Centene Aca Guidelines Jobs in Usa
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Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
UNC Health has an APP (NP/PA) Cardiothoracic Surgery (Operating Room) opportunity available at UNC Medical Center in Chapel Hill, NC.
We strongly prefer a candidate who is a PA or ACNP and has previous experience.
Summary: A Physician Assistant functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician.
The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.
Schedule: 1-2 nights of OR call per week 1 weekend of OR call per month 4 shifts per week Services: • Cardiac Surgery service with a focus on highly complex patients with coronary artery disease, structural heart abnormalities, and heart failure.
• The focus of this position is centered around first or second assisting during Cardiac Surgery • EVH system: Hemopro 2 • Busy Mechanical Circulatory Support (MCS) program including LVAD, ECMO, and Impella • Participates in collaborative procedures with Cardiology such as TAVRs, TMVRs, MitraClips • May participate in education and training programs hosted by the service, including surgical resident, medical student, and PA student training.
Position Specifics : • Competitive salary with excellent benefits plan • 403B retirement plan • Discretionary funds for CME, licensure, etc.
• Generous PTO plan • Tuition reimbursement Responsibilities: 1.
Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results.
Develops appropriate differential diagnoses.
Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management.
Actively incorporates evidence-based hospital initiatives to improve patient care.
Conducts preventive health screening based on age, history and patient needs.
Maintains clear comprehensive yet concise records of all aspects of patient care.
Maintains essential knowledge of general disease and pathologic processes.
Maintains extensive knowledge of their specialty literature including awareness of developing areas.
Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies.
Develops comprehensive differential diagnoses for patients.
Revises the plan of care to meet the changing needs of the patient.
Prioritizes work and assists staff to provide prompt and efficient client flow.
Consistently maintains high productivity according to identified standards.
Leads/participates in projects to improve productivity.
Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
2.
Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up.
Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care.
Develops educational materials based on learning needs of clinicians, staff, and students.
Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students.
Actively recognizes and participates in identification and achievement of self-learning needs.
Attends education programs based on identified learning needs.
3.
Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings.
Participates in community/network outreach programs.
Develops/leads community/network outreach programs.
Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery.
Leads/participates in systems improvements.
4.
Professional- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation.
Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations.
Responds quickly to meet customer needs and resolve problems.
Accepts responsibility for outcomes of one's work.
Shares responsibility for overall workload with team members.
5.
Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement.
Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care.
Leads interdisciplinary teams to provide integrated delivery of patient care services.
Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care.
Develops new clinical programs or services within the department/unit/clinic to improve patient care.
Preferred Qualifications: PA or ACNP strongly preferred.
Previous experience strongly preferred.
Other Information Other information: Education Requirements: ● Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.
Licensure/Certification Requirements: ● Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Clinical Pharmacist Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist) in the state of North Carolina.
● Board certification if required by the Department.
DEA.
Professional Experience Requirements: ● No prior experience required.
3-5 years of Cardiothoracic Surgical (first or second assistant) experience strongly preferred.
Proficiency with EVH using Hemopro 2 is required.
Knowledge/Skills/and Abilities Requirements: ● Demonstrated clinical competency.
● Effective leadership skills.
Strong interpersonal skills.
● Ability to work independently and collaboratively.
● Demonstrated written and verbal communication and strong analytical skills.
● Effective interaction to ensure the successful care of patients in the clinical setting.
● Documentation in the medical record to substantiate accurate billing.
Job Details Legal Employer: STATE Entity: UNC Faculty Physicians Organization Unit: SOM CT Work Type: Full Time Standard Hours Per Week: 40.00 Work Assignment Type: Onsite Work Schedule: Variable Location of Job: US:NC: Chapel Hill Exempt From Overtime: Exempt: Yes This is a State position employed by UNC Health Care System with UNC Health benefits.
If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.
All interested applicants are invited to apply for career opportunities.
Please email if you need a reasonable accommodation to search and/or to apply for a career opportunity.
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Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
Where you work is as important as where you play.
Nestled in the Blue Ridge Mountains , Western North Carolina is not only a beautiful place, but a dynamic region filled with natural resources, a variety of cultural and educational opportunities, and some of the highest quality health care in the country.
Physicians and medical professionals have settled here, drawn by the exceptional beauty and quality of life in Hendersonville.
Hendersonville is unique in having the feel of small town America, yet is geographically situated within convenient driving distance of the urban areas of Asheville, NC, Greenville, SC, and only a few hours from Atlanta, GA and Charlotte, NC.
Nature is always close by with nearly twenty national, state, county and city parks, recreational areas and forests, many within of just outside the city limits of Hendersonville.
Henderson County is ideally located for exploring festivals , recreational activities , historical sites , golf courses , family activities , and a variety of restaurants with high quality public schools and private schools.
UNC Health Pardee is a not-for-profit health care system that was founded in 1953 and is managed by UNC Health Care.
