaging in continuous learning to advance one's professional practice.
- Exhibits commitment to the vision, core purpose/mission and goals of LRH, modeling the Quality-Caring Model concepts by initiating, cultivating, and sustaining caring relationships with patients and families, other nurses and other members of the healthcare team.
- Demonstrate ethical practice by maintaining patient confidentiality within legal and regulatory parameters in a nonjudgmental and nondiscriminatory manner that appreciates the unique meanings of patients, families, and the community.
- Fosters a spirit of clinical inquiry through integration of the Quality-Caring Model with specific evidenced based nursing interventions, to positively influence health outcomes. Uses the best available evidence, including research findings, to guide practice decisions and continually question and evaluate practice. Participate in activities to support clinical inquiry as appropriate to the nurse's skills, knowledge and experience.
- Appropriately utilizes resources by maintaining an open, flexible approach and considering factors related to safety, effectiveness, cost, and impact in planning and delivering nursing services.
- Interacts with and contributes to the professional development of students, peers, and other healthcare providers as colleagues. Use caring relationship to enhance the healthy work environment by working with others in a way that promotes mutual respect and meaningful recognition of each person's contribution.
- Demonstrates leadership qualities that influence and guide fellow team members to maximize the potential of the team as a whole and promote a culture of peer to peer accountability. Contribute to the professional practice environment through participation on committees, councils, administrative teams and in professional organizations as appropriate to the nurse's skills, knowledge, and experience.
Competencies & Skills
Essential:
- Demonstrate nursing practice of assessment, diagnosis, outcomes identification, planning, implementation, and evaluation.
- Demonstrate relationship-centered care to deliver a well communicated and collaborative plan of care utilizes the core concepts of the Quality-Caring Model.
- Clinical Registered Nurse Department/Division Specific Competency Addendum attached here.
Qualifications & Experience
Essential:
- Associate Degree
Nonessential:
- Bachelor Degree
Essential:
- Nursing: If hired after 2013, must obtain Bachelor degree in Nursing within 3 years of employment date.
Nonessential:
- Nursing
Essential:
- Basic Life Support
- Registered Nurse
Other information:
Licenses Essential: Current license as Registered Nurse in Florida. Certifications Essential: BLS
Certifications Preferred: Certification in Specialty of Nursing
LRH is looking for a talented Senior Project Manager to lead our projects!
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. For more than 100 years as a not-for-profit hospital, we reach beyond our hospital walls to promote wellness, education, and discovery. Lakeland Regional Health is the second largest private employer in Polk County, offering competitive pay, comprehensive benefits, and 5% retirement matching.
Job Summary
The Senior Project Manager will be responsible for leading the Project Team in the coordination and delivery of multiple complex projects, including ground up, expansion and renovation projects from conceptual planning throughout the project lifecycle. The individual must have a strong understanding of all aspects of program and project management and a strong track record as a project manager.
Behavioral Standards
1. Lives Our Promises:
β’ To treasure all people all uniquely created
β’ To nurture, educate and guide with integrity
β’ To inspire each and every one of us to do our very best
2. Develops and promotes Caring Relationships:
β’ Caring for self
β’ Caring for each other
β’ Caring for patients and families
β’ Caring for communities
3. Exhibits professional conduct and appearance in adherence with all applicable policies.
4. Performs all duties with respect and integrity.
Responsibilities
1. People at the Heart of All We Do
β’ Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
β’ Ensures patients and families have the best possible experiences across the continuum of care.
β’ Fosters an inclusive and engaged environment through teamwork and collaboration.
2. Safety and Performance Improvement
β’ Behaves in a mindful manner focused on self, patient, visitor, and team safety.
β’ Demonstrates accountability and commitment to quality work.
β’ Participates actively in process improvement and adoption of standard work.
3. Stewardship
β’ Demonstrates responsible use of LRHβs resources including people, finances, equipment and facilities.
β’ Knows and adheres to organizational and department policies and procedures.
4. Standard Work
β’ Manage multiple complex projects including ground up, expansion and renovation projects from conceptual planning throughout the project lifecycle.
β’ Manage property acquisition due diligence efforts and entitlements.
β’ Prepare budgets and schedules at key project phases such as Conceptual, SD, DD, and CD milestones.
β’ Manage the A/E qualification and selection process. Prepare the contract and exhibits and facilitate the contract negotiation process with the selected A/E.
β’ Prepare RFP packages to evaluate, recommend, and manage external consultants for various scopes including, but not the limited to, the following: Geotech, Building Envelope CX, MEP Cx, Traffic, MEq, Shielding, T&B, Materials Testing, and Special Inspections.
β’ Assist in obtaining required regulatory approvals including, but not the limited to, the following: Zoning, Annexation, Site Plan Approval, Wetlands, Permitting, FDOT, Public Transportation, USPS, AHCA.
