Pennant Flag Pattern Jobs in Usa

Seeking a Medical Director of Utilization Management Full Time: 40 hrs/wk Mon-Fri 8A-5P Serve as the clinical expert on physician practice patterns, over- and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding, and documentation requirements.

Work closely with medical staff leadership, all medical staff, and ancillary departments to optimize services and ensure appropriateness of patient care.

Collaborate with hospital leadership to develop care management protocols that drive improvements and effectively manage resources.

Guaranteed base salary Health, life, and disability coverage 3 retirement savings plans 401a, 403b with match, 457b Paid time off benefits CME allowance, license, and DEA reimbursement Customized wellbeing resources Free fitness center membership Paid Parental Leave Paid malpractice with tail coverage Required: Current CHCQM-PHYADV certification, or ability to obtain within 90 days of employment, Board Certification, Active, unrestricted NC medical license.

5+ years of post-residency clinical practice experience PLUS at least one year of prior UM experience.

Thorough understanding of current CMS and DNV compliance requirements Robust knowledge of hospital coding and billing, payer contracting, and revenue cycle management.

Effective collaboration with physician peers, administration, and support staff.

Advanced proficiency with EMRs and utilization review tools.

Medical Center is seeking a BC/BE Orthopedic Spine Surgeon to join an established and thriving independent private practice.- Full time position
- Orthopedic Spine Fellowship required
- High-volume patient base with strong referral patterns- 22 specialty-trained orthopedic and spine surgeons- Integrated services including imaging, physical therapy, occupational therapy, and a health and fitness facility.

Urology in NC Centrally located on the border of North Dakota & Minnesota 45 miles to Detroit Lakes 3.5 hours to Minneapolis/St.

Paul Med School, Residency & Fellowship programs University town with a population of over 225k Join 1 Urologists, currently in practice with 3 NPs in a Hospital employed group.

2 da Vinci robots, 120 Watt Holmium Laser, Rezum Therapy, UroNav, Urodynamics Admissions managed by hospitalist service EPIC EMR Hospital will help you build your practice Built in referral pattern from large health system: Regional Service area consists of 25 clinics & 5 hospitals Dedicated block time Benefits: MGMA base salary plus RVU Sign on Relocation Comprehensive benefits CME PTO MP Student education repayment Residency Stipend Community: Population: 225k+ Listed as a Top 100 Best Places To Live Safe community with excellent schools 4 seasons activities and surrounding lakes for boating, fishing, hunting, skiing Competitive sporting events with AAIPB baseball, USHL hockey, NEFL football, National Premier Soccer League Excellent airport with direct flights to Atlanta, Chicago, Dallas, Denver, Las Vegas, Los Angeles, Minneapolis/St.

Paul, Orlando-Sanford and Phoenix-Mesa

Clinic is seeking OB/GYN to join team- Hospital-employed- Office location is located directly across from the hospital- Join an established group with Physicians and CNMs- Call will be 1:4- CNMs take first call on weekends- Level 2 Nursery, Neonatologist onsite- Established MFM referral patterns in place- Ultrasound in office- Averages 550 deliveries per year- Competitive base salary plus worked relative value unit (wRVU) production bonus- Sign-on bonus and relocation assistance- Paid time off and retirement plan- Comprehensive health and well-being benefits- Student loan repayment assistance- Early-commitment residency stipend- Continuing Medical Education (CME) allowance and days- Paid professional liability and malpractice coverage- Marketing and practice growth assistance

Urology in Iowa60 minutes from the University of Iowa Clinics and Hospitals2 hours from Rochester MN and Mayo Hospital2 hours from Des Moines4 hours from Chicago

• Our established Urology group is looking to add a 3rd physician
• Seeking provider comfortable with robotic surgery
• State of the art technology and equipment available for delivering the highest quality care
• Call: 1 in 3
• In office procedures include office cystoscopy, bladder biopsies, uroflow measurement and bladder volume ultrasounds
• Surgery and outpatient procedures are performed at MercyOne Waterloo, which is located just 5 minutes away from the office

Offer:

• $600K guarantee for 2 years + Production Incentive
• Income potential $650K+ on production
• $50K Starting Bonus
• $15,000 Relocation
• Longevity Bonus: $30K in year 2 and $30K in year 3
• Employer paid Malpractice and Tail coverage.
• Health insurance is a shared premium with 3 plan options.
• 2 Dental and 2 Vision plans to choose from with employer shared premium.
• Employer paid Short Term Disability with option to purchase Long Term Disability at minimal cost.
• Non-profit organization which qualifies for Public Service Loan Forgiveness
• Allowed up to 31 days off/year while on guarantee.
• Part of an employed multi-specialty group with more than 180 providers in northeast Iowa - physicians, physician assistants and nurse practitioners with established referral patterns

This position is in Lancaster, a small to medium-sized town that offers new schools and great neighborhoods.

Work in a safe, family-oriented community with a superb quality of life.

It is a 30-minute drive from Columbus and 1 hour to Philadelphia and Harrisburg.