It is the first hospital in the Carolinas to be accredited with the International Organization for Standardization for quality health care standards.
We are a licensed for 222 acute care beds and are the second-largest employer in Henderson County.
We have several locations separate from our main campus, including a comprehensive physician practice network, multiple urgent care locations and five orthopedic clinics.
WORKING SCHEDULE The practitioner will normally work rotating 12-24 hour shifts to include weekend assignments and night call.
An average of 40 hours/week duty time will be maintained over any given scheduling period.
Working schedule may be changed as clinical needs dictate.
Summary: A Nurse Practitioner functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician.
The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.
Responsibilities: 1.
Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results.
Develops appropriate differential diagnoses.
Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management.
Actively incorporates evidence-based hospital initiatives to improve patient care.
Conducts preventive health screening based on age, history and patient needs.
Maintains clear comprehensive yet concise records of all aspects of patient care.
Maintains essential knowledge of general disease and pathologic processes.
Maintains extensive knowledge of their specialty literature including awareness of developing areas.
Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies.
Develops comprehensive differential diagnoses for patients.
Revises the plan of care to meet the changing needs of the patient.
Prioritizes work and assists staff to provide prompt and efficient client flow.
Consistently maintains high productivity according to identified standards.
Leads/participates in projects to improve productivity.
Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
2.
Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up.
Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care.
Develops educational materials based on learning needs of clinicians, staff, and students.
Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students.
Actively recognizes and participates in identification and achievement of self-learning needs.
Attends education programs based on identified learning needs.
3.
Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings.
Participates in community/network outreach programs.
Develops/leads community/network outreach programs.
Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery.
Leads/participates in systems improvements.
4.
Professional- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation.
Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations.
Responds quickly to meet customer needs and resolve problems.
Accepts responsibility for outcomes of one?s work.
Shares responsibility for overall workload with team members.
5.
Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement.
Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care.
Leads interdisciplinary teams to provide integrated delivery of patient care services.
Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care.
Develops new clinical programs or services within the department/unit/clinic to improve patient care.
Other Information Other information: Education Requirements: ● Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.
Licensure/Certification Requirements: ● Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Clinical Pharmacist Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist) in the state of North Carolina.
● Board certification if required by the Department.
DEA.
Professional Experience Requirements: ● No prior experience required.
Knowledge/Skills/and Abilities Requirements: ● Demonstrated clinical competency.
● Effective leadership skills.
Strong interpersonal skills.
● Ability to work independently and collaboratively.
● Demonstrated written and verbal communication and strong analytical skills.
● Effective interaction to ensure the successful care of patients in the clinical setting.
● Documentation in the medical record to substantiate accurate billing.
Job Details Legal Employer: STATE Entity: UNC Faculty Physicians Organization Unit: FP Pediatrics Community Pardee NICU Passthrough Work Type: Per Diem Standard Hours Per Week: 24.00 Work Assignment Type: Onsite Work Schedule: Variable Location of Job: US:NC: Hendersonville Exempt From Overtime: Exempt: Yes This is a State position employed by UNC Health Care System with UNC Health benefits.
If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.
All interested applicants are invited to apply for career opportunities.
Please email if you need a reasonable accommodation to search and/or to apply for a career opportunity.
d24ad0b8-823f-4e68-a892-2986ccdf7392
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
Clinical Research Coordinator
Location: Brooklyn, NY
About Brooklyn Clinical Research:
Brooklyn Clinical Research was founded to increase access to clinical trials for underrepresented populations. Clinical-trial enrollment should accurately represent the broader population. In meeting this objective, we help improve therapeutic efficacy and safety for all individuals.
Position Overview:
The Clinical Research Coordinator (“CRC”) monitors data management and regulatory aspects of clinical-trial operations and will ensure that research is conducted in accordance with the sponsor’s protocol, FDA Regulations, and ICH/GCP guidelines. The CRC will also ensure that the data provided to the sponsor are of the highest quality and that study enrollment meets or exceeds the sponsor’s expectations. As such, the CRC should be a detailed-oriented, self-motivated professional with a track record of successfully adhering to clinical-trial protocols and exceeding sponsor expectations.
Our primary therapeutic areas are pain, cardiometabolic health, and vaccines.
Estimated Start Date: March or April, 2026
DUTIES & RESPONSIBILITIES
- Completing all relevant training prior to study start and all additional protocol amendment trainings.
- Adherence to ALCOA-C Standards with all clinical trial documentation.
- Working effectively with EDC, CTMS, eSource, eRegulatory, and our internal database.
- Working effectively with sponsor specified IVRS and EDC systems.
- Conducting and overseeing study participant visits, and all other relevant protocol-required procedures -- including blood draws -- while documenting relevant data in a timely, accurate manner.
- Completing and overseeing data entry and query resolution in a timely manner as per company guidelines and sponsor expectations.