β’ Continually review/evaluate the design development process for adherence to LRH Design Standards, IT Standards, Facilitiesβ Best Practices, Vendor Drawing Coordination and Code Compliance.
β’ Prepare RFP packages and manage the bid selection process for the selection of the CM.
β’ Hold scope and pricing review meetings with CMs. Prepare the contract and exhibits and facilitate the contract negotiation process with the selected CM.
β’ Provide construction administration and QA/QC efforts throughout the construction phase including, but not the limited to, the review of the following: Submittals and RFIs, CM Monthly Schedule Updates, Monthly Pay Applications, Buyout Savings, Contingency Usage, and Change Orders.
β’ Assist in establishing required utility accounts including, but not the limited to, the following: electric, water and sewer, medical gas, and fuel.
β’ Prepare, distribute, and oversee PCRA, ICRA, and ILSM processes, when applicable.
β’ Effectively communicate to and work in close liaison with Real Estate, Facilities, IT and Key Clinical and Support Stakeholders.
β’ Assist LRH leadership with operational planning meetings for established go-live.
β’ Maintain project reporting requirements including, but not the limited to, the following: weekly updates to project tracking logs and monthly dashboard reports for distribution to project stakeholders and leadership.
β’ Maintain accurate financial reporting including, but not the limited to, the following items: tracking of Commitments, Current Expenditures, Projected Expenditures, Direct Purchase Orders, and Monthly Cash Flow Projections.
β’ Manage the acquisition of all FF&E items including art, signage, furniture, and medical equipment.
β’ Represent LRH at all AHCA OPC & AHCA Life Safety inspections.
β’ Manage external consultants for project turn-over processes such as the following: floor burnishing, terminal clean, sharps, supply stocking, etc.
β’ Facilitate the project closeout process and review compliance with the following: As-Built drawings, A/E record drawings, O&M manuals, Warranties, Trainings, Punch List Completion, Attic Stock Turnover.
β’ Promotes Lakeland Regional through thought leadership, speaking engagements, and/or business development efforts.
5. Leadership
Competencies
1. Knowledge and Skills
β’Self-motivated with a strong ability to multitask, work independently, and manage all aspects of projects effectively and efficiently
β’ Detail-oriented with strong planning, organization, critical thinking, problem solving, and decision-making skills.
β’ Strong leadership with coaching and staff development skills.
β’ High degree of tactfulness, maturity, and business ethics.
β’ Exemplary written and interpersonal/verbal communication skills.
β’ Creates a high performing team by building strong relationships, mobilizing others to action and effectively leveraging the talent of their team.
β’ Proficient in preparing and delivering presentations to executive leadership and project stakeholders.
β’ Strong understanding of financial and accounting principles and procedures.
β’ Proficient in reading and interpreting construction documents and contracts.
β’ Proficient use of computerized and mobile project management systems / software including Procore, Bluebeam, and Microsoft Project.
β’ Knowledge of codes and standards including the FBC, FGI, NFPA, and LS.
2. Education
Essential:
Degree Level: Bachelor
Preferred:
Degree Level: Bachelor
Degree Type: Architecture, Construction Management, Engineering
3. Experience
Essential:
Β· Five years of healthcare project management experience including project budgets in the range of $5-50M
Β· Experience with plans review and inspections with the Agency for Health Care Administration (AHCA) or similar authority having jurisdiction
Preferred:
Β· Eight to ten years of healthcare project management experience including project budgets in the range of $25-100M+
Β· Experience with plans review and inspections with Team F of the Agency for Health Care Administration (AHCA)
Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Work Hours per Biweekly Pay Period: 80.00
Shift:
Location: 1324 Lakeland Hills Blvd Lakeland, FL
Pay Rate: Min $161,200.00 Mid $215,300.80
Position Summary
The Physician Advisor serves as a liaison between the clinical document improvement (CDI) team, which includes hospital coders; members of the Hospital's administration; the Medical Staff of the hospital; and the hospital's Utilization Management to facilitate the development and implementation of clinical documentation improvement initiatives. The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation. The Physician Advisor is responsible for conducting clinical reviews referred by the Utilization Management, Coding and Clinical Documentation Improvement departments. The Physician Advisor will assist with reviews and appeals of DRG and medical necessity denials.
Position Responsibilities
People At The Heart Of All We Do
- Fosters an inclusive and engaged environment through teamwork and collaboration.
- Ensures patients and families have the best possible experiences across the continuum of care.
- Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Stewardship
- Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
- Knows and adheres to organizational and department policies and procedures.
Safety And Performance Improvement
- Behaves in a mindful manner focused on self, patient, visitor, and team safety.
- Demonstrates accountability and commitment to quality work.
- Participates actively in process improvement and adoption of standard work.
Supervisor/Team Lead Capabilities
- Demonstrates accountability for shift/team operations and care/service delivery to support achievement of organizational priorities.
- Coaches front line team members to support ongoing professional development and hardwire technical and professional capabilities.