CompHealth has relationships with hospitals across the country and often know about jobs before they're advertised.

Contact Jessica Brentnell .

Excellent location in Central Ohio with chance to live in top Columbus suburbs Very strong base salary plus $100k sign-on bonus Established practice with strong referral patterns and state-of-the-art technology Call is shared 1:4 Family-friendly community Clinic is on the same campus as hospital Benefits package includes health coverage, retirement plan, and more Strong support team and flexible scheduling opportunities Our services are free for you We help negotiate your salary and contract We coordinate interviews and help with licenses Specialized recruiters match your career preferences Experienced support teams take care of every detail

Join a growing Multispecialty Group/Health System in the Greater Pittsburgh Area whose mission is to improve the health and well-being of every life they touch.

With a focus on Quality and Value-driven healthcare, become part of a healthcare continuum that proactively manages the health of the population they serve.

Multispecialty Group Practice with over 220 Primary Care & Specialty Physicians in 30+ specialties Award-winning 3 Hospital Health System Employed Otolaryngologist practice in a well-respected group consisting of 3 Ear, Nose, and Throat (ENT) specialists- Established referral pattern In-office audiologists, state-of-the-art technology, and surgical systems Annual base salary plus production incentive Incentives may include Commencement Bonus, Productivity Incentive, Relocation Assistance, and Educational Loan assistance (available to qualified providers) Comprehensive benefits package including paid time off paid malpractice with tail coverage, 401K with Employer matched contribution, split-dollar deferral and continuing medical education funds Board Certification required

• Join two other providers in this very busy practice
• Seeking a quality driven, patient centered PUD CC physician to provide comprehensive care to the full spectrum of patients inpatient and clinic
• Sleep medicine is an option for a board-certified sleep physician
• One week in hospital, two weeks in clinic
• Call 1:3
• One campus has 12 Bed ICU, and other campus has 5 Bed ICU
• Well established referral patterns
• Clinic located on hospital campus

Medical Group

• Employed multi-specialty group with more than 180 providers - Physicians, Physician Assistants and Nurse Practitioners
• Competitive three-year salary guarantee moving to production based compensation model
• Starting bonus
• Relocation allowance
• Comprehensive benefit package including paid tail coverage
• Regional health system covering eight counties
• Service area approximately 280,000

Candidates

• BC/ BE (Must be BC within three years of becoming eligible)

Summary

SUMMARY:Under general supervision, to act as lead person for nursing or nursing support personnel and to be responsible for the operation of an assigned area for each shift and ensure optimal patient care; plans, implements, and evaluates patient care. Performs related duties as required.

DUTIES & ESSENTIAL JOB FUNCTIONS:NOTE: The following are the duties performed by employees in this classification. However, employees may perform other duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

1. Develops, implements, evaluates and modifies an organizational plan for the provision of care for all patients in an assigned area for a given work period.

2.During the course of a shift, makes regular rounds to all patients in assigned area to assess nursing care andstatus of assignment of personnel; makes reassignment as necessary and provides assistance, teaching, or guidance as needed.

3. Gathers and assesses information about patients to meet nursing needs and to assist and consult with physicians and other professional staff.

4. Develops, implements, evaluates and makes modifications in the nursing care plan; documents or monitors documentation of care given according to mandated criteria and at required intervals.

5. Monitors the regularity of programs providing for infection control, quality assurance, continuity of care, teaching ofpatients, and coordination of care with other departments.

6. Monitors implementation of standards set by State and National regulatory and/or accrediting agencies; verifies that administrative and personnel procedures are completed accurately; interprets and implements policies, procedures and regulations.

7. Assists immediate supervisor in the preparation of personnel performance records; assists with conducting studies; prepares required records and reports; participates in unit and other meetings.

8. Provides patient care according to established standards and criteria and in conformity with nursing care plans.

9. Participates in promoting a healthful, therapeutic, and safe environment for patients and/or families.

10. Promotes cordial and productive patterns of communication among staff, patients and family members;communicates regularly to immediate supervisor any needs, problems or suggestions.

MINIMUM QUALIFICATIONS:

Education: Graduate of an accredited Nursing program required; Bachelor's degree in Nursing preferred.

Minimum Experience: Two years of experience as a Clinical Nurse II with AHS or the equivalent of three years full-time professional nursing experience in a large acute facility in the clinical area of application. (NOTE: a Bachelor's Degree in Nursing from an accredited school may be substituted for one year of the required experience.)

Required License/Certifications: CCRN - Critical Care Registered Nurse is desirable.

Required Licenses/Certifications: ACLS - Advanced Cardiac Life Support Certification - issued by AHA - American Heart Association, may be required per facility or unit/department specialty according to patient care policies.

Required Licenses/Certifications: Acquire certification in chemotherapy within one year of hire (certain positions only).

Required Licenses/Certifications: BLS - Basic Life Support Certification issued by the American Heart Association. Other advanced life support certifications may be required per unit/department specialty according to patient care policies.