- Demonstrated understanding and implementation of protocol-specified laboratory procedures, storage, temperature monitoring, equipment calibration, and laboratory kit inventory for assigned protocols.
- Liaising with the administrative staff, clinical investigators, research participants, and Sponsor/CRO representatives for assigned protocols.
- Maintaining a working knowledge of current FDA regulations, ICH-GCP guidelines, organizational SOPs, and assigned study protocol(s).
- Maintaining a working knowledge of the recruitment and retention processes for the assigned protocol(s).
- Preparing for Sponsor and CRO visits for the respective protocol(s).
- Maintaining a comprehensive knowledge of the most recent versions of the Study Protocols, Informed Consents, Study Manuals, and all the other relevant study-related documents that are utilized for the assigned protocols.
- Managing study participants’ scheduling, visit tracking, stipends, and transportation.
- Maintaining a comprehensive knowledge of all essential clinical trial documents and maintenance of the Investigator Site Binders for their assigned protocol(s).
- Work with the Principal Investigator(s) on the reporting of all Adverse and Serious Adverse Events and any other relevant Safety Information to the appropriate authorities per Sponsor, IRB, and ICH-GCP Guidelines.
- Work supplementally with our recruitment team to pre-screen and schedule study participants.
KNOWLEDGE & EXPERIENCE
Education:
- Bachelor's degree in health or science-related major preferred but not mandatory
- ICH-GCP Certification and IATA Certification
- Phlebotomy Certification
Experience:
- 2-3 years’ experience in industry-sponsored clinical research, preferably as a CRC.
- Wide therapeutic range of clinical-trial experience preferred.
- Regulatory research experience is a plus.
Credentials:
- ACRP or equivalent certification is a plus
Knowledge and Skills:
- Goals-driven while continuously maintaining quality.
- Must be a detail-oriented and proactive self-starter.
- Must have strong written and verbal communication skills.
- Must have excellent customer service skills.
- Bilingual in Spanish is a plus.
Salary Range: $70,000 to $80,000 depending on experience and qualifications.
Pay Range: $20 - $28 Hourly
Location: In-Office (Costa Mesa, CA)
Role Purpose: Ensure medical records are accurate, compliant, and complete to support successful claims and minimize denials. Manage record reviews, audits, and appeals while collaborating with internal teams and BPO counterparts to maintain updated guidelines and drive process improvements
Role Duties & Responsibilities:
- Ensure accurate record reviews, retrieve medical records, and send out medical record requests as needed within the required time frame.
- Ensure medical records are compliant with payer-specific guidelines before submission.
- Investigate medical record denials, and communicate actions that need to be taken to resolve them and document findings on CMD and the Jira Project
- Initiate appeals to the payer as necessary to resolve medical record denials
- Thoroughly navigate and manage post-payment and pre-payment reviews, ensuring proper documentation, timely responses, and compliance with regulatory and contractual requirements.
- Research and update payer-related guidelines regularly, ensuring all departments follow best practices and have access to the most current documentation.
- Support training and day-to-day guidance for BPO team members by sharing knowledge, addressing questions, and escalating needs or issues to the lead or supervisor to strengthen performance and ensure aligned, efficient operations.
- Participate in the department's L10 meetings, identify and bring issues, and develop and execute quarterly rocks to drive alignment and improvements toward Cipher VTO.
- Ensure clear and efficient communication by responding to partner emails and requests promptly.
- Perform facility spot checks to maintain charts/documentation up to date with payer guidelines.
- Perform other related duties as assigned.
Qualifications
- 2 years’ Professional experience
- Proficient with Microsoft Office Suite
- Adobe Acrobat Experience
- Compliance Experience Preferred
- BPO Management Experience Preferred
- EOS Knowledge/Understanding Preferred
- Proficient in Atlassian Products (Jira & Confluence) preferred
- Experience in Insurance Payers compliance preferred
Employment Type
Full-Time
Shift
Day Shift
Description
Job Title: Registered Dietitian (Outpatient)
Employment Type: Full-Time
Shift: Day Shift
Location: Saint Francis Hospital, Hartford CT
Position Purpose:
Provides optimal nutritional care by effectively identifying age specific patient needs, assessing nutritional status, designing appropriate care plans and monitoring to maximize clinical outcomes. Provides evidence-based nutritional information and guidance to physicians, staff, patients, and families.
What you will do:
- Performs nutrition assessments as per Nutrition Practice Guidelines.
- Develops and implements patient specific nutritional care plans, interventions, and goals as per Nutrition Practice Guidelines and Clinical Nutrition Policies.
- Assesses patients need for Medical Nutrition Therapy (MNT) instruction.
- Provides MNT instruction to patients on modified diets when appropriate.
- Assists in the management of nutrition support --Enteral Nutrition/Parenteral Nutrition (EN/PN) as per Nutrition Practice Guidelines (MMC only).