- Creates a high performing team by building strong relationships, delegating work and nurturing commitment and engagement.
- Manages team conflict/issues implementing appropriate corrective actions, improvement plans and regular performance evaluations.
- Applies change management best practices and standard work to support departmental changes and ensure effective team transition.
- Promotes a healthy and safe culture to advance system, team and service experien
Standard Work: Physician Advisor
- Acts as a liaison between the CDI professionals, Health Information Management, and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and risk of mortality, HCC/risk adjustment in addition to Diagnosis Related Group (DRG) assignment.
- Perform concurrent and retrospective reviews of selected health records as it pertains to CDI and coding validation, and participate in the development of clinically appropriate and compliant provider queries to further clarify documentation.
- Educates individual hospital staff physicians about International Classification of Diseases (ICD) coding guidelines and clinical terminology to improve their understanding of severity, acuity, risk of mortality, HCC/risk adjustment and DRG assignments on their individual patient records.
- Assists with the evaluation and appeal of concurrent and restrospective denials and retrospective DRG downgrades. May perform peer-to-peer meetings as required.
- Participates in the coding and CDI programs and identifies potential areas for improved documentation of services. Also participates in the Coding and CDI meetings and provides ongoing education to the team members.
- Provides peer to peer communication to affect the appropriate response for those cases where the physician fails to respond or questions the need for queries.
- Responsible for writing and submitting appeals (multiple levels as needed) specifically around medical necessity, non-covered services, authorizations, and inpatient/observation stay related denials. May perform peer-to-peer meetings as required.
- The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation through effective communication and education of the respective parties.
- Provides his or her expert opinion in relation to clinical validity assessments, and, furthermore, the development of clinically robust and appropriate queries.
- Serves as second level reviewer for UM, providing guidance on appropriate/alternate levels of care based on InterQual guidelines and other appropriate criteria.
Competencies & Skills
Essential:
- Broad knowledge base of clinical medicine across all specialties.
- Basic coding guidelines regarding the selection of the principal diagnosis and reporting additional diagnoses and procedures; understanding the DRG system; levels of comorbidities; and concepts of risk adjustment, severity of illness, risk of mortality, case mix index, prospective payment, hospital acquired conditions, patient safety indicators.
- Organize tasks effectively and efficiently and the ability to act independently through the application of critical thinking skills.
- Computer skills appropriate to position
- Excellent written and verbal communication skills.
Qualifications & Experience
Essential:
- Medical Degree
Essential:
- Licensed to practice medicine in the state of Florida, shall be board certified in internal medicine, and shall meet any other reasonable professional criteria established by LRH or the hospital.
Other information:
Experience Essential:
- Minimum of two years of experience in conducting coding and CDI reviews.
- Knowledge of coding guidelines and how it translates from clinical documentation.
- Knowledge of DRGs, Risk of Mortality, Severity of Illness, Mortality Rate, HCC/risk adjustment, CMI and the impact of clinical documentation/coding in relation to these metrics.
- Excellent computer skills with prior exposure to use of Microsoft Office suite
Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Active - Benefit Eligible and Accrues Time Off
Work Hours per Biweekly Pay Period: 80.00
Shift: Flexible Hours and/or Flexible Schedule
Location: 210 South Florida Avenue Lakeland, FL
Pay Rate: Min $19.37 Mid $24.22
Position Summary
Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes.
Position Responsibilities
People At The Heart Of All That We Do
- Fosters an inclusive and engaged environment through teamwork and collaboration.
- Ensures patients and families have the best possible experiences across the continuum of care.
- Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
- Behaves in a mindful manner focused on self, patient, visitor, and team safety.
- Demonstrates accountability and commitment to quality work.
- Participates actively in process improvement and adoption of standard work.
Stewardship
- Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
- Knows and adheres to organizational and department policies and procedures.
Standard Work Duties: Coder II - Outpatient
- Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding
- Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment.
- Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement.
- Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers.
- Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines.
- Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames.
- Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities.
- Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily.
- Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
- Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
Competencies & Skills
Essential:
- Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
- Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.
- Knowledge of anatomy and physiology, pharmacology, and medical terminology.
Qualifications & Experience
Essential:
- High School or Equivalent
Nonessential:
- Associate Degree
Essential:
- High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.
Other information:
Certifications Essential: CCS
Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Experience Essential:
2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.
Job Title: Healthcare Employee Relations Consultant
Location: Lakeland, Florida β [Hybrid/Remote]
Reports to: Employee Relations AVP
Position Type: Full-Time/80 hours biweekly
About Us
Lakeland Regional Health is a leading healthcare provider dedicated to delivering exceptional care in Central Florida. We are committed to fostering an inclusive and supportive workplace for our team members, and we are seeking a Healthcare Employee Relations Consultant to join our growing HR team. This role is integral to maintaining a positive workplace culture, ensuring compliance with labor laws, and supporting the professional growth of our staff.
