Jobs in Nellis Afb, NV
727 positions found — Page 11
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RN CASE MANAGER - VALLEY HOSPITAL (PART-TIME)
✦ New
Salary not disclosed
Responsibilities
The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center,Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital.
Benefit Highlights:
- Comprehensive education and training center
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career opportunities within VHS and UHS Subsidies
- Challenging and rewarding work environment
Job Description:
To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all patient visits. These goals can be achieved through proactive collaboration with the patient, family and healthcare team.
Qualifications
Education: Graduate of an accredited school of nursing.
Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post discharge clinical and social needs.
Technical Skills:
Computer proficiency to include word processing, spreadsheet, and data collection/management computer programs.
License/Certification:
Has a current license to practice as a Registered Nurse in the State of Nevada.
Other:
Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at:
The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center,Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital.
Benefit Highlights:
- Comprehensive education and training center
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career opportunities within VHS and UHS Subsidies
- Challenging and rewarding work environment
Job Description:
To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all patient visits. These goals can be achieved through proactive collaboration with the patient, family and healthcare team.
Qualifications
Education: Graduate of an accredited school of nursing.
Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post discharge clinical and social needs.
Technical Skills:
Computer proficiency to include word processing, spreadsheet, and data collection/management computer programs.
License/Certification:
Has a current license to practice as a Registered Nurse in the State of Nevada.
Other:
Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at:
temporary
T
SUPERVISOR STERILE PROCESSING (VARIED)
✦ New 🏢 The Valley Health System
Salary not disclosed
Responsibilities
Spring Valley Hospital is a member of The Valley Health System, a network of six acute care hospitals that provide care for patients throughout Southern Nevada and nearby communities. Located in southwest Las Vegas, the 366-bed hospital offers emergency care, advanced cardiovascular and neurological surgeries and procedures, surgical services, women’s health, comprehensive maternity services, and a level III neonatal intensive care unit. Spring Valley Hospital is accredited by The Joint Commission (“TJC”) and has achieved TJC Advanced Certifications in Primary Heart Attack, Thrombectomy-Capable Stroke, and Hip and Knee Total Joint Replacement. Spring Valley Hospital has garnered recognition by US News & World Report for its outstanding achievements in several specialty programs, such as Heart Failure, Heart Attack, Kidney Failure, COPD, and Stroke. Additionally, the Advanced Wound Care and Hyperbaric Center is a distinguished Center of Excellence and President’s Circle award winning clinic, providing the highest quality in care and patient satisfaction. The hospital received the prestigious “Best Place to Have a Baby Gold Award,” highlighting its exceptional maternity services, which includes a dedicated entrance open 24/7 to the Birthplace Center.
ER at Blue Diamond, an Extension of Spring Valley Medical Center, is a freestanding emergency department providing 24/7 emergency care to infants, children and adults. ER at Blue Diamond has achieved TJC Advanced Certifications in Acute Stroke Ready and Acute Heart Attack Ready.
Valley Health System (“VHS”) is an integrated system of care in Las Vegas and Southern Nevada comprised of acute care hospitals, physician practices and a variety of outpatient services. We focus on clearly defined goals designed to bring about exemplary patient care. Since 1979, we have been providing care to the more than two million people living in Southern Nevada and its surrounding communities. VHS is committed to training the next generation of healthcare providers including physicians, nurses, therapists and others in the allied health support services. The talent and dedication of the over 9,000 employees of VHS is what makes the company unique. VHS is owned and operated by a subsidiary of Universal Health Services, Inc. (“UHS”).