- Documents all assessments, patient education, nutrition care plans, interventions, and goals in the Electronic Medical Record (EMR) utilizing Standardized Language and Nutrition Care Process.
- Confers with physicians and other allied health care team members to clarify orders, recommends appropriate MNT and exchange patient information.
- Participates in patient rounds, attends and contributes to patient care meetings.
- Participates in training nutrition interns.
Minimum Qualifications:
- Work requires the knowledge of theories, principles and concepts acquired through the completion of a Master’s degree in food and nutrition, dietetics, or related field as required by the Commission of Dietetic Registration (CDR) (effective January 1, 2024) or bachelor’s degree grandfathered prior to this update. Registration as a dietitian with the Commission on Dietetic Registration (CDR) and a state licensure as a licensed dietitian/nutritionist (LDN) are required. Maintenance of registration and licensure required as per guidelines.
- One (1) year of experience as a dietitian, preferably in a healthcare environment is preferred.
- Work requires the analytical ability to collect information from diverse sources, synthesize a problem list and to devise/implement intervention.
- Work requires effective verbal and written communication skills, which may include explaining clinical, technical concepts to physicians, other health care team members, patients, and their families. Enforces policies and regulations in difficult situations or performs other duties requiring a comparable level of communication skill.
- Allergen Awareness training/certificate and Serv Safe Management training/certificate preferred.
Position Highlights and Benefits
- Full-Time, 40 Hours- Day Shift
- Our Mission and Core Values
- Career growth and advancement potential
- Award-winning Patient Access Department
Ministry/Facility Information
Trinity Health Of New England is an integrated health care delivery system that is comprised of world-class providers and facilities dedicated to full spectrum preventative, acute, and post-acute care. We aim to deliver top level care to increase our community's overall health at lower costs. While we serve nearly 3 million people, we are proud to be a part of a national system that focuses on putting our patients first and having the best colleagues to do so.
Cambridge Health Alliance (CHA)'s Division of Quality is responsible for promoting a culture of safety, patient and staff engagement, and performance excellence aligned with national patient safety goals.
The Patient Relations Consultant plays a critical role within CHA, serving a diverse patient population as a liaison between patients, their families, and healthcare teams to ensure concerns are addressed and patient perspectives inform improvement. The consultant serves as a patient advocate, facilitating the resolution of concerns and mediating communication between patients, families, and care teams, while elevating patient feedback to strengthen a culture of safety, reliability, and patient-centered care.
Position Overview
This position is responsible for managing complaints, Human Rights inquiries, and Quality of Care complaints in accordance with CMS and DMH guidelines. In addition to resolution of individual concerns, the consultant identifies patterns and themes in patient feedback and partners with clinical and operational leaders to facilitate service recovery, promote learning, and support improvement efforts.
Working closely with the Director of Patient Experience and partners across Quality and Safety—including Risk Management, Performance Improvement, and the Quality & Safety Data and Analytics teams—the Patient Relations Consultant contributes to CHA’s High Reliability journey by ensuring the patient voice informs organizational learning, service recovery, and improvement efforts, while supporting regulatory readiness and compliance.
Key Responsibilities
- Complaint Management: Timely investigation, resolution, and response to all patient concerns, complaints, and grievances in adherence to CMS guidelines.
- Service Recovery: Collaborate with leadership to identify and implement service recovery opportunities to ensure exceptional patient/family experience outcomes. Rounding in Med Surg Units to provide Service Recovery coaching as needed.
- Patient Advocacy: Act as a patient advocate, ensuring patient and human rights are respected and their voices are heard throughout their care journey.
- Documentation and Reporting: Maintain meticulous records of complaints, investigations, and resolutions, contributing to data-driven decision-making for patient experience improvement.
- Cultural Competency: Contribute to building patient experience programs that align with and support cultural competency, diversity, equity, and inclusion efforts.
- Collaboration: Partner with various departments and frontline staff to understand patient needs and concerns, and to promote a shared vision for service excellence.
- Elevate the Patient Voice: Ensure patient feedback is meaningfully represented in organizational learning by sharing themes, insights, and direct patient perspectives in the Grievance Committee and other governance forums.
- Organizational Learning: Identify themes and trends from patient concerns and partner with clinical and operational leaders to ensure patient feedback informs quality, safety, and patient experience improvement initiatives.
- Early Warning System: Recognize and escalate patient concerns that may signal emerging safety, quality, or system issues, supporting a proactive approach to harm prevention and service improvement.
- Patient Voice Integration: Collaborate with the Director of Patient Experience to ensure patient feedback and lived experiences are incorporated into governance discussions, improvement initiatives, and the Grievance Committee.
Essential Skills
- Problem Solving & Resolution: Demonstrate strong analytical and problem-solving skills to effectively investigate and resolve complex patient concerns.
- Communication: Possess excellent communication skills (written and verbal) to effectively interact with patients, families, staff, and leadership, often in sensitive situations.