Required Licenses/Certifications: CEN - Certified Emergency Nurse is desirable (for Emergency Department positions).

Required Licenses/Certifications: Certification as a Public Health Nurse in the State of California (required for certain positions).

Required Licenses/Certifications: Completion of Perinatal Safety Modules within 3 months of hire. Evidence of completion and continuing annual competency must be in the employee file and/or AHS's learning management system (LMS) (for certain positions).

Required Licenses/Certifications: Coronary Care Unit certification (required for certain positions at Fairmont Hospital's Monitoring Unit).

Required Licenses/Certifications: CPI -Crisis Prevention Intervention Training (required for all positions at John George Psychiatric Pavilion; and preferred for certain positions in the Emergency Department).

Required Licenses/Certifications: NRP - Neonatal Resuscitation Program Certification- AHA American Heart Association (required per unit/department specialty according to patient care policies).

Required Licenses/Certifications: PALS - Pediatric Advanced Life Support Certification- AHA American Heart Association (Required for Emergency Department or if overseeing or providing pediatric care on a regular basis).

Required Licenses/Certifications: TNCC -Trauma Nurse Core Course (Required for Emergency department).

Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.

The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licensure and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program.

$77.67/hr - $113.98/hr

Summary

SUMMARY:Under general direction, works in collaboration with treatment team and other disciplines to assure the appropriate admit status and medical necessity for admission, concurrent, and discharges, securing the appropriate documentation and planning for continuing care. Identifies care issues and conveys barriers to discharge to appropriate disciplines while intervening to assure progression in the treatment planning. Follows AHS (Alameda Health System) and Behavioral Health Department Alameda County Utilization Review Plan to obtain authorization of acute inpatient services. Provides medical necessity and patient Care related documentation to non Medi-Cal payor sources. Documents authorization status and patient care related significant details in EHR. All tasks can be completed virtually and with minimal supervision.

DUTIES & ESSENTIAL JOB FUNCTIONS:NOTE: The following are the duties performed by employees in this classification. However, employees may perform other duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

1. Assures clinical interventions are appropriate for the admitting diagnosis and reflect the standard of care, as defined by The Joint Commission (TJC), Centers for Medicare and Medicaid Services, and AHS and Behavioral Health Department of Alameda County Utilization Plan.

2. Collaborates with the treatment team; reviews all inpatient admissions for appropriate admit status based on medical necessity criteria of Medi-Cal and/or commercial insurances and ensures the patient is registered at the appropriate level of care.

3. Communicates with treatment team members to provide the continuity of care while supporting and maintaining the treatment team approach to ensure effective resource utilization.

4. Actively participates in treatment team meeting to discuss discharge planning.

5.During the initial review, screens for discharge needs and makes the appropriate recommendations to ensure a safe transition to a post-acute level of care.

6. Initiates authorization and follow up process with Behavioral Health Department of Alameda County and AHS Admissions/Eligibility/Enrollment services for uninsured patients.

7. Works with patient care team and vendors to procure DME (Durable Medical Equipment).

8. Notifies denials to the attending MD and treatment team members via EHR.

9. Reviews patient Account notes in EHR as needed for account updates and insurance accuracy.

10.Completes the DHCS PASSR for patients being referred to a SNF or Morton Bakar Center.

11.Independently processes the denial Work Ques and Patient Account Work Ques in EHR.

12. Identifies and escalates the complex cases at the appropriate level and coordinates case conferences as needed.

13.Actively participates in the quarterly URC meeting and discusses trends, patterns, and problem cases.

14.Identifies high utilization risk patients and notifies the treatment team.

15.Communicates with the treatment team via Care management report and Likely no medical necessity report daily.

16.Documents medical necessity and patient care related information in the identified fields in EHR.

17.Maintains current knowledge of clinical practice and Utilization Management by literature review, membership in a professional organization.

18.Maintains continuing education related to specialty or pursuing certification.

19.Makes appropriate referrals to homecare specialists or social work when clinically indicated.

20. Monitors ongoing patient care and makes suggestions to achieve optimal outcomes, based on vidence based best practice.

21.Participates in outcome data monitoring and audits as needed.

22.Performs concurrent reviews assigning acute, administrative and denied days as per ACBH concurrent review policy.

23. Utilizes clinical knowledge and defined standards of care to proactively identify inappropriate resource consumption and reports as appropriate.

MINIMUM QUALIFICATIONS:

Education: Graduate of an accredited Nursing Program required; Bachelor's degree in Nursing preferred.

Minimum Experience: Previous Behavioral Health Utilization Management or Care Management experience in inpatient acute setting required.

Minimum Experience: Two to five years recent clinical experience in acute inpatient behavioral health setting required.

Required Licenses/Certifications: BLS - Basic Life Support Certification issued by the American Heart Association.

Required Licenses/Certifications: TEAM training Techniques for Effective Aggression Management (required for all positions at John George Psychiatric Pavilion; and certain positions in the Emergency Department).

Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.\

Pay Range $89.32- $131.08

The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licensure and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program.