Benefit Highlights:
- A rewarding and engaging work environment
- Competitive compensation & generous paid time off
- Tuition Reimbursement
- Employee Referral Bonus
- Career and growth opportunities within VHS and its 300+ UHS Subsidiaries
- Excellent Medical, Dental, Vision and Prescription Drug Plans along with a variety of voluntary benefits
- 401(k) with company match and discounted Stock Plan
- More Information is available on our Benefits Guest website:
Updated information about The Valley Health System can be found on:
Facebook: TheValleyHealthSystemLV
Instagram: : : https://
Job Description:
Provides oversight and local operations management of the Sterile Processing Department (SPD) supporting Surgical Services, various nursing units, and off-site clinics. Ensures coordinated and timely delivery of reprocessed items to clinical stakeholders within the health care organization. Ensures local facility sterilization and High-Level Disinfection (HLD) functions comply with all regulatory requirements. Manages SPD personnel and serves as liaison between SPD and other departments. Maintains effective interdepartmental relationships, coordinates, and resolves problems, and ensures cooperation with other programs and services. In conjunction with Surgical Services Director, manages the overall SPD budget
Q
Spring Valley Hospital is a member of The Valley Health System, a network of six acute care hospitals that provide care for patients throughout Southern Nevada and nearby communities. Located in southwest Las Vegas, the 366-bed hospital offers emergency care, advanced cardiovascular and neurological surgeries and procedures, surgical services, women’s health, comprehensive maternity services, and a level III neonatal intensive care unit. Spring Valley Hospital is accredited by The Joint Commission (“TJC”) and has achieved TJC Advanced Certifications in Primary Heart Attack, Thrombectomy-Capable Stroke, and Hip and Knee Total Joint Replacement. Spring Valley Hospital has garnered recognition by US News & World Report for its outstanding achievements in several specialty programs, such as Heart Failure, Heart Attack, Kidney Failure, COPD, and Stroke. Additionally, the Advanced Wound Care and Hyperbaric Center is a distinguished Center of Excellence and President’s Circle award winning clinic, providing the highest quality in care and patient satisfaction. The hospital received the prestigious “Best Place to Have a Baby Gold Award,” highlighting its exceptional maternity services, which includes a dedicated entrance open 24/7 to the Birthplace Center.
ER at Blue Diamond, an Extension of Spring Valley Medical Center, is a freestanding emergency department providing 24/7 emergency care to infants, children and adults. ER at Blue Diamond has achieved TJC Advanced Certifications in Acute Stroke Ready and Acute Heart Attack Ready.
Valley Health System (“VHS”) is an integrated system of care in Las Vegas and Southern Nevada comprised of acute care hospitals, physician practices and a variety of outpatient services. We focus on clearly defined goals designed to bring about exemplary patient care. Since 1979, we have been providing care to the more than two million people living in Southern Nevada and its surrounding communities. VHS is committed to training the next generation of healthcare providers including physicians, nurses, therapists and others in the allied health support services. The talent and dedication of the over 9,000 employees of VHS is what makes the company unique. VHS is owned and operated by a subsidiary of Universal Health Services, Inc. (“UHS”).
Benefit Highlights:
- A rewarding and engaging work environment
- Competitive compensation & generous paid time off
- Tuition Reimbursement
- Employee Referral Bonus
- Career and growth opportunities within VHS and its 300+ UHS Subsidiaries
- Excellent Medical, Dental, Vision and Prescription Drug Plans along with a variety of voluntary benefits
- 401(k) with company match and discounted Stock Plan
- More Information is available on our Benefits Guest website:
Updated information about The Valley Health System can be found on:
Facebook: TheValleyHealthSystemLV
Instagram: : : https://
Job Description:
Provides oversight and local operations management of the Sterile Processing Department (SPD) supporting Surgical Services, various nursing units, and off-site clinics. Ensures coordinated and timely delivery of reprocessed items to clinical stakeholders within the health care organization. Ensures local facility sterilization and High-Level Disinfection (HLD) functions comply with all regulatory requirements. Manages SPD personnel and serves as liaison between SPD and other departments. Maintains effective interdepartmental relationships, coordinates, and resolves problems, and ensures cooperation with other programs and services. In conjunction with Surgical Services Director, manages the overall SPD budget
Q
Not Specified
T
QUALITY PEER REVIEW RN/NON-RN – VHS (FULL-TIME)
✦ New 🏢 The Valley Health System
Salary not disclosed
Responsibilities
The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center,Henderson Hospital , Valley Health Specialty Hospital and West Henderson Hospital.
Benefit Highlights:
- Comprehensive education and training center
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career opportunities within VHS and UHS Subsidies
- Challenging and rewarding work environment
Job Description: Responsible for the overall management of the Performance Improvement processes related to physicians performance.
Qualifications
Education: Bachelors (BSN) degree in nursing or Master's Degree in a healthcare related field from an accredited program.
Experience: Five (5) years clinical experience with two (2) to four (4) years QA or PI experience required, and a minimum of two (2) years progressive management experience required.
Technical Skills: Computer proficiency to include word processing, spreadsheet, and database.
License/Certification: Current RN license in the State of Nevada is required if RN. Certified Professional Healthcare Quality (CPHQ) required for non-RN.
Other: Must be able to demonstrate the knowledge and skills necessary to provide service appropriate to the age of the patient. Travel Required.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or 1-8
The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center,Henderson Hospital , Valley Health Specialty Hospital and West Henderson Hospital.
Benefit Highlights:
- Comprehensive education and training center
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career opportunities within VHS and UHS Subsidies
- Challenging and rewarding work environment
Job Description: Responsible for the overall management of the Performance Improvement processes related to physicians performance.