Position Summary
The Healthcare Employee Relations Consultant will serve as a subject matter expert in employee relations, providing strategic HR support to managers, leaders, and employees. You will play a key role in managing complex employee relations cases, conducting investigations, and offering guidance on policy interpretation, corrective actions, performance management, and conflict resolution. This role requires strong communication, investigative skills, and deep knowledge of healthcare regulations. This position is hybrid. You must be able to work from home and on-site as required.
Key Responsibilities
- Employee Relations Management: Oversee employee relations matters, including performance issues, misconduct, harassment, and conflict resolution with leaders through out the organization.
- Investigations: Conduct thorough and objective investigations into employee complaints (e.g., harassment, discrimination, workplace violations), providing detailed reports and recommendations.
- Policy Guidance: Advise leaders on employee and labor relations issues, including interpretation of collective bargaining agreements, policies and regulations.
- Training & Development: Support ongoing leadership development through consultations and facilitating courses.
- Labor Relations: Support negotiations and grievance procedures in unionized settings, ensuring compliance with contracts and healthcare labor laws.
- Documentation & Compliance: Maintain accurate documentation of all cases and interactions, ensuring compliance with legal and regulatory standards.
- Collaboration: Work closely with Centers of Excellence, legal teams, and department managers to create an inclusive, fair, and compliant work environment.
Qualifications
Education: Bachelor's degree in Human Resources, Business Administration, Healthcare Administration, or a related field (Master's preferred).
Experience:
- Minimum of 5β7 years of Employee Relations experience, with at least 3 years in healthcare or regulated industries preferred.
- Demonstrated experience managing complex investigations, conflict resolution, consulting and performance management.
- Experience in unionized environments is a plus (grievances, contract interpretation, etc.).
Certifications:
- SHRM-CP/SCP or HRCI PHR/SPHR certification preferred.
- Additional certification in investigations (AWI or similar) is a plus.
Skills:
- In-depth knowledge of employment laws (FMLA, ADA, HIPAA, Title VII) and healthcare-specific compliance regulations.
- Strong investigative, analytical, and problem-solving abilities.
- Excellent written and verbal communication skills.
- Ability to work independently while maintaining a high level of professionalism and ethical conduct.
Healthcare Industry Experience: Experience working in healthcare systems, hospitals, long-term care, or ambulatory care settings preferred.
Why Join Us?
- Competitive compensation and benefits package, including medical, dental, and vision coverage, with LRH Home Network Providers Paid at 100%.
- Generous Earned Time Off (ETO) and Paid Holiday plan.
- We offer 30 fully funded Career Advancement Programs that directly help our Team Members get promoted, and we provide $5,000 of Tuition Reimbursement per year.
- We prioritize work-life balance with flexible work options.
- We offer rewarding recognition and team member appreciation programs.
- A supportive, inclusive, and collaborative work environment where you will make a direct impact.
Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Work Hours per Biweekly Pay Period: 0.10
Shift: Weekdays with Rotating Weekends
Location: 1324 Lakeland Hills Blvd Lakeland, FL
Position Summary
The Clinical Dietitian is responsible to the Clinical Nutrition Manager. He/she works across the institution to provide quality nutritional support services. He/She consistently contributes to a multidisciplinary, collaborative effort to ensure positive patient outcomes. The Clinical Dietitian works with the food service management and staff to coordinate delivery of the prescribed diet and meet the nutritional needs of the patient. He/she is responsible to practice within their scope of licensure in accordance with approved policies, procedures and protocols. He/she must effectively interact with patients, families, physicians and other health team members while maintaining standards of professional nutritional care. He/she must identify opportunities for and contribute to the improvement of quality, safety and cost, as well as patient, customer, and employee satisfaction. The Clinical Dietitian performs other duties as assigned.
Position Responsibilities
Standard Work Duties: Dietitian (PRN)
- Evaluate patients for nutritional status based on nursing screening criteria/consults/screening reports and within the scope of established dietetic practice standards, federal/state regulations and The Joint Commission standards with a monthly productivity level of 1.2., validated by weekly productivity logs and monthly chart review.
- Implement and monitor nutrition care plans and document according to standards of care criteria with reassessments completed within three to five days for moderate risk and within 48 hours for high risk patients, as validated by monthly chart review; collaborates with fellow team members and communicates nutrition care plan when transferred to other units, when other team members are covering or weekend coverage and validated by chart review with the dietitian.
- Collaborate with and communicate effectively with physicians and members of the multi-disciplinary team to integrate information which refines and contributes to the overall medical care of the patient, with specific emphasis on nutritional care, through daily rounds, as validated by the customer feedback process and monthly chart review.
- Develop, coordinate and provide nutrition education to patients, families, staff, and physicians to ensure that nutritional care is maintained across the continuum of care and into the home/recovery setting through one on one, small groups, classroom setting and community setting as evidenced by weekly productivity log and participation in community programs.