- Empathy & Compassion: Exhibit a high degree of empathy, compassion, and cultural sensitivity when interacting with a diverse patient population.
- Collaboration & Teamwork: Work collaboratively with the Patient Relations team, the Director of Patient Experience, and other departments to achieve shared goals.
- Regulatory Compliance: Maintain current knowledge of CMS and DMH guidelines for complaint management.
- Data Utilization: Contribute to the interpretation and analysis of patient experience data to identify opportunities for improvement.
- Continuous Improvement: Actively participate in efforts to identify actions for CHA to achieve national best practice status with respect to patient experience.
- Discretion & Confidentiality: Maintain the highest level of discretion and confidentiality regarding patient information and sensitive issues.
- Systems Thinking: Ability to recognize patterns in patient concerns and connect individual experiences to broader opportunities for quality, safety, and system improvement.
Qualifications
Education:
- Bachelor’s degree required; degree in psychology, counseling, nursing, social work, public health, or a related clinical or behavioral health field preferred. Experience may be substituted in lieu of degree.
- Master’s degree preferred.
Experience:
- Minimum of three years' experience in patient relations, patient advocacy, or a similar role within a healthcare setting.
- Experience working with diverse patient populations is strongly preferred.
- Bi-lingual skills are preferred.
Skills:
- Demonstrated ability to manage and resolve complex complaints and sensitive issues.
- Strong understanding of patient rights and advocacy principles.
- Ability to work independently and as part of a team in a fast-paced environment.
- Proficiency in relevant software applications for documentation and reporting.
- Ability to understand and apply regulatory guidelines (CMS).
- Strong organizational skills and attention to detail.
Please note that the final offer may vary within the listed Pay Range, based on a candidate's experience, skills, qualifications, and internal equity considerations.
Location: 1035 Cambridge Street, Cambridge, MA
Work Days: 8:00am - 4:30pm
Department: Patient Experience and Complaints
Job Type: Full-time
Work Shift: Day
Hours/Week: 40
Union Name: Non-Union
Job Title: Senior Mortgage Processor
Department: Mortgage Lending
Department Location: Littleton, MA
Reports to: Senior Director, Mortgage Productions
Career Stream: Individual Contributor
Classification: Hybrid
Compensation: The base pay of the budgeted range is $25-35 per hour. Actual compensation offered may vary from the posted hiring range based on factors such as relevant experience, time in role, base salary of internal peers, prior performance, business sector, licensure requirements and/or skill level, and will be finalized at the time of offer.
FUNCTION: Responsible for performing a variety of tasks to ensure that mortgage and home equity loan applications are processed accurately and efficiently. Ensures all files are complete and compliant with Workers Credit Union policies, investor requirements, mortgage insurance standards, and applicable government loan regulations.
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:
*For Both Mortgage Processor and Senior Mortgage Processor:
- Prepare and review initial disclosure packages, including Loan Estimates, ensuring accurate loan setup and compliance with loan program guidelines.
- Deliver disclosure packages to members via eSign or mail, based on their communication preferences.
- Order and track required third-party reports such as appraisals, title, flood certifications, tax transcripts, and employment verifications.
- Review borrower documentation for completeness and alignment with AUS findings; request and collect any outstanding items.
- Process home equity applications from approval to closing, including communication with members, delivering required documents, and clearing pre-closing conditions.
- Monitor and review title and property condition reports, escalating any issues to underwriting as needed.
- Ensure timely submission of loan files to underwriting; update the LOS with verified information and clear conditions as received.
- Manage government loan files, including coordination with lenders, tracking conditions, and providing updates to borrowers, MLOs, and agents.
- Track key milestones such as underwriting timelines, financing contingencies, closing dates, and rate lock expirations; communicate proactively with MLOs.
- Prepare and issue revised Loan Estimates in compliance with TRID for any changes in circumstance.
- Communicate approvals to all relevant parties and conduct pre-funding audits, including verbal employment verifications.
- Support the closing process and ensure confidentiality of all borrowers and loan information.
- Uphold the Workers Credit Union “Workers Way” culture through daily interactions and behaviors.
- Perform other duties as assigned to support departmental and organizational goals.
*Additional Responsibilities for Senior Mortgage Processor:
- Serve as a subject matter expert and resource for junior processors, providing guidance on complex loan scenarios, regulatory compliance, and internal procedures.
- Support the training and onboarding of new team members and temporary staff in collaboration with processing leadership.
- Take ownership of high-volume or high-complexity pipelines, including jumbo loans, construction loans, and government-backed programs.
- Lead or participate in departmental initiatives aimed at improving processing efficiency, compliance, and member experience.
- Support the implementation of policy updates, system enhancements, and procedural changes in coordination with mortgage processing leadership
Other Duties:
- May be asked to provide coverage in other WCU branches or departments.