Qualifications
Education: Bachelors (BSN) degree in nursing or Master's Degree in a healthcare related field from an accredited program.
Experience: Five (5) years clinical experience with two (2) to four (4) years QA or PI experience required, and a minimum of two (2) years progressive management experience required.
Technical Skills: Computer proficiency to include word processing, spreadsheet, and database.
License/Certification: Current RN license in the State of Nevada is required if RN. Certified Professional Healthcare Quality (CPHQ) required for non-RN.
Other: Must be able to demonstrate the knowledge and skills necessary to provide service appropriate to the age of the patient. Travel Required.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or 1-8
permanent
V
Remote Spanish Bilingual Healthcare Call Center Agent
✦ New
Salary not disclosed
Job Description
It's fun to work in a company where people truly BELIEVE in what they are doing!
We're committed to bringing passion and customer focus to the business.
Spanish Bilingual Healthcare Call Center Representative
Location: Remote (Virtual Environment)
Company: Trusted Leader in Healthcare Services
Are you fluent in both Spanish and English? Do you have a passion for delivering exceptional customer service and helping others navigate their healthcare options? If so, we want to hear from you!
As a Spanish Bilingual Healthcare Call Center Representative, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they maximize the benefits of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, you will deliver extraordinary service while building trust and rapport with current and prospective members.
What You'll Be Doing:
What You Bring:
Success Factors for Working from Home
What You Will Get:
Join Our Team:
If you are a motivated Spanish-English bilingual professional who wants to make a meaningful impact in the lives of others, we encourage you to apply! Start a rewarding career where your language skills, dedication, and customer service expertise will help shape the future of healthcare services.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Remote working/work at home options are available for this role.
It's fun to work in a company where people truly BELIEVE in what they are doing!
We're committed to bringing passion and customer focus to the business.
Spanish Bilingual Healthcare Call Center Representative
Location: Remote (Virtual Environment)
Company: Trusted Leader in Healthcare Services
Are you fluent in both Spanish and English? Do you have a passion for delivering exceptional customer service and helping others navigate their healthcare options? If so, we want to hear from you!
As a Spanish Bilingual Healthcare Call Center Representative, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they maximize the benefits of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, you will deliver extraordinary service while building trust and rapport with current and prospective members.
What You'll Be Doing:
- Customer Interactions:
- Manage inquiries in areas such as Member Services, Medicare, and Billing , assisting Spanish- and English-speaking customers.
- Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.
- Quality Service:
- Uphold the organization's philosophy of extraordinary customer relations.
- Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.
- Problem Resolution:
- Analyze and evaluate customer issues to initiate and coordinate service recovery measures.
- Document all member interactions meticulously following established procedures.
- Healthcare Knowledge
- Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.).
- Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.
- Operational Excellence
- Leverage a thorough understanding of company policies and processes to meet customer needs effectively.
- Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.
- Performance Metrics:
- Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.
- Compliance and Ethics:
- Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.
- Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.
- Tools and Systems:
- Use multiple systems/screens while assisting callers effectively
- Navigate CRM, EMR/EHR, and ticketing platforms effectively
What You Bring:
- Experience:
- Fluency in both Spanish and English (spoken and written) is required.
- Minimum of two (2) years of customer service or healthcare member-interaction experience.
- Previous call center experience and/or prior experience in the health insurance industry (preferred).
- Education:
- High School Diploma or GED required.
- Skills:
- Outstanding written and verbal communication skills.
- Proven analytical and problem-solving abilities.
- Ability to respond concisely and clearly to customer queries.
- Strong critical thinking and problem-solving skills.
- Typing speed of at least 35 WPM with a 5% or lower error rate.
Success Factors for Working from Home
- To thrive in this remote role, you'll need:
- Private Workspace: A dedicated, quiet workspace with a door that closes, free from ambient noise.
- Ergonomics: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.
- Reliable Internet Connection: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.
- Quiet, Distraction-Free Workspace: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.
- Tech-Savvy: Comfort with technology and ability to learn new systems quickly.
- Self-motivation & Independence: Ability to stay productive and manage your time effectively in a remote environment.
- Communication Skills: Strong verbal and written communication skills, especially in a virtual setting.
- Adaptability: Ability to adapt to changing technologies and procedures while working remotely.
What You Will Get:
- Competitive Pay: Enjoy a competitive hourly rate with opportunities for performance-based increases.
- Comprehensive Benefits: Full health insurance coverage, including medical, dental, and vision plans.