- Serves as a liaison between patient, staff and food service department by integrating nutrition information, observed food delivered, patient prescribed dietary plan, federal/state regulations and The Joint Commission standards to ensure that optimal patient outcomes are achieved as validated by daily meal rounds and tray checks completed.
- Clinical competence and continuous improvement so that optimum patient outcomes are achieved through completion of Nutritional Competency, completion of mandatory education and completion of 15 hours of continuing education annually as mandated for Florida license and validated by annual mandatory education form.
- Demonstrates commitment to the dietitian team by attendance of department staff meetings and flexibility to meet workload so that patients' nutritional care needs are met by willingness to change scheduled hours of work as needed, provide coverage in other areas as needed, provide weekend coverage as needed and provide assistance to other staff members as needed as validated by attendance noted in department minutes and work schedules.
Competencies & Skills
Essential:
- Working knowledge of nutrition principles.
- Working knowledge of basic computer skills.
- Public speaking.
Qualifications & Experience
Essential:
- Bachelor Degree
Nonessential:
- Master Degree
Essential:
- Bachelor of Science Degree in Dietetics and Nutrition or related field
Nonessential:
- Masters of Science in Dietetics and Nutrition or related field
Other information:
Licenses Essential: Licensed by the State of Florida, Registered Dietitian or Registered Dietitian Eligible (maximum of 1 year from hire date) by the Commission on Dietetic Registration (the credentialing agency for the American Dietetic Association).
Certifications Essential: Per department or hospital requirements and relevant policies.
Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Active - Benefit Eligible and Accrues Time Off
Work Hours per Biweekly Pay Period: 80.00
Shift: Flexible Hours and/or Flexible Schedule
Location: 210 South Florida Avenue Lakeland, FL
Pay Rate: Min $24.73 Mid $30.92
Position Summary
Under the direction of the Coding and Clinical Documentation Improvement Manger , reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, physician advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract, Participates in ongoing continued education to assure knowledge and compliance with annual changes.
Position Responsibilities
People At The Heart Of All That We Do
- Fosters an inclusive and engaged environment through teamwork and collaboration.
- Ensures patients and families have the best possible experiences across the continuum of care.
- Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
- Behaves in a mindful manner focused on self, patient, visitor, and team safety.
- Demonstrates accountability and commitment to quality work.
- Participates actively in process improvement and adoption of standard work.
Stewardship
- Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
- Knows and adheres to organizational and department policies and procedures.
Standard Work Duties
- Determines whether the coding assigned was properly assigned based upon clinical indicators and review of the medical documentation and application of coding guidelines.
- Develop and apply appeal arguments to defend the coding and clinical decisions while being able to address and refute the coding determination made by the carrier/payer.
- Drafts appeal letters, including the coding argument with clinical and coding references, to support the coding decision. This may include providing additional medical record documentation.
- Identifies areas for education to improve complete and accurate coding and billing and provide feedback to management regarding trends or patterns noticed in the coding for discussion.
- Continued follow-up on denials as payers may continue to deny. Collaboration with Physician Advisor as required to continue appeal process.
- Continuously reviews changes in coding rules and regulations including in Coding Clinic, CMS, and other payer guidelines.
- Complete denials/appeals reports for leadership.
- Documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up.
- Assigns and sequence documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up.s diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines.
- Performs special projects and/or other duties as assigned.
Competencies & Skills
Nonessential:
- Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
- Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision
- MS-DRG and APR-DRG methodology expertise required. Strong knowledge of ICD-10-CM, ICD-10-PCS, POAs, HACs, PSIs, SOIs, ROMs and mortality rates as well as physician queries.
Qualifications & Experience
Nonessential:
- Associate Degree
Essential:
- High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.
Other information:
Certifications Essential: CCS
Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Experience Essential: 2-5 years acute care hospital inpatient coding experience within the past five years.
Our organization follows the triple aim while delivering high quality and low cost healthcare to patients.
VPA is committed to high quality, patient satisfaction and value-based healthcare.
Through quality medicine and compassionate care, our providers are able to ease the burden for patients that are unable to access necessary care in a traditional practice setting due to their health status.
Over 43 locations in 12 states Completed over 5 million house calls in the last decade 24/7 Care Center support The largest ACO dedicated to home based primary care Experienced with clinically integrated network (CIN), population health management, and value-based healthcare initiatives Best practice protocols including COPD, Pneumonia, CHF, Diabetes, and Chronic Care Management Web-based EHR for all clinicians Fully implemented compliance, QAPI, infection prevention and control plansWe are currently looking for physicians in the Marysville, MI area to join the VPA team.
Competitive base salary and aggressive quarterly incentive pay Comprehensive benefit package including 401K with match Annual stipend for CME and license/association dues UpToDate for your tablet and phone A+ rated Malpractice Coverage with tail coverage No nights, No holidays, No hospital rounds Minimal call responsibilities Average of 10 patients per day More quality, face-to-face interaction with patients and families EMR with dedicated training and support staff Teamed with a medical assistant and patient care coordinatorLearn more about changes we are making in patients lives here.