- Adhere to all WCU policies and procedures which include security compliance and following guidelines intended to limit risk exposure to fraud and losses.
- Participates in department and/or organizational projects as directed.
- Performs other tasks or functions as required, requested, necessary or prudent.
- Maintains confidentiality of all member and credit union information and data.
- Regularly demonstrates behaviors as defined by the credit union’s Fundamentals, which are part of the Workers Way culture program.
Education
- High School Diploma or Equivalent Required.
Experience:
- 2-4 years of experience managing both first mortgage and home equity loan files from initial disclosure through closing. Skilled in reviewing and validating borrower documentation, ordering third-party reports, reviewing underwriting conditions, and ensuring compliance with TRID and investor guidelines. Proficient in using loan origination systems (LOS), coordinating with internal teams and external partners, and maintaining clear communication with borrowers to ensure timely and accurate closings. Known for attention to detail, efficiency in pipeline management, and delivering exceptional service while upholding confidentiality and organizational values.
- Additional Qualifications for Senior Mortgage Processor:
- 4-7 years of experience. Demonstrated ability to handle complex loan scenarios, including jumbo, construction, and government-backed loans. Experienced in mentoring junior processors, resolving escalated issues, and serving as a subject matter expert within the team. Proven track record of leading process improvements, maintaining high pipeline efficiency, and delivering exceptional service. Recognized for attention to detail, leadership, and commitment to confidentiality and organizational values.
Knowledge/Skills/Abilities/Competencies:
- A successful Processor possesses strong knowledge of mortgage products, regulatory guidelines (including TRID, RESPA, and HMDA), and loan processing procedures. Proficiency with loan origination systems, AUS platforms, and document management tools is essential. Key skills include attention to detail, strong organization, effective communication, and the ability to manage multiple files and deadlines simultaneously. The role requires a customer-focused approach, confidentiality, adaptability, and collaboration with internal teams and external partners to ensure efficient, compliant loan processing and exceptional member service.
Work Environment:
- Hybrid Work Environment: This position offers a hybrid work environment, combining remote work with regular on-site days at the Littleton Headquarters. This work environment is subject to change based on business needs.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- This is a largely sedentary role.
- While performing the duties of this job, the employee is regularly required to stand, talk, hear, and use hands and fingers to handle, feel or operate objects, tools, or controls and to reach with hands and arms.
- This role routinely uses standard office equipment such as computers, phones, photocopier/scanner, filing cabinets, and fax machines.
About Workers Credit Union: Since 1914, Workers Credit Union has existed to Improve the Daily Lives of our Members. We deliver on our core purpose by partnering with our members to help them make their best financial choices and improve their financial wellness. We call this The Workers Way and this is at the center of everything we do. Through our specialized financial counseling, we are pioneering a new member experience through high-touch service and convenient technology. We have grown to over 2.6 Billion in assets and serve over 120,000 members. We are one of the top performing credit unions in Massachusetts with big plans for the future!
Benefits:
- Comprehensive medical, dental and vision plans
- Basic life and AD&D insurance, short-term disability and long-term disability
- 15+ days of paid time off (PTO) per year
- Up to 16 hours of volunteer time off (VTO) per year
- 11+ paid holidays
- 401(k) that includes a Safe Harbor Match of up to 4%.
- Tuition Reimbursement Program
- Mental health resources including an Employee Assistance Program (EAP)
- Individualized learning and development programs
EEO Statement: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, vet
*Overview:*
Our mission is to create a great place to work and a great place to live. Join our team as a Speech Language Pathologist and contribute to our mission of enhancing the communication and swallowing abilities of individuals through speech therapy interventions. As a Speech Language Pathologist, you will play a vital role in assessing, diagnosing, and treating speech and language disorders to improve the quality of life for our patients.
*Position Purpose*
The primary purpose of this job position is to identify and meet the speech-language therapy and related service needs of each resident in accordance with physician orders and the resident plan of care as well as federal, state and local standards, guidelines and regulations to ensure that the highest quality of resident care is maintained at all times. The SLP assumes the authority, responsibility and accountability necessary to understand and carry out his or her assigned duties within the SLP scope of practice.
*Job Requirements*
* Must have graduated with a Master's degree of equivalent in Speech-language pathology from an accredited school and have a valid speech-language pathologist state license in good standing (based on state specific requirements). It is the responsibility of the employee to maintain active licensing/certifications throughout their time of employment;
* Previous therapy experience is preferred, with some of that experience in a long-term care facility;
* Must provide all necessary documentation in accordance with the company's new hire process to evidence eligibility for employment and pass a criminal background check; BLS CPR certification as required by state law, but recommended for all therapists.