- Work Environment: A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.
- Career Growth: Abundant advancement opportunities within the organization.
- Inclusive Workplace: We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.
- Unique Perks:
- Cell Phone Benefits: $25/month per line for unlimited phone, text, and data (restrictions may apply).
- Referral for Life Program™: Earn residual bonuses for referring employees who join the team and remain with the company.
Join Our Team:
If you are a motivated Spanish-English bilingual professional who wants to make a meaningful impact in the lives of others, we encourage you to apply! Start a rewarding career where your language skills, dedication, and customer service expertise will help shape the future of healthcare services.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Remote working/work at home options are available for this role.
permanent
V
Spanish Bilingual Healthcare Call Center Representative
✦ New 🏢 VXI Global Solutions
Salary not disclosed
Job Description
It's fun to work in a company where people truly BELIEVE in what they are doing!
We're committed to bringing passion and customer focus to the business.
Spanish Bilingual Healthcare Call Center Representative
Location: Remote (Virtual Environment)
Company: Trusted Leader in Healthcare Services
Are you fluent in both Spanish and English? Do you have a passion for delivering exceptional customer service and helping others navigate their healthcare options? If so, we want to hear from you!
As a Spanish Bilingual Healthcare Call Center Representative, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they maximize the benefits of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, you will deliver extraordinary service while building trust and rapport with current and prospective members.
What You'll Be Doing:
What You Bring:
Success Factors for Working from Home
What You Will Get:
Join Our Team:
If you are a motivated Spanish-English bilingual professional who wants to make a meaningful impact in the lives of others, we encourage you to apply! Start a rewarding career where your language skills, dedication, and customer service expertise will help shape the future of healthcare services.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
It's fun to work in a company where people truly BELIEVE in what they are doing!
We're committed to bringing passion and customer focus to the business.
Spanish Bilingual Healthcare Call Center Representative
Location: Remote (Virtual Environment)
Company: Trusted Leader in Healthcare Services
Are you fluent in both Spanish and English? Do you have a passion for delivering exceptional customer service and helping others navigate their healthcare options? If so, we want to hear from you!
As a Spanish Bilingual Healthcare Call Center Representative, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they maximize the benefits of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, you will deliver extraordinary service while building trust and rapport with current and prospective members.
What You'll Be Doing:
- Customer Interactions:
- Manage inquiries in areas such as Member Services, Medicare, and Billing , assisting Spanish- and English-speaking customers.
- Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.
- Quality Service:
- Uphold the organization's philosophy of extraordinary customer relations.
- Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.
- Problem Resolution:
- Analyze and evaluate customer issues to initiate and coordinate service recovery measures.
- Document all member interactions meticulously following established procedures.
- Healthcare Knowledge
- Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.).
- Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.
- Operational Excellence
- Leverage a thorough understanding of company policies and processes to meet customer needs effectively.
- Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.
- Performance Metrics:
- Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.
- Compliance and Ethics:
- Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.
- Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.
- Tools and Systems:
- Use multiple systems/screens while assisting callers effectively
- Navigate CRM, EMR/EHR, and ticketing platforms effectively
What You Bring:
- Experience:
- Fluency in both Spanish and English (spoken and written) is required.
- Minimum of two (2) years of customer service or healthcare member-interaction experience.
- Previous call center experience and/or prior experience in the health insurance industry (preferred).
- Education:
- High School Diploma or GED required.
- Skills:
- Outstanding written and verbal communication skills.
- Proven analytical and problem-solving abilities.
- Ability to respond concisely and clearly to customer queries.
- Strong critical thinking and problem-solving skills.
- Typing speed of at least 35 WPM with a 5% or lower error rate.
Success Factors for Working from Home
- To thrive in this remote role, you'll need:
- Private Workspace: A dedicated, quiet workspace with a door that closes, free from ambient noise.
- Ergonomics: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.
- Reliable Internet Connection: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.
- Quiet, Distraction-Free Workspace: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.
- Tech-Savvy: Comfort with technology and ability to learn new systems quickly.
- Self-motivation & Independence: Ability to stay productive and manage your time effectively in a remote environment.
- Communication Skills: Strong verbal and written communication skills, especially in a virtual setting.
- Adaptability: Ability to adapt to changing technologies and procedures while working remotely.
What You Will Get:
- Competitive Pay: Enjoy a competitive hourly rate with opportunities for performance-based increases.
- Comprehensive Benefits: Full health insurance coverage, including medical, dental, and vision plans.
- Work Environment: A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.
- Career Growth: Abundant advancement opportunities within the organization.
- Inclusive Workplace: We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.