Remote working/work at home options are available for this role.
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
UM RN Appeals Coordinator - Work from HomeJob Description:
About Sagility
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job Description:
BroadPath, a Sagility Company, is hiring UM RN Appeals Coordinator to join our remote team! Claims Processors are responsible for the accurate and timely entry, review, and resolution of medical claims ranging from simple to moderately complex. This includes reviewing front-end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company. All claim processing must align with CMS guidelines and client-specific policies and procedures.
Schedules, pay rates, and program details may vary based on business needs and client assignment.
Compensation Highlights
- Base Pay: up to $50 per hour
- Pay frequency: Weekly pay
Schedule Highlights
- Training Schedule: 2 weeks, Monday β Friday; 8:00 AM - 5:00 PM CST
- Production Schedule: Monday β Friday; 8:00 AM - 5:00 PM CST (Flexible)
Responsibilities
A. Performs necessary review to ensure compliance with HHSC and other regulatory entities
- Collaborate: Partners with the physician team to identify strategies for action and determine appropriate guideline citations or responses based on the category of denial
- Develop: Creates training materials and examples for nursing staff to enhance understanding of criteria application, benefit use, and the appeal, External Medical Review (EMR), and Fair Hearing processes
- Coordinate: Ensures continuity of care needs are met and advocates on behalf of Members and families for out-of-network authorization approvals
Implement: Identifies problems, barriers, and opportunities within processes and develops resolutions or revisions as needed - Evaluate: Conducts quarterly assessments of appeal status and program activities, preparing reports for both the State of Texas and internal review
- Analyze: Reviews requests against regulatory and decision-making guidelines and benefit allowances, implements actions in collaboration with the physician reviewer panel, and monitors timeliness, decision-making, and processing of appeals, EMRs, and State Fair Hearings in accordance with regulatory and accrediting standards
B. Performs all necessary communication and documentation functions
- Communicates with internal staff, Members/LARs, physicians, hospital representatives, and other
- Providers regarding case status, due process, rationale, and regulatory requirements
- Coordinates Fair Hearing requests through TIERS when a Member/LAR or Provider requests an EMR or Fair Hearing
- Utilizes an Independent Review Organization as needed for specialty or external reviews
- Oversees documentation and recordkeeping of all case communications in compliance with accrediting requirements
- Documents all activities and interactions in electronic and event tracking systems
Generates appeal determination letters as appropriate
C. Collaborates with clinical reviewers, medical directors, external physician reviewers, and network Providers
- Communicates with physicians on each case to establish the most appropriate course of action
- Provides education to nurse and therapist reviewers regarding appeal updates and process changes
- Maintains flexibility in scheduling, including evenings and weekends, to address pharmacy-related denials
- Educates physician reviewers and clinical review staff on managed care and Medicaid policies and procedures
D. Conducts staff and medical director audits on appeal activities
- Assists with appeal file preparation for NCQA file reviews
- Supports the development of corrective action plans based on trended audit findings
E. Provides data for internal and external reporting
- Analyzes quarterly trends in appeal types and sources
- Reports appeal activity, type, and resolution, ensuring timely communication standards are met
- Assists with state reporting in the required format and ensures timely submission to HHSC to avoid financial penalties
Knowledge and Skills
- Demonstrates proficiency in applying advanced principles, concepts, and techniques central to nursing and ancillary therapy services within managed care, with emphasis on complex pediatrics and obstetrics
- Ability to comprehensively assess Member and family medical needs, develop and implement plans of care, provide ongoing evaluation and monitoring, and deliver education to Members, families, Providers, and staff
- Exemplary verbal and written communication skills, with proficiency in computer operation, word processing programs, fax machines, photocopiers, and multi-line telephones
- Strong customer service orientation and advanced interpersonal communication skills with all levels of internal and external stakeholders, including medical staff, patients and families, clinical personnel, support staff, outside agencies, and community partners
Qualifications
- RN license in an eNLC (Enhanced Nurse Licensure Compact) state with multistate privileges
- 3+ years Nursing experience
- 1+ yearsβ Utilization Management experience
- Familiarity with medical terminology, utilization management guidelines, and clinical documentation standards
- Proficiency in Microsoft Office and experience working with healthcare systems or electronic medical records
- Strong organizational and time management skills with the ability to work independently
- Excellent written and verbal communication skills
At BroadPath, a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters.
Benefits:
- Medical, Dental, and Vision coverage.
- Life Insurance.
- Short-Term and Long-Term Disability options.
- Flexible Spending Account (FSA).
- Employee Assistance Program.
- 401(k) with employer contribution.
- Paid Time Off (PTO).
- Tuition Reimbursement.
BroadPath, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements
Diversity Statement
At BroadPath, a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!