* Must complete new hire orientation as required by company policy and participate in continuing education such as in-services, staff meetings, Relias training, etc.;
* Must possess excellent interpersonal skills, including the ability to communicate clearly and work well with others;
* Must possess excellent organizational, critical thinking, decision making, problem solving, prioritization of care and time management skills;
* Must possess the ability to communicate proficiently in English, both orally and in writing;
* Must be proficient in the use of technology, including and especially the use of computers and electronic health record programs;
* Must be willing to follow all federal, state and local laws and regulations as well as company policies and procedures and abide by the employee handbook, including but not limited to dress and grooming standards, time and attendance standards, drug and alcohol policy, respect and courtesy towards others, conduct self in an honest and ethical manner, etc.;
* Must have flexibility and availability to work outside of standard business hours, including weekends and holidays and travel to other sister facilities when needed;
* Must participate in and respond professionally to surveys and inspections conducted by government agencies;
* Must be able to perform physical tasks and operate equipment associated with the standard work and essential functions of a speech-language pathologist, including using visual, auditory and speaking skills sufficient to evaluate, diagnose and communicate with residents, using fine and gross motor skills inherent to the roles of a speech-language pathologist, standing or sitting for extended periods, lifting/carrying in excess of 50 pounds, or be able to be reasonably accommodated for any limitations;
* Must be able to cope with the mental and emotional stress inherent to the position, including working daily with residents in the geriatric, mentally ill, dementia, and disabled populations;
* Must be able to perform assigned tasks with a minimum of supervision and oversight and develop awareness for and a willingness to perform other tasks, as needed, without constant supervision;
* Must help foster and maintain an atmosphere of warmth, cheerfulness, enthusiasm and compassion, giving residents the quality of service you would want to receive.
*Summary of Principal Accountabilities*
* Optimize communication, cognitive-linguistic abilities and swallowing skills of residents by providing, directing and/or overseeing speech therapy screening of residents as appropriate, and evaluation and treatment of residents who may benefit from therapy services. The SLP develops the initial treatment plan of care with revisions to the plan of care as needed throughout the resident's stay.
* Comply with best practice industry standards as well as state and federal laws and regulations regarding accurate and timely billing in each resident's medical record.
* Maintain completeness of each assigned resident's medical record by completing all assigned evaluations, progress notes, discharge summaries, clarification orders, etc. according to posted schedules for the shift, making sure entries are timely, informative and accurate.
* Establish and maintain professional and positive working relationships with residents which reflects person-centered care. Honor the resident's rights and provide care in a manner that promotes resident dignity and privacy.
* Coordinate/collaborate on resident care with other members of the interdisciplinary and therapy teams. This may include attending or providing updates for resident care conferences and utilization review/case management meetings, reporting changes in resident condition or allegations of abuse, and making referrals to other members of the interdisciplinary and therapy teams as appropriate.
* Coordinate and oversee referral process for swallow studies with outside providers/specialists.
* Remain professionally informed and enhance clinical expertise as well as professional and management skills through interaction with managers, therapists and other professional staff, continuing education courses/trainings, and attendance at facility in-services and trainings. Implement new programs/techniques to enhance speech therapy rehabilitation services.
* Understand relevant payment models related to billing and treatment guidelines as well as clinically appropriate means/modes of delivery. Provide quality care that falls within the guidelines of reasonable duration and type of services.
* Help maintain cleanliness of work areas, break areas, linen closets, supply closets, etc.
* Perform other related duties as may become necessary or as directed by supervisor(s).
Pay: $55.00 - $65.00 per hour
Benefits:
* 401(k)
* 401(k) matching
* Continuing education credits
* Dental insurance
* Flexible schedule
* Health insurance
* Health savings account
* Opportunities for advancement
* Paid time off
* Relocation assistance
* Retirement plan
* Vision insurance
Language:
* English (Required)
License/Certification:
* Speech-Language Pathology License (Required)
Ability to Commute:
* Cut Bank, MT 59427 (Preferred)
Work Location: In person
Starting Salary: $70,000 - $80,000 /year based on experience
Environment: Special Education Program, Middle/High School
Availability: 2 School Year
ChanceLight Behavioral Health, Therapy, & Education, a rapidly growing organization with a social mission to offer hope, is seeking a School Nurse to join our award-winning Special Education team for the 2026-2027 School Year and perform meaningful work in a culture that welcomes innovation, encourages creative expression, and offers limitless potential for personal and professional satisfaction!
If you're passionate about promoting student health and wellness, thrive in a dynamic educational environment, and take pride in building trusting relationships with students, families, and staff — We Should Talk!
As a School Nurse, you'll leverage your nursing expertise to support students' academic, social, behavioral, and emotional success. Collaborating closely with families, educators, administrators, and community health professionals, you'll help create safe, nurturing, and healthy learning environments that bridge home, school, and community relationships.
‖ Responsibilities Include:
- Ensuring the immediate health and safety of students and staff, promptly coordinating external medical care when necessary.
- Maintaining well-stocked first aid supplies and equipment to respond efficiently to daily health needs.