- Unique Perks:
- Cell Phone Benefits: $25/month per line for unlimited phone, text, and data (restrictions may apply).
- Referral for Life Program™: Earn residual bonuses for referring employees who join the team and remain with the company.
Join Our Team:
If you are a motivated Spanish-English bilingual professional who wants to make a meaningful impact in the lives of others, we encourage you to apply! Start a rewarding career where your language skills, dedication, and customer service expertise will help shape the future of healthcare services.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
permanent
Physician / Administration / Nevada / Permanent / Physician Clinic Medical Director
✦ New
Salary not disclosed
Bonus Potential! Monthly and Quarterly Bonus Incentives! Are you looking for a physician practice with a family environment, but with the benefits and support a large organization can provide? Where daily patient care is backed by evidenced based medicine and career options are limitless, then look no further! At Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the
permanent
S
Physician / Pathology / Nevada / Permanent / Backup Medical Director Job
✦ New
Salary not disclosed
I work with a Plasma Donation Center in Las Vegas, NV and we are looking for a Backup Medical Director (licensed Pathologist) to join our team part-time where you would work onsite around 4 hours per month (depending on the needs of the business).
The schedule is flexible and made 30 days in advance for your convenience! Specific hours and days would be determined between you and the center management team.
permanent
O
Physician / Orthopedics / Nevada / Locum or Permanent / Associate Patient Care Coordinator - Orthopedics - Las Vegas, NV Job
✦ New
Salary not disclosed
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm) This position is in the orthopedics department.
Primary Responsibilities: Provide lead support and direction to front office and non-clinical staff.
permanent
M
Physician / Administration / Nevada / Permanent / Physician Development Director
✦ New
Salary not disclosed
This position is remote based in Nevada with travel throughout the assigned territory of Nevada, Utah, Southern California and Hawaii.
MDVIP: Transforming Primary Care, One Patient at a Time MDVIP is a national leader in personalized healthcare, empowering over 425,000 members to achieve their health and wellness goals through a network of more than 1,400 concierge primary care physicians.
permanent
Physician / Emergency Medicine / Nevada / Locums to Perm / Medical Director
✦ New
Salary not disclosed
Spectrum Healthcare Resources is excited to offer a potential career opportunity for a Behavioral Health Medical Director supporting the TriCare/Department of Defense and Community Care Network/Department of Veterans Affairs. This remote-based civilian position is an outstanding chance to make a meaningful contribution to the healthcare of veterans and military beneficiaries while benefiting from work-life flexibility, professional collaboration, and impactful leadership.
Join us in leading high-quality care initiatives for those who have served our country, with a focus on system-wide clinical improvement, peer collaboration, and mission-driven support!
Requirements:
- Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited medical school.
- Active, unrestricted license to practice medicine in the United States.
- Board certification or board eligibility through a recognized specialty board.
- U.S. Citizenship.
- Favorable background investigation through the Department of Defense (DoD).
- Minimum of 5 years of medical practice experience.
- 3+ years of experience in managed care environments.
Preferred:
- Experience working with TRICARE, Veterans Affairs, or other federal health plans.
- Advanced degree in management (MPA, MBA, MHA, MPH).
- Corporate-level leadership experience.
- Experience using InterQual and/or similar evidence-based criterial to assess medical interventions, procedures and treatments.
Job Responsibilities:
- Provide program-wide clinical guidance across multiple medical management domains including Utilization Management, Case Management, Quality, and Public Health.
- Lead and participate in quality committees and collaborative safety initiatives.
- Review member cases for appropriateness and quality of care; document findings in CareRadius and other health systems.
- Conduct peer-to-peer discussions with network providers and internal stakeholders.
- Develop and implement corrective action plans related to clinical quality or provider performance.
- Collaborate closely with TriWest teams such as Clinical Operations, Data Analytics, and General Counsel.
- Support the Emergency Operations Center (EOC) in person or virtually during contingency operations, which may include 24/7 coverage.
- Provide clinical expertise on new technologies, treatment protocols, and population health initiatives.
- Interact with veterans and beneficiaries to support satisfaction and outcomes.
- Stay current with required licensure, board certification, and federal medical standards.
Working Conditions:
- Remote position with standard weekday hours and occasional after-hours availability.
- Limited to moderate travel by air or ground as needed.
- May require short-notice deployment (24?48 hours) to austere environments in emergency events.
- Extensive computer-based work; prolonged periods of sitting may be necessary.
- Must obtain a Common Access Card (CAC); security clearance may be required.
Company Overview:
Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals. EOE/Disabled/Veterans
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