Equal Employment Opportunity/Disability/Veterans
If you need accommodation due to a disability, please email us at . This information will be held in confidence and used only to determine an appropriate accommodation for the application process
BroadPath, a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Location:
USAUnited States of AmericaRemote working/work at home options are available for this role.
Director of Sales-Shop At Home (Paramus)
Key member of the sales leadership team, Director of Sales-Shop At Home is the general manager of the in-home business unit servicing markets without Blinds To Go showrooms (BTG Partners Program). Directly managing and working closely with shop-at-home outside contractors, installers and collaborating with other senior managers, he/she will develop and implement systems and processes that support rapid growth of this business. He/she must be a good recruiter and manager of outside sales people and have excellent communication skills.
Key Responsibilities
- Recruit, manage and drive growth of shop-at-home (SAH) business in markets without BTG showrooms (BTG Partners)
- Actively recruit and on-board outside contractors with experience in window treatments
- Work with merchandising and marketing to develop programs, tools that improve BTG Partners performance
- Work with business support groups to provide ongoing operation support to BTG partners
- Work with installation managers to build installation network and maintain excellent service levels in remote markets
- Help identify and qualify installers as needed
- Measure installation service levels
- Work with stores leadership to identify additional opportunities for BTG Partners Program
Key Requirements
Bachelors in business or related field
10+ years experience including:
- Operating experience in retail or multi-location service business
- In-home sales and management experience
- Experience managing 3rd-party service providers
- Strong interpersonal and communication skills
- High energy and strong motivation skills
- Very strong customer service, problem-solving and follow-up skills
- Ability to identify root causes and solve issues with a high sense of urgency
- Ability to build cross-functional relationships
- Experience working independently, but also as part of a team
Integrating senior manager into the existing business and culture is critical. We will work with him/her to develop an integration plan that sets up the new manager for success at BTG.
Development plan will be individualized, and will include time in our stores to gain a first-hand appreciation of our customer service requirements and to develop key relationships in the field.
Remote working/work at home options are available for this role.
Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.
A Day in the Life of an Online Data Analyst:
In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide
Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.
Join us today and be part of a dynamic and innovative team that is making a difference in the world!
TELUS Digital AI Community
Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the worldβs largest brands.Β
Qualification path
No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.Β
Basic Requirements
- Full Professional Proficiency in Punjabi and English language
- Being a resident in The United States or the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in India
- Ability to follow guidelines and conduct online research using search engines, online maps, and website information
Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance
Daily access to a broadband internet connection, computer, and relevant software
Assessment
In order to be hired into the program, youβll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.
Equal Opportunity
All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicantsβ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
Remote working/work at home options are available for this role.
Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.
A Day in the Life of an Online Data Analyst:
- In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide
- Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.
Join us today and be part of a dynamic and innovative team that is making a difference in the world!
TELUS Digital AI Community
Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the worldβs largest brands.Β
Qualification path
No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.Β
Basic Requirements
- Full Professional Proficiency in Urdu and English language
- Being a resident in The United States or the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in India
- Ability to follow guidelines and conduct online research using search engines, online maps, and website information
- Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance
- Daily access to a broadband internet connection, computer, and relevant software
Assessment
In order to be hired into the program, youβll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.
Equal Opportunity
All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicantsβ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
Remote working/work at home options are available for this role.
Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.
A Day in the Life of an Online Data Analyst:
- In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide
- Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.
Join us today and be part of a dynamic and innovative team that is making a difference in the world!
TELUS Digital AI Community
Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the worldβs largest brands
Qualification path
No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.Β
Basic Requirements
- Full Professional Proficiency in Spanish language
- Being a resident in United States for the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in United States
- Ability to follow guidelines and conduct online research using search engines, online maps, and website information
- Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance
- Daily access to a broadband internet connection, computer, and relevant software
Assessment
In order to be hired into the program, youβll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.
Equal Opportunity
All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicantsβ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
Remote working/work at home options are available for this role.
Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.
A Day in the Life of an Online Data Analyst:
- In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide
- Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.
Join us today and be part of a dynamic and innovative team that is making a difference in the world!
TELUS Digital AI Community
Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the worldβs largest brands.Β
Qualification path
No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.Β
Basic Requirements
- Full Professional Proficiency in Bengali and English language
- Being a resident in The United States or the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in India
- Ability to follow guidelines and conduct online research using search engines, online maps, and website information
- Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance
- Daily access to a broadband internet connection, computer, and relevant software
Assessment
In order to be hired into the program, youβll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.
Equal Opportunity
All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicantsβ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
Remote working/work at home options are available for this role.
Responsibilities: Β· Handle customer inquiries and complaints Β· Provide information about the products and services Β· Troubleshoot and resolve product issues and concerns Β· Document and update customer records based on interactions Β· Develop and maintain a knowledge base of the evolving products and services Qualifications: Β· Previous experience in customer service, sales, or other related fields Β· Ability to build rapport with clients Β· Ability to prioritize and multitask Β· Positive and professional demeanor Β· Excellent written and verbal communication skills Work from home! Awesome CEO, opportunity for advancement and great income earning potential!