- Preparing and regularly updating disaster preparedness supplies, ensuring readiness to manage health crises or emergency situations effectively.
- Administering appropriate minor treatments promptly, ensuring that medical assistance is accessible to students and staff as required.
- Monitoring and recording student illnesses and injuries, accurately documenting frequency, origin, duration, and analyzing health trends.
- Documenting all student medical interactions, including treatments, medications, and immunization records, in compliance with medical standards and confidentiality guidelines.
- Assisting students requiring diapering or personal care, using appropriate sanitary measures and adhering strictly to safety guidelines.
- Communicating with physicians, counselors, and families about students’ medication routines and observed behaviors to support informed healthcare decisions.
- Reporting immediately to appropriate personnel any situations where the health, safety, or welfare of students is at risk.
- Administering medications and medical care within the guidelines established by state licensure regulations and nursing practice standards.
- Providing comprehensive in-service training and orientation to new hires, covering essential medical procedures and health-related protocols.
- Participating proactively in meetings, professional development sessions, and training opportunities to remain updated on best practices and enhance professional competencies.
- Building and maintaining positive, collaborative relationships with local healthcare providers, agencies, and community partners.
- Performing additional responsibilities and tasks as assigned, contributing to the overall health, wellness, and success of the school community.
‖ Qualifications Required:
- Associates degree or higher in nursing or a closely related field of study.
- Bachelor's degree or higher in nursing or a closely related field of study preferred.
- Licensed currently or in the process of obtaining a licensed practical nurse (LPN) credential.
- Licensed currently or in the process of obtaining a registered nurse (RN) credential preferred.
- Prior experience working in a school and/or education program setting preferred.
- Ability to obtain and maintain certification in company approved crisis management training and intervention techniques.
- Highly skilled in working with children with learning disabilities, emotional behavioral disorders, autism spectrum disorders and/or other related disabilities.
- Proficient in defining problems, collecting data, establishing facts, drawing valid conclusions, and writing detailed reports.
- Advanced oral and written communication, organization, conflict resolution, multitasking, problem solving, and decision-making ability.
- Ability to effectively present information and respond to questions from groups of staff members, students, parents, and the public.
- Well-versed in the use of relevant technology including experience with computers, Microsoft Office Suite, database entry and basic office equipment.
ChanceLight Behavioral Health, Therapy, & Education is the nation’s leading provider of alternative and special education programs for children and young adults. For more than 50 years, and in partnership with over 235 school districts nationwide, we have helped change the direction of more than 240,000 student lives!
Learn more about our history, our mission and the program services we provide by visiting the link below:
- ChanceLight we believe in providing more than just a job, as a member of our team you'll receive the opportunity to make meaningful impacts, the support needed to achieve success, and all the tools essential to reaching your personal & professional fulfillment! Your path to a truly rewarding career starts here – where growth, empowerment, and collaboration define our culture; and every day is a Chance to transform lives through education!
‖ Perks and Benefits Include:
- Comprehensive Medical, Dental and Vision Plans
- FREE Telehealth and Virtual Counseling Sessions
- FREE Health Advocacy Services and 24/7 Nurse Line
- Company Paid Life & Disability Insurance
- Company Paid Employee Assistance Program
- Flexible Spending and Health Savings Accounts
- Personal Protection Insurance Plans
- Cigna Healthy Pregnancies, Healthy Babies Program
- Legal Services Insurance
- Pet Health Insurance
- Accrual-based Paid Time Off
- School Hours and Paid Holiday Schedule
- Extensive Personal and Life Event Paid Leave Policy
- 401k Retirement Saving Plan
- Perks at Work Employee Discount Program
- Opportunities for Growth & Development
- And So Much More!
If you're ready to start making lasting impacts on the lives of students and contribute to the creation of a brighter future — This Is Your Chance!
Join us and together, we can empower students to overcome challenges, build confidence and unlock their full potential!
Careers, With ChanceLight Work. With Purpose.Copyright © 2026 ChanceLight Behavioral Health, Therapy, & Education, a ChanceLight® company *Benefit plans and eligibility requirements may vary based on role and employment status.
EducationRequired- Associates or better in Related Field of Study
- Bachelors or better in Nursing or related field
- Nurse - LPN
- Crisis Prevention Inst
- Nurse - RN
- Behavioral Disorders
- Learning Disabilities
- Working With At-Risk Students
- Computer Skills
- Special Education
- Middle School Education
- High School Education
- Health and Nursing Svcs
- Quality Assurance & Compliance
- Record Keeping & Reporting
- Childcare
- Emergency Management
- Emotional Disturbance
- Autism
- Intellect Dis Mod to Sev
- Decision Making
- Attention to Detail
- Communication
- Interdepartmental Collaboration
- Interpersonal Skills
- Treatment Planning
- Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
- Functional Expert: Considered a thought leader on a subject
- Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