Remote working/work at home options are available for this role.
Senior Project Manager
Construction | Chicago, IL | Hybrid Flexibility
A globally recognized Architecture, Engineering, and Construction firm is seeking an experienced Senior Project Manager to join their downtown Chicago office. This firm delivers complex, high profile projects across the United States and internationally, with a diverse portfolio including industrial, residential, commercial, education/public, mixed use, and hospitality developments valued up to $200M+.
This role offers the opportunity to lead large scale projects from preconstruction through completion while working within a fully integrated AEC delivery model alongside architecture, engineering, and construction teams.
The Opportunity
The Senior Project Manager will be responsible for overall project leadership, managing teams, coordinating stakeholders, and ensuring projects are delivered safely, on schedule, and within budget.
You will oversee complex projects across multiple sectors, working closely with internal design teams, consultants, subcontractors, and clients to deliver successful outcomes on high value projects across the U.S. and internationally.
Key Responsibilities
- Lead the planning, execution, and delivery of construction projects valued up to $200M+.
- Manage projects from preconstruction through project closeout, ensuring schedule, budget, and quality objectives are achieved.
- Oversee project teams including project managers, project engineers, superintendents, and subcontractors.
- Coordinate closely with architectural and engineering teams within the integrated AEC environment.
- Manage project financials including budgets, forecasting, cost control, and change management.
- Maintain strong client relationships and serve as the primary point of contact throughout the project lifecycle.
- Lead project meetings, reporting, and communication with internal and external stakeholders.
- Ensure compliance with safety standards, contractual requirements, and company procedures.
Qualifications
- 10+ years of construction project management experience.
- Proven experience delivering large scale commercial, mixed use, residential, industrial, hospitality, or institutional projects.
- Experience managing projects valued $50M to $200M+.
- Strong leadership and team management capabilities.
- Ability to oversee project financials, schedules, and client relationships.
- Excellent communication and stakeholder coordination skills.
- Bachelorβs degree in Construction Management, Engineering, Architecture, or related field preferred.
Why Join
- Globally respected Architecture, Engineering, and Construction firm with an international project portfolio.
- Opportunity to lead large scale projects across multiple sectors.
- Collaborative environment working alongside architecture and engineering teams in an integrated delivery model.
- Downtown Chicago office with a hybrid work schedule (2 days work from home).
Remote working/work at home options are available for this role.
Assistant Project Manager
Construction | Chicago, IL | Hybrid Flexibility
A globally recognized Architecture, Engineering, and Construction firm is seeking an Assistant Project Manager to join their downtown Chicago office. This firm delivers complex, high profile projects across the United States and internationally, with a diverse portfolio including industrial, residential, commercial, education/public, mixed use, and hospitality developments valued up to $200M+.
This role offers the opportunity to support the delivery of large scale projects while working within a fully integrated AEC delivery model alongside architecture, engineering, and construction teams.
The Opportunity
- The Assistant Project Manager will support senior project leadership in the planning and execution of construction projects from preconstruction through completion. This role will assist with coordination across project teams, consultants, subcontractors, and clients to ensure projects are delivered safely, on schedule, and within budget.
- You will gain exposure to complex projects across multiple sectors while developing your leadership and project management capabilities within a collaborative AEC environment.
Key Responsibilities
- Support the planning and execution of construction projects valued up to $200M+.
- Assist in managing projects from preconstruction through project closeout.
- Coordinate with project managers, superintendents, project engineers, and subcontractors to maintain project progress.
- Work closely with internal architectural and engineering teams within the integrated AEC environment.
- Assist with project financial tracking including budgets, cost reporting, forecasting, and change management.
- Help maintain project schedules, documentation, and reporting.
- Support communication between clients, consultants, subcontractors, and internal teams.
- Participate in project meetings and assist in tracking action items and deliverables.
- Ensure project documentation complies with safety standards, contractual requirements, and company procedures.
Qualifications
- 2 to 6 years of construction project management experience.
- Experience supporting commercial, mixed use, residential, industrial, hospitality, or institutional construction projects preferred.
- Exposure to projects valued $10M to $100M+.
- Strong organizational and coordination skills.
- Ability to support project financials, schedules, and documentation.
- Excellent communication and teamwork capabilities.
- Bachelorβs degree in Construction Management, Engineering, Architecture, or related field preferred.
Why Join
- Globally respected Architecture, Engineering, and Construction firm with an international project portfolio.
- Opportunity to work on complex projects across multiple sectors.
- Strong mentorship and career progression toward Project Manager and Senior Project Manager roles.
- Collaborative environment working alongside architecture and engineering teams in an integrated delivery model.
- Downtown Chicago office with a hybrid work schedule with 2 days work from home.
Remote working/work at home options are available for this